Kamis, 15 Juni 2017 BEDAH DIGESTIF MAP/ARI/FDH/AFF/MOW/GIH/TEG/DAV/DEN/YESj

RUANG BED Nama Usia Tgl msk Diagnosis Status DPJP Plann Pemeriksaan Penunjang PJ
Konsul dari obgyn
NY. Pratitis 13/6 HB 10.7 HT 35 AL 4.2 AT 243
5G 17 13/6 Tumor padat ovarium dd teratoma Pre op AR odurante Op Laparatomi TEG/AFF/FDH
Rahajeng 20/5 PT 13.2 APTT 29.2 GDS 78 OT 23 PT 13 ALB 3.9 CR 0.8 UR 19 NA 136K 3.6 CL 102 HbsAg NR
MAWAR 1 UC
To. Intra abdomen susp kista Perbaikan KU
8F Nn. Rengga 29 12/6 Work Up IBB 12/6 HB 9.8 HT 31 AL 14.1 AT 535 GOLDA A PT 17.6 APTT 25.7 INR 1.57 GDS 73 ALB 2.0 CR 0.9 UR 38 NA 135 K 3.2 CL 106 CA 1.18 HbsAG nr TEG/AFF/FDH
hidatidosa+anemia+hipoalbumin+psikotik Konsul psikiatri
Post laparatomy eksplorasi +
HCU Ny. Parni Post OP
H 42 11/6 divertikelektomy dan polipektomy ai AR Perwatan post op 11/6 Hb 5.9 HT 22 AL 7.9 AT 554 OT 21 PT 12Cr 0.4 Ur 4 HbsAg NR Golda B Na 135 K 2.3 Cl 105 Ca 1.18 PT 13 APTT 24.6 TEG/AFF/FDH
Melati 1 01381921 12/3
divertikel dan polip rekti + Anemia berat
Ny. Sriani 12/6 Hb 9,4 Ht 27 L 7,5 Tr 369 Golda O PT 13,6 APTT 31,3 INR 1,010 GDS 98 SGOT 76 SGPT 49 Biltot 10,40 Bildir 10,00 Bilind 0,40 Alb 3,9 Cr 0,5 Ur
2C 43 14/6 Batu CBD Pre op IBB Eksplore CBD
01381961 34 Na 135 K 3,7 Cl 107 Hbsag NR CA 19-9 <3
Ny Suwarni Post Op
4B 50 13/6 Post cholesistektomi ai cholelitihiasis AR Perwatan post op 13/6 Hb 13,1 Ht 41 L 8,6 Tr 215 PT 12,1 APTT 34,9 INR 0,950 GDS 80 Alb 3,8 Na 135 K 3,5 Cl 106 Hbsag NR DEN/MOW/ARI
01379196 14/6
14/6 hb 7,6 Ht 25 L 15,5 Tr 136 Biltot 10,47 Bildir 7,67 Bilind 2,80 Alb 2,9 Na 138 K 3,0 Cl 109
Mawar2 4C Ny. Suparni 57 12/6 Multiple CBD Work UP AR Pro CT scan abdomen DAV/MOW/ARI
12/6 HB 6.8 HT 21 AL 8 AT 159 AOL DAR AB PT 10.8 APTT 22.2 INR 0.81 GDS 120 ALB 2.7 CR0.8 UR 41` NA 128 K 2.9 CL 102
13/6 Analisa pleura: Rivalta +. Eksudat, Hb 10,4 Ht 32 L 12,7 Tr 221
Tn Aji
Pro TACE 8/6 FNAB : Hepatucellular carcinoma
5A Suryanto 31 5/6 Hepatocelular carcinoma + Hep B Work up AR DEN/MOW/ARI
USG doppler 6/6 PT 14,2 APTT 27,3 INR 1,070 Cr 0,5 Ur 21 AFP 114,79
01381223
4/6 Hb 11,3 Ht 35 L 14,3 Tr 345 GDS 115 OT 212 PT46 Alb 3,0 Cr 0,8 Ur 14 Na 123 K 3,6 Cl 91 Cal 1,11 Hbsag Reactive
