LIST PASIEN DIVISI ONKOLOGI

Minggu, 18 Oktober 2015

Irina A Atas : 12 pasien
No
1

Kamar
A1
Bed 2

Identitas
Waani
Freddy/L/62thn/32
4234

KPJ

Diagnosis
General weakness +
Soft tissue sarcoma
region dorsum
manus dextra

MRS 14/10/2015
h-4
Dr. Marcelus M
sp.B (K) onk

A9
Bed 1

Havid
Masloman/L/10thn
/456887

KPJ

Fraktur zygoma
sinistra
+ susp. Fr.
Mandibula S

MRS 14/10/15
H-4
Dr. Nico L,
SpB.KL

A8
Bed 4

Charles Manumpil/
L/27 thn/40.23.55

KPJ

MRS 5/09/2015
H- 53
Dr. Marcelus
Merung,
Sp.B(K)Onk

Ameloblastoma

Hasil Lab
15/10/2015
Foto thorax
Prot tot 4.93 dbn
Mg 2.46
Foto manus
Alb 2.76
dextra
Glob 2.17
Dekstruksi
Cl 101.0
metacarpal 2
K 4.00
EKG
Na 131
OMI inferior
Ca 7.99
anterior septal
+ LAD
13/10/2015
PA
Leu 17300
Fibrosarcoma
Eri 3,07
Hb 11,3
Ht 33,6
Trom 34
MCH 37
MCHC 34
MCV 109
SGOT 1350
SGPT 616
Ur 62
Cr 1,6
GDS 69
Cl 96,0
K 5,6
Na 127
13/10/2015
Leu 14590
Eri 4,79
Hb 11,4
Ht 38,1
Trom 364
MCH 24
MCHC 30
MCV 79
Ur 43
Cr 0,6
GDS 59
Cl 106
K 4,3
Na 136
09/10/2015
EKG
Leu 7804
(8/9/2015)
Eri 4,26
DBN
Hb 11,2
Ht 35,0
8/10/2015
Trom 200
Leu 8954
MCH 26
Eri 4.55
MCHC 32
Hb 12.3
MCV 82
Ht 36.8
Ur 13
Trom 212
Cr 1,0
MCH 27
Prot. Tot
MCHC 33

Terapi
-terapi sesuai TS
cardiologi dan interna

Pro recon 3D
Kemoterapi
Terapi lain lanjut

- R/ eksisi tumor +
rekonstruksi
mandibular (19/10)
- Vip albumin 3x1
caps

Ket.

A8
Bed 7

Wawo Jemmi Jefi

L/41
44.81.17

KPJ
MRS 3/10/2015
H-15

General weakness ec
Elektrolit imbalance
(K 2.2)
Tumor region coli
sinistra

Dr. Marcelus M
sp.B (K) onk

A6
Bed 2

Ny. Malinggas
Barnetje/
P/62thn/45.51.94

KPJ
MRS 19/09/2015
H- 28
dr. Marcelus
Merung,
Sp.B(K)Onk

Ca mamae dekstra
+ abses gluteus
Dekstra

7,15
GDS 82
Albumin
3,46
Globlin 3,69
Cl 97,7
K 3,72
Na 138
PT 12,4
INR 0,98
APTT 29,8
11/10/2015
Leu 2686
Eri 5.01
Hb 14.9
Ht 43.4
Tromb 235
Mch 30
Mchc 34
Mcv 87
Cl 94
K 2.60
Na 125

12/10/2015
Leu 17390
Eri 4,1
Hb 10,9
Hct 35,0
Trom 478
MCH 27
MCHC 31
MCV 85
SGOT 30
SGPT 7
Ur 7
Cr 0.3
Prot total
5,44
GDS 122
Albumin
2,02
Glob 3,42
Cl 90,5
Na 128
K 2,84
23/9/2015
Hasil echo
terlampir di
status

