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1. Reko Tomas/Male / 34 yo / Edelweiss 20 Chief Complaint : Shortness of breath increased since 2 days Present Illness History Shortness of breath increased since 2 days. Shortness of breath has been felt since 1 week. shortness of breath does not influenced by activity, weather and climate. Fever since 1 week, continuous fever, no chills, fever accompanied by there is no profuse sweating at night. there are no bleeding spots. there is no bleeding. A cough for the past 3 days, coughing up phlegm, yellowish in color, coughing stomatch pain since 1 week nausea for 3 days, I've had no vomiting. Normal defecation, no history of black defecation Normal urination

2. VII General Appearance : Moderate Consciousness level: CM BP : 110/65 mmHg H R : 62 x/minute R R : 22 x/minute T : 37,8 º C SpO2 : 98% on nasal kanul 3 lpm Physical Examination

3. VII Eye C onjunctiva anemic (-) , sclera l icteric (-) Neck JVP 5-2 cmH20, Lung: Inspection: static ally and dynamic ally symmetric Palpation: right fremitus = left fremitus Percussion: sonor Auscultation: Bronco v esicular , Rh +/+, Wh -/- Cor : Inspection: ictus cordis is not seen Palpation: ictus is palpated at 1 finger medial LMCS ICS V Percussion: cardiomegaly (-) Auscultation: S1-S2 regular, murmur (-), gallop (-)

4. VII Abdomen: Inspection: distension (-) Auscultation: Bowel sound (+) increased Palpation: epigastric pain (+) Percusion : tympani Extremities: Warm acral, CRT <2 second, edema -/-

5. VII Laboratory Items Value Hb 14.2 g r/dl Ht 38 % Leukosit 6730 /mm Platelet 105.000 Ur/Cr 11/0.8 Na/K/Cl 1342/3.4/102 GDS 85 mg/dl IgG/IgM dengue Negative/ Positive

6. VII Chest X-Ray

7. EKG

8. Problems Pneumonia Trombositopenia Dyspepsia syndrome

9. Working Diagnosis CAP non severe low risk MDR Thrombocytopenia ec Dengue Hemoragic Fever mixed type dyspeptic syndrome

10. Therapy Rest / Soft Diet High calories and high protein IVFD Asering 8 hours / colf Ampicillin sulbactam 4x1.5 gr iv Neb Flumucyl / 12 hour Lansoprazole 1x30 mg po Domperidone 3x10 mg po N acetyl cysteine ​​3x200 mg Paracetamol 3x500 mg po

11. Plan Urinalysis Culture sputum Blood test / day