MORNING REPORT

Name : Baby. D
Age : 3 months 25 Days

Sex : Female
IDENTITY Address : Buton Utara
Doctor in Change : dr. Tedjo Arrianto, Sp.B-KBD
 Main Complain: Hematochezia
Anamnesis: The patient came to hospital with hematochezia
since 2 days ago. Hematochezia with mucus and yellow feces.
Initially the complaint was felt 4 days ago, his daughter was fussy
and her stomach bloated. Complaints accompained by vomiting up
HISTORY to more than 2x in a day, the colour of the vomit is green. The
patient always vomit after eat and drink . There were febris since 2
TAKING days ago. The urinate was normally.
Her mother had given bananas 1 month ago.
There was no history of the same symptoms
There was no family history
There was previous medication on PKM
 General status : Head : Normally
severe illness Nose : Normally
Vital sign : Mouth : Normally
RR : 22 x/minute Neck : Normally
HR : 130 x/minute Chest : Normally
T : 37,8 °C Abdomen : Localized
Upper and lower limb : Normally
GENERAL
SURVEY
 Abdomen
Inspection : conveks following the motion of breath, damn countur (-), damn
steifung (-)
Auskultation : increased peristaltik (+)
Palpation : tenderness (difficult to evaluate),palpable mass size 5 cm on dextra
iliaca region
Generalized Perkution : hyperthympani

Localized
Rectal Examination
Sphincter : Tight
Mucosa : Smooth
Ampulla : Empty
Handscoen: Feces (-), Blood (+), Mucus (+)
 Clinical
Documentation
  Routine Blood
Plan of  USG Abdomen
Diagnostic  BNO 3 potition
USG ABDOMEN
  WBC 8,36 x 10^3 /uL
 RBC 4,38 x 10^6 /uL
Routine Blood  HGB 10,8 g/dL
 PLT 305 x 10^3 /uL
  Hematochezia e.c invaginasi
Diagnostic
 Farmacology

•IVFD
Management •Antibiotic Injection
•Analgetic Injection
•H2RA Injection

Consult To Digestive
Surgeon