MCV 81
GDS 143
Alb 2,87
Glob 3,08
Cl 91,5
K 3,82
Na 136

13/10/2015
Leu 1100
Na 122
K 2,2
Cl 93
14/10/2015
Leu 2117
Hb 12,3
Eri 4,04
Ht 34,2
MCH 30
MCHC 36
MCV 85
29/9/15
Hasil PA:
Infiltrating
ductal cell
carcinoma
mammae
06/10/15
Leu 14000
Eri 3.18
Hb 8.7
Ht 27.1
Tromb 375
Mch 27
Mchc 32
Mcv 85
Gds 111
Cl 90.5
K 3.10
Na 130
Ca 6.84
19/09/2015
EKG : Irama
sinus, 100 x/m,
low voltage,
slow
progression of
R V1-V4

Cek hasil lab

Persiapan rawat jalan
Ondansentron 3x1
Ranitidine 2x1 tab
Vit b comb 2x1
Aspar K 1x1

- Levofloksasin
1x500 mg drips
- Ranitidin 2x1 amp
iv
- Bisolvon syr 3xC1
- Sulfas ferosus 2x1
tab
- Curcuma 2x C1
- Rawat luka
- Diet tinggi protein
- Perbaiki keadaan
umum

A6
Bed

Ny. Warbung Raity

P/49 thn/45.51.67

KPJ

MRS 19/09/2015
H-28

Ca. mammae sinistra

T4N1M0
Hipoalbuminemia
(1.78)

dr.Marsel Merung,
Sp.B(K)Onk

16/10/2015
Leu 6887
Eri 3.68
Hb 9.8
Ht 31.8
Tro 418
MCH 27
MCHC 31
MCV 86
SGOT 16
SGPT 5
Ur 15
Cr 0,6
Cl 100.3
K 3,43
Na 137
Ca 7.87
2/10/15
Hasil PA
gambaranad
enokarsinom
amuksinogu
mmammae

A6
Bed 7

Laluyan
Jense/P/51thn/436
793

KPJ
MRS 15/10/2015
h-2
dr. Marcelus
Merung,SpB(K)
Onk

Ca mamae sinistra
T4N2M1 gr II

19/9/2015
Leu 7060
Eri 3.16
Hb 6.8
Ht 22,4
Tro242
MCH 22
MCHC 31
MCV 71
SGOT 21
SGPT 11
Ur 31
Cr 0,7
GDS 90
Albumin
1,66
Cl 108,0
K 3,60
Na 125
14/10/2015
Leu 23890
Eri 3.78
Hb 10,4
Ht 31,8
Tro 461
MCH 27
MCHC 33
MCV 84
SGOT 73
SGPT 15
Ur 39

19/9/2015
EKG : Normal
30/09/15
Echo :
Fungsisistolik
global LV
normal, EF
66%
6/10/15
Leu 5.791
Eri 3.47
Hb 9
Ht 29.2
Tromb 430
Mch 26
Mchc 31
Mcv 84
Sgot 15
Sgpt 6
Ur 7
Cr 0.5
Cl 97.5
K 3.08
Na 137

- IVFD NaCl 0,9 %

18 gtt/m
- Vip albumin 3x1
caps
- Ranitidin 2x1 amp
- Vit B tab 1x1
- Vit C tab 1x1
- SF 1x1
- KSR 1x1
- Pro kemoterapi

8/10/15
Leu 5736
Eri 3.85
Hb 10
Ht 32,5
Tromb 392
Mch 26
Mchc 31
Mcv 85
Prottoyal 5,57
Alb 1,78
Glo 3,79

- IVFD Nacl 0,9% 20

tpm
- Ranitidin 2x1 amp
iv
- KSR 1x1
- Rawat luka
- Cefoperazone 2x1gr
- Clindamizine
3x300mg

A6
Bed 6

Madelu
martiny/P/49
thn/45.62.85

KPJ

MRS 8/10/2015
h-10

Ca Mammae Dextra
T4N0M1`
Efusi pleura dextra

Dr. dr. Victor

Pontoh Sp.B K
onk
9

A6
Bed

Analisye
Andawari/P/57thn/
456799

Susp Ca tiroid +
Osteosarcoma brachii
sinistra

KPJ
MRS 13/10/2015
h-5
Dr.Nico
Lumintang,Sp.BKL

10

A7
Bed 8

Olii
Sukiman/L/50thn
44.46.06

Tumor region colii

dextra post
kemoterapi

KPJ
MRS 9/10/2015
h-9

Cr 0,7
GDS 153
Cl 94
K 3,2
Na 134
16/10/15
Leu 8572
Eri 4,41
Hb 11.7
Ht 38,6
Tro 382
MCH 27
MCHC 30
MCV 87

