LIST PASIEN DIVISI ONKOLOGI

Selasa, 29Desember 2015

Irina A atas(9 Pasien)
No
1.

Kama
r
A1
Bed 1

Identitas
KandouDelfried/L
/18 thn/462364
MRS 26/12/2015
HP 4

Diagnosis
Ca colli
Susp ca
nasofaring
Anemia

Dr. M. Merung,
SpB(K)Onk

Elektrolit
imblance

PemeriksaanPenunjang
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

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

2.

A3
Bed 4

Runtuwene
Ruth/P/52 thn
45.64.76
MRS 04/12/15
HP 26
dr.
MarselMerung,
SpB(K)Onk

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

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

Na 132
Ca 9,22
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

Terapi/rencana

Ket:

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
IVFD Nacl 0.9% 20 gtt/m
Ranitidin 2x1 amp
Ketorolak 3x1 amp
Menunggu jadwal
echo
Menunggu hasil
FNAB

Vera

KP:
Chiko

USG
Abdomen
Kesan
proses
metastasepa
dahepar
Sudahadaha
silfotothora
x,sudahdila
kukan
tapping
25/12/2015
(650cc)

3.

A3
Bed 1

Delvya Agama/ P/
40thn/
46.21.47
MRS 23/12/2015
HP - 6
dr.
MarselMerung,
SpB(K)Onk

Ca
mammaesinistra +
anemia + general
weakness

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%
23/12/15
Leuko 3900
Eri 1,28
Hb 3,1
Htc 10,2
Trombo 403
MCH 24,2
MCHC 30,4

Cl 115
K 2,60
Na 137
GDS 100

Perbaiki KU
Transfusi PRC
sampai hb 10
IVFD RL
Ceftriaxone 2x1 gr
iv
Ranitidine 2x1 iv
Ketorolac 3x1 iv

KP

De

4.

A6
Bed 1

SulastriDelima/P/
32 thn
40.02.27

Tumor mammae
phyloides dextra

MRS 09/12/2015
HP 20
dr.
MarselMerung,
SpB(K)Onk

5.

A6
Bed 3

SartjeWowor/P/43
thn
09.01.12

FAM Dextra
anemia

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

6.

A6
Bed 7

WantasengHeti/P/
50 thn
46.09.58
MRS 08/12/15
HP 21

Post simple
mastectomy ec
Tumor
piloidesMammae
Sinistra
H - VII

dr. Victor Pontoh,

SpB(K)Onk

A6
Bed 8

Yuhilde
Sawal/ P/ 40thn/
07.73.58

Post total
thiroidektomi ec
tumor thyroid
bilateral

MRS 14/12/2015
HP - 15
dr.
MarselMerung,
SpB(K)Onk

A9
Bed 3

Ratu Imanuel
/L/8thn
46.22.79
MRS 25/12/2015
HP dr. Nico
Lumintang,
SpB(K)KL

Fr.mandibula
Fr.corpus
mandibula

MCV 79,3
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

EKG
Sin.Rhytm
Gelombang
U (+)Susp.
hipokalemia
PA
Phylloides
Tumor
(susp.
degenerasim
alignaliposa
rcoma)
22/12/2015
Leu 12700
Eri 3,79
Hb10,2
Htc 30,5
23/12/15
Leu12300
Eri 4.60
Hb 13.6
Htc 42.1
Trom 326
MCH 29.6
MCHC 32.3
MCV 91.5

25/12/2015
Leu 13.400
Eri 3.94
Hb 11.1
Ht 34
Trombo 238
MCH 28.2
MCHC 32.6
MCV 86.3
SGOT 68
SGPT 41

Cr 0.4
Alb 2.24
Cl 109
K 3.30
Na 136

Histopatolo
gi:
fibrocyctic
change
mamae

Trombo 285
MCH 27.5
MCHC 34.6
MCV 79.5
SGOT 19
SGPT
20
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
Ur 37
Cr 0.5
GDS 145
Cl 100
K 3.90
Na 133

IVFD NaCl 0.9%

20gtt/m
Ranitidin 2x1 amp
Ketorolac 3x1 amp
R/ simple
mastektomi
R/ cek
PT/APTT(setelahli
bur)
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
Cek EKG,foto thorax

KP:
Dedy

Cefixime 2x100 mg po
Asam mefenamat 3x500
mg po
Rawatluka

KP:
Chiko

Cefixime 2x1
As.mefenamat 3x1
Ceftri 2x1
Ranitidine 2x1
Ketorolac 3x1
Rawa t luka

IVFD NaCl 0.9%=

20gtt/m
Injeksi Ketorolac
3x1 iv
Injeksi Ranitidine
2x1 IV
Injeksi Ceftriaxone
2x1 gr IV
Rencana ORIF
elektif

KP:
Dedy

9.

A6
Bed 2

Meinny
Rondonuwu
P/45thn
38.35.46

Ca mammae

MRS 28/12/015
HP 1
dr. Victor
P,SpB(K) Onk

Irina A Bawah ( 9 Pasien)

No
1.

Kama
r
B10
Bed 4

Identitas

Diagnosis

Dahlia Musa/P/37
thn
35.78.87

Struma
uninodusanontoks
ik 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

CaMammae 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

MRS 20/12/2015
HP- 9

2.

B10
Bed 7

dr.
MarselMerung,
SpB(K)Onk
Jull Topi/P/55 thn
46.19.55
MRS 20/12/2015
HP- 9
dr.
MarselMerung,
SpB(K)Onk

3.

