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LIST PASIEN DIVISI ONKOLOGI

Jumat, 26 Desember 2015


Irina A atas (7 Pasien)
No
1.

Kama
r
A10
Bed 3

Identitas

Diagnosis

Buyun
Sarayar/L/54 thn/
46.19.64

Tumor Colli D
susp ca tiroid dd/
lymphodenopathy
Anemia

21/12/2015
Leu 10700
Eri 2.35
Hb 6.7
Htc 21.4
Trombo 292
MCH 28.5
MCHC 31.3
MCV 91.0

Ca mammae
sinistra stadium
T4N3M1

22/12/2015
Leu 9400
Eri 4.07
Hb 11,7
Htc 36,3
Trombo 309
MCH 28,7
MCHC 32,2
MCV 89,2
SGOT 212
SGPT 137
Ur 13
Cr 0.7
GDS 145
CK ttl 123
CKMB 85
Alb 3,22
Fo 3,8
Cl 102
K 5,10
23/12/15
Leuko 3900
Eri 1,28
Hb 3,1
Htc 10,2
Trombo 403
MCH 24,2
MCHC 30,4
MCV 79,3

Na 132
Ca 9,22

22/12/2015
Leu 9100
Eri 4.3
Hb 11.1
Htc 34.7
Trombo 439
MCH 25.8
MCHC 32
MCV 80.6
SGOT 20
SGPT 11
Ur 7
20/12/2015
Leu 10000
Eri 2.42
Hb 5.5
Htc 18
Trombo 368
MCH 22.7
MCHC 30.6
MCV 74.2

Cr 0.4
Alb 2.24
Cl 109
K 3.30
Na 136

EKG
Sin. Rhytm
Gelombang
U (+) Susp.

Trombo 285
MCH 27.5
MCHC 34.6
MCV 79.5

MRS 21/12/2015
HP 5

2.

A3
Bed 4

dr. Marsel
Merung
Sp.B(K)Onk
Runtuwene
Ruth/P/52 thn
45.64.76
MRS 04/12/15
HP 22
dr. Marsel
Merung,
SpB(K)Onk

3.

A3
Bed 1

Delvya Agama/ P/
40thn/
46.21.47

Efusi Pleura
Dextra
+metastasis ke
hepar +ADHF

Ca mammae
sinistra + anemia
+ general
weakness

MRS 23/12/2015
HP - 3

4.

A6
Bed 1

dr. Marsel
Merung,
SpB(K)Onk
Sulastri
Delima/P/32 thn
40.02.27

Tumor mammae
phyloides D

MRS 09/12/2015
HP 17
dr.
MarselMerung,
SpB(K)Onk

5.

A6
Bed 3

Sartje
Wowor/P/43 thn
09.01.12

FAM Dextra
anemia

MRS 17/12/2015
HP 9

6.

A6
Bed 6

dr. Marsel
Merung,
SpB(K)Onk
Wantaseng
Heti/P/50 thn
46.09.58

Post simple
mastectomy ec
Tumor piloides
Mammae Sinistra

Pemeriksaan Penunjang

SGOT 104
SGPT 18
Ur 76
Cr 1.0
GDS 100
Cl 97
K 4.6
Na 128

Terapi/rencana

Ket:

X-foto cervical AP/Lat


X-foto Thorakal AP Lat
X-foto thorakolumbal
AP Lat
CT-Scan Colli + FNAB
Tx lain sesuai TS
Urologi

KP:
Dedy

IVFD Nacl 0.9% 20 gtt/m


Ranitidin 2x1 amp
Ketorolak 3x1 amp
Tapping bila sesak
O2 8 lpm
FNAB (hasil
senin)
Echo (menunggu
hasil)

KP:
Chiko

Perbaiki KU
Transfusi PRC 1
bag/hari sampai Hb
10

KP:
Dedy

IVFD NaCl 0.9% :


Kabiven :
Aminofluid : 1:1:1
Ranitidin 3x1 amp
Ketorolac 3x1 amp
R/ simple
mastektomi
R/ cek PT/APTT
(setelah libur)

KP:
Chiko

IVFD nacl 0,9% - 20


gtt/m
Trnfusi PRC sampai
HB 10
Ketorolac inj 3x1
amp
Ranitidine inj 2x1 mp
R/ simple mastectomi