SGOT 37
SGPT 5
Ur 10
Cr 0.6
GDS 72
Cl 105.4
K 3,22
Na 144

09/10/2015
Leu 4500
Eri 3,06
Trombosit
185
Ht 26.8
Mcv 88
Mch 29.4
Mchc 33.6
10/10/2015
Hb 8,9
FNAB
27/4/15
Radang
kronis
supurativa

- IVFD Nacl 0.9%20

tpm
- Ranitidin 3x1
- Pro tapping bila
sesak bertambah
- Menunggu kemo

- Terapi lain sesuai

orthopedic
- Menunggu
penjadwalan USG
- Cek hasil FNAB

- Persiapan
kemoterapi tgl
19/10/15

dr. Marcelus
Merung,SpB(K)
Onk

11

A3
Bed 1

Elsye Mintje
P/ 49thn/42.10.55

KPJ

MRS 15/09/2015
H-33
dr. Marcelus
Merung,SpB(K)
Onk

- Tumor hepar
metastase
Ca mammae dextra
post MRM
-Kolesistitis

30/9/2015
Leu 6707
Eri 5.06
Hb 12,7
Ht 42.2
Tro 248
MCH 25
MCHC 30
MCV 83
SGOT 254
SGPT 94
Bil tot 13.06
Bil direct
11.11
Ur 12
Cr 0,5
Prot tot 6.29
GDS 98

SGOT 254
SGPT 94
Bili total 13.6
Bil direct 11.1
Ur12
Cr 0.5
Prot tot 6.29
GDS 98
Albumin 2.38
Glob 3.91
Cl 92.4
K 3.41
Na 134
14/09-15
EKG :
Dbn

- IVFD NaCL 0,9%

18gtt/m
- MST 3x1 tab
- Vip albumin 3x2
caps
- Durogesic Patch
(k/p)
- Omeprazole 2x1
vial
- PCT drips 3x500mg
(k/p)
- Curcuma 3x1 tab
- On kemoterapi
(navelbine,
leukoforin, curazil)

Alb 2,38
Glob 3.91
Cl 92.4
K 3.41
Na 134
2/10/2015
Hasil PA:
infiltrating
ductal cell
Camammae

12

A3
bed 1

Ruru Evi/P/57 thn

45.55.46

KPJ

MRS 08/10/2015
HP-9

Ca tiroid metastase
KGB

30/09/2015
Leu 6707
Eri 5.06
Hb 12.7
Ht 42.2
Trom 248
MCH 25
MCHC 30
MCV 83
13/10/2015
TSHS 1.460
T3 1.7
T4 85.1
30/09/2015
Leu 7425
Eri 4,82
Hb 12,9
Ht 40,7
Tro 238
MCH 27
MCHC 32
MCV 84
SGOT 15
SGPT 6
Ur 21
Cr 0,9
GDS 96

Dr.Nico
Lumintang,Sp.BKL

13/10/2015
TSHS 1460
T3 1,7
T4 85,1

USG
Abdomen28/9/
2015
Metastase
hepar +
cholesistitis
Xfotothorax:spo
ndilisis
Echocardiogr
aphy
29/9/2015
5/10/15
CTscan thorax
dbn

Cl 95,4
K 3,50
Na 144
TSHS 1.000
FT4 2.020
FT3 4.4
PT
@detik 12,6
@INR 1,00
APTT 23,6
EKG
LAE, global
flat + wave
Spensistent v5v6

- Ukur BMR setiap

pagi hari
- Bersiap biopsy
- Cek hasil USG

X-foto thorax
TAK
CT-scan
leher+kontras
Malignancy
leher

Irina A Bawah : 8 pasien

No
1.

