PMH Splenectomy DH AB SH negative FH negative
Sign up to view full document!
SIGN UP
PMH: Splenectomy DH: AB SH: negative FH: negative AH: negative
HEENT : Conj : Not Pale Sclera : Not Yellowish Pupil : NL Size & Reactive to light Thyroid : NL JVP : flat
CHEST: Auscultation: normal breath sound, no wheeze or abnormal sound HEART: regular, No murmur 2 S 1 S 1 NL
Abd: NO Tenderness NO Organomegally NO Distension EXT: petechial and papular lesions with red/purple plaque which somehow ecchymosis Neurology: NO Brudzinski and kernig sign , neck stiffness+
LAB: HEMATOLOGY LP CRP ++ ESR 32 LDH 345 WBC APP turbid cell 588 13500 WBC 86% NEUT 90% PRO 123 LYMPH % 10 GLU 37 HB 11. 6 MCV 87 PT, PTT, INR NL LFT NL Cr 1. 1
- Slides: 12