Hasil Lab Fredick

HASIL PEMERIKSAAN PENUNJANG
NAMA PASIEN
: FREDICK LEONARD S, 16
PELAYANAN KESEHATAN ST.CAROLUS

RADIOLOGI
NAMA PASIEN
TANGGAL
: 30/09/2015
NO.MED.REC
: 15090463
JENIS RADIOLOGI : THORAX BED
Pemeriksaan toraks AP supina :

Perbandingan : radiografi toraks tanggal 15 9 2015
Terpasang ETT dengan ujung distal setinggi corpus vertebrae Th 3 - 4 ( di atas karina)
Terpasang NGT
Sinus , diafragma, cor normal
Thrakea di tengah mediastinum superior tidak melebar
Kedua hilus tidak membesar
Corakan vaskuler paru agak kasar dikedua perihiler
Tidak tampak infiltrat di kedua paru
Tidak tampak kelainan pada tulang iga
Kesan : dibandingkan radiografi tanggal 15-9-2015 corakan vaskuler paru agak kasar dikedua
perihiler STQA.

RADIOLOGI
NAMA PASIEN
TANGGAL
: 15/09/2015
NO.MED.REC
: 15090463
JENIS RADIOLOGI : THORAX BED
Foto thoraks AVP supine :

Terpasang trakheostomi dengan ujung di proyeksi Th 3 - 4 ( di atas karina)
Terpasang CVC subclavia kiri dengan ujung di proyeksi VCS
Terpasang NGT
Sinus , diafragma, cor normal
Thrakea di tengah mediastinum superior tidak melebar
Kedua hilus tidak membesar
Corakan vaskuler paru agak kasar dikedua perihiler
Tidak tampak kelainan pada tulang iga
Kesan : terpasang trakheostomi dengan ujung di proyeksi Th3-4 ( diatas karina).corakan

vaskuler paru agak kasar dikedua hiler.

LABORATORIUM MEDIK
NAMA PASIEN
TANGGAL
: 14/09/2015
NO.MED.REC
: 000574267
PEMERIKSAAN
KIMIA KLINIK
Analisa gas darah
pH
pCO2
pO2
HCO3
pCO2 total
Base Excess
O2 saturation
Std HCO3
Catatan
Specimen type
Suhu badan
FIO2
HASIL
SATUAN
NILAI RUJUKAN
7,48 H
28,9 L
190 H
21,3 L
22
-0,10
99,90
24
mmHg
mmHg
Meq/L
Mmol/L
Mmol/L
%
7,34 7,45
35 45
75 - 100
22 26
21 22
(-) 2,5 (+) 2,5
95 98
22 - 26
arteri
39,2
40
C
%

LABORATORIUM MEDIK
NAMA PASIEN
TANGGAL
: 14/09/2015
NO.MED.REC
: 000574267
PEMERIKSAAN
Kimia klinik
Elektrolit
Natrium
Kalium
Clorida
Ureum
Kreatinin
Urinalisa
Warna
Kekeruhan
Berat jenis
PH
Kimia urin
Protein
Glukosa
Keton
Darah samar
Bilirubin
Urobilinogen
Nitrit
Leukosit esterase
Sedimen
Epitel
Leukosit
Eritrosit
Silinder
Bakteri
Kristal
HASIL
SATUAN
NILAI RUJUKAN
138
3,9
107
55 H
0,6
Mmol/L
Mmol/L
Mmol/L
Mg/dL
Mg/dL
136 147
3,5 5,5
94 111
10 50
< 140
Kuning
Jernih
1.015
6,5
Kuning
Jernih
< 1.030
58
Negatif
Negatif
Negatif
1+
Negatif
3,2
Negatif
Negatif
Mg/dl
Mg/dL
Mg/dL
2H
3H
7H
0
Negatif
negatif
/LPB
/LPB
/LPB
/LPK
Mmol/L
/uL
negatif
Negatif
Negatif
Negatif
Negatif
3,2 16
Negatif
Negatif
01
02
01
01
Negatif
negatif

