1. With a history of taking black before coming to the hospital. And baby grow up and arm swelling in the legs in the 3 days to the hospital.2.T, 39 C P 105 times / minute BP 90 / 60 mmHg.3. Your stomach, found decreased bowel sound press sore stomach medium anvil ice contraction.4. Having come and knock shifting dullness and abdominal tapping has fluid 500 ml.5. Arm swelling in the legs press dent grade 3 +.A 6.CBC found WBC 17600 PMN 75.8%.7. Check the Ascitic fluid found PMN 625 cell / uL and found gram negative rod.8.Hemoculture found E.coli.9.Serum albumin 2.1 g / dl.10.
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