Kamis,7 Februari 2019 BEDAH THORAX KARDIO VARKULER AFF/ATH/RAN/ARV/SYA/SIW/AGA

RUANG PJ BED NAMA U RM MRS DIAGNOSIS PLAN STATUS DPJP PENUNJANG

ROI ATH j Saryoto 53 01447947 Poli Fr. Costa III, IV (S) lateral simple + Fr. Costa V, VI, VII (S) Posterior simple + Pro ORIF Elektif Pre op SO 31/1 Hb 11,5 Ht32 al 7 ae 149 N 137 K 3,6 CL 104
28/1 Contusio Pulmonum Ro thorax post op 28/1 HB 9.1 HT 26 AL 8.5 AT 132 AE 2.86 GOLDAR B PT 12.8 APTT 23.5 INR 0.910 GDS 291 CR
1.3 UR 69 NA 135 K 4.1 CL 101 HBSAG NR
ICU ATH 2 Kasinah 76 01448623 IGD Selulitis Cruris(D) + pedis (D) USG doppler Post debridement Post OP DI 1/2 Hb 10,7 Ht 31 Al 16,6 at 282 AE 3,5 darah O PT 13,7 APTT 26,6 INR 1,07 GDS 126 Ur/Cr
th 1/2 269/2.2 Na 131 K 4,1 Cl 99 HbsAg NR
Ro Pedis AP : Soft tissue swelling dan emphysema subkutis r. Padis (D) mengarah gambaran
selulitis r. Pedis kanan, RO thorax : Cardiomegali
ATH 11 Cicilia nunuk 52 01448714 Igd 3/2 Hematothoraks, hemoperitoneum, ruptur hepar Pro chestube thorachostomy preop PH 3/2 hb 15.2, ht 45, al 10.3, at 305, pt 12.2, aptt 26.7, gds 143, ur 39, alb 4.3, cr 0.9, na 140, k
4.2, cl 103
RGB ATH F Siti hapsah 32 01446609 Igd 3/2 Post pseudoaneurisma A.iliaca eks (S) Tranfusi, preop PH 3/2 hb 8, ht 23., al 5.6. at 308, pt 13.9, aptt 26.8, gds 80, ur 13, cr 0.4, na 133, k 4, cl 97
ANG 1 SYA 1C Suratmi 60 01398320 Paru 30/1 Aspergilloma DD Tubercel tumor paru kanan Konsul tunggu konfrensi preop 28/1 HB 11.7 HT 36 AL 4.3 AT 260 AE 4.14 GDS 138 SGOT 14
SYA 7d Himawan 38 01447441 22/1 INTERNA Hidropneumothoraks (D), TB pru aktif, lesi lua CKD st 5 Konsul pro trombektomi dekortikasi Pre Op 31/1 HB 12,9 Ht 38 Al 8,2 At 340 Ae 4,7Pt/aptt 13,6/ 31,2 gds 197 Alb 3,7 ur/r 24/0,8 Na 136 k
3,5 cl 106, 25/1 Ro hidropneumotoraks (D),
MEL 3 SYA 1A Taufan Dinar 7 01441353 Poli 29/1 AVM R. Antebrachii (S) Repai Vaskuler, eksisi bertahap Pre op PH 29/1 (-)
SYA 17C Sukarna 54 01405829 Interna Burger Disease Pro Simpatektomi + Disartikulasi Pre op DI 2/2 hb 10.7, ht 32, al 4,9, at 244, pt 12.4, aptt 27.3, alb 4.1
30/1 29/1 . GDS 169 SGOT 42 SGPT 36 ALB 3.3 CR 3.4 UR 145 NA 134 K 5.0 CA 1.03
SYA 18A Wartinah 61 01446775 Interna 30/1 Lymphedema USG Doppler, elevasi tungkai preop 29/1 HB 11.5 HT 36 AL 12.0 AT 501 AE 4.20 SGPT 27 CR 0.7 UR 10 NA 126 K 4.9 CA 1.18
FL6 AGA 608B Paryono 52 01286449 ½ Poli cardio Mild CAD, cSevere Aorta Stenosis Pro open heart (AVR 7/2 stop trombo aspilet preop SO Hb 10.4, ht 30, al 7.5, at 170, pt 13.1, aptt 30.7, gds 74sgot 27, sgpt 14, ur 39, cr 1.7, na 135m k
