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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
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