KP:
Dedy

10/12/2015
Leu 8800
Eri 3.20
Hb 12.3
Htc 29.5
Trombo 210
MCH 38.4
MCHC 41.7
MCV 92.3

USG
Abdomen
Kesan
proses
metastase
pada hepar

Cl 115
K 2,60
Na 137
GDS 100

Histopatolo
gi:
fibrocyctic
change
mamae

Cek DL Post op
IVFD Nacl 20 gtt/mnt
Ceftriaxone 2x1 gr
Ketorolac 3x1 amp

KP:
Chiko

MRS 08/12/15
HP 18

H-V

dr. Victor Pontoh,


SpB(K)Onk

A6
Bed 8

Yuhilde
Sawal/ P/ 40thn/
07.73.58

Total
thiroidektomi ec
tumor thyroid
bilateral

MRS 14/12/2015
HP - 12
dr. Marsel
Merung,
SpB(K)Onk

hipokalemia
PA
Phylloides
Tumor
(susp.
degenerasi
maligna
liposarcoma
)
22/12/2015
Leu 12700
Eri 3,79
Hb 10,2
Htc 30,5
23/12/15
Leu 12300
Eri 4.60
Hb 13.6
Htc 42.1
Trom 326
MCH 29.6
MCHC 32.3
MCV 91.5

SGOT 19 Ranitidin 2x1 amp


SGPT
20 Rawat luka
Ur 20
Cr 0.6
GDS 112
Alb 3,2
Cl 107
K 3,30
Na 135
14/12/2015
PT : 13,0
@INR: 1,04
APTT : 25,3

Lab
Leuko 7908
Eri 4.80
Hb 14.5
Htc 40.5
Trombo 264
MCH 30.2
MCHC 35.6
SGOT 15
SGPT 15
Ur 17
Cr 1.0
GDS 109

IVFD RL
Ceftriaxone 2x1 gr
Ketorolac inj 3x1
Ranitidine inj 2x1
Thyrax/Euthyrax
200 ug pagi
Rawat luka

KP:
Dedy

Irina A Bawah (8 Pasien)


No
1.

Kama
r
B10
Bed 4

Identitas

Diagnosis

Dahlia Musa/P/37
thn
35.78.87

Struma uninodusa
nontoksik

17/12/2015
Leu 7300
Eri 4,55
Hb 14,4
Htc 39,5
Trombo 273
MCH 31.6
MCHC 36.5
MCV 86,8

Ca Mammae D
(T4N1Mx)
+anemia

21/12/2015
Leu 8000
Eri 3.53
Hb 9,7
Htc 29.1
Trombo 386
MCH 27.5
MCHC 33.3
MCV 82.5

MRS 20/12/2015
HP- 6

2.

B10
Bed 7

dr. Marsel
Merung,
SpB(K)Onk
Jull Topi/P/55 thn
46.19.55
MRS 20/12/2015
HP- 6
dr. Marsel
Merung,
SpB(K)Onk

3.

B3
Bed 1

Suluh
Post ORIF ec fr.
Naftali/P/17 thn
Zygoma
40.49.32
Sinistra
Maloklusi ec
MRS 08/12/2015
Fracture
HP 18
maxilla sinistra
isolated
dr. Nico
Lumintang,
SpB(K)KL

Pemeriksaan Penunjang

22/12/2015
Leu 10200
Eri 4.28
Hb 11.9
Htc 36.5
Trombo 315
MCH 27.8
MCHC 32.6
MCV 85.3
21/12/2015
pT 12,9
ApTT 27.3
18/12/2015
Leu 5300
Eri 3.95
Hb 11.1
Htc 33.4

Cl 103,3
K 4,13
Na 140

Ur 40
Cr 1.5
GDS 91
Mg 2.08
Cl 102.1
K 3.52
Na 137
Ca 8.64

SGPT 8
Ur 16
Cr 0.6
Cl 102.9
K 4.20
Na 141
08/12/2015
Leu 15200
Eri 3.73
Hb 13.7
Htc 33.4
Trombo 121
MCH 36.7
MCHC 41.0
MCV 89.6
SGOT 28
SGPT 12
Ur 20

Terapi

Ket:

RL 20 gtt/m
Ceftriaxone 2x1 gr
Ketorolac inj 3x1
Ranitidine inj 2x1
Rencana operasi
ishmolobektomi

KP:
Chiko

Insisional biopsy
IVFD NaCl / 12 jam
Ceftriaxone inj 2x1
Ketorolac 3x1 amp
Ranitidine 2x1 amp

KP:
Dedy

KP:
Chiko

IVFD NaCl
Ketorolak 3x1 amp
Cefazolin 2x1 gr
Ranitidine 2x1
amp
Diet lunak
Rawat luka
Cek hasil X-foto
skull AP-Lateral

4.

B8
Bed 7

Umar Abid/L/53
thn
45.72.72

Ameloblastoma
maxila Sinistra

MRS 03/12/2015
HP 23

FNAB
Mengarah
Ameloblast
oma

dr. Marsel
Merung,
SpB(K)Onk

5.

B2
Bed 1

Yultje
Atang/P/58thn/
37.36.45

EKG
Sinus
Takikardi
LVH
Voltage
Aritmia
Soft tissue tumor
genu sinistra

MRS 15/12/2015
HP-11

dr. Marsel
Merung,
SpB(K)Onk

6.

B5
Bed 1

Alfa
Kaseside/L/25 thn
46.12.02
MRS 19/12/2015
HP-7

Post ekstraksi
corpal regio
cavum orbita
Dextra
Vulnus
sclopectorum

dr. Nico
Lumintang,
SpB(K)KL

7.

B5
Bed 4

Christian
Polla/L/26 thn
39.07.43
MRS 26/09/2015
HP 84

Trombo 262
MCH 28.1
MCHC 33.3
MCV 84.4
SGOT 17
08/12/2015
Ur 12
Cr 0.8

Fibromiksoma
post reseksi tumor
+
marginal
mandibuloktomi
dgn trakeostomi

dr. Nico
Lumintang,
SpB(K)KL

18/12/2015
Leu 3600
Eri 3,00
Hb 9
Htc 27,3
Trombo 257
MCH 30,0
MCHC 33,0
MCV 91,0

22/12/2015
Leu 4500
Eri 4.52
Hb 13.8
Htc 42.1
Trombo 237
MCH 30.5
MCHC 32.8
MCV 93.2
SGOT 12
SGPT 10
Ur 16
Cr 1.0
Ur.acid 5.2
Cl 105.2
K 3.91
Na 141
15/12/2015
Leu 15900
Eri3.15
Hb9.2
Htc26.2
Trombo 540
MCH 29.2
MCHC 35.1
MCV 83.2

Cr 0.5
GDS 214
Cl 108.0
K 3.60
Na 136
07/12/2015
Leu 6100
Eri 3,85
Hb 10,8
Htc 32
Trombo 254
MCH 28
MCHC 33,8
MCV 83,2
SGOT 14
SGPT 11
Cr 0.6
GDS 80
Cl 95
K 3.7
Na 136
23/12/2015
Leu 5300
Eri 2.99
Hb 8.7
Htc 25,2
Trombo 234
MCH 29,1
MCHC 34,5
MCV 84,2
GDS 144
Cl 97,4
K 3,78
Na 132
23/12/15
Leu 7500
Eri 3,95
Hb 12,8
Ht 39,7
Trom 249
MCH 32,4
MCHC 32,2
MCV 100,5
Ur 16
Cr 1
GDS 89
Cl 106
K 3,9
Na 142

Rencana operasi
hemimaxilektomy
(Senin, 28/12)

KP:
Dedy

IVFD NaCl 0.9%


12gtt/m
Ketoroloak 3x1
amp
Ranitidine 2x1
amp
Ceftriaxone 2x1gr
Sanmol drips 3x1
Transfusi target Hb
> 10
Tx lain sesuai TS
Interna
R/ MRI genu
(28/12/15)
IVFD RL 20 gtt
Ceftriaxone 2x1 gr
Ketorolac 3x1 amp
Ranitidin 2x1 amp

KP:
Chiko

8.