B2
Bed 1

YultjeAtang/P/58t
hn/ 37.36.45

Soft tissue
sarcoma region
genu sinistra

MRS 15/12/2015
HP-14

dr.
MarselMerung,
SpB(K)Onk

4.

B8
Bed 7

Umar Abid/L/53
thn
45.72.72
MRS 03/12/2015
HP 26
dr.
MarselMerung,
SpB(K)Onk

Ameloblastomam
axilaSinistra

PemeriksaanPenunjang

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

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

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

Terapi

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

Insisionalbiopsy
IVFD NaCl 0.9 %

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
(28/12/15)

FNAB
MengarahA
meloblasto
ma
EKG
Sinus
Takikardi

26/12/2015
Leu 6700
Eri 4,32

KP:
Chiko

KP:
Dedy

per12 jam
Ceftriaxone inj 2x1
Ketorolac 3x1 amp
Ranitidine 2x1 amp
R/ USG Abdomen
Ekspertisi x-foto spine
thoracolumbal
(28/12/15)

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)
MCV 83,2 Rencanaoperasi subtotal
SGOT 14
maxilektomy (Senin,
SGPT 11
28/12/2015)
Cr 0.6
GDS 80
Cl 95
K 3.7
Na 136

08/12/2015
Ur 12
Cr 0.8

Ket:

KP:
Chiko

KP:
Dedy

LVH
Voltage
Aritmia

5.

B7
Bed 8

Alvin
waworuntuh/L/12
thn/

SAH
temporoparietal D
Fr. Zygoma D

MRS 26/12/2015
HP 4

6.

B5
Bed 1

Dr. N. Lumintang,
SpB(K)KL
Alfa
Kaseside/L/25 thn
46.12.02

Post
ekstraksicorpalreg
iocavum
orbitaDextra

MRS 19/12/2015
HP-10
dr.
NicoLumintang,
SpB(K)KL

7.

B5
Bed 4

Christian
Polla/L/26 thn
39.07.43
MRS 26/09/2015
HP 87

Fibromiksomapos
treseksi tumor +
marginal
mandibuloktomid
gntrakeostomi

dr.
NicoLumintang,
SpB(K)KL

8.

B4
Bed 1

Sutriah/P/58thn/
37.36.45
MRS 15/12/2015
HP-13
dr.
MarselMerung,
SpB(K)Onk

9.

B7
Bed 6

Soft tissue tumor

regioantebrachide
xtra

07/12/2015
Leu 6100
Eri 3,85
Hb 10,8
Htc 32
Trombo 254
MCH 28
MCHC 33,8
26/12/2015
Leu 14300
Eri 5,46
Hb 15,3
Ht 44,3
Tro 349
SGOT 29
SGPT 16

Hb 11,6
Ht 37,5
Tro 281
SGOT 18
SGPT 15
Ur 13
Cr 0,8
Glo 3,64
Cl 98
K 3,8
Na 132

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

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

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

23/12/15
Leu 6700
Eri 3,07
Hb 7,7
Ht 23,8
Trom 622
MCH 25,1
MCHC 32,4
MCV 77.6
SGOT 16
SGPT 9
Ur 54
Cr 1,8
Ur ac13,2
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

Konservatifuntuk dr.
zygomadextra

26/12/2015
Leu 8500
Eri 3.58
Hb 9.5
Ht 26.6
Trombo 713
MCH 26.5
MCHC 35.7
MCV 74.3

Valentino
Pangkey

Vera

Cefixime 2x100gr
Asammefenamat
3x500mg
Rawatluka
Rencana RJ

KP:
Dedy

NaCl 0.9% :D5 =

2:1
Cefazolin 2x1 gr
Ketorolac 3x1A
k/p
Ranitidine 2x1A
Vip albumin 3x1
sachet
Nebu 3x1/ hari
Oral hygiene of
betadine gargle
Diet TKTP : lunak
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

KP:
Chiko

KP:
Dedy

IRDB (1 pasien)
No
1.

Kamar

Identitas
Diagnosis
Hariyanto/L/15 EDH frontal D
thn/462419
ICH frontal S
Midline shift
MRS 27/12/2015 Fr. Angulus mandibular
Fr.
HP 2
Parasimpisismandibu
Dr. N.
lae
Fr. panfacial
Lumintang,
SpB(K)KL

Pemeriksaanpenunjang
27/12/2015
Ur 50
Leu 34800
Cr 1,9
Eri 4,37
GDS 139
Hb13,9
Na 142
Ht 42,6
Cl 104
Trombo221
K 4,5
SGOT 34
SGPT 38

Terapi
R/
ORIF
elektif

Ket:

KP:
vera

ICU (1Pasien)
No
1

Kama
r
Bed 5

Identitas

Diagnosis

PakayaKasmawati
/P/61 thun/
46.12.02

Post total
tiroidektomiecAd
enocarcinoma
poliferum thyroid

MRS 16/12/2015
HP-10
dr.
MarselMerung,
SpB(K)Onk

PemeriksaanPenunjang
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 :
kesanstruma
multi nodul

Anggrek 1 (1Pasien)
No
1

Kama
r
Bed
10

Identitas

Diagnosis

BakarySukartati/P
/57 thn/330150

Camamaesinistra
(T4M4Nx)

MRS 18/12/2015
HP 9
dr.MarselMerung,
SpB(K)Onk

PemeriksaanPenunjang
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

Anggrek2 (1 Pasien)
5

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
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

Ket:
Kp :
Dedy

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 93
Ht27.9
Trombo 365
Dr. Victor Pontoh,
MCH 28.1
Sp. B (k)ONK
MCHC 32.3
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:
Vera