5hr preop 3.7, cl 106, hbsag NR
AGA 610B Dyah hastuti 34 01448973 Igd 5/2 DVT cruris ((S) Pro trombektomi elektif preop so 5/2 hb 10.7, ht 31, al 10.9, at 345, pt 16.1, aptt 27, gds 75, alb 3.2, cr 0.5, ur 15, hbsag NR
AGA 614 A Abd Rochim 79 01448682 iGD PAD pedis (D) Ct angiografi Pre OP SO 2/2 Hb 1,1 ht 35 Al 15,7 At 419 Ae 5.07 Darah B PT 14,7 aPTT 28,4 GDS 87 alb 3.2 ur/cr 24/0.6
2/2 Konsul cardio Af rapid +HT15,7 Na 129 K 5,3 Cl 99 HbsAg Nr
FL 8 AGA 802c darsini 60 01448822 Interna Ulkus dm pedis (S) Post op debridemen Post op PH 4/2 hb 9.4, ht 27, al 42.2, gds 61, sgot 13, sgpt 2, ur 134, cr 2.9, alb 2.2, na 127, k 3, ca 1.07
AGA 804 B Sutarti 53 th 01448516 interna Ulkus DM pedis (S) Wagner III Post dsa Post OP DI 31/1 hb 7.9 Ht 22 Al 19,2 At 331 Ae 2,70 Pt 14,1 Aptt 27,8 INR 1,1GDs 189 Alb 2 Ur/Cr 63/ 1,9
Na 124 K 2,7 Cl 90
AGA 804C Purwato 45 th 01448395 interna Ulkus dm pedis (S) Post dsa Post Op DI 30/1 Hb 9.7 Ht 29 Al 25.8 At 680 Ae 3,5 GDS 176 ur/Cr 45/2,3 Alb 2,7 Na 132 k 3,9 Cl 1,12
AGA 812E Kami 52 01444971 Interna CKD on HD Pro HD Cath Preop 1/2 hb 8.5, ht 25, al 23.5, at 331, ur 119, cr 10.1, alb 3.1, na 138, k 7.7, ca 1.3
Flb 9 SIW 901c Yuniati 32 01336051 Poli 6/1 PAD dg rwyt ALI distal phalanx digiti2 manus [D] Amputasi Preop PH 6/2 hb 12.7, ht 38, al 5, at 324,pt 14, aptt 32.4, gds91, cr 0.6, ur 17, hbsag NR
SIW 901B Iwan s 34 01448461 Poli 4/2 Ulkus PAD cruris (D) Post DSA postop DI 5/2 hb 7.9, ht 24, al 4.9, at 123, pt 15.4, aptt 36
5, sgot 15, sgpt 14, alb 2.6, ur 30, cr 0.7, na 131, k 2.8, cl 97-
SIW 905D Masruchin 48 01448655 IGD Tumor paru (D) Ct scan thorax kontrast, konsul Pre OP DI 2/2 hb 10,5 Ht 35 AL 16,6 AT 486 Ae 4,15 OT/PT 57/22 Ur/cr 21/0.5 Na 131 K 3,2 Cl 92 HbsAg
th 2/2 Reaktif
SIW 907D Agus 30 01448372 IGD Hematopneumothorax (d)+ CF costae IV,V (D) lokal simple +Contusio Post chest tube thoracostomy, post oris Post op SO 30/1 Hb 15,8 Ht 43 Al 13,6 AT 221 AE 4,53 darah B Na 136 K 2,9 Cl 102 HbsAg NR
supriyanto th 30/1 pulmo (D) costae Postop 6/2 ½ contusio pulmonum (D), fr costa 4,5 post (D),
SIW 908D Sukardi 50 01448204 IGD Fr. Costae 5,6 (D) lateral simple Post ORIF elektif Post op DI 29/1 HB 15.8 HT 44 AL 13.4 AT 230 AE 4.87 GOLDAR A PT 12.6 APTT 22.7 INR 0.960 GDS 138 CR
29/1 1.2 UR 32 NA 135 K 3.1 CL 99 HBSAG NR, susp hemangioma
