No. 1Name : Mr. F Sex : Male

Age : 21 years old No. Reg : 630382

Chief complaint : Udem and pain at penis

Condition : Suffered since 1 week before admitted to the hospital. There was no event of fever. There was history used kemiri oil injected to his penis.

Defecation : NormallyMicturation : Normally

General StatusModerate illness / well nourish / conscious

Vital Sign BP : 120/80 mmHgHR : 100x/mnt, strong, reguler, RR : 24x/mnt, symmetric L=R, thoracoabdominal type. T(Ax) : 36,9°C

Secondary SurveyAbdomen :I: Seen flat, follow breath moving, wound (-), hematoma (+) A : Peristaltic (+) normal P : Tenderness (-)P : Tapping pain (-) tympani (+)

Perianal region :I : Seen skin colour more darkness from vicinity, hematoma (-), udema (-) , wound (-)P : Tenderness (-)

Penis region :I : Seen not circumsised yet, abcess (-), pus (+), udema (+)P : Tenderness (-)

Laboratory Result

WBC : 12,64 x 103 / μL

RBC : 4,19 x 106 / μL

HGB : 12,7 g/dL

HCT : 35,8 %

PLT : 415 x103/ μL

CT / BT : 8‘00”/2’00”

Blood Sugar : 97 mg/dl

Ureum : 17 mg/dl

Creatinin : 0,7 mg/dl

GOT / GPT : 23/33 μ/L

WORKING DIAGNOSIS : Siliconoma penis

MANAGEMENT : • Medicaments• Report to senior plastic surgeon advice: