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PETA PASIEN ORTHO SELASA, 02 JANUARI 2018 FAD/BAS/HDD/HAN/TAN/FEN/DEN/BIB/FAN/SIB /ADY/FDH/FAT/HRE/SOE/MDB/ALF/YES/PBP

PP
WARD BED NAMA U RM DIAGNOSIS NON ORTHO MRS STATUS OP TINDAKAN PLAN BEA OPR RABER LAB DPJP
DS
COR GCS E4V5M6
29/12 Hb 10.7 Ht 33 AL 26.2 AT 491 GDS 147 Alb 2.7 Na 128 K 4.5
EDH r parietal (D)
Cl 100
ICH r frontal
22/12 Hb10.3 Ht31 AL10.1 AT224 PT12 APTT27.8 INR0.94
SAH r frontoparietal b. saraf
2 Djimin 58 01402658 CF clavicula (D) 1/3 tengah allman grup 1 18/12 post OP 29/12 post ORIF Perawatan Post OP BPJS UH GDS123 Alb2.8 Na137 K4.2 Cl109 FEN UH
fr linear os frontal – BTKV
18/12 Hb 12,5 Ht39 L 15,6 Tr 161 GDS 205 ur 0,8 Ur31 Na 138 K
parietal (D)
ICU 3,6 cl 106
CF costae 3-8
emfisema subkutis
27/12 HBb 10.7 Ht 34 AL 23.2 AT 355 GDS 83 Alb 2.5 Na 143 K 4.2
Hematothorax (D)
CF shaft humerus 1/3 tengah (D) comminutive BTKV Cl 118 Ca 1.23
15 Rahwanto 54 TTA susp ruptur 23/12 pre OP Post LAC Pro ORIF BPJS FEN UH
type tanpa lesi N radialis Digest 24/12 Hb12.9 Ht43 AL8.9 AT255 OT50 PT44 Cr0.8 Ur77 Na143
hepar
K5.3 Cl120
OF Tibia (S) 1/3 distal oblique type GA gr IIIC
OF Ankle (S) Weber A
OF cuboid Pedis (S) 1/1 Hb 9.9 Ht 30 AL 11.6 AT 822 GDS 135 Alb 2.7 Na 129
OF Dislokasi Lisfranc Joint Pedis (S) 26/12 Hb9.6 Ht30 AL10.8 AT424 GDS117 Alb2.6 Cr0.6 Ur20 Na128
explore a. Tibialis Anterior
OF Phalanx Proximal Digiti I pedis (S) Ruptur A. Tibialis BTKV K4.3 Ca1.13
A Jahriyati 52 01402812 19/12 post OP 19/12 Jait tanpa tension Long Leg Slab BPJS FEN UH
OF Phalanx Distal Digiti I Pedis (S) Anterior Distal Kiri B. Plastik 21/12 Hb 10,1 AL 7,5 AT 109
POST OREF
OF Phalanx Proximal Digiti II pedis (S) 19/12 Hb7.1 Ht21 AL7.3 AT210 Alb2.5 Na133 K3.9 Cl110 PT12.5
OF Phalanx Media Digiti III pedis (S) APTT28.2 HbsAg:NR GDS126 Ur27 Cr0.72 OT16 PT18
Severe Soft Tissue dan Skin Loss Regio Cruris
(S) posteromedial
RGB
29/12 Hb 12.0 Ht 37 AL 15.7 AT 302
Post
Perawatan Post OP 27/12 Hb 14.3 Ht 45 AL 10.0 AT 309 PT 11.7 APTT 25.1 INR 0.900
E Munarti 46 01401279 Paraplegi inferior e.c Spondilitis TB 27/12 post OP 29/12 Laminektomi+stabilisasi BPJS RVA TAN RVA
OP plastic (2/1) GDS 93 Alb 3.9 Cr 0.4 Ur 15 Na 135 K 3.9 Cl 102
posterior
30/11 Hb 14.3 Ht 43.6 AL 7.2 AT 409
31/12 Hb 10.6 Ht 34 AL 13.8 AT 349 PT 16.2 APTT 23.3 INR 1.400
TTA dengan
GDS 79 Alb 2.9 Cr 0.5 Ur 20 Na 135 K 3.2 Cl 109
hemodinamik tidak post laparotomi
Ferry CF Shaft femur (D) 1/3 tengah comminutive type B. Digest 27/12 Hb 9.0 Ht 29 AL 13.4 AT 74 PT 14.8 APTT 31.4 INR 1.240
K 29 01403396 stabil, ruptur Lien, 25/12 OP 2/1 eksplorasi, splenektomi Pro ORIF UM FEN RYN
Firmansyah WH type III BTKV SGOT 199 SGPT 147
Ruptur Hepar WSD
26/12 Hb6.9 Ht23 AL8.5 AT79 PT15.5 APTT35.6 INR1.32 OT178
fraktur costa 7 8 (D)
PT149 Alb2.0 Cr0.6 Ur20 Na136 K4.6 Cl110
Fr maxilla (D) et (S)+
Fr rima orbita inferior
(D B. saraf
OF shaft tibia (D) 1/3 tengah communutive type+ 1/1 Hb 13.1 Hyt 38 AL 27.8 AT 315 PT 15.7 APTT 23.5 INR `1.350
F Sukino 27 01404018 Fr Costae (s) 4, 5, 1/1 Pre OP Urgent debridement+ ORIF UM B. plastic FEN RYN
OF shaft fibula(D) 1/3 tengah simple type GDS 121 Cr 1.5 Ur 29 Na 140 K 3.4 Cl 109 HbsAg NR
6,7, 8 posterior BTKV
ROI simple
COS GCS E2V3M4
COR+oedem
B.SARAF 25/12 Hb 12.3 Ht 38 AL 9.5 AT 297 PT 15.9 APTT 21.5 INR 1.370
I Saparti 38 01403377 CF Shaft Radius 1/3 tengah (D) galeazzi type cerebri+Vulnus 22/12 post OP 29/12 Post ORIF Perawatan Post OP bPJS FEN RYN
LASTIK HbsAg NR
terhecting R. frontal
28/12 Hb 9.8 Ht 32 AL 9.2 AT 318
Monoparese + Radikulopati C4-5 ec Destruksi pro Laminektomi+stabilisasi
8A Jumiyem 42 01395004 26/12 pre OP 28/12 BPJS RVA 26/12 Hb 10.5 Ht 36 AL 9.0 AT 366 PT 13.6 APTT 19.4 INR 1.110 HAN RVA
VC4 posteriotr
GDS 109 Alb 4.0 Cr 0.5 Ur 23 Na 141 K 4.0 Ca 1.26 HbsAG NR
CF clavicula D 1/3 tengah comminuted type Fr costae 2,3,4,6,7 25/12 Hb14 Ht45 AL12.5 AT226 PT12 APTT24.9 INR0.94
Mawar 8D Mujiati 34 01403353 25/12 pre OP WSD (D) ORIF BPJS BTKV FEN RYN
allman group I (D) HbsAg:NR
1
COR GCS E3V5M6
26/12 Hb 9.1 Ht 29 AL 7.8 AT 177
EDH
8J Naili 27 01403373 CF Galeazzi (D) 25/12 post OP 29/12 post ORIF perawatan post OP UM RYN B. Saraf FEN RYN
Temporoparietal D
26/12 Hb 8.0 Ht26 AL7.7 AT213 GDS123 Alb2.7 Na137 K3.9 Cl113
Edema cerebri
Ca thyroid (D) 27/12 Hb 10.8 Ht 37 AL 9.9 AT 515 PT 14.9 APTT 9.3 INR 1.190
B. Onko
1A Painah 53 01403130 CF patologis Femur (D) e.c susp MBD Ca mammae WD Perbaikan KU BPJS Alkali fosfatase 161 Prot total 7.2 Alb 3.6 Globulin 3.6 LDH 1065 HAN RYN
Interna
metastase tulang CRP 0.82Na 135 K 3.4 Ca 1.10 HbsAg NR
23/12 Hb11.6 Ht37 AL11.7 AT141 Alb 2.8
Mawar 21/12 Hb 7 AL 17,8 AT 186 Alb 1,7 Na 137 K 137 Cl 103
2 HAP Post Limb Salvage juvara
paru 16/12 Hb 11 Ht 356 L 13,2 Tr 242 PT 11 APTT 30 GDS 87 Alb 3,1
CF Patologis Distal Femur (D) ec MBD Ca mammae (S) procedure
1D Komariyati Ulfa 45 01400350 5/12 Post OP 21/12 Perawatan post OP BPJS BTKV Cr 0,4 UR 29 Na 135 K 3,7 Cal 1,11 FEN RYN
Adenocarcinoma mammae Susp. Malignancy Post Biopsi Incisi (joint
Onko 6/12 Hb 12,6 AL 20,8 AT 359 LED1 5 LED2 12 ALP 86 Prot tot 6,1
OP Onko
Alb 3,2 Glob 2,9 LDH 550 HsCRP 0,03 GDS 141 Cr 0,5 Ur 32 Na
133 K 3,9 Ca 1,24 HbsAg NR
PETA PASIEN ORTHO SELASA, 02 JANUARI 2018 FAD/BAS/HDD/HAN/TAN/FEN/DEN/BIB/FAN/SIB /ADY/FDH/FAT/HRE/SOE/MDB/ALF/YES/PBP

28/12 Hb 10.3 Ht 34 AL 11.1 AT 239 Alb 3.3 Na 141 K 4.2 Cl 110


post ORIF Locking Plate
1F Kartinem 49 01403296 CF Femur 1/3 Tengah WH 2 24/12 Post Op 28/12 perawatan post OP BPJS 24/12 Hb13 Ht41 AL10 AT237 PT12.6 APTT29.2 INR1.00 GDS103 HAN UH
Femur
OT28 PT23 Alb3.7 Cr0.6 Ur26 Na138 K4.2Cl106 HbsAg:NR
Dislokasi TMJ 29/12 GDS 114 K 3.4 Cr 0.7 Ur 28 Na 137 K 4.3 Cl 106 Ca 1.16
B. Plastik
3A Endri W 21 01403386 CF shaft Femur (s) WH type I COR+Oedem 25/12 post OP 30/12 post ORIF perawatan post OP UM 26/12 Hb 14.2 Ht 44 AL 11.1 AT 227 PT 13.2 APTT 29.6 INR 1.060 HAN RYN
B. Saraf
cerebri HbsAg NR
30/12 Hb 8.5 Ht 26 AL 9.8 AT 386 Na 131 K 3.1 Cl 99
CF Costae 2,3,4 Post Laminektomi 18/12 Hb 8,9 Ht 29 L 16,5 Tr 373 Alb 2,3 Na 132 K 3,7 Cl 108
Paraplegi Inferior Ec Fr. Dislokasi Vth 5-6 BTKV
3C Sumiijan 69 01399643 Posterior Simple 22/11 Post OP 22/12 Dekompresi+ Stabilisasi Perbaikan KU BTKV + Paru BPJS 8/12 Hb 11 AL 17,1 AT 598 FEN GIN
CF Clavicula (D) 1/3 Tengah Allman Grup 1 Paru
post WSD Posterior 7/12 Alb 2,2
6/12 Hb 10,7 AL 16,2 AT 596 Alb 2 Na 136 K 4 Cl 112 Ca 1,07
Post Laminektomi
4i Sulistyo 19 01402859 Burst Fr VL1 frankle D dgn PRA 22/12 Post OP 23/12 dekompresi+stabilisasi perawatan post op BPJS RVA 28/12 Hb 9.0 Ht 27 AL 7.5 AT 396 Alb 2.9 Na 138 K 3.1 Cl 106 HAN RVA
posterior
28/12 Hb 11.1 Ht 32 AL 5.2 AT 154 PT 14.1 APTT 25.7 INR 1.110
Union Fr. Proximal Tibial (s) post ORIF ruptur uretra, Fr.