B4
Bed 1

Sutriah/P/58thn/
37.36.45
MRS 15/12/2015
HP-11
dr. Marsel
Merung,

Soft tissue tumor


region antebrachi
dextra

20/12/2015
Leu 5100
Eri 3,48
Hb 8.5
Htc 26.1
Trombo 760
MCH 24.4
MCHC 32.6

MCH 25,1
MCHC 32,4
MCV 77.6
SGOT 16
SGPT 9
Ur 54
Cr 1,8
Ur ac 13,2

Diet tktp
Betadine gargle
IVFD NaCl : D5 =
2:1
Ketorolak 3x1 amp
Cefazolin 2x1 vial
Ranitidine 2x1
amp
Vip albumin 3x1
sachet
Nebulizer 3x1
IVFD NaCl 0.9% /
12 jam
Ketoroloak 3x1
amp IV
Ranitidine 2x1
amp IV
Rencana mri
antebrachi dextra

KP:
Dedy

KP:
Chiko

KP:
Dedy

SpB(K)Onk

MCV 74,9
SGOT 21
SGPT 15
Ur 67
Cr 2,4
Cl 103
K 3.7
Na 134
23/12/15
Leu 6700
Eri 3,07
Hb 7,7
Ht 23,8
Trom 622

Kol 133
HDL 31
LDL 84
Trigli 91
Prot tot 5,21
GDS 85
Alb 2,72
Glob 2,49
Cl 102
K 3,59
Na 102

ICU (1 Pasien)
No
1

Kama
r
Bed 5

Identitas

Diagnosis

Pakaya
Kasmawati/P/61
thun/ 46.12.02

Post total
tiroidektomi ec
Adenocarcinoma
poliferum thyroid

MRS 16/12/2015
HP-9
dr. Marsel
Merung,
SpB(K)Onk

Pemeriksaan Penunjang
11/12/2015
Leu 9100
Eri 4.86
Hb 15.4
Htc 42.6
Trombo 237
MCH 31.7
MCHC 36.2
MCV 87.7
SGOT 34
SGPT 38
Ur 26
Cr 0.7

Terapi

GDS 184
Rawat luka
Cl 102.5
Ceftriaxone 2x1 gr
K 3.88
Thyrax 1x200 ug (pagi)
Na 145
PT 13.1
INR 1.05
APTT 26.9

Ket:
KP:
Chiko

14/12/2015
USG : kesan
struma
multi nodul

Anggrek 1 (1 Pasien)
No
1

Kama
r
Bed
10

Identitas

Diagnosis

Bakary
Sukartati/P/57
thn/330150

Ca mamae sinistra
(T4M4Nx)

MRS 18/12/2015
HP 8
dr. Marsel
Merung,
SpB(K)Onk

Pemeriksaan Penunjang
23/12/2015
Leu 34300
Eri 3.54
Hb 10.7
Htc 33.7
Trombo 533
MCH 30.2
MCHC 31.8
MCV 95.3
Cl 77
K 2.40
Na 123
18/12/2015
Leu 1000
Eri 3.63
Hb 10.6
Htc 32.1
Trombo 237

Terapi

MCH 29.2 Kapsul garam 3x2 caps


MCHC 33 Diet tinggi serat
MCV 88.3 Terapi lain seusai TS
Cl 76
Interna
K 2.70
Na 117

Ket:
Kp :
Dedy

21/12/2015
Leu 1600
Eri 3.49
Hb 10.3
Htc 30.2
Trombo 460
MCH 29.5
MCHC 34.1
MCV 86.5
Cl 64
K 2.49
Na 112

Anggrek 2 (1 Pasien)
No

Kamar

`1 K.203

Identitas

Diagnosis

PemeriksaanPenunjang

Nursani
Tamahiwu /P/47
thn/44.90.48

Ca Mammae dextra 18/12/15


post mastektomi Leu 6100
On chemo
Eri 3.20
Hb 9
MRS 10/9/15
Ht 27.9
Hari perawatan ke
Trombo 365
92
MCH 28.1
MCHC 32.3
Dr. Victor Pontoh,
MCV 87.3
Sp. B (k)ONK

SGOT 18
SGPT 8
Ur 16
Cr 0.8
GDS 95
Cl 92.3
K 2.8
Na 136

Terapi

IVFD NaCl
Ceftriaxone 2x1 gr
B Comp 3x1 tab
Vit C 3x1 tab
Cek DL, elektrolit

Ket
Kp: Chiko