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Denah Pasien Ruang Rawat Penyakit Dalam Wanita (Mamplam 2)

Hari/tanggal : Jumat/ 26 Juni 2015


Tim jaga
: dr. Meta/dr. Nadi
Dokter Muda : Chairatu/Cut Nova/Marezzy/Riza M./Lia/Febi/Fitara/Musyawarah/Putri W./Lili/Fera

DPJP : dr. Price Maya, Sp.PD


PPDS : dr. Reza
DM:
1/

DPJP : dr. Price Maya, Sp.PD


PPDS : dr. Reza
DM:
2/.Suwita, 42 th, CM: 1031485
Hari rawatan: 8

8 7

Ass/
1. dd/ 1. Syok sepsis
2. Syok kardiogenik
3. Syok hipovolemik
2. Ca Mammae Stad. IV post kemoterapi siklus
IV metastase ke otak dan tulang belakang
3. Febrile neutropenia (perbaikan)
4. HCAP
5. ISK
6. Anemia ringan ec dd/
1. Penyakit kronis
2. Perdarahan
7. Hipoalbuminemia
8. Hipokalemia ringan

DPJP : dr. Eva M, Sp.PD


PPDS : dr. Nadi
DM:

DPJP : dr. Eva,Sp.PD


PPDS : dr. Nadi
DM:

1/ Dasriani, 21th, 1056595


Hari rawatan : 2
Ass/
1. Hipotensi dd/ syok
hipovolemik
2. Dyspepsia tipe dd/
1. Dismotility
2. Mixed
3. Like ulcer
3. Luka terinfeksi post op
closure wasting a/i Hirschprung
disease
4. Konstipasi

DPJP : dr. Eva,Sp.PD


DR : dr. Nadi
DM :
4.

2. Nyak puteh, 78 th, 1056686


Hari rawatan: 2
Ass/
Massa a/r abdomen ec dd/
1. Ca ovarium
2. Ca colon
3. Limfoma Maligna
2.
Efusi pleura dd/ massa paru
3.
Stroke iskemik
4.
Anemia ringan :
normokrom normositer ec
dd/
1.
Penyakit kronis
2.
Perdarahan
5.
Hipokalemia ringan
6.
Geriatric problem
(impairment of vision,
malnutrisi)
DPJP: dr. Eva M, Sp.PD
DR: dr. Nadi
1.

5. Cek Maryam, 68 th, 1055325


Hari rawatan: 2
Ass/
1.Massa di bronkus ec dd Ca
Bronkogenik
2. TB paru
3. Hepatitis B kronis

DPJP: dr. Eva M,


Sp.PD
PPDS: dr. Nadi
DM:

6 5

DPJP : dr. Eva,Sp.PD


PPDS : dr. Nadi
DM:

DPJP : dr. Eva M, Sp.PD


PPDS : dr. Nadi
DM:

1.Nuraini A Rahman,53 th, 1056427


Hari rawatan : 4
Ass/
1.CAP dd/ TB paru dgn inf
sekunder
2.Dispepsia tipe dismortilty dd/
1. mixed
2.tipe like ulcer

2.Hasuna Amin,84 tn,1056426


Hari rawatan: 5
Ass/
1.SDA dgn pencetus 1.infeksi
2.imbalance elektrolit
3.mulnutrisi
2.Ulkus decubitus ar gluteus dextra +
sakrum grd 3
3.Hipokalemia
4.Hipolbuminemia
5.Demensia
6.Geriatri Problem (Incontinensia urine et
alvi, inanisi, imobilisasi, infeksi,
impairment of hearing and vision)
7.ISK
8. Hipertensi Stage I
9. Trombositosis reaktif

