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1.

By M. Fahril / L / 380162/JKM Tgl lahir : 28-8-2008 Tgl MRS : 28/5/2013 Bed 1 BB 12 kg

2.

By Wahyu Ramadhan / L / 558673/ tgl lahir : 259-2011 Tgl MRS : 11/5/2013 Bed 2

LONTARA 2 BEDAH DIGESTIF KAMAR 12 ANAK S: rencana tutup D/Hirschsprung disease R/ rencana colostomy colostomy post colostomy pro Diet biasa O: KU: Baik tutup colostomy rawat struma tampak colostomy tunggu jadwal operasi KORAN BEDAH ANAK SABTU, 1 JUNI 2013 double barrel A: Hirschsprung disease post colostomy pro tutup colostomy S : Kel -POH VII Laparatomi -IVFD Asering 12 tpm(makro) O : ku baik + tutup colostomy Inj.ceftazidim 250 mg/12j/iv Colostomy double MAR letak inggi Sanmol 120mg/8j/iv Proksimal : feses (+) Rawat luka op (GV0 Distal : spoling Diet cair 10cc/3jam lancar Inj. Kalnex 1/3 amp/8j/iv BB : 7 kg

Lab 24/5/2013 CT/BT 800/300 GDS 120 Ur/Cr 18/0,4 SGOT/SGPT 24/11 Albumin 4,3 WBC 9,2 RBC 4,43 HGB 11.0 HCT 34.3 PLT 429 Na/K/Cl 145/4.9/106 Thoraks PA 24/5/2013 WNL Lab 13/5/2013 CT/BT 700/300 PT/APTT 10,3/22,7 INR 0,86 GDS 81 Ur/Cr 24/0,5 SGOT/SGPT 29/14 Albumin 4,5 WBC 9,06 RBC 5,44 HGB 13,4 HCT 42,6 PLT 339 Na/K/Cl 138/5,0/106

3.

Aditya Maulana / 2thn / 607362 MRS 6/5/2013 Bed 3

S: Ku : (-) O : Ku Baik/CM A : Nefrectomi partial e.c nefroblastoma D

D/ POH IV Nefrectomi partial e.c nefroblastoma D

R/ Cefadroxylsyr 2x1 cth Sanmol syr 3x1 cth Diet biasa Rawat lukaGV/2hari Rencana kemoterapi

Lab 16/05/2013 GDS 140 Prot tot 5,7 Alb 3,8 Na/K/Cl 143/4,11/111 WBC 9,86 RBC 5,48 HGB 14,1 HCT 43,6 PLT 245 Lab (8/5/2013) CT/BT 800/300 PT/APTT 11,3/35,9 INR 0,90 GDS 91 Ur/Cr 22/0,4 SGOT/SGPT 57/11 WBC 8,66 RBC 4,79 HGB 11,2 HCT 35,0 PLT 297 Na/K/CL 138/5,0/106 Lab (2/5/2013) WBC 7,2 HCT 34,2 PLT 264 HGB 10,7 GDS 108 SGOT 61 SGPT 6 NA/K/CL 139/4,7/108 Foto Thorax (2/5/2013) Tidak tampak kelainan CT-Scan Abdomen (2/5/2013) Nefroblastoma ginjal kanan & kongestif liver Gambaran darah tepi (20/05/2013) Kesan: anemia dimirfik suspek kausa defisiensi Fe disertai leukositosis tanda infeksi Lab (20/05/2013) WBC 8.70 RBC 4.80 HGB 10.1 HCT 32.4 PLT 400 Fe(besi) 50 Hasil PA (Blok Parafin) (1/5/2013) Kesan: low grade transitional cell carcinoma Lab 10/4/2013 Na 134 kalium 4,3 Cl 106 GDS 96 Ureum 8,6 Kreatinin 0,2 SGOT 38 SGPT 21 CT 800 BT 300 PT 11,3 APTT 26,2 INR 0,94 WBC 10,93 RBC 4,80 HGB 10,4 PLT 235 Lab 3/4/13 BTA 1 (-)BTA 2 (-)BTA 3 (-) Kesan sampel bilas lambung Lab 30/3/2013 WBC 10,92 RBC 4,89 HGB 10,1 HCT 33,2 PLT 476 LAB 13/3/2013 WBC 12.2 RBC 5.05 HB 10.4 HCT 33.1 PLT 543 CT 400 BT 900 PT/APTT 22/44.2 GDS 101 UR/CR 25/0.2 GOT/GPT 54/24 Alb 4.8, HbsAg (-) Foto thoraks AP 13/3/2013 Kesan- Bronkopneumoni bilateral

4.

Muh. Hafis / L/ 598463/ Askes / Tgl Lahir : 2-412 MRS 28/4/2013 Kamar 12 Bed 4

S: Kel (-) O: KU baik BB : 5 kg

D/Extrofi buli-buli

Tunggu jadwal operasi dari bagian Urologi IVFD RL 8 tpm Zink 1x20 mg Lacto B 2x1 sachet

5.

By. Harbia/P/57781 MRS 28/5/2013 Tgl lahir 6/11/2012 BB: 5,8 kg

S : rencana PSARP O: KU: baik tampak colostomy double barrel, feses (+) A: MAR post colostomy+ pro PSARP

MAR post colostomy+ pro PSARP

R/ rawat stoma Jadwal lopografi tgl 3/6/13

Lab (24/05/2013) WBC 6.64 RBC 4.24 HGB 11.5 HCT 35.5 PLT 464 Fe(besi) 28;GDS 98;Ur/Cr:15/0.3;GOT/GPT:28/40 HBsAg (ICT) Non Reactive; anti HCV (ICT) Non Reactive; PT/APTT 12.2 control 11.2/aPTT 27.4 control 24.2;INR 1.02;Na/K/Cl: 137/4.7/112 Thoraks (26/5/2013) Kesan: tidak tampak kelainan radio pada foto ini. Thoraks (24/5/2013) Kesan: Pneumonia (D) ECHO (27/5/2013) Kontraktilitas miokard N echo

Deo Gratius Alfrem / L / 9-8-2010 MRS 13/05/13 RM 609127 Umum

S: Kel (-) I: tampak luka op kering, darah yg merembes (-) A: peristaltik (+)

D/ Post op H XVI Nefroctomi parsial e.c Tu ginjal D

R/ Cefadroxil syr 2x1 Sanmol syr 2x1 Diet biasa Rawat luka

Lab 18/5/2013 Alb 3,0 Lab 17/05/2013 WBC 34,67 RBC 4,76 HGB13,6 HCT 39,4 PLT 319