SIW 908E Is Setyani 42 01448748 Igd 4/1 Fr kosta 5 lat (S), 6-8 post (S), kontusio pulmonum Pro orif preop PH 4/2 hb 11.7, ht 36, al 9.2, at 287, hbasg NR, RO: Fr kosta 5 lat (S), 6-8 post (S), kontusio
pulmonum
SIIW 911D Jawita 13 01447045 IGD Post amputasi ai post rekonstruksi vaskular dengan bypass ai Ruptur a. Pro konsul plastik untuk graft exposed Post op PH 30/1 hb 8.4, ht 24, al 11 at 343, pt 15.4, aptt 21.5, alb 3.1, na 134, k 5.2, cl 1.19
bul 19/1 femoralis 20/1 19/1 Cut off pada a. femoralis profunda kiri; Stenosis a. femoralis superficialis kiri hingga ke
an 23/1 distalnya; Fr. komplit 1/3 distal os femur kiri (Salter-Harris tipe 2) dan fraktur 1/3 proksimal os
25/1 femur kiri (Salter-Harris type 1); Soft tissue sweeling mulai setinggi 1/3 proksimal femur kiri
disertai pneumatisasi soft tissue.
SIW 912C Mitrorejo 65 01448722 IGD 3/2 Selulitis R. Cruris+pedis (D) Perbaikan KU, USG dople postop PH 3/2 hb 11.6, ht 33, al 18.5, at 464, ae 3.78, pt 16.9, aptt 28.5, gds 170, cr 2, ur ur 169, na 124, k
3.5, cl 89
SIW 912d Ali anwr 22 01449106 Igd 7/2 COR GCS E3V5M6, OF Tibia-Fibula (D) 1/3 Proximal GA tipe IIIC, CF shaft Amputasi setinggi demarkasi, transfemoral preop PH 6/2 hb 7., ht 20, al 12.2, at 199, pt 13.5, aptt 24.8, gds 98, cr0.7, ur 42, alb 2.9, na 126, k 4.1, cl
Femur (D), Trauma occuli (S), Anemia, susp ruptur A.poplitea amptation 93, hbsag NR
SIW 912E Sri hastuti 46 01448522 IGD Hematotorak fr costae 2,3,4,5 (d) Post chesttube thoracostomy, pro orif costa Post Op PH Hb 10,5 Ht 29 Al 26,9 at 219 At 3,26 Darah A PT 13,8 APTT25,8 GDS 186 OT/PT 142 / 99 Ur/Cr
TH 31/1 Preop 27/0.7 Na 135 k 3.1 Cl 103
½ ro: contusio pulmonum, efusi pleura (D), fr costa 2,3,4,5,7 post, fr segmental costa 6,
terpassang wsd setinggi sic 8, emgisem subkutis reg supraclaviculaar bilaterl
SIW 913D Suyoto 66 01429596 Uro 28/1 Tumor Ren (S) T4N1M1 (Liver), Clot retensi buli Pro sistoskopi evaluasi k/p Post Embolisasi, DSA post 27/1 Hb 10,6 Ht 32 AL 15 At 328 At 3,86
TURP
siw 913E supar 68 01448913 Igd 4/1 Pneumothorax (D), fr. Costae3,4(D), lat simple, emfisema subkutis Pro orif costa, chesttube thoracotomy postop SO 4/2 fr komplit kosta 3,4,5,6,7, fr inkomplit kosta 8,9-
hemithoraks (D), CF subtrochanter femur (D)
FL 10 SIW 1003b sukardi 50 01441751 Poli 4/1 hemangioma Tranfusi perbaikan ku postop DI 04/2 hb 7.2, ht 21, al 19.6, at 559, ae 2.70, pt 12.8, apttt 20.1, gds 139, ur 32, cr 0.7, hbsag NR
SIW 1001C istatik 40 01447927 Igd 5/2 Dead limb post OREF tibia ai OF tibia fibula (D) 1/3 distal GS 3a Open degloving R angkle (D) preop SO -