LABORATORIUM MEDIK
NAMA PASIEN
TANGGAL
: 13/09/2015
NO.MED.REC
: 000574267
PEMERIKSAAN
Hema rutin + hitung jenis
Hemoglobin
Eritrosit
Hematokrit
Jumlah leukosit
Jumlah trombosit
MCV
MCH
MCHC
RDW-CV
Hitung Jenis
Basofil
Eosinofil
Neutrofil
Limfosit
Monosit
KIMIA KLINIK
Analisa gas darah
pH
pCO2
pO2
HCO3
pCO2 total
Base Excess
O2 saturation
Std HCO3
Catatan
Specimen type
Suhu badan
FIO2
Oksigen (O2)
HASIL
SATUAN
NILAI RUJUKAN
9,7 L
2,91 L
29,2 L
18,44 H
278
100 H
33 H
33,2
22 H
g/dL
Juta/uL
%
10^3/uL
Ribu/uL
fL
Pg/mL
g/dL
%
14 16
4,2 6,2
34 52
4,8 10,8
150 450
79 97
27 31
31,4 38,5
10 - 20
0,2 L
1,9
67,5
23,6
6,8
%
%
%
%
%
0,3 1,0
0,7 - 7, 0
34 71,1
19,3 53,1
4,7 11, 5
mmHg
mmHg
Meq/L
Mmol/L
Mmol/L
%
7,34 7,45
35 45
75 - 100
22 26
21 22
(-) 2,5 (+) 2,5
95 98
22 - 26
7,50 H
27,1 L
145 H
21,4 L
22
-0,80
99,10 H
24
A. R.D
37,0
4
C
%
Liter
Oksigen (O2N)
Liter
Laboratorium Medik St. Carolus, Salemba, Jakarta Pusat

Tgl Bahan di terima: 22-09-2015
Tgl hasil selesai : 28-09-2015
No Lab / No. MR : 15074251/ 000574267
Nama Pasien: Fredick Leonald Sipayung , Tn
Umur/ Jenis kelamin : 16 tahun, laki-laki
Dokter : Irvan Kusumanegara, Sp. An. MM. d
Pemeriksaan
Pemeriksaan
Mikrobiologi
Biakan + Resist . MO Aerob
Specimen : Ujung CVC
Isolate 1 : Providencia rettger i
Isolate 2: Klebsiella pneumonia ss. Pneumonia
Susceptibility
ESBL
( Aminoglicocide )
Amikacin
Gentamicin
(Aminopenicilin)
Ampicillin
Amoxicilin
(Beta Lactam + inhibitor)
Ampicilin/ sulbactam
Piperacilin/Tazobactam
(Cephalosporin I)
Ceftotaxime
Ceftazidime
Ceftriaxone
Cephalosporin IV
Cefepime
( Floroquinolone )
Ciprofloxacine
Isolate 1
s
s
R
R
I
S
S
S
S
S
S
Isolate 2
+
( folate pathway inhibitor )

Trimetropin / sulfametoxazole
( Glycylcyclines )
Tigecycline
( Nitrofurans )
Nitrofurantoin
( Monobactams )
Aztreonam
( Carbapenem )
Ertapenem
Meropenem
S
R
R
S
S
S
P. Rettgeri & K. Pneumoniae dapat menimbulkan infeksi pada darah tapi mungkin
juga kolonisasi pada CVC. Sebaiknya disertai biakan darah.
K . Pneumoniae ini ESBL (+)
Saran Terapi :
Piperacilin/ tazobactam atau gol. Carbapenem
BTK.
Dr. Angela NA, sp MK
Tgl Bahan di terima: 29-09-2015, 11:43

Tgl hasil selesai : 29-09-2015, 11:56
No Lab / No. MR : 15074251/ 000574267
Pemeriksaan
SGOT ( AST )
SGPT ( ALT )
Hasil
HH 89
HH 118
Satuan
IU/L
IU/L
Nilai rujukan
10-36
10-45

Tgl hasil selesai : 27-09-2015, 12.11
No Lab / No. MR : 15074251/ 000574267
Pemeriksaan
Mikrobiologi
Susceptibility
( Aminoglicocide )
Amikacin
Gentamicin
(Aminopenicilin)
Ampicillin
(Cephalosporin I)
Ceftotaxime
Ceftriaxon
Cephalosporin IV
Cefepime
( Floroquinolone )
Ciprofloxacine
( Glycylcyclines )
Tigecycline
( Nitrofurans )
Isolate 1
s
s
R
R
R
R
R
R
R
R
S
Isolate 2
Nitrofurantoin
( Monobactams )
Aztreonam
( Carbapenem )
Meropenem
R
R
S
A. Baumannii dapat menimbulan infeksi pada sal. Napas bawah / paru

Saran terapi : Amikacin atau tigecycline atau kombinasi amikacin dan tigecyline
BTK,
Dr. Angela NA, spMK

No Lab / No. MR : 15074251/ 000574267
Pemeriksaan
Kimia klinik
Asam lactate
Hasil
Satuan
Nilai rujukan
1.7
Mmol/L
0.7-2.5
PELAYANAN KESEHATAN St. Carolus

