LIST PASIEN DIVISI ONKOLOGI

Rabu, 30 Desember 2015

Irina A atas(9 Pasien)
No
1.

Kama
r
A11
Bed 2

Identitas
Kandouw
Juan/L/24
thn/462579

Diagnosis
Susp. Ca Lidah

MRS 29/12/15
HP 2

2.

A1
Bed 1

Dr. M. Merung,
SpB(K)Onk
Kandou
Delfried/L/18
thn/462364
MRS 26/12/2015
HP 5
Dr. M. Merung,
SpB(K)Onk

Ca colli
Susp ca
nasofaring
Anemia
Elektrolit
imblance

PemeriksaanPenunjang
29/12/15
Leu 8100
Eri 4,03
Hb 11,9
Ht 37,8
Tr 363
GOT 28
GPT 19
26/12/2015
Leu 31.300
Eri 2,96
Hb 8,2
Ht 23,7
Tro 686
MCH 27,7
MCHC 34,6
MCV 89,2

Terapi/rencana

Ur 8
Cr 0,7
Cl 102
K 4,2
Na 134

SGOT 62
SGPT 40
Ur 49
Cr 1,1
GDS 95
Na 123
K 3,6
Cl 88,0

3.

4.

A 10
Bed 1

Sudarso Rafly/23
thn/462020

A8
Bed 3

MRS 29/12/15
HP 2
Wanto/14
thn/462418
MRS 27/12/15
HP 4

5.

A3
Bed 4

Dr. N. Lumintang,
SpB(K)KL
Runtuwene
Ruth/P/52 thn
45.64.76
MRS 04/12/15
HP 27
dr.
MarselMerung,
SpB(K)Onk

CT-Scan lidah dgn

kontras
Biopsy

Chiko

IVFD NaCl 0.9%

20 gtt/m
Inj ketorolac 3x1
iv
Inj Ceftriaxone 2x
1 gr
Inj Ranitidine 2x1
amp
Paracetamol
3x500mg drips
Transfusi
PRC
sampai hb 10

Dedy

Soft tissue tumor

region zygoma D

Fr. Lefort II

Ca mammae
sinistra stadium
IV T4N3M1
Efusi Pleura
Dextra
+metastasis ke
hepar +ADHF

Ket:

Chiko

27/12/15
Leu 13500
Eri 4,23
Hb 13,7
Ht 36,6
Tr 29
GOT 45
GPT 55
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

Ur 48
Cr 0,8
K 4,3
Cl 105
Na 136

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
metastasepa
dahepar
Sudahadaha

Diet air
Ceftazoline 2x1 g
Pro ORIF elektif jika
keluarga setuju
Tx lain sesuai TS NS

IVFD Nacl 0.9% 20 gtt/m

Ranitidin 2x1 amp
Ketorolak 3x1 amp
Menunggu jadwal
echo
Menunggu hasil
FNAB

Dedy

KP:
Chiko

6.

A3
Bed 1

Delvya Agama/ P/
40thn/
46.21.47

Ca mammae
sinistra + anemia
+ general
weakness

MRS 23/12/2015
HP - 7
dr.
MarselMerung,
SpB(K)Onk

7.

A6
Bed 1

SulastriDelima/P/
32 thn
40.02.27

Tumor mammae
phyloides dextra

MRS 09/12/2015
HP 22
dr.
MarselMerung,
SpB(K)Onk

8.

A6
Bed 3

SartjeWowor/P/43
thn
09.01.12

FAM Dextra
anemia

MRS 17/12/2015
HP 13
dr.
MarselMerung,
SpB(K)Onk

9.

A6
Bed 7

WantasengHeti/P/
50 thn
46.09.58
MRS 08/12/15
HP 22

Post simple
mastectomy ec
Tumor
piloidesMammae
Sinistra
H - VII

Cl 102
K 5,10
Na 132
Ca 9,22

silfotothora
x,sudahdila
kukan
tapping
29/12/2015
(605cc)

28/12/2015
Leu 4500
Eri 2.38
Hb 6.2
Ht 18.6
Trombo 227
MCH 26.1
MCHC 33.3
Esinofil3%
Basofil0%
Netro btg
1%
Netro
sgment 74%
Lim 6%
Monosit 6%
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

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
Cl 115
K 2,60
Na 137
GDS 100