open cystostomi UMU Urologi GDS 106 SGOT 56 SGPT 73 Alb 3.5 Na 139 K 4.8 Cl 107
5A Yahyono 60 01402810 Paraplegi inferior ec Burst Fracture VTh11 Costae 7,8,9 (D) 19/12 WD 23/12 pro MRI Thoracolumbal (28/12) HAN UH
post ROI screw 23/12 M BTKV 19/12 Hb10.5 Ht30 AL5.4 AT89 goldarAB PT12.4 APTT23.9
Frankle A Posterior Simple
INR0.98 GDS123 Alb3.3 Cr1.0 Ur60 Na136 K4.3 Cl107 HbsAg:NR
Fr Costae II, III, IV, V Pro ORIF elektif 28/12 Hb 12.9 Ht 37 AL 11.1 AT 210 PT 12.9 APTT 28.3 INR 1.030
6F Slamet 47 01403594 CF clavicula 1/3 tengah (D) oblique Allman group 28/12 pre OP BPJS BTKV FEN
post simple (D) Pertahankan Arm sling GDS 90 Na 140 K 9.2 Cl 111 HbsAg NR
COR GCS E3V4M6
EDH R close red
closed epifisiolisis distal tibia (D) salter harris type 30/12 Hb 10.4 Ht 32 AL 11.1 AAT 559 Alb 3.7 Na 132 K 4.9 Cl 102
Temporoparietal (D) long leg cast Pro ORIF Tibia Fibula dengan SARAF
7C Yoga Pratama 14 01402957 II 20/12 post OP 30/12 UM 22/12 Hb 8.6 Ht 25 AL4.6 AT 149 FEN UH
Emfisema subkutis post craniotomi evakuasi K-Wire BTKV
CF distal fibula (D) transverse type 21/12 Hb 8,3 Ht 25 AL 7 AT 160
hemithorax (D) EDH
fr costae I, II
Acute traumatic low back pain ec kompresi VL1
Sugeng 25/12 Hb12.2 Ht39 AL14.5 AT117 PT17 APTT21.5 INR1.500
7D 20 01403326 dengan conus medullaris syndrome 24/12 Pre op MRI lumbal UM GIN HAN GIN
Hariyanto GDS115 OT91 PT77 Alb3.7 Ur44 Na134 K3.9 Cl107
OF olecranon (D) GA gr II OGP
Hb 11.5 Ht 37 AL 6.3 AT 60 PT 15.8 APTT 33.1 INR 1.360 GDS 88
7E Parman 01402721 CF Clavicula 19/12 Pre OP Pro ORIF BPJS HAN UH
Alb 2.3 Na 128 K 4.2 Ca 1.16
29/12 Hb 10.4 Ht 34 AL 8.0 AT 398 PT 14.0 APTT 24.0 INR 1.150
Efusi pleura (D)
paraplegia inferior LMN type ec fraktur dislokasi GDS 89 Alb 2.4 Cr 0.5 Ur 23 Na 133 K 4.1 Cl 104 Ca 1.15
8B Warsito 36 01401952 TB paru susp 18/12 pre op Laporkan hasil MRI30/12 BPJS BTKV HAN UH
Vth6 Frankel A 22/12 Na 128 K 4.5 cl 99 Ca 1.15
ulkus dekubitus gr 1
18/12 Hb 12 Ht 39 L 118 Tr 408 SGOT 276 SGPT 258
CF Supracondylar Humerus (D) Extension type 1/1 Hb 13.3 Ht 43 AL 8.5 AT 450 PT 12.6 APTT 28.0 INR 1.000 Alb
Melati 3 8B Wahyu Agung 9 01404020 1/1 OP 2/1 ORIF BPJS TAN RYN
Gartland III 4.3 Na 138 K 4.1 Cl 105 HbsAg NR
Wing
22/12 Cr 0.6 Ur 23
Mawar D Dimas Karvallo 13 01394498 Neuromuscular Skoliosis 21./12 post OP 23/12 post Koreksi deformitas perawatan post OP BPJS RVA HAN RVA
21/12 Hb12,9 AL 8,3 AT 209 GDS 159 Alb 3,7 Na 134 K 3,9 Cl 105
2
Ilham post debridement+ VY 1/1 Hb 11.3 HT 35 AL 7.6 AL 358 PT 13.3 APTT 30.9 INR 0.860 Cr
7 0140404040 Fingertip injury digiti II manus (S) 1/1 Post OP 1/1 Perawatan post op GIN HAN GIN
Rahmatdani flap 0.5 Ur 14 Na 137 K 4.3 Cl 108 HbsAg NR
Fr Costae VI, VII,
26/12 Hb 14.1 Ht 45 AL 14.3 AT 254 PT 11.3 APTT 30.1 INR 0.842
603B Mashudi 58 01403420 CF clavicula (s) 1/3 tengah Allman Group 1 VIII, IX (s) posterior 28/12 Pre OP Pro ORIF BPJS TAN RYN
HbsAg NR
simple
Post Skeletal traksi distal