Wing Tn Sularso
D 62 14/6 Post laparotomi biliodigest ai ca caput Work up IBB Perbaikan ku 14/6
mawar 2 01371134
Ny Waginem Pro ct scan abdomen YES/GIH/AFF/FD
3A 64 13/6 Tumor intra abdomen Work up AR 13/6 Hb 8,1 Ht 28 L 16,9 Tr 651 PT 13,6 APTT 30,6 INR 1,110 SGOT 12 SGPT 7 Alb 2,9 Cr 0,6 Ur 20 Na 133 K 4,3 Cl 103 Hbsag NR
01382165 kontras H
Tn Semin Post op Laparotomi biopsi ai tumor Post Op 11/6 Na 132 K 4,1 Cl 102 YES/GIH/AFF/FD
5B 60 9/6 AR Perawatan Post Op
01380967 mesenterium 12/6 10/6 Hb 11.3 Ht 34 L 8,4 Tr 282 PT 14,8 APTT 27,3 INR 1,120 GDS 131 SGOT 26 SGPT 11 Alb 3,5 Cr 1,1 Ur 53 Na 126 K 3,7 Cl 95 HBSag NR CEA 0,79 H
Ny. Maria YES/GIH/AFF/FD
8A 40 14/6 Cholesistitis + Cholelithiasis Op AR Pro Cholesistektomi 13/6 Hb 10,3 Ht 33 L 15,6 Tr 256 Golda O PT 14,5 APTT 30,3 INR 1,210 SGOT 23 SGPT 26 Biltot 1,55 Alb 3,3 Cr 0,7 Ur 13 Na 131 K 2,8 Cl 98 Hbsag R
01317722 H
Tn. Sutikno Post op YES/GIH/AFF/FD
14 C 57 12/6 Laparotomi biopsi + TCS ai Adeno ca recti AR Perawatan post op 12/6 hb 11.1 ht 35 al 10.5 at 251 golda a pt 13.9 aptt 29.0 inr 1.140 gds 93 alb 3,1 cr a.4 ur 25 na 130 k 3.6 cl 99
01381693 14/6 H
Melati 3 Tn. Warsito Post rectosigmoidostomi +stoma ai. 13/6 MSCT : Massa rectum meluas ke colon sigmoid infiltrasi bladder, limfadenopati, T3N2M1b YES/GIH/AFF/FD
12 C 65 10/6 Pre op IBB CT scan
01358781 Adenoma ca recti metastase buli 11/6 HB 11.3 HT 37 AL 9 AT 464 PT 12.5 APTT 29.7 INR 0.990 GDS 169 ALB 3.2 CR 0.8 UR 17 NA 137 K 3.7 CL 108 H
13/6 Hb 7,9 Ht 25 L 8,2 Tr 304 Alb 2,3 Na 163 K 3,1 Cl 138
Tn Edy Post sigmoidostomi + Ca recti T4N1 M1 9/6 Alb 2,7 Cr 1,4 Ur 186
1/6 YES/GIH/AFF/FD
17 C Riyanto 55 Interna: hematememesis ec non variceal Work up AR Perbaikan Ku 7/6 ESBL meropenem
Ko Interna H
01379994 bleeding 6/6 GDS 100 Alb 2,4 Na 151 K 2,1 Cal 1,23
5/6 Hb 10,5 Ht 33 L 19,5 Tr 299 PT 14,8 APTT 28,6 INR 1,120 Alb 2,4 Cr 1,7 Ur 212 Na 142 K 2,9 Cl 122 HbSAg NR Golda B
Tn. Samino Post OP YES/GIH/AFF/FD
18C 66 12/6 Post Herniorepair halsted ai HIL (D) AR Perawatan post op 12/6 Hb 13.2 ht 41 al 7.8 at 240 gol da o PT 11.8 APTT 31.2 INR 0.92 GDS 165 ALB 3.4 CR 1.1UR 38 NA 136 K 4.7 CL 105 HbsAg NR