DPJP : dr. Chacha M, Sp.PD


PPDS : dr. Yuni
DM:
1/ Yusnawati, 51 tahun, 1055404
Hari rawatan : 15

DPJP: dr Chacha M, Sp.PD


DR: dr.Yuni
DM :
2. Cut Indayani, 47 tahun, 0773805
Hari rawatan: 14

Ass/
Ass/
1. CKD Stage 5 ec PNC on HD
1. CML
regular
2. AKI stage I
2. Cystitis
3. CHF FC NYHA I-II ec PJA
3. Anemia sedang ec dd/
4. Hiperferitinemia
1. Penyakit kronik
5. hipokalemia
2. Perdarahan
6. Hippoalbuminemia
4. Hipoalbuminemia
7. Stomatitis
5. HT on therapy
6. dd/ 1. Pneumonia
2. TB Paru
3. Bronkhitis
7. DD/ PJA
8. Konstipasi
9. Highrisk trombosis
DPJP : dr. Price Maya ,
DPJP : dr. Price Maya,
DPJP: dr. Price
Sp.PD
Sp.PD
Maya, Sp.PD
PPDS : dr. Reza
PPDS : dr.Reza
PPDS : dr.Reza
DM:
DM:
DM :

3. Fauziah, 54 th
1055980
Hari rawatan : 8

1. Nani Mariani, 60 th,


1056646
Hari rawatan : 2

Ass/
1. Hematoscezia ec dd/
1. Tumor recto
sigmoid
2. Metastase proses
2. Metastase proses di
ovarium dd/ Ca
Ovarium
3. Post histerektomi ai
Ca Serviks
4. Anemia sedang ec
dd/ 1. Perdarahan
2. Malignancy
5. Hipoalbuminemia
6. Hipokalemia

Ass/
1. Ulkus diabetik ar Pedis
Sin P1E15x10D1I4S2
2. DM Tipe 2 overweight
3. Hipertensi on terapi
4. Neuropati diabetik
5. Hiponatrmia hiperosmolar
euvolemik

DPJP : dr. Price Maya,


Sp.PD
DR : dr. Reza
4. Rohani Ali, 49 th
CM: 1055595
Hari rawatan: 10

2.

DPJP : dr. Price Maya,


Sp.PD
DR : dr. Reza
5.Saudah Maun, 69 th,
984040
Hari rawatan: 1

Ass/
Ass/
1. Sepsis ec dd/
1. Anemia aplastik
1. Urosepsis
2. PSMBA ec dd/
2. Pneumonia
2. CKD stage V ec
1.
Drug induced
PGOI on HD
2.
Gastritis erosive
3 ISK
3.
Ulkus gaster
4.DD 1. HAP
3. AF RVR
2. TB paru dengan
sekunder infeksi
5. Anemia sedang ec dd/
1. Penyakit kronik
2. Perdarahan
6. Nefrolitiasis bilateral
7. Hidronefrosis grade IV
Dextra
8. Hipoalbuminemia
9. Post nefroctomy dextra
a/I hidronefrosis grade IV
Dextra

3.

DPJP : dr. Chacha M,


Sp.PD
DR : dr. Yuni
DM :
1/ Nafsah Majid, 49 th,
1055895
Hari rawatan : 10
Ass/
1. Ca caput pankreas
metastase hepar dan usus
Stadium IV
2. Cholestasis ekstra hepatik
3. Hipoalbuminemia
4. Hipokalemia ringan
5. Trombositosis reaktif
6. High risk thrombosis
7. Pneumonia (HAP)
8. Konstipasi
9. Dislipidemia

DPJP : dr. Chacha M,


Sp.PD
DR : dr. Yuni
DM :
4. Huriah, 56 th
1056020
Hari rawatan : 9
Ass/

DPJP : dr. Chacha M,


Sp.PD
DR : dr. Yuni
DM
2. Citra Aruna, 31 th,
1054546
Hari rawatan : 21

DPJP : dr. Chacha M, Sp.PD


DR : dr. Yuni
3/

43

DPJP: dr. Islamuddin,


Sp.PD
DR : dr. Andrie

DPJP : dr. Islamuddin,


Sp.PD
DR : dr. Andrie

DPJP : dr.
Islamuddin, Sp.PD
DR : dr. Reza

1. Laila, 41 th,
cm: 1055415
Hari rawatan : 14

2. Salamah, 45 thn,
1047803
Hari rawatan: 22

3. Salbiah, 63 th,
1003864
Hari rawatan : 2

Ass/
1. CKD stage 5 ec PNC
2. Atelektasis paru Sinistra
ec dd/ Massa paru
3. Ostegenesis imperfecta
4.. Efusi pleura sinistra ec
dd/ - parapneumonia
- plueritis TB
5. Pneumonia
6. Trombositosis ec dd/
trombositosis reaktif
7.Hipoalbuminemia
8.ISK
9.Hiperurisemia
10.Hipertensi on terapi
11.Hipokalemia