Cr 0.4
Alb 2.24
Cl 109
K 3.30
Na 136

Histopatolo
gi:
fibrocyctic
change
mamae

EKG
Sin.Rhytm
Gelombang
U (+)Susp.
hipokalemia

Trombo 285
MCH 27.5
MCHC 34.6
MCV 79.5
SGOT 19
SGPT
20
Ur 20
Cr 0.6

PA
Phylloides

Perbaiki KU
Transfusi PRC
sampai hb 10
IVFD RL
Ceftriaxone 2x1 gr
iv
Ranitidine 2x1 iv
Ketorolac 3x1 iv
Ekspertisi foto
thorax (menunggu
hasil)

KP:
dedy
D
e
d
y

IVFD NaCl 0.9%

20gtt/m
Ranitidin 2x1 amp
Ketorolac 3x1 amp
R/ simple
mastektomi
R/ cek
PT/APTT(menung
gu hasil)
Cek EKG+ foto
thorax

KP:
Chiko

Ondancentron inj 2x1

IVFD nacl 0,9% - 20
gtt/m
Trnfusi PRC sampai HB
10
Ketorolac 3x1 iv
Ranitidine 2x1inj
R/ simple mastectomy
Cek DL,PT,APTT
(menunggu hasil)
Cek EKG (hasil
terlampir)
foto thorax (menunggu
hasil)
Cefixime 2x100 mg po
Asam mefenamat 3x500
mg po
Rawatluka

KP:
Dedy

KP:
Chiko

Tumor
(susp.
degenerasim
alignaliposa
rcoma)
22/12/2015
Leu 12700
Eri 3,79
Hb10,2
Htc 30,5

dr. Victor Pontoh,

SpB(K)Onk

GDS 112
Alb 3,2
Cl 107
K 3,30
Na 135
14/12/2015
PT : 13,0
@INR: 1,04
APTT : 25,3

Irina A Bawah ( 9 Pasien)

No
1.

Kama
r
B10
Bed 4

Identitas

Diagnosis

Dahlia Musa/P/37
thn
35.78.87

Struma uninodusa
nontoksik D

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)

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

Soft tissue
sarcoma region
genu sinistra

28/12/2015
Leu 4400
Eri 3,14
Hb 9,3
Trombo 178
GOT 117
GPT 39
Ur 27
Cr 1,3
Cl 88,9
K 3,26
Na 125
08/12/2015
Ur 12
Cr 0.8

MRS 20/12/2015
HP- 11

2.

B10
Bed 7

dr.
MarselMerung,
SpB(K)Onk
Jull Topi/P/55 thn
46.19.55
MRS 20/12/2015
HP- 11
dr.
MarselMerung,
SpB(K)Onk

3.

B2
Bed 1

YultjeAtang/P/58t
hn/ 37.36.45
MRS 15/12/2015
HP-16

dr. Marsel
Merung,
SpB(K)Onk

4.

B8
Bed 7

Umar Abid/L/53
thn
45.72.72
MRS 03/12/2015
HP 28

Ameloblastomam
axilaSinistra

PemeriksaanPenunjang

FNAB
Mengarah
Ameloblastoma

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
24/12/2015
Leu 3600
Eri 3.00
Hb 9.0
Ht 27.3
Trombo 224
MCH 30.0
MCHC 33.0
MCV 91.0
Malaria
(negative)

Terapi

Ket:

RL 20 gtt/m
Ceftriaxone 2x1 gr
Ketorolac inj 3x1
Ranitidine inj 2x1
R/ ishmolobectomy D

KP:
Chiko

Insisionalbiopsy
IVFD NaCl 0.9 %
per12 jam
Ceftriaxone inj 2x1
Ketorolac 3x1 amp
Ranitidine 2x1 amp
R/ USG Abdomen
Ekspertisi x-foto spine
thoracolumbal
(tunggu hasil)

IVFD NaCl 0.9%

Paracetamol tab
3x1 tab

Ceftriaxone 2x1 gr

Ranitidine 2x1 A

Ketorolac 1A k/p

Metronidazole
3x500 mg drips

R/ MRI genu

Tx lain sesuai TS
Interna

KP:
Dedy

26/12/2015 Rencanaoperasi subtotal

Leu 6700
maxilektomy (Rabu,
Eri 4,32
30/12/2015)
Hb 11,6
Ht 37,5
Tro 281
SGOT 18

KP:
Chiko

KP:
Dedy

dr.
MarselMerung,
SpB(K)Onk

5.

B7
Bed 5

Valentino
Pangkey/12thn/
462377

EKG
Sinus
Takikardi
LVH
Voltage
Aritmia
Fr. Lefort II

MRS 26/12/15
HP 5

6.