No. MR
: 15072273/000574267
Nama Pasien
: Tn. Fredick Leonard Sipayung
Umur /J. Kelamin
: 16 tahun / laki-laki
Dokter
: TIM UPI
Ruangan
: UPI / 3.12 /
Waktu Pemeriksaan
: 17-09-15 (11:07)
PEMERIKSAAN
HASIL
SATUAN
NILAI RUJUKAN
Meropenem .....................................................................................
R
S
*P. Aeruginosa dan K. Pneumoniae dapat menimbulkan infeksi pada sal. Napas bawah/paru
K. pneumoniae yang ditemukan ini ESBL (+)
Scan terapi :
Amikacin
BTK,
Dr. Angela NA,SpMK

No. MR
: 15073295/000574267
Nama Pasien
Umur /J. Kelamin
Dokter
: TIM UPI
Ruangan
: UPI / 3.12 /
Waktu Pemeriksaan
: 18-09-15 (09:02)
PEMERIKSAAN
HASIL
SATUAN
NILAI
RUJUKAN
L 9.3
L 2.69
L 27.5
H 15.20
201
H 102
H 35
33.8
H 22
g/dl
juta/L
%
103/ L
Ribu/ L
fL
pg/mL
g/dl
%
14.0 - 16.0
4.20 - 6.20
34.0 - 52.0
4.80 - 10.80
150 450
79 97
27 31
31.4 38.5
10 20
L 0.1
L 0.0
H 90.5
L 6.3
L 3.1
%
%
%
%
%
0.3 1.0
0.7 7.0
34.0 71.1
19.3 53.1
4.7 11.5
137
L 3.2
Mmol/L
Mmol/L
135 147
3.5 5.5
HEMATOLOGI
Hema rutin + Hitung jenis
Hemoglobin
Eritrosit
Hematokrit
Jumlah Leukosit
Jumlah Trombosit
MCV
MCH
MCHC
RDW-CV
Hitung Jenis
Basofil
Eosinofil
Neutrofil
Limfosit
Monosit
KIMIA KLINIK
Elektrolit (Na, K, Cl)
Natrium (Na)
Kalium (K)
Klorida (Cl)
104
Mmol/L
94 111
SGOT (AST)
SGPT (ALT)
H 51
H 67
IU/L
IU/L
10 36
10 45

No. MR
: 15073761/000574267
Nama Pasien
Umur /J. Kelamin
Dokter
: TIM UPI
Ruangan
: UPI / 3.12 /
Waktu Pemeriksaan
: 20-09-15 (06:06)
PEMERIKSAAN
KIMIA KLINIK
Natrium (Na)
Kalium (K)
Klorida (Cl)
Analisis Gas Darah
Ph
P CO2
P O2
HCO3
CO2 Total
Base Excess
O2 Saturation
Std HCO3
Catatan
Specimen Type
Suhu Badan
HASIL
SATUAN
NILAI RUJUKAN
L 134
3.6
101
Mmol/L
Mmol/L
Mmol/L
135 147
3.5 5.5
94 111
H 7.50
L 33.6
H 128
H 26.7
H 28
H 4.30
H 99.40
H 28
A.R.D
37.3
mmHg
mmHg
mEq/L
mmol/L
mmol/L
%
Bayi :
I hr
: 7.20 7.40
10 hr 3 bl : 7.38 7.45
Dewasa
: 7.34 7.45
35.0 45.0
75 100
22 26
21 25
(-) 2.50 (+) 2.50
95.00 98.00
22 26
FI02
25

No. MR
: 15074745/000574267
Nama Pasien
Umur /J. Kelamin
Dokter
: dr. Parlin Susanto, SpS
Ruangan
: UPI / 3.12 /
Waktu Pemeriksaan
: 24-09-15 (06:19)
PEMERIKSAAN
HEMATOLOGI
Hemoglobin
Eritrosit
Hematokrit
Jumlah Leukosit
Jumlah Trombosit
MCV
MCH
MCHC
RDW-CV
Hitung Jenis
Basofil
Eosinofil
Neutrofil
Limfosit
HASIL
SATUAN
NILAI RUJUKAN
L 10.4
L 2.99
L 31.1
H 12.95
248
H 104
H 35
33.4
H 20
g/dl
juta/L
%
103/ L
Ribu/ L
fL
pg/mL
g/dl
%
14.0 - 16.0
4.20 - 6.20
34.0 - 52.0
4.80 - 10.80
150 450
79 97
27 31
31.4 38.5
10 20
L 0.1
L 0.0
H 90.2
L 5.9
%
%
%
%
0.3 1.0
0.7 7.0
34.0 71.1
19.3 53.1
Monosit
L 3.8
4.7 11.5

