Staghorn

StaghornCase IllustrationPatients identity Name: Mrs. TAge: 55 years oldAddress: Pulo GebangOccupation: housewife Religion: moslem

Alloanamnesis with patients husbandChief complaintLoss of consciousness since 15 hours before the admission.History of present illness

Physical examinationGeneral condition: Somnolent, moderately illEye:Inferior palpebral is not anemic, conjunctiva is not ictericNeck :JVP 5-2 cmH2O, trachea is not deviated, enlarged lymph node (-)Heart :S1 and S2 regular, no gallop and murmur foundLung :Symmetrical, expand together, vesicular at both lobes, no ronchi, nor wheezing can be heardAbdomen:flat, normal bowel movement, no hepatomegalyExtremities:edema (-) both extremities, warm extremities

Vital signNeurological examinationGCS: E3 V3 M6 = 12Meningeal signs: Nuchal rigidity (+), Lasegue