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LIST PASIEN DIVISI ONKOLOGI

KAMIS, 31 Desember 2015


Irina A atas(7 Pasien)
No
1.

Kama
r
A1
Bed 1

Identitas
KandouDelfried/L
/18 thn/462364

Diagnosis
Cacolli
Suspcanasofaring

MRS 26/12/2015
HP 6
Dr. M. Merung,
SpB(K)Onk

Anemia
Elektrolitimblanc
e

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

A8
Bed 3

Wanto/14
thn/462418

Fr. Lefort II

MRS 27/12/15
HP 5

3.

A3
Bed 4

Dr. N. Lumintang,
SpB(K)KL
Runtuwene
Ruth/P/52 thn
45.64.76
MRS 04/12/15
HP 28
dr.
MarselMerung,
SpB(K)Onk

4.

A3
Bed 1

Delvya Agama/ P/
40thn/
46.21.47
MRS 23/12/2015
HP - 8

Camammaesinistr
a stadium IV
T4N3M1
Efusi Pleura
Dextra
+metastasis
kehepar +ADHF

Ca
mammaesinistra +
anemia + general
weakness

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

28/12/2015
Leu 4500
Eri 2.38
Hb 6.2
Ht 18.6
Trombo 227

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

Ket:

IVFD NaCl 0.9%


20 gtt/m

Inj ketorolac 3x1


iv

InjCeftriaxone 2x
1 gr

InjRanitidine 2x1
amp

Paracetamol
3x500mg drips

Transfusi
PRC
sampaihb 10
Diet air
Ceftazoline 2x1 g
Pro
ORIF
elektifjikakeluargasetu
ju
Tx lain sesuai TS NS

Dedy

KP:
Chiko

SGOT 62
SGPT 40
Ur 49
Cr 1,1
GDS 95
Na 123
K 3,6
Cl 88,0
28/12/2015

2.

Terapi/rencana

IVFD Nacl 0.9% 20 gtt/m


Ranitidin 2x1 amp
Ketorolak 3x1 amp
Menunggujadwal
echo
Xeloda 3-0-3
Menungguhasil
FNAB

Dedy

USG
Abdomen
Kesan
proses
metastasepa
dahepar
Sudahadaha
silfotothora
x,sudahdila
kukan
tapping
29/12/2015
(605cc)

23/12/15
Leuko 3900
Eri 1,28
Hb 3,1
Htc 10,2
Trombo 403

Transfusi PRC
sampaihb 10
IVFD RL
Ceftriaxone 2x1 gr
iv
Ranitidine 2x1 iv

KP:
dedy
D
e
d
y

dr.
MarselMerung,
SpB(K)Onk

5.

A6
Bed 1

SulastriDelima/P/
32 thn
40.02.27

Tumor
mammaephyloide
sdextra

MRS 09/12/2015
HP 23
dr.
MarselMerung,
SpB(K)Onk

6.

A6
Bed 3

SartjeWowor/P/43
thn
09.01.12
MRS 17/12/2015
HP 14
dr.
MarselMerung,
SpB(K)Onk

FAM Dextra
anemia

MCH 26.1
MCHC 33.3
Esinofil3%
Basofil0%
Netrobtg
1%
Netrosgmen
t 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
Cr 0.4
Alb 2.24
Cl 109
K 3.30
Na 136

20/12/2015
Leu 10000
Eri 2.42
Hb 5.5
Htc 18
Trombo 368
MCH 22.7
MCHC 30.6
MCV 74.2
29/12/2015
Leu 12520

MCH 24,2
MCHC 30,4
MCV 79,3
Cl 115
K 2,60
Na 137
GDS 100

28/12/2015
Leu 10300
Eri 4.48
Hb 12.5
Ht 38.8
Trombo 396
MCH 27.8
MCHC 32.2
Eosi 1%
Baso 0%
Netro btg
8%
Netro
segmen
56%
Lim 25%
Mono 10%
MCV 86.6
SGOT 24
SGPT 11
Ur 4
Creatinin
0.4
Prot tot 6.04
Alb 2.48
Globulin
3.56
Cl 99
K 3.84
Na 135