Ass/
1.Hidronefrosis Bilateral
2. Cancer pain
3. Anemia Sedang ec dd/
1. Penyakit kronis
2. Def. Fe
4. AKI stage 3 DD akut on
CKD
5.ISK
6. Ca Serviks post
kemoterapi
7. Obstruksi ureter kanan

DPJP : dr. Chacha M,


Sp.PD
DR : dr. Yuni

DPJP : dr. M. Fuad, SP.PD


DR : dr. Andrie
DM:

DPJP: dr. Islamuddin,


Sp.PD
DR : dr. Andrie

5. Nurniati, 47 th, 1055333


Hari rawatan: 2

4. Murni, 45 th, 1056594


Hari rawatan : 1

5.Sulasmi,20 th, 1056432


Hari rawatan : 4
Ass/
CKD Stage 5 ec dd/
1.GNC
2.Nefritis Lupus
dd/ 1. Pneumonia (HAP) ;
2. TB Paru ;
3.Mikosis Paru
Hipertensi stage I on
terapy
Anemia berat ec dd/
1. peny kronik
2. perdarahan
5. Hiperkalemia
6. Hipoalbuminemia

Ass/
1.
Reumathoid arthritis

1. Massa
intraabdomen
ec dd/ 1.Ca
ovarium
2.Ca colon
3.Limfoma malignansi
4. Ca cervix
2. Efusi pleura dextra
dd/ 1. Malignancy
2. Para pneumonia
3. Tb paru
4. Hipoalbumin
3. DM tipe II
normoweight
4. Ulkus diabetikum
a/r pedis Dex
5. Iskemik septal
6. hipokalemia
7. hipoalbuminemia
8. high risk thrombosis
9. dd/ 1. Ca mammae
2. FAM
10. HAP
11. ISK

DPJP : dr. Islamuddin,Sp.PD


PPDS : dr. Andrie
DM:

DPJP : dr. Eva M ,Sp.PD


DR : dr. Reza
DM:

1/Nurbayani, 46 th, 495773


Hari rawatan : 2

2. Hissa Arfira,18 th,1054498


Hari rawatan : 4

Ass/
1.
CKD stage III dd akut on CKD
2.
DM tipe 2 obese grade I
3.
Anemia
4.
Hipertensi stage I

Ass/
1.Grave Disease
2.Grave Optalmopathy

1.
2.
3.
4.
5.
6.
7.
8.

Ass/
1. Sirosis hepatis Stad. DC
related Hepatitis B
2. AKI Stage I dd/ Hepatorenal Syndrome
3. Hiponatremia
normoosmolar hipervolemik
4. dd/ 1. HAP
2. TB Paru dengan
Infeksi Sekunder
5. Konstipasi

2 1

1.

2.

3.
4.

Ass/
AKD on HD reguler
Hipokalemia
Hipoalbuminemia
Anemia ringan ec
peny.kronik
Hemangioma di colon
transversum
Multiple polip di colon
descendens
Divertikel dicolon
sigmoid
Dispepsia tipe like ulcer

Ass/
1. Anemia Aplastik
2. Limfadenopati ec dd/
1.
Limfadenopati
TB
2.
Viral infection
3.
Limfoma maligna

DPJP : dr.Islamuddin,Sp.PD
DR : dr. Andrie
DM

DPJP : dr. Chacha M, Sp.PD


PPDS : dr. Andrie
DM:

1/Rahmati, 21 th, 1056756


Hari rawatan: 2

2.Cut Rukiah, 73 th 1048919


Hari rawatan: 12

Ass/
1.
SLE

Ass/
1. DD/ 1 Pneumonia (HCAP)
2. TB paru dengan infeksi
3. Mikosis paru
2. Ulkus multiple ar gaster
3. candidiasis orofaring
4. HHD
5. spondilosis lumbalis
6. Fraktur tibia sinistra
7. Geriatri Problem: inanisi, imobilisasi,
depresi, infeksi, instabilitasdanjatuh
8.Hepatitis B kronis
9. Brain atrophy
10. Hipoalbumin
11. Hipokalemia
12. White matter disease