A. Hari/ Tanggal :
B. Nama/NPM/Gel./Kel. :
C. Identitas Pasien :
1. Nama :
2. Ras :
3. Spesies :
4. Umur :
5. Tipe Rambut/Bulu :
6. Warna :
7. Bobot Badan :
8. Ciri Khusus Lainnya :
D. Identitas Klien :
1. Nama Pemilik :
2. Alamat :
LOG BOOK PERAWATAN
HARI KE- FOTO/GAMBAR KETERANGAN
15
22
29
I. ANAMNESA :
V. DIFERENSIAL DIAGNOSA :
VI. PROGNOSA :
VII. TERAPI :
Pemeriksa,
(........................................................)
CATATAN PEMERIKSA
I. ANAMNESA :
V. DIFERENSIAL DIAGNOSA :
VI. PROGNOSA :
VII. TERAPI :
Pemeriksa,
(........................................................)
CATATAN PEMERIKSA
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Tabel 4. Profil Hematologi, Kimia Darah dan Urin pada Anjing serta Kucing
TEST UNIT CANINE FELINE
PROFIL HEMATOLOGI
HCT % 41,0 - 60,0 31,0 - 48,0
RBC x106/µL 5,70 - 8,60 6,90 - 10,1
HGB g/dL 14,1 - 20,2 10,9 - 15,7
MCV fL 66,0 - 76,0 40,0 - 52,0
MCH pg 22,0 - 26,0 13,0 - 17,0
MCHC g/dL 33,0 - 36,0 32,0 - 35,0
RDW % 10,6 - 14,4 13,2 - 17,5
NRBC /100 WBC 0,00 - 1,00 0,00 - 1,00
Reticulocyte % 0,20 - 1,50 0,10 - 0,70
9
ARC x10 /L 11,0 - 95,0 9,00 - 61,0
WBC x103/µL 5,70 - 14,2 5,10 - 16,2
Basophil % 0,00 - 1,00 0,00 - 1,00
Eosinophil % 0,00 - 9,00 2,00 - 12,0
Neutrophils (Segmented) % 58,0 - 85,0 35,0 - 75,0
Neutrophils (Band) % 0,00 - 3,00 0,00 - 2,00
Monocyte % 2,00 - 10,0 1,00 - 4,00
Lymphocytes % 8,00 - 21,0 27,0 - 36,0
PLT x103/µL 186 - 545 195 - 624
MPV fL 8,40 - 14,1 9,10 - 24,3
KIMIA DARAH
AST/SGOT U/L 5,00 - 55,0 9,20 - 39,0
ALT/SGPT U/L 8,30 - 52,5 28,0 - 76,0
Creatinine mg/dL 0,50 – 1,60 0,90 - 21,0
BUN mg/dL 8,80 - 25,9 15,0 - 34,0
Cholesterol mg/dL 120 – 270 70,0 - 200
Bilirubin mg/dL 0,00 - 0,30 0,00 - 0,10
Glucose mg/dL 76,0 – 119 60,0 - 120
KIMIA URIN
Spesific Gravity USG 1.015 - 1.045 1.035 - 1.060
Leukocytes WBCs/HPF 0,00 - 5,00 0,00 - 5,00
Nitrite mg/dL neg. neg.
Urobilinogen mg/dL 0,00 - 1,00 0,00 - 1,00
Protein mg/dL trace trace
Potential Hydrogen pH 6,00 - 7,50 5,00 - 7,50
Blood RBCs/HPF 0,00 - 5,00 0,00 - 5,00
Ketone mg/dL neg. neg.
Bilirubin mg/dL trace neg.
Glucose mg/dL ≤ 200 250 - 300
Tabel 5. Gambaran Sitologi Kulit dan Rambut pada Anjing serta Kucing
SKIN SCRAPING