Natrium (Na)
Kalium (K)
Klorida (Cl)
L 134
4.7
98
Mmol/L
Mmol/L
Mmol/L
135 147
3.5 5.5
94 111
Albumin
Ureum Darah
Kreatinin Darah
eGFR
L 3.46
17
0.3
197.9
g/dL
mg/dL
mg/dL
mL/min/1.73
m2
3.50 5.20
10 50
< 1.40 M
CKD FORMULA
BY CREATININE
EPI 2009
KIMIA KLINIK

No. MR
: 15075693/000574267
Nama Pasien
Umur /J. Kelamin
Dokter
: TIM UPI
Ruangan
: UPI / 3.12 /
Waktu Pemeriksaan
: 28-09-15 (05:25)
PEMERIKSAAN
KIMIA KLINIK
Analisis Gas Darah

Ph
P CO2
P O2
HCO3
CO2 Total
Base Excess
HASIL
SATUAN
NILAI RUJUKAN
mmHg
mmHg
mEq/L
mmol/L
mmol/L
Bayi :
I hr
: 7.20 7.40
10 hr 3 bl : 7.38 7.45
Dewasa
: 7.34 7.45
35.0 45.0
75 100
22 26
21 25
(-) 2.50 (+) 2.50
H 7.47
38.1
99
H 27.7
H 29
H 4.80
O2 Saturation
Std HCO3
Catatan
Specimen Type
Suhu Badan
FI02
Oksigen (O2)
H 98.20
H 29
A.B.D
38.0
3
95.00 98.00
22 26
C
%
Liter

No. MR
: 15075693/000574267
Nama Pasien
Umur /J. Kelamin
Dokter
: TIM UPI
Ruangan
: UPI / 3.12 /
Waktu Pemeriksaan
: 28-09-15 (06:31)
PEMERIKSAAN
HEMATOLOGI
Hemoglobin
Eritrosit
Hematokrit
Jumlah Leukosit
Jumlah Trombosit
MCV
MCH
HASIL
SATUAN
NILAI RUJUKAN
L 12.0
L 3.39
34.3
H 20.70
342
H 101
H 35
g/dl
juta/L
%
103/ L
Ribu/ L
fL
pg/mL
14.0 - 16.0
4.20 - 6.20
34.0 - 52.0
4.80 - 10.80
150 450
79 97
27 31
MCHC
RDW-CV
Hitung Jenis
Basofil
Eosinofil
Neutrofil
Limfosit
Monosit
35.0
17
g/dl
%
31.4 38.5
10 20
L 0.1
L 0.0
H 93.1
L 4.4
L 2.4
%
%
%
%
%
0.3 1.0
0.7 7.0
34.0 71.1
19.3 53.1
4.7 11.5

Natrium (Na)
Kalium (K)
Klorida (Cl)
L 133
4.3
96
Mmol/L
Mmol/L
Mmol/L
135 147
3.5 5.5
94 111
Ureum Darah
Kreatinin Darah
eGFR
19
0.6
148.9
mg/dL
mg/dL
mL/min/1.73
m2
10 50
< 1.40 M
CKD FORMULA
BY CREATININE
EPI 2009
KIMIA KLINIK
Laboratorium Medik St. Carolus, Salemba, Jakarta Pusat

Tgl Bahan di terima: 22-09-2015
Tgl hasil selesai : 28-09-2015
No Lab / No. MR : 15074251/ 000574267
Pemeriksaan
Pemeriksaan
Mikrobiologi

Susceptibility
ESBL
( Aminoglicocide )
Amikacin
Gentamicin
(Aminopenicilin)
Ampicillin
Amoxicilin
(Cephalosporin I)
Ceftotaxime
Ceftazidime
Ceftriaxone
Cephalosporin IV
Cefepime
( Floroquinolone )
Ciprofloxacine
( Glycylcyclines )
Tigecycline
( Nitrofurans )
Nitrofurantoin
( Monobactams )
Aztreonam
( Carbapenem )
Ertapenem
Meropenem
Isolate 2
+
s
s
R
R
I
S
S
S
S
S
S
S
R
R
S
S
S
P. Rettgeri & K. Pneumoniae dapat menimbulkan infeksi pada darah tapi mungkin
juga kolonisasi pada CVC. Sebaiknya disertai biakan darah.
K . Pneumoniae ini ESBL (+)
Saran Terapi :
Piperacilin/ tazobactam atau gol. Carbapenem
BTK.
Isolate 1
Dr. Angela NA, sp MK