Rocky CF Iliac Wing (D) + CF Posterior Colum Konser konservatif skeletal traksi 3 13/12 Hb 15,5 AL 14,3 AT 297 GDS 94 Alb 4,1 Ur 28 Cr 0,9 Na 138
604 B 25 01402061 13/12 femur (D) beban 7 kg BPJS BJ TAN BJ
Nahbawa Acetabulum (D) + CF Anterior Wall Acetabulum vatif minggu K 3,8 Cl 107 HbsAg NR
Lapor hasil CT pelvis 3D
- OF Dislokasi Ankle (D) Gustillo Anderson type 2,
Flambo post wound toilet post backslab dengan wound - Medikasi / hari
yan 6 dehisense. - Pro Redebridement + OREF 31/12 Hb8.8 Ht 29 AL 11.2 AT 382 GDS 129 Alb 2.6 Na 131 K 2.7 Cl
605 D Muhtar Hanafi 70 01403300 1/1 Pre OP BPJS TAN RYN
- CF Distal Radius (D) frykman V, post short arm hybrid 101
slab. - Konsul psikiatri
- Gangguan Mental organik dd non organik
Open wound
Crush injury R. manus (s)+ OF MC III manus (s)+ Post debridement+ 28/12 Hb 11.2 Ht 37 AL 12.4 AT 246 PT 14.8 APTT 25.9 INR 1.240
608D Bayu K 28 01403732 degloving R. manus 28/12 Post OP 28/12 Perawatan Post OP JKK RYN PLASTIK TAN RYN
F phalanx prox digiti I manus (s) ORIF+repair tendon GDS 90 Alb 3.5 Cr 0.7 Ur 14 Na 133 K 3.7 Ca 1.24 HbsAg NR
(s)

609 B Samini 54 01402314 Fr. Patologis subtrocanter femur (S) ec Susp MBD 14/12 Post OP bone survey, USG Thyroid, BPJS RYN 15/12 Hb 11 Ht 31 L 6,8 Tr 141 LED1 49 LED2 88 GDS 149 ALP TAN RYN
PETA PASIEN ORTHO SELASA, 02 JANUARI 2018 FAD/BAS/HDD/HAN/TAN/FEN/DEN/BIB/FAN/SIB /ADY/FDH/FAT/HRE/SOE/MDB/ALF/YES/PBP

ca thyroid MRI/MRA Femur dengan 132 Prot tot 5,8 Alb 3,5 Glob 2,3 LDH 509 HsCRP 0,97 TSH 0,76
soft tissue tumor reg temporoparietal (S) ec susp kontras, raber onko untuk ca Free T3 3,47 Free T4 22,9
thyroid metastatic thyroid dan tumor regio parietal
1/1GDS 77 Alb 3.8 Na 140 K 3.6 Cl 110
- CF Distal Radius (S) volar barton type.
609 B Wiyatmi 58 01403983 1/1 pre OP ORIF BPJS 31/12Hb 12.0 Ht 39 AL 9.9 AT 246 PT 12.9 APTT 30.3 INR 1.030 TAN RYN
- CF Styloid Ulna (S)
HbsAg NR
25/12 Hb13.1 Ht40 AL13.2 AT266 PT12.4 APTT27.4 INR0.98
611A Wagimin 67 01403358 CF proximal humerus D neer part 2 COR GCS E4V5M6 25/12 Pre op pro HA shoulder BPJS B. Saraf TAN RYN
HbsAg:NR
27/12 LED 1 Jam 75 Alkali fosfatase 118 Prot total 6.3 Sl 3.4 Glob
CF Patologis Femur (D) 1/3 Distal ec pro bone survey, MRI Femur (D) 2.9 LDH 595 hc-CRP 2.63
612C Ayu Fulandari 21 01339313 26/12 WD BPJS TAN RYN
Rhabdomyosarcoma kontras, konsul paru 26/12 Hb12.1 Ht36 AL8.4 AT 755 PT13.9 APTT27.8 INR1.14 Na137
K3.5 Cl105 HbSAg:NR

Ca Mamame (s) 24/12 Na 132 K 4.5 Cl 106


Skin traksi
703 A Kusmiati 41 01397243 CF patologis Femur (D) ec MBD Ca Mamae (s) T4cN1M1 (paru, 28/12 Pre OP BPJS 18/12 Hb 12.3 Ht 39 AL 10.1AT 342 SGOT 28 SGPT 16 Ur 45 Cr TAN RYN
Pro ORIF
bone) 0.7
Flamboy
an 7
24/12 Hb 11.9 Ht 39 AL 9.5 AT 538 PT 11.7 APTT 24.9 INR 0.900
Sri Ca mamae (D)
710A 48 01269845 Destruksi proximal femur (D) Post HA bipolar 28/12 Pre OP BPJS GDS 98 SGOT 25 SGPT 11 Alb 3.2 Cr 0.4 Ur 17 Na 139 K 5.0 Cl TAN RYN
Sutarminingsih TxNxM1
107

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