B7
Bed 6

Dr. N. Lumintang,
SpB(K)KL
Alvin
waworuntuh/L/12
thn/

SAH
temporoparietal D
Fr. Zygoma D

MRS 26/12/2015
HP 4

7.

B5
Bed 1

Dr. N. Lumintang,
SpB(K)KL
Christian
Sondakh/17
thn/462406

Fr. Zygoma D

MRS 27/12/2015
HP-4
dr. Nico
Lumintang,
SpB(K)KL
8.

B5
Bed 4

Christian Polla/L/
26 thn/390743
MRS 26/09/2015
HP 87

9.

B4
Bed 1

dr.
NicoLumintang,
SpB(K)KL
Sutriah/P/58thn/
37.36.45
MRS 15/12/2015
HP-16
dr.
MarselMerung,
SpB(K)Onk

Fibromiksomapos
treseksi tumor +
marginal
mandibuloktomid
gntrakeostomi

Soft tissue tumor

regioantebrachide
xtra

26/12/15
Leu 29400
Eri 5,48
Hb 15,7
Ht 43,2
Tro 328
GOT 65

26/12/2015
Leu 14300
Eri 5,46
Hb 15,3
Ht 44,3
Tro 349
SGOT 29
SGPT 16
27/12/2015
Leu 16600
Eri 5,11
Hb 15,4
Htc 41,9
Trombo 200
MCH 30.1
MCHC 36,8
MCV 82,0
Cl 102,0
K 4,2
Na 138
15/12/2015
Leu 15900
Eri3.15
Hb9.2
Htc26.2
Trombo 540
MCH 29.2
MCHC 35.1
MCV 83.2
28/12/15
Leu 7700
Eri 3,31
Hb 9,0
Ht 24,6
Trom 650
MCH 25,1
MCHC 32,4
MCV 77.6
Alb 2,57
SGOT 16
SGPT 9

SGPT 15
Ur 13
Cr 0,8
Glo 3,64
Cl 98
K 3,8
Na 132
GPT 36
Ur 22
Cr 0,6
K 3,5
Na 141
Cl 98,8

Ur 17
Cr 0,8
GDS 147
Na 140
K 3,5
Cl 106

R/ ORIF elektif
Tx lain sesuai TS
NS
Keluarga menolak
operasi

Konservatifuntuk dr.
zygomadextra

R/ ORIF elektif
Tx lain sesuai TS
NS

NaCl 0.9% : kabiven:

aminofluid = 2 : 1 : 1
Vip albumin 3x1 sachet
R/ diseksi mandibula

Trigli 91
Prot tot 5,21
GDS 85
Alb 2,72
Glob 2,49
Cl 102
K 3,59
Na 102

26/12/2015
Leu 8500
Eri 3.58

IVFD NaCl 0.9% /

12 jam
Ceftriaxone inj 2x1
iv
Ketoroloak 3x1
amp IV
Ranitidine 2x1
amp IV
Rencanamriantebra
chidextratgl
28/12/2015
Tungguhasil DL

Chiko

Dedy

KP:
Dedy

KP:
Chiko

KP:
Dedy

Ur 54
Cr 1,8
Ur ac13,2
Kol 133
HDL 31
LDL 84

Hb 9.5
Ht 26.6
Trombo 713
MCH 26.5
MCHC 35.7
MCV 74.3

Anggrek 1 (1Pasien)
No
1

Kama
r
Bed
10

Identitas

Diagnosis

BakarySukartati/P
/57 thn/330150

Camamaesinistra
(T4M4Nx)

MRS 18/12/2015
HP 13

PemeriksaanPenunjang
23/12/2015
Leu 34300
Eri 3.54
Hb 10.7
Htc 33.7
Trombo 533

dr.MarselMerung,
SpB(K)Onk

Terapi

Ket:

Kapsul garam 3x2 caps

MCH 30.2 Diet tinggi serat
MCHC 31.8 Terapi lain seusai TS
MCV 95.3
Interna
Cl 77
K 2.40
Na 123

Kp :
Dedy

Anggrek2 (1 Pasien)
No

Kamar

`1 K.203

Identitas

Diagnosis

PemeriksaanPenunjang

NursaniTamahiwu / CaMammaedextra 18/12/15

P/47 thn/44.90.48 post mastektomi Leu 6100
On chemo
Eri 3.20
MRS 10/9/15
Hb 9
Hariperawatanke
Ht27.9
95
Trombo 365
MCH 28.1
Dr. Victor Pontoh,
MCHC 32.3
Sp. B (k)ONK
MCV 87.3

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