Kamar
B11
Bed 3

Identitas
Nurdin
Mandar/L/48/
45.59.44

KPJ
MRS 01/10/15
H-17

Diagnosis
General weakness
Susp. Tumor
mediastinum
Efusi pleura dextra

Hasil Lab
15/10/2015
06/10/15
Leu 18510
Led 18
Eri 2.85
Sgot 141
Hb 7,7
Sgpt 34
Ht 23.5
Ur 28
Trom 107
Cr 0.8
MCH 27

Terapi
- O2 2-4 lpm
- IVFD Nacl 0,9%
20 gtt/m
- Tx lain sesuai Ts
Interna
- Jawaban konsul
thovask (pasien

Ket.
Raber
Interna

Dr. Marcel
Merung,
SpB(K)Onk

MCHC 33
MCV 83
Ur 54
Cr 1.0
GDS 111
Cl 93,2
K 3.65
Na 130
30/9/2015
EKG:Sinustak
ikardi
CT-Scan
(08/10/15)
Kesan
malignancy
colii
Foto thoraks
dgn kontras
(08/10/15)
Kesan pleura
efusi
Kultur
(-)

B10
Bed 1

Pasuhuk Meivy
Rianne
35thn/P/

KPJ

Ainun/P/ 57 thn/
45.70.30

KPJ

MRS 15/10/2015
H-3

8/10/15
Leu 51860
Eri 3,43
Hb 9,3
Hct 27
Trom 313
MCH 27
MCHC 35
MCV 79
Ur 22
Cr 0.7
GDS 84
Cl 76
K 3,6
Na 101

16/10/2015
Leu 17360
Eri 1.47
Hb 4.3
Ht 12.7
Tro 201
MCH 29
MCHC 34
MCV 87
Cl 106
K 2.70
Na 124

- IVFD nacl 0,9 %

20 tpm
- Cefotaxim 2x1 IV
- Ranitidin 2x1 IV
- Ketorolac 3x1 IV
- Asam traneksamat
3x500 IV
- Vit K 1x1 iv
- Vit c 1x1 iv
- Transfusi PRC
sampai Hb >10
- Rawat luka

Ca lidah

15/10/2015
Leu 10400
Eri 4.55
Hb 10.2
Ht 34,4
Trom 415
MCH 22
MCHC 30
MCV 76
Ur 30
Cr 0.7
GDS 94
Cl 101.0
K 3.1
Na 141

Dr. Victor Pontoh

SpB (K) Onk

B10
Bed 3

menolak)
- Posisi semifowler

Ca mamae + post
MRM ec Ca mamae
D (T4N0M1)

MRS 13/10/2015
h-5

3.

UAD 3
Gds 92
Serum ion 32
TIBC 117
Fosfor 3
Mg 1.88
LDH 521
Cl 79.1
K 3.72
Na 117
Ca 7.74
Feritin 2000

Dr. Nico L,
SpB.KL

IVFD RL 20gtt/m
Cefotaxime 2x1gr
Ranitidine 2x1
Ketorolac 3x1

4.

B10
Bed 6

Tungkagi Muti
P/27 thn/445335

KPJ

MRS 15/10/2015
H-2

General weakness
Post MRM ec Ca
mamae Dextra

13/10/2015
Leu 5539
Eri 3,63
Hb 9,2
Ht 31,5
Tro 377
MCH 25
MCHC 29
MCV 86
SGOT 24
SGPT 13
Ur 11
Cr 0,8
GDP 95
Cl102,3
K 4,1
Na 142

Soft tissue tumor

regio palatum

16/10/2015
Leu 19800
Eri 2,66
Hb 7,9
Ht 24.1
Trom 567
MCH 30
MCHC 33
MCV 90
SGOT 161
SGPT 157
Ur 15
Cr 0.7
Pot tot 6.48
Alb 2.90
Glob 3.58
Cl 94.7
K 4.35
Na 133

Dr. M.
Merung,Sp.B (K)
onko

5.

B9
Bed 2

Tenggo Abdul
Muthalib Lama
L/20thn/45.64.68

KPJ
MRS 09/10/2015
HP-9
Dr. Victor Pontoh
SpB (K) Onk

Foto thoraks
(13/10/15)
dbn
6.

