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Felix Hansen (1015101)Amanda Padma (1015058)Indra Josua (0715092)Case PresentationIdentity of PatientName : Tn. RAge: 35 years oldGender: MaleOccupation: Not workingStatus: SingleRoom/Bed: Gideon/4Date: 09-06-2014Diagnose: CKD Stage 5 on Hemodialysis + Acites

ResumeA male 35 years old came with pain in all parts of abdomen. The pain wasnt radiate and patient also complained having breathless because of fluid in abdomen that press the chest. Patient confessed having treatment with the kidney disease and had hemodialysis for almost a year. Patient also complained having swolen in pair of feet. Past medical history : UTI on 2010 => progress to renal disease on 2012 => having hemodialysis since then, asthma (-), diabetes mellitus (-), hypertension (-)Family medical history : -Allergic history : -Physical ExaminationVital SignsBP: 120/80 mmHgHeart rate: 120 x/minuteRespiration: 32x/minuteTemperature: 36,9CSkin: cyanosis (-), jaundice (-)HeadEye : Conjunctiva anemic (+/+), sclera jaundice (-/-)ENT: secretions (-)Neck: lymph node not palpable, trachea centralThoraxHeart: heart sound S1S2 regular, murmur (-)Pulmo: move symetric, vbs (+/+), ronchi (-/-), wheezing (-/-)Abdomen: raised, soepel, gut sound (-), palpable pain (-), shifting dullness (+), fluid wave (+)Extremities : swolen in pair of feet, non pitting, muscle atrophy in pair of feet.

Lab Result (09-06-2014)Hb: 9,4 gr/dl (