01379629 13/6 H
POST Laparatomi eksplorasi +release
13/6 HB 18.2 HT 56 AL 11 AT 320 GDS 79 ALB 3.4 NA 140 K 2.9 CL 111
Tn Darmo vovuluscolon sigmoid, decompresi Post op
7 68 11/6 AR Perawatan Post Op 11/6 Hb 18,4 Ht 55 L 8,6 Tr 338 Golda A PT 14,4 APTT 39,2 INR 1,200 GDS 103 K 4,1 Cr 0,7 Ur 31 Na 135 K 3,2 Cl 106 Hbsag Reactive, AFF/ARI
01348933 colon+stoma ai. Ileus obstruktif + dilatasi 12/6
colon
ICU 13/6 HB 9.8 HT 31 AL 19.8 AT 239 GDS 123 ALB 2.4 CR 6.8 UR 313 NA 141 K 5.9 CL 109
Tn. Mustofa Ko Interna Post op Perawatan Post Op
12 40 POST LAPARATOMI biopsi ai .Peritonitis TB AR 13/6 Lab Mikro BTA (-) AFF/ARI
01381814 10/6 12/6 HD
10/6 PT 16.5 APTT 28.3 GDS 64 OT 57 PT 31 HbsAg NR
Post Laparotomi ekspolrasi Join op obsgyn 13/6 HB 9.1 HT 28 AL 13.8 AL 127 PT 20.2 APTT 27.6 INR 1.89 ALB 1.3 NA 135 K 3.5 CL 107 CA 1.11
Ny. Suratmi Ko Obsgyn Post op AR
7K 61 ai.Tumor intraabdomen dd kistoma dd ca Perwatan post op 9/GDS 123 Cr 1.0 Ur 21 AFF/ARI
01330317 5/6 (13/6)
ovarii + adeno ca recti 5/6 Golda A OT 22 PT 12 Hbsag NR CEA 19,92 CA 125 6
13/6 HB 5.3 HT 16 AL 8.5 AT 347 ALB 2.6 NA 141 K 3.2 CL 108
Ny POST Laparotomi Cholesistektomi ai.
POST Op 10/6 GDS 200 Alb 2.5 Ca 1.25 Biltot 11.34 Bildir 10.26 Bilin 1.08
RGB G Handayani 51 7/6 Obstruksi jaundice ec CBD + cholelithiasis AR Perawatan Post Op AFF/ARI
(10/5) 7/6 Golda A PT 27,2 APTT 40,2 INR 2,830 GDS 373 SGOT 92 SGPT 35 Biltot 15,07 Alb 3,1 Cr 0,3 Ur 12
01381583 multiple
Cal 1,23 Hbsag NR
Ny. Lamiyah POST Laparotomi biliodigest braun Post op 13/6 HB 11.1 HT 35 AL 11.2 AT 419 GDS 192 ALB 2.7 NA 140 K 3.6 CL 110 CA 1.06
H 57 12/6 AR Perawatan Post Op AFF/ARI
01374316 anastomose +biopsi ai. Tumor pankrease 13/6 12/6 GOLDA B PT 12.9 APTT 29.3 INR 1.030 CR 1.0 UR 16
ASTER 5
VIP (KEL1) Ny. Fistula rectovagina post ileustomy Perbaikan ku YES/GIH/AFF/FD
13 36 13/6 Work Up IBB 12/6 HB 7.7 HT 23.7 AL 17.4 AT 235
Antintyas +ARF+anemia+post histerektomy Konsul raber interna H

IGD Ny. Sinta

Pro Laparotomi
Agustina 42 14/5 Ileus Obstruktif Op AR 144/6 Hb 11.9HT 38 Al 9.6 AT 183 Golda O PT 14.2 APTT 40.5 GDS 104 Cr 0.6 Ur 16 Na 134 K 1.7 Cl 100 HbsAg NR
Eksplorasi
01382188