IRINA A ATAS
No
Kamar
Identitas
Diagnosis
A10
Bed 2
Susp Ca Buli
PemeriksaanPenunjang
MRS 02/01/16
HP- 18
Dr. Ainun A, SpU
A8
Bed 2
PASB
AR
Teluwun Rosina
Agnes/P/34
thn/32.93.24
Nefrolithiasis bilateral
MRS 19/1/2016
Dr.
A8
Bed8
Kiling Ronly/L/
52th/ 46.04.62
MRS 17/1/2016
HP-4
A7
Bed 2
Potale Cun/L/47
thn/46.44.04
MRS 19/1/2016
Dr.
A3
Bed 4
Pangemanan
Yuliana/P/78 thn/
45.76.40
Ca Bulli
MRS
18/1/2016
HP-2
Dr. Richard M, SpU
19/1/2016
Leu 7200
Eri 3,13
Hb 7,8
Ht 24,7
Trom 404
MCH 25
MCHC 31,6
MCV 79,0
Ur 13
Cr 1,0
GDS 87
Cl 102,0
K 4.00
Na 131
19/1/2016
Leu 10870
Eri 3,48
Hb 9,5
Ht 28,6
Trom 329
MCh27,4
MCHC 33,3
MCV 82,2
18/1/2016
Leu 5078
Eri 5.20
Hb 16.2
Ht 48.2
Tr 322
SGOT 24
SGPT 25
Ur 18
Cr 0.8
Na 145
K 3.80
Cl 106.7
Ur 70
Cr 4,5
GDS 73
Cl 115
K 3,5
Na 139
19/1/2016
Leu 19.930
Eri 3,04
Hb 8
Ht 24,4
Tro 614
MCH 26,4
MCHC 32,8
MCV 80,3
Ur 133
Cr 8
GDS 126
Cl 98
K 3,2
Na 128
19/1/2016
Leu 8079
Eri 3,62
Hb 10,3
Ht 31,3
Tro 240
MCH 28,3
MCHC 33
MCV 85,9
Ur 26
UL (19/1/2016)
Warna
kemerahan,
agak keruh
BJ 1,010
pH 5
Leu +++
Nit
Prot ++++
Gluk normal
Keton
Uro norm
Bili
Eri +++++
20/1/2016
Leu 13000
Eri 4.80
Hb 14.6
Ht 44.2
Trom 273
MCH 30.3
MCHC 32.9
MCV 92.1
18/1/2016
Leu 7600
Eri 3.33
Hb 9.4
Ht 20.8
Tr 283
Ur 16
Cr 0.7
GDS 96
Ca 8.52
Terapi/rencana
KPJ
Riska
IVFD RL 20 gtt/m
Ketorolac 3x1 amp iv
Ranitidin 2x1 amp iv
Diazepam 1x1 tab K/P
Endrio
Instruksi post OP
IVFD Nacl 0.9% 20gtt/m
Inj Ceftriaxone 2x1 gr IV
Inj Ketorolac 3x1 amp
Inj Kalnex 3x1 amp
Pasang kateter
IVFD Nacl 0.9% 20gtt/m
Ceftriaxone 2x1 gr iv
Ketorolac 3x1 amp K/P
Ranitidin 2x1 amp
Terapi lain sesuai TS Interna
- R/ Kemoterapi
Ratna
Riska
Cr 0,8
GDS 98
Cl 97
K 3,7
Na 135
Na 130
K 3.60
Cl 101
IRINA A BAWAH
No
1.
Kama
r
B10
Bed 8
Identitas
Diagnosis
Hedike
Makarungalang/P/53
th/ 32.24.88
PemeriksaanPenunjang
MRS 12/01/16
HP-8
Dr. Richard M, Sp.U
2.
B4
Bed 1
Runtunewe Jenry
Altje/P/27.08.85
MRS 08/01/16
HP-8
Hidronefrotomi dextra ec
batu ureter
3.
B7
bed 4
Jenly Seroan/L/37
th/40.30.15
MRS 01/01/2016
HP-18
Post Orchidectomi
sinistra ec tumor testis
susp. Metastase (kemo 4
siklus)
Melena ec. Peptic ulcer
14/1/2016
Leu 8420
Eri 4,22
Hb 11,0
Ht 34,3
Tro 474
MCH 26,1
MCHC 32,2
MCV 81,1
SGOT 15
SGPT 10
Ur 21
Cr 0,7
GDS 128
Cl 105,0
K 3,80
Na 137
11/1/2016
Leu 6800
Eri 3,86
Hb 11,7
Ht 34,2 %
Tro 298
MCH 30,3
MCHC 34,2
MCV 88,6
15/1/2016
Urinalisis
Eri 2-3/LPB
Leu 3-4/LPB
Epitel 2030/lpk
Berat jenis
1025
Feses
Telur larva
cacing : negatif
12/1/2016
Leu 7270
Er 3,34
Hb 9,8
Ht 28,8
Tro 183
MCH 29,5
MCHC 34,2
MCV 86,2
21/1/2016
Leu 4893
Eri 2,45
Hb 6,9
Ht 23,3
Tr 191
Terapi
12/1/2016
Leu 8900
Eri 4,58
Hb 12,2
Ht 36,4
Trombo 548
MCH 26,6
MCHC 33.5
MCV 79,5
Ur 19
Cr 0.8
Na 141
K 3,66
Cl 98,8
Cefixime 2x1
As. Mefenamat 3x1
Ranitidin 2x1
SGOT 15
SGPT 8
Ur 21
Cr 1,1
Cl 95,5
K 3,05
Na 138
Cefixime 2x1
Asam mefenamat 2x1
Ranitidin 2x1
Hasil PA
(11/1/16) :
miksofibroma
dengan bagian
radang
menahun
14/1/2016
Leu 8688
Eri 2,21
Hb 6,8
Ht 20,5
Trombo 229
MCH 30,9
MCHC 33,9
MCV 92,8
17/1/2016
Leu 6900
Eri 3.20
Hb 10.0
Ht 32.0
Tr 312
Ur 61
Cr 0.9
Fosfor 2.7
Mg 1.60
Alb 2.23
Ca 7.98
IVFD RL 20gtt/m
Ceftriaxone 2x1 gr iv
Aminofluid drips
Ranitidine 2x1 amp iv
Vip Albumin 3x2 sach
Transfusi PRC hingga Hb
> 10 gr/dl
Terapi lain sesuai TS
interna
Diet lunak
R/ Kemoterapi
KPJ
Besth
Rahmat
Rahmat
MCH 28,4
MCHC 29,9
MCV 95,1 fL
SGOT 45
SGPT 11
Ur 68
Cr 0.9
Fosfor 2.7
Mg 1.82
Alb 2.23
Ca 7.47
Na 140
K 3.61
Cl 109,3
Na 133
K 3.90
Cl 109
Johny
Romb
ot
IRINA B
2.
IRDB
1
K8
Watupongoh Emiel/
42 40 22/ 69 th
MRS 21/01/2016
21/1/2016
Leu 10860
Eri 2,53
Hb 6,5
Ht 21,2
Trombo 105
MCH 25,5
MCHC 30,4
MCV 84
SGOT 264
SGPT 14
Ur 89
Cr 2,3
GDS 82
Cl 110
K 4,50
Na 134
IVFD RL 20gtt
As. Tranexamat
inj 3x1 amp
Vit K inj 1x1
Vit. C 3x1 amp
iv