Histopatolo
gi:
fibrocyctic
change
mamae
Ur 17
Cr 0.8
Prot tot 5.92
GDS 110
Alb 2.47
Glob 3.45
Cl 89.3
K 3.53
Na 127
PT 17.4
INR 1.54
APTT 27.6

Ketorolac 3x1 iv
Ekspertisifoto
thorax
(menungguhasil)
Asam tranexamat
3x1
Rawat luka

IVFD NaCl 0.9%


20gtt/m
Ranitidin 2x1 amp
Ketorolac 3x1 amp
R/ simple
mastektomi
Cek EKG+ foto
thorax

KP:
Chiko

Ondancentroninj 2x1
IVFD nacl 0,9% - 20
gtt/m
Trnfusi PRC sampai HB
10
Ketorolac 3x1 iv
Ranitidine 2x1inj
R/ simple mastectomy
Cek EKG
(hasilterlampir)
foto thorax
(menungguhasil)

KP:
Dedy

Eri 4.49
Hb 11.4
Ht 36.9
Trombo 562
MCH 25.4
MCHC 30.9
MCV 82.2
SGOT 14
SGPT 6

7.

A6

Lineke
Rondonuwu/P/
37thn/
43.58.26

Ca mammae
sinistra on
kemoterapi

HP 1
dr.Marsel
Merung, SpB(K)
Onk

30/12/2015
Leu 1313
Eri 5.48
Hb 12.1
Ht 49.3
Trombo 346
MCH 346
MCHC 24.4
MCV 90
Ur 5
Cr 0.6
GDS 198
Cl 101.1
K 3.80
Na 132

Irina A Bawah( 12 Pasien)


No
1.

Kama
r
B10
Bed 4

Identitas

Diagnosis

Dahlia Musa/P/37
thn
35.78.87

Struma
uninodusanontoks
ik D

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

PemeriksaanPenunjang
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
Cl 103,3
K 4,13
Na 140

Terapi

28/12/2015
Leu 8200 R/ ishmolobectomy D
Eri 4.54
Menunggu KU baik
Hb 14.5
Konsultasi neuro
Ht 39
Trombo 223
MCH 31.9
MCHC 37.2
Eos 1
Baso 0
Netrofil btg
6
Netrofil
segmen 56
Limfo 23
Mono 14
MCV 85.9
Uric
acid
2.5
Cholesterol
156
HDL 32

Ket:
KP:
Chiko

LDL 98
Trigliserid
128
Na 139
K 3.09
Cl 102.6
2.

B10
Bed 7

Jull Topi/P/55 thn


46.19.55
MRS 20/12/2015
HP- 12

CaMammae D
(T4N1Mx) susp
metastase ke
tulang belakang.

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

30/12/2015
Rs.siloam
Hb 11.6
Leu 1.20
Eri 3.85
Ht 34.2
MCV 88.8
MCH 30.1
MCHC 33.9
28/12/2015
Leu4400
Eri3,14
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

dr.
MarselMerung,
SpB(K)Onk

3.

B10

Sandra
Theindres/P/
60thn

Ca mammae
sinistra

4.

B2
Bed 1

YultjeAtang/P/58t
hn/ 37.36.45

Soft tissue
sarcoma region
genu sinistra

MRS 15/12/2015
HP-17

dr.
MarselMerung,
SpB(K)Onk

5.

B8
Bed 7

Umar Abid/L/53
thn
45.72.72

Ameloblastomam
axilaSinistra

MRS 03/12/2015
HP 29

FNAB
MengarahAmel
oblastoma

dr.
MarselMerung,
SpB(K)Onk

6.