B4
Bed 1

Christian
Polla/L/26/
39.07.43

Tumor intraoral
Susp malignancy

12/10/2015
Leu 5300
Eri 4.33
Hb 11,1
Ht 34,4
Trom 390
MCH 25,6
MCHC 32,3
MCV 79,4
SGOT 12
SGPT 8
Ur 14
Cr 0.6
Prot T 7,41
Alb 3,01
Glob 4,40
Cl 99,4
K 4,2

KPJ
MRS 26/09/15
H-21
Dr. Nico L,
SpB.KL

Pro kemoterapi

09/10/2015
Leu 21700
Eri 1,82
Hb 5,4
Ht 15,8
Trom 459
MCH 30
MCHC 34
MCV 87
SGOT 37
SGPT 24
Ur 20
Cr 0,7
GDS 83
Cl 94
K 3,8
Na 126

- IVFD NaCl 0,9%

20 tpm
- Ciprofloxacin
2x400
- Ranitidin 2x1 amp
- Ketorolac 3x1 amp
- Vip Albumin
3x4caps
- Pct drips
- Tunggu hasil CTscan
- transfusi darah
sampai Hb >10g/dl
- Perbaiki KU
- Diet TKTP

EKG
Dbn
Hasil PA
Embryonic
Rhabdomyos
arcoma
1/10/2015
X fotoTho
c/p dbN
metastasis
(-)
EKG
26/09/15
Ekspertisi :
RBBB
6/10/15
Leu 5370
Eri 4.53
Hb 11.1
Ht 36
Tromb 410

- IVFD Nacl 0,9% :

D5% : Kabiven
1:1:1 28 gtt/m
- Cefotaxime 2x1 iv
- Ranitidine 2x1 iv
- Diet TKTP

Na 135
29/9/2015
Leko 6491
Eri 3,72
Hb 9,6
Ht 29,6
Trombo 324
MCH 26
MCHC 33
MCV 79
SGOT 12
SGPT 6
GDS 139
Cl 4,80
Na 137

7.

B4
Bed 3

Sangari Rivay
Clinton/L/21/
45.66.52

KPJ
MRS 10/10/15
H-8

8.

Px
pindah
an dari
ICU

Dr. Nico L,
SpB.KL

B2
Bed 1

Nursani
Tamahiwu/P/47th
44.90.48

KPJ
MRS 23/9/15
H-25

Post repair esophagus

& trakea ec. Trauma
tumpul colii + susp.
Peptic ulcer

13/10/2015
Leu 10200
Eri 4,16
Hb 13,0
Ht 35,6
Trom 257000
MCH 31
MCHC 37
MCV 86

Post simple
mastektomi ec. Ca
mammae dextra
T4N1Mx

23/9/2015
Leu 8636
Eri 3,41
Hb 10,6
Ht 32,5
Trom 325000
MCH 31
MCHC 33
MCV 95
GDP 177
SGOT 49
SGPT 23
Ur 32
Cr 0,6
Alb 2,86
Cl TAP
K TAP
Na TAP

Dr. Victor Pontoh

SpB (K) Onk

Mch 25
Mchc 31
Mcv 80
Sgot 12
Sgpt 6
Gds 139
Cl 105
K 4.8
Na 137
PA:
(10/10/15)
Gambaran
didominasi
oleh
gambaran
radang
menahun
bagian
fibromiksom
a
- IVFD NaCl
0,9%:D5:Tutofusin
=1:2:1 28 gt/m
- Diet DL 2 + AP +
susu
- Ceftriaxone 2x1 gr
IV
- Metronidazole
1x1500mg IV
- Omeprazole 2x40
mg IV
- Analgetik k/p
- Paracetamol 3x1 gr
- Rawat trakeostomi
- Pro kemoterapi
23/10/2015

Irina Anggrek1 : 1pasien

1

Fenny Hinta
Kama

Post operasi
Ca mammae

5/10/2015
Leu 14020

EKG
Sinus takikardi

- IVFD NaCl + D5
1:1

r B3

sinistra
Post neoadjuvan

Eri 2,44
Hb 7,1
Ht 21,7
Trombo 399
MCH 29
MCHC 33
MCV 87

120x/m
8/10/15
Leu 16760
Eri 3,61
Hb 9,3
Ht 30,2
Trombo 365
MCH 26
MCHC 31
MCV 84
Ur 6
Cr 0,3
Gds 139
Cl 97
K 2,2
Na 131

- Ciprofloxacin
2x400 mg
- -Sucralfat syr 3 dd
CII
- Domperidon 3dd1
- Ketorolac 2 x 1 amp
- Ranitidin 2 x 1 amp
- R/ Ct scan kepala
- Rawat luka