No Lab / No. MR : 15074251/ 000574267
Pemeriksaan
SGOT ( AST )
SGPT ( ALT )
Hasil
HH 89
HH 118
Satuan
IU/L
IU/L
Nilai rujukan
10-36
10-45

Tgl hasil selesai : 27-09-2015, 12.11
No Lab / No. MR : 15074251/ 000574267
Pemeriksaan
Mikrobiologi

Susceptibility
( Aminoglicocide )
Amikacin
Gentamicin
(Aminopenicilin)
Ampicillin
(Cephalosporin I)
Ceftotaxime
Ceftriaxon
Cephalosporin IV
Cefepime
( Floroquinolone )
Ciprofloxacine
( Glycylcyclines )
Tigecycline
( Nitrofurans )
Nitrofurantoin
( Monobactams )
Aztreonam
( Carbapenem )
Meropenem
Isolate 1
Isolate 2
s
s
R
R
R
R
R
R
R
R
S
R
R
S
A. Baumannii dapat menimbulan infeksi pada sal. Napas bawah / paru

Saran terapi : Amikacin atau tigecycline atau kombinasi amikacin dan tigecyline
BTK,
Dr. Angela NA, spMK

No Lab / No. MR : 15074251/ 000574267
Pemeriksaan
Kimia klinik
Asam lactate
Hasil
Satuan
Nilai rujukan
1.7
Mmol/L
0.7-2.5
HASIL LAB RS ST CAROLUS

TGL TRANSAKSI
: 01-10-15 11:47
NO LAB/NO MR
TGL BAHAN DITERIMA

LEONARD SIPAYUNG.TN
: 01-10-15 11:48
NAMA PASIEN
: 15076769
: FREDICK
TGL HASIL SELESAI : 01-10-15 12:55
UMUR/J.KELAMIN
: 16 Tahun/Laki-laki
TGL CETAK
: 01-10-15 12:55
DOKTER
: TIM UPI
HALAMAN
:1/1
RUANGAN
: UPI/3. 12/
PEMERIKSAAN
HORMON
Procalcitonin Semi Kuanti
HASIL
0,5
SATUAN
ng/mL
NILAI RUJUKAN
Hasil< 0,05
diinterpretasikanbersamaandenganriwayatpasien
0,05-0,5 ng/mL : Resikorendah sepsis
beratdan/ atau shock
septiktidakmenyingkirkanadanyainfeksi.
0,5-2 ng/mL : Resikotinggi sepsis
beratdan/atau shock septik.

TGL TRANSAKSI
000574267
: 01-10-15 14:49
NO LAB/NO MR
TGL BAHAN DITERIMA

LEONARD SIPAYUNG.TN
: 01-10-15 14:55
NAMA PASIEN
: 15076810/
: FREDICK
UMUR/J.KELAMIN
TGL CETAK
DOKTER
: TIM UPI
: 01-10-15 15:35
PEMERIKSAAN
RUJUKAN
KIMIA KLINIK
SGOT (AST)
SGPT (ALT)
HASIL
HH110
HH20
8
SATUAN
IU/L
IU/L
NILAI
10-36
10-45

TGL TRANSAKSI
000574267
: 02-10-15 05:04
NO LAB/NO MR
TGL BAHAN DITERIMA

LEONARD SIPAYUNG.TN
: 02-10-15 05:23
NAMA PASIEN
: 15076897/
: FREDICK
UMUR/J.KELAMIN
TGL CETAK
DOKTER
: TIM UPI
: 02-10-15 05:49
PEMERIKSAAN
RUJUKAN
HEMATOLOGI
HemaRutin + HitungJenis
Hemoglobin
Eritrosit
Hematokrit
JumlahLeukosit
JumlahTrombosit
HASIL
L
L
L
H
10.2
2.84
29.3
16.25
322
g/dL
Juta/L
%
10^3/L
Ribu/L
SATUAN
NILAI
14.0 16.0
4.21 6.20
34.0 52.0
4.80 10.80
150 450
MCV
MCH
MCHC
RDW-CV
HitungJenis
Basofil
Eosinofil
Neutrofil
Limfosit
Monosit
H 103
H 36
34,8
16
fL
Pg/mL
g/dL
%
79 97
27 - 31
31.4 38.5
10-20
L
L
H
L
L
%
%
%
%
%
0.3 1.0
0.7 7.0
34.0 71.1
19.3 53.1
4.7 11.5
0.1
0.0
91.1
5.4
3.4

TGL TRANSAKSI
000574267
: 03-10-15 10:05
NO LAB/NO MR
TGL BAHAN DITERIMA

LEONARD SIPAYUNG.TN
: 03-10-15 10:23
NAMA PASIEN
: 15077283/
: FREDICK
UMUR/J.KELAMIN
TGL CETAK
DOKTER
: FRANSISKA, DR, SP.PD
: 03-10-15 11:46
PEMERIKSAAN
RUJUKAN
KIMIA KLINIK
Panel Protein
Protein Total
Albumin
Globulin
Bilirubin
HASIL
L 5.75
L 3.26
L 2.49
g/dL
g/dL
g/dL
SATUAN
NILAI
6.6 8.7
3.50 5.20
1.5 3.5
Bilirubin Total
Bilirubin Direk
Bilirubin Indirek
SGOT (AST)
SGPT (ALT)
Gamma GT
Alkali Fosfatase
0.50
0.21
0.29
mg/dL
mg/dL
mg/dL
H 69
HH 175
H 369
91
IU/L
IU/L
U/L
IU/L
0.30 1.00
< 0.25
0.20 0.70
10 36
10 - 45
7 49
35 135
HASIL LAB RS ISLAND HOSPITAL
NAME
: FREDRICK LEONARD SIPAYUNG
NRIC NO.
: A8454197
S15057098
HOSP. NO
: 17363/04
29/08/2015 14:44
AGE/SEX
: 16 Y/M
: 02/09/2015
LAB ID
REQUEST DATE
REPORTED DATE
A/N NO
CONSULTANT 1
SOURCE
A1514181
DR. LIM THIEN THIEN
HIGH DEPENDENCY UNIT
TEST
RESULT
UNIT
FLAG REF. RANGES
SPUTUM C&S
Culture & Sensitivity
Antibiotics
Amikacin
Gentamicin
Imipenem
Meronem
Ceftazidime
Cefuroxime
Ciprofloxacin
Levofloxacin
Augmentin
Unasyn
Cefepime
Moderate mixed growth of

Pseudomonas aeruginosa
R
R
R
R
R
R
R
R
R
R
R
R
R= Resistant S= Sensitivity I = Intermediate
Klebsiella species (ESBL)
Antibiotics
Amikacin
Ertapenem
Meronem
Tigecycline
Doripenem
S
I
S
S
S
R= Resistant S= Sensitivity I = Intermediate
RS ISLAND HOSPITAL
T456o : Whom it my concern
12 September 2015
Pts Name : Fredrick Leonard Sipayung
PIP/ I/C NO : A8454197
The above mentional patient was admitted to HDU in Island Hospital from 26 August
2015 until 13 September 2015. Upon admission, he has herpes simplex encephalitis (post 1
month). He was in deserebrasing posturing, no moments to pain, pupil Right : 6mm/Left :
6mm, having septicaemia, IV menopenan, IV Amikacin and IV Colistin. Current include
phenytoin 100mg tdi, topinamide 50mg bd, vimpat 100 mg bd, Clorazepam 2mg bd,
pantopezide 40 g bd, COrcorSy OD, Keppra 1 g bd. An attempt mth plasma exchange,
treating sor ADCM was performed, however pt developed septic shock and was
Poor prognosis was explained to patients family due to the severity of the disease,
Patients family has been advised rehabilitation ..Thank you.
With regards
Patients name
Hospital Num
IC No.
(16:21)
Age/Gender
Admission Num.
UNIT
Consultant
: FREDICK LEONARD SIPAYUNG

: 17363/04
Lab ID
: A8454197
Request Date
: 16 Years / Male
: A1514181
: S15053922
: 26/08/2015
Report Date : 02/09/2015 (14:28)

Ward / Clinic : HIGH DEPENDENCY
: DR. LIM THIEN THIEN
TEST NAME
RANGES
IMMUNOLOGY
QuantiFeron-TB
RESULT
UNITS
M. TB NOT LIKELY
FLAG
REF.
1/1
Patients name
Hospital Num
IC No.
(09:10)
Age/Gender
Admission Num.
UNIT
Consultant

: 17363/04
Lab ID
: A8454197
Request Date
: 16 Years / Male
: A1514181
: S15053922
: 01/09/2015
Report Date : 01/09/2015 (11:28)

: DR. MICHELLE KAO
TEST NAME
RESULT
RANGES
BIOCHEMISTRY
RENAL FUNCTION TEST
Urea
6.0
Creatinine
39.9
-110.5
Sodium
146
136 - 145
Potassium
3.5
UNITS
mmol/L
umol/L
mmol/L
mmol/L
FLAG
REF.
3.0 -7.5
63.6
H
3.5 5.1
Chloride
106
LIVER FUNCTION TEST
Total Protein
58
Albumin
36
Globulin
22.0
A/G Ratio
1.64
Total Bilirubin
31.9
20.5
Direct Bilirubin
14.3
8.6
Indirect Bilirubin
17.6
Alkaline Phospatase
57
GGT
147
ALT (SGPT)
38
AST (SGOT)
79
IMMUNOLOGY
Procalsitonin
0.071
:<0.5
mmol/L
g/L
g/L
g/L
98 - 107
L
umol/L
64.0 83.0
35 - 50
23.0 35.0
1.10 1.90
H
3.4
umol/L
umol/L
U/L
U/L
U/L
U/L
ng/mL
Low risk of severe sepsis
3.4 11.9
40 - 150
12 - 64
0.0 - 55
5 - 34
High risk of severe sepsis

:>2.0
HEMATOLOGY
FULL BLOOD COUNT
ERYTHROCYTE
Haemoglobin
18.0
Total Red Blood cells
Haematocrit
30.9
Mean Cell Volume 100
Mean cell Haemoglobin
1/2
Patients name
Hospital Num
IC No.
(09:10)
Age/Gender
Admission Num.
UNIT
Consultant
TEST NAME
RANGES
HAEMATOLOGY
10.3
3.09
%
fL
33.2
g/dL
x10^12L
L
H
pg
L
H

: 17363/04
Lab ID
: A8454197
Request Date
: 16 Years / Male
: A1514181
13.5
4.5 6.5
40.0 54.0
81.0 95.0
27 32.0
: S15053922
: 01/09/2015
Report Date : 01/09/2015 (11:28)

: DR. MICHELLE KAO

RESULT
UNITS
FLAG
REF.
ERYTHROCYTE
Mean Cell HbConc 33.2
g/L
30.0 -35.0
RBC Distribution Width
17.5
%
H
< 15
THROMBOCYTE
Platelet Count
246
x10^9/L
150 - 400
Occasional small platelet clumps seen, possible undercounting or
platelets.
LEUCOCYTES
Total White Blood Cell
15.7
x10^9/L
H
4.0
11.0
Neutrophils
88.5
%
H
40 - 75
13.89
x10^9/L
H
2.50
7.50
Lymphocytes
8.27
%
L
15 - 45
1.30
x10^9/L
1.00
4.00
Monocytes
2.96
%
2 - 10
0.46
x10^9/L
0.10
1.20
Eosinophils
.060
%
L
1-6
0.01
x10^9/L
< 0. 501
Basophils
.192
%
<2
0.03
x10^9/L
< 0.101
COAGULATION
Patient P.T
12.7
s
H
9.7 12.0
Control P.T
11.0
INR
1.16
< 1.26
2/2
Patients name
Hospital Num
IC No.
(09:42)
Age/Gender

: 17363/04
Lab ID
: A8454197
Request Date
: 16 Years / Male
: S15053922
: 30/08/2015
Report Date : 30/08/2015 (10:58)
Admission Num.
UNIT
Consultant
: A1514181
TEST NAME
RANGES
BIOCHEMISTRY
RENAL FUNCTION TEST
Urea
Creatinine
-110.5
Sodium
136 - 145
Potassium
Chloride
IMMUNOLOGY
Procalsitonin
:<0.5
RESULT
7.1
45.8
UNITS
mmol/L
umol/L
150
FLAG
REF.
3.0 -7.5
63.6
mmol/L
4.4
115
mmol/L
mmol/L
0.212
ng/mL
H
3.5 5.1
98 107

:>2.0
HEMATOLOGY
FULL BLOOD COUNT
ERYTHROCYTE
Haemoglobin
18.0
Haematocrit
36.4
Mean Cell Volume 101.
Mean cell Haemoglobin
Cell HbConc
33.4
THROMBOCYTE
Platelet Count
150 400
LEUCOCYTES
11.0
Neutrophils
85.8
14.50
7.50
Lymphocytes
1.67
4.00
Monocytes
4.19
0.46
1.20
11.8
g/dL
x10^12L
L
H
pg
17.3
98.4
x10^9/L
16.9
x10^9/L
3.60
%
fL
32.8
g/L
%
x10^9/L
9.88
%
x10^9/L
%
x10^9/L
H
H
13.5
4.5 6.5
40.0 54.0
81.0 95.0
27 32.0
30.0 -35.0
< 15
4.0
40 - 75
2.50
15 - 45
1.00
2 - 10
0.10
1/2
Patients name
Hospital Num
IC No.
(09:42)
Age/Gender
Admission Num.
UNIT
Consultant
TEST NAME
RANGES
HAEMATOLOGY
LEUCOCYTES
Eosinophils
Basophils

: 17363/04
Lab ID
: A8454197
Request Date
: 16 Years / Male
: A1514181
: S15053922
: 30/08/2015
Report Date : 30/08/2015 (10:58)


RESULT
.079
0.01
101
0.02
UNITS
%
x10^9/L
%
x10^9/L
FLAG
REF.
1-6
< 0. 501
<2
< 0.101
2/2
Patients name
Hospital Num
: 17363/04
Lab ID
: S15053922
IC No.
: A8454197
Request Date
: 29/08/2015
(11:53)
Age/Gender
: 16 Years / Male
Report Date : 29/08/2015 (12:31)
Admission Num.
: A1514181
UNIT
Consultant
: DR. MICHELLE KAO
TEST NAME
RESULT
UNITS
FLAG
REF.
RANGES
BIOCHEMISTRY
RENAL FUNCTION TEST
Urea
11.1
mmol/L
H
3.0 -7.5
Creatinine
46.1
umol/L
L
63.6
-110.5
Sodium
155
mmol/L
H
136 - 145
Potassium
43.9
mmol/L
3.5 5.1
Chloride
123
mmol/L
H
98 107
IMMUNOLOGY
C-reactive Protein 38.2
mg/L
H
< 5.0
HEMATOLOGY
FULL BLOOD COUNT
ERYTHROCYTE
Haemoglobin
12.9
g/dL
L
13.5
18.0
4.02
x10^12L
L
4.5 6.5
Haematocrit
40.9
%
40.0 54.0
Mean Cell Volume 102
fL
H
81.0 95.0
Mean cell Haemoglobin 32.1
pg
H
27 32.0
Cell HbConc
31.6
g/L
30.0 -35.0
17.1
%
H
< 15
THROMBOCYTE
Platelet Count
71.7
x10^9/L
L
150 400
LEUCOCYTES
21.1
x10^9/L
H
4.0
11.0
Neutrophils
83.2
%
H
40 - 75
17.56
x10^9/L
H
2.50
7.50
Lymphocytes
11.3
%
L
15 - 45
2.38
x10^9/L
1.00
4.00
Monocytes
4.77
%
2 - 10
1.01
x10^9/L
0.10
1.20
Eosinophils
.093
%
L
1-6
1/2
Patients name
Hospital Num
IC No.
(09:42)
Age/Gender
Admission Num.
UNIT
Consultant
TEST NAME
RANGES
HAEMATOLOGY
LEUCOCYTES
Basophils

: 17363/04
Lab ID
: A8454197
Request Date
: 16 Years / Male
: A1514181
: S15053922
: 30/08/2015
Report Date : 30/08/2015 (10:58)


RESULT
0.02
.622
0.13
UNITS
x10^9/L
%
x10^9/L
FLAG
REF.
< 0. 501
<2
H
< 0.101
2/2
Patients name
Hospital Num
IC No.
(14:33)
Age/Gender
Admission Num.
UNIT
Consultant

: 17363/04
Lab ID
: A8454197
Request Date
: 16 Years / Male
: A1514181
: S15053922
: 29/08/2015
Report Date : 29/08/2015 (15:13)

: DR. MICHELLE KAO
TEST NAME
RESULT
RANGES
BIOCHEMISTRY
LIVER FUNCTION TEST
Total Protein
42
Albumin
26
Globulin
16.0
A/G Ratio
1.62
Total Bilirubin
12.9
20.5
Direct Bilirubin
5.2
8.6
Indirect Bilirubin
7.7
Alkaline Phospatase
37
GGT
29
ALT (SGPT)
12
AST (SGOT)
38
COAGULATION
Patient P.T
16.4
Control P.T
11.0
INR
1.51
PatienT A.P.T.T
49.3
35.0
Control A.P.T.T
30.7
UNITS
g/L
g/L
g/L
FLAG
L
L
L
REF.
64.0 83.0
35 - 50
23.0 35.0
1.10 1.90
umol/L
3.4
umol/L
umol/L
U/L
U/L
U/L
U/L
3.4 11.9
40 - 150
12 - 64
0.0 - 55
5 - 34
9.7 12.0
< 1.26
26.9
1/1
Patients name
Hospital Num
IC No.
(10:17)
Age/Gender
Admission Num.
UNIT
Consultant

: 17363/04
Lab ID
: A8454197
Request Date
: 16 Years / Male
: A1514181
: S15053922
: 27/08/2015
Report Date : 27/08/2015 (12:42)

TEST NAME
RESULT
RANGES
BIOCHEMISTRY