B8

Abdul
Mokolintad/L/

EKG
Sinus
Takikardi
LVH
Voltage
Aritmia
Commotion
cerebri +susp fr

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

Insisionalbiopsy
(menunggu hasil)
IVFD NaCl 0.9 %
20gtt/m
Ceftriaxone inj 2x1
Ketorolac 3x1 amp
Ranitidine 2x1 amp
Hasil USG abd sdh ada
(29/12/2015)
Hasil fekspertisi foto
thoraks+
thoracolumbal tidak
ada

KP:
Dedy

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

IVFD NaCl 0.9%


Paracetamol tab
3x1 tab
Ceftriaxone 2x1 gr
Ranitidine 2x1 A
Vit K inj 3x1
Vit C inj
As.tranexamat inj
3x1

Malaria
(negative)
26/12/2015 Rencanaoperasi
Leu 6700
maxilektomy sinistra
Eri 4,32
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

KP:
Chiko

KP:
Dedy

35thn/
46.27.24

zygoma dextra+
mv.eksoriasi

MRS 30/12/2015
HP 1

7.

B7
Bed 6

dr.Nico
Lumintang,
SpB(K)KL
Valentino
Pangkey/12thn/
462377

Fr. Lefort II

MRS 26/12/15
HP 6

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

Dr. N. Lumintang,
SpB(K)KL

8.

B7
Bed 8

Alvin
waworuntuh/L/12
thn/

SAH
temporoparietal D
Fr. Zygoma D

9.

B5
Bed 1

Fr. Zygoma D

MRS 27/12/2015
HP-5
dr.
NicoLumintang,
SpB(K)KL
10.

B5
Bed 4

Christian Polla/L/
26 thn/390743
MRS 26/09/2015
HP 88

11.

B4
Bed 1

dr.
NicoLumintang,
SpB(K)KL
Sutriah/P/58thn/
37.36.45
MRS 15/12/2015
HP-17

R/ ORIF elektif
Tx lain sesuai TS
NS

Chiko

28/12/2015
PT 14.5
APTT 26.6
INR 1.21

MRS 26/12/2015
HP 5
Dr. N. Lumintang,
SpB(K)KL
Christian
Sondakh/17
thn/462406

SGPT 36
Ur 22
Cr 0,6
K 3,5
Na 141
Cl 98,8

Fibromiksomapos
treseksi tumor +
marginal
mandibuloktomid
gntrakeostomi

Soft tissue tumor


regioantebrachide
xtra

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

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

Orif elektif
Tunggu hasil x foto
thorax + ekspertisi

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

R/ ORIF elektif
Tx lain sesuai TS
NS

Dedy

KP:
Dedy

NaCl 0.9% : D5 = 2:1


Cefazolin 2x1gr
Ketorolac 3x1A
Ranitidine 2x1A
Oral hygiene (betadine)
Vip albumin 3x1 sachet
Nebu 3x/hari

KP:
Chiko

KP:
Dedy

IVFD NaCl 0.9% /


24 jam
Ketoroloak 3x1
amp IV
Ranitidine 2x1
amp IV

dr.
MarselMerung,
SpB(K)Onk

12

B3
Bed 1

Hariyanto/L/15 EDH frontal D


thn/462419
ICH frontal S
Midline shift
MRS 27/12/2015 Fr.
Angulus
HP 5
mandibular
Fr.
Dr. N. Lumintang,
Parasimpisisma
SpB(K)KL
ndibulae
Fr. panfacial

MCH 25,1
MCHC 32,4
MCV 77.6
Alb 2,57
SGOT 16
SGPT 9
Ur 54
Cr 1,8
Ur ac13,2
Kol 133
HDL 31
LDL 84

K 3,59
Na 102

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

27/12/2015
Leu 34800
Eri 4,37
Hb13,9
Ht 42,6
Trombo221
SGOT 34
SGPT 38

Ur 50
Cr 1,9
GDS 139
Na 142
Cl 104
K 4,5

Rencana orif selektif

Menunggu hasil
MRI antebrachii
dextra
VIP albumin 2x1
sachet

Anggrek 1 (1Pasien)
No
1

Kama
r
Bed
10

Identitas

Diagnosis

BakarySukartati/P
/57 thn/330150

Camamaesinistra
(T4M4Nx)

MRS 18/12/2015
HP 14

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
96
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