LIST PASIEN DIVISI UROLOGI

Minggu, 25 Oktober 2015

IRINA A ATAS (5Pasien)
NO

KAMAR

1.

A11
Bed 2

Tn. Alfius Tangkilisan

L/63 thn/07.24.84

IDENTITAS PASIEN

Aaron

MRS 28/9/2015
HariPerawatan ke-26
(Map Baru) H-1

DIAGNOSIS
Post URS ec
nefrolithiasis

Dr. AinunAschorijanto, SpU

2.

A8
Bed 2

Wantania Fanly
L/23thn/ 32.31.12

Aaron

MRS 11/10/2015
Hari perawatan ke-13

Trauma
tumpulginjalkiri
gr. III

Dr. AinunAschorijanto, SpU

3.

A8
Bed 3

Pangemanan Yuliana/P/78 thn/ 45.76.40

Denny

MRS 24/10/2015
Hari perawatan ke-2

Gross hematuri ec
susp ca nuli

Dr. Richard Monoarfa, SpU

4.

A7
Bed 5

Tn. George Hamber

L/56thn/42.93.27

Denny

MRS 19/10/2015
Hariperawatanke-4

Nefrolitiasissinistra

Dr. AinunAschorijanto, SpU

5.

A7
Bed 7

Topo Suripto/L/40
thn/45.76.00

Niar

MRS 23/10/2015
Hariperawatanke-3
Dr. AinunAschorijanto, SpU

SCI fr. A ec fr.

Dislokasi V
lumbal I + Piuria
ec isk

PEMERIKSAAN PENUNJANG
17/10/2015
Leu 8115
Eri 4,40
Hb 12,3
Ht 39,5
Trombo 553
MCH 28
MCHC 31
MCV 90
Ur 43
Cr 1,5
Na 136
K 4,64
Cl 93,9
PT 15,1
INR 1,27
APTT 29,0

11/10/2015
Leu 21200
Eri 5.56
Hb 16
Ht 48.9
Tromb 329
Mch 29
Mchc 33
Mcv 88
Sgot 42
Sgpt 20
Ur 29
Cr 1.2
Gds 100
Cl 106
K 4.1
Na 139

13/10/2015
Leu 10340
Eri 3,61
Hb 9,9
Ht 31,8
Trombo 209
MCH 28
MCHC 31
MCV 88
20/10/2015
Leu 10470
Eri 5.19
Hb 12,8
Ht 41,2
Tromb 321
Mch 25
Mchc 31
Mcv 79
23/10/2015
Leu 6920
Eri 5.04
Hb 12,9
Ht 42,1
Tromb 251
Mch 26
Mchc 31
Mcv 84

07/10/2015
Leu 10920
Eri4,22
Hb12,2
Ht 37,5
Trombo 282
MCH 29
MCHC 33
MCV 89
SGOT 15
SGPT 13
Ur 26
Cr 1,1
GDS 136
K 4,60
Na 133
PT 15,4
INR 1,31
APTT 23,4
22/10/2015
Leu11140
Eri4,83
Hb13,1
Ht 42,8
Tromb561
Mch27
Mchc 31
Mcv 89
Ur 27
Cr 1.2
Gds71
Cl96,1
K 4,47
Na 138
PT 12,6
APTT 30,2
INR 1.00

Harnal tab 0-0-1

Avodart 1-0-0
Casodex 0-1-0
R/ nefrourotektomi sinistra

29/9/2015
EKG :
Irama sinus
62x/m
Axis normal
29/9/2015
X-foto thorax :
Normal
08/9/2015
EKG :
Susp omi
anteroseptal
Ct scan urologi + kontras
terlampir
-

SGOT 17
SGPT 10
Ur 39
Cr 1,0
GDS 105
K 3,50
Na 139

Sgot 18
Sgpt 26
Ur 30
Cr 1.6
Gds 126
Cl 101,3
K 3,18
Na 139
Alb 3,53
Glo 3,37

TERAPI

06/10/2015
Hasil PA :
Adenocarcinoma pyelum

IVFD RL 20gtt/mnt
Ciprofloxacin 2x400mg
Ranitidin 2x1 amp
Ketorolac 3x1 amp (k/p)
As.Traneksamat 3x1 iv
(k/p)
Vit K 1x1 i.m
Bedrest

IVFD RL 20 gtt/mnt
Ceftriaxone 2x1 gr iv
Ranitidin 2x1 amp IV
Ketorolac 3x1 amp IV

21/10/15
PT 12,9
INR 1,03
APTT 32,7

Asammefenamat 3x1
Ciprofoksasin 2x400 mg
Pro PCML sinistra hr selasa
(27/10/2015)

9/10/15
EKG: kesan
normal

IVFD NaCl 20 gtt/m

Cefotaxim 3x1 gr iv
Ketorolac 3x1 amp
Kultur urine

IRINA A BAWAH (7Pasien)

NO
1

KAMAR
B2
Bed 2
Petra

IDENTITAS PASIEN
Ny. Aneke Sumendap
P/42 thn/45.59.20

MRS 17/9/2015
Perawatanhari ke-36

DIAGNOSIS
Post PCNL dextra
+
nefrolitihiasisd
extra

Dr. Ainun Aschorijanto, SpU

2.

B11
Bed 1

Tn. Kobandaha Filipi

Abednego/L/75 thn/43.05.63

Shinly

MRS 6/10/2015
Hariperawatanke-18

Post TUR buli ec

ca buli

Dr. Richard Monoarfa, SpU

B9
Bed 1

Tatara Hetmon
L/65 thn/45.51.91

Aaron

MRS 21/10/2015
Hariperawatanke-5

Post TUR prostat

ec susp. Ca
prostat

20/10/2015
Leu 13900
Eri 3,17
Hb 10,4
Ht 30,4
Trombo 377
MCH 32
MCHC 34
MCV 93

Post TUR prostat

ec susp. Ca
prostat

17/10/15
Leu 6469
Eri 4,31
Hb 14.0
Ht 41.5
Trombo 195
MCH 32
MCHC 34
MCV 96
SGOT 28
SGPT 25
Ur 17
Cr 0,9
GDS 108
Cl 95.6
K 4.04
Na 135
PT 12.9

Dr. AinunAschorijanto, SpU

B9
Bed 4

Albert Kindangen
L/71 thn/ 17.16.09

Niar

MRS 11/10/2015
Perawatanharike-14
Dr. AinunAschorijanto, SpU

23/10/15
Leu 8100
Eri 2,96
Hb 9,2
Ht 26,9
Trombo 155
MCH 31,1
MCHC 34,2
MCV 90,9
SGOT 79
SGPT 90
Ur 73
Cr 6,3
GDS 103
Fosfor 3,8
Mg 1,29
Na 142
K 3,8
Cl 102,6
Ca 8,52
21/10/2015
Leu 8156
Eri 4,43
Hb 10,7
Ht 34,3
Trombo 317
MCH 24
MCHC 31
MCV 77

PEMERIKSAAN PENUNJANG
20/10/15
Leu 6442
Hemostasis Eri 3,15
PT@detik
Hb 9,6
12,4
Ht 39.05
@INR 0,98 Trombo 239
APTT 26,7
MCH 31
MCHC 33
EKG
MCV 92
Dbn
Ur 54
Cr 5,7
X-foto thorax
GDS 124
Dbn
Alb 3,6
Cl 106
K 3,4
Na 135
PT 13,2
INR 1,05
APTT 30,9
13/10/2015
Leu 6208
Eri 4,58
Hb 11,1
Ht 36
Trombo 426
MCH 24
MCHC 31
MCV 79
SGOT 12
SGPT 9
Ur 18
Cr 0,9
GDS 89
Na 96
K 4,16
Cl 131
SGOT 13
SGPT 24
Ur 3,0
Cr 1,1
GDS 97
Cl 106,0
K 3,50
N 136

21/01/2015 Hasi PA: BanigneProsta teHyperplasia

9/10/15
Hasil di
status

22/10/15
Leu14610
Eri 4,12
Hb13,8
Ht39,5
Trombo256
MCH 34
MCHC 5
MCV 96
Ur 25
Cr 0,7
Na 134
K 4,2
Cl 102

13/10/15
Kardio : hasil echo
terlampir di
status
-

PSA 100

TERAPI
IVFD NaCl 20 gtt/m
Cefotaxim 3x1 gr iv
Ketorolac 3x1 amp
As. Tranexamat 3x1 amp
Ranitidin 2x1 IV
Transfusi PRC s/d 10 gr/dl

IVFD NaCl 0,9% 20 gtt/m

As traneksamat 3x1 amp IV
Ciprofloxacin 3x1 IV
Vit K 1x1 IM
Vit C 1x1 IV
Ketorolac 3x1 amp

CT
scanterlampir
X-Foto
Thorax :
Kardiomegali

1/10/15
EKG:
pvctrigemini,
LAHB
dd/omi
inferior
LAH

IVFD RL 500cc 20gtt/m

Ciprofloxacin drips 2x400mg
Vit K 1x1 i.m
Vit C 1x1 i.v
As.Tranexamat inj 3x1 iv
Harnal 1x1 tab
Asodec 1x1 tab

Ranitidin 2x1 iv
Ketorolac 3x1 iv
Cefotaxime 3x1 gr iv
Kalnex inj 3x1 mg
Harnal 1x1 tab
Asodec 1x1 tab
Avodart 1x1 tab

INR 1.02
APPT 27.0
5

B8
Bed 2

Merfy Tampomalu
L/23thn/45.71.97

Shinly

MRS 18/10/15
Hariperawatan ke-8

RupturGinjal Gr.
III

Dr. AinunAschorijanto, SpU

B8
Bed 5

Tn. Mararoating Laurents

L/40 thn/44.69.45

Denny

MRS 2/10/2015
Perawatanhari ke-22

Post TUR
bulieccabuli

Dr. Richard Monoarfa, SpU

B8
Bed 6

WemTumilantow
L/90thn/45.72.31

Petra

MRS 20/10/15
Hariperawatan ke-4

Gross
Hematuriecsus
p.
CaBuliddCaPr
ostat

Dr. AinunAschorijanto, SpU

24/10/2015
Leu 12600
Eri 3,23
Hb 10,1
Ht 28,1
Trombo 243
MCH 33,1
MCHC 35,9
MCV 87,0

Ur 29
Cr 0,7
Cl 94,0
K 3,90
Na 131
PT 15,3
INR 124
APPT 16,2

17/102015
Leu 10060
Eri 3.35
Hb 8.8
Ht 28.6
Trombo389
MCH 26
MCHC 31
MCV 85
SGOT 13
SGPT 9
Ur 30
Cr 3.0
GDS 89
Alb 3.73
Cl 105.6
K 4.51
Na 141
22/10/15 (UL)
Warna: kuning
Kkeruhan:jernih
Eri: padat
Leu: 8-10/LPB
Epitel: 30-40
Berat jenis:1010
pH 7
Leu +++
NItrat: Prot: ++
Glu: normal
Keton: -

(12/10/15)
Urinalisis

IVFD NaCl 0,9%

Ciprofloxacine 2x1 tab
Ranitidin 2x1 iv
Ketolorac 3x1 iv
R/ sitologi urine (26/10/2015)

IVFD NaCl 0,9 %

Ceftriaxone 2x1 gr iv
As.Tranexamat 3x1 iv
Vit. K 3x1 iv
Spooling kateter
Menunggu hsl sitilogi urine, ct
scan

Mikroskopis
Eri 10-20
Leu 6-8
Epitel 6-8

IVFD
RL:NaCl:Aminofusid=2:1:1
Meropenem 3x1
Metronidazole 3x1
Omeprazole 2x1
Paracetamol 3x1

Kimia
Leu +++
Prot ++
Eri/darah +++++

Urobilinogen:
normal
Bilirubin: neg
Darah: +++++
19/10/2015
Leu 14350
Eri 4,09
Hb 12,0
Ht 36.3
Trombo 3102
MCH 29
MCHC 33

MCV 89
Ur 34
Cr 1,7
GDS 137
Cl 103
K 2,0
Na 130

Anggrek 2 (1pasien)
No
1.
Atas

Kamar
212

Identitas
Tn. Kawalur Fredy
L/45 thn/35.97.35
MRS 22/9/2015
Perawatanhari ke-29
Dr. Ainun A, SpU

Diagnosa
Post nefrolitotomydextra ec
nefrolithiasis S

PemeriksaanPenunjang
20/10/15
02/10/2015
Leu 14700
Leu 6900
Eri 3,54
Eri 5,43
Hb 10,2
Hb 15,5
Ht 29,3
Ht 45,5
Trom 486
Trombo 255
Mch 89
MCH 28,5
Mchc 35
MCHC 34,1
Mcv 83
MCV 83,8
Cl 107
SGOT 14
K 3,6
SGPT 13
Na 137
Ur 39
Cr 2,1
9/10/2015
As. Urat 9,5
Leu7624
Prot tot 7,17
Eri 3.26
GDS 78
Hb 9.3
Cl 101,1
Ht 27.5
K 3,88
Tromb 221
Na 140
Mch 28
PT 12,8
Mchc 34
INR 1,02
Mcv 84
APTT 24,5
Sgot 15
Sgpt 9

Urinalisis
Kuningjernih
BJ 1015
Leukosit (-)
Nitrit (-)
pH 6
protein
glukosa ++
darah +++++
bilirubin
USG abdomen
Cholecystolithiasis,
caelyectasisringanrendekstra,
nefrolithiasisdekstra
5/10/2015
Hasil echo
Dbn

Terapi
IVFD RL 20gtt/mnt
Cefotaxime 2x1gr iv
Ranitidin 2x1 amp
Ketorolac 3% 3x1 amp
Vit K 3x1 IM
Vit C 3x1 iv
Rawat luka
Aff kateter

Ur 28
Cr 1.9
Gds 72
Cl 106
K 3.5
Na 138
Pt 14.2
Inr 1.22
Appt 33.2

Irina B: 1 pasien
No
1.

Kamar
K. 7

Identitas
Ny. Sophia Maria
Toy
P/75 thn/05.69.37

Diagnosa
Nefrolithiasis S

PemeriksaanPenunjang

MRS 23/10/2015
Perawatanhari ke-2
Dr. Ainun A, SpU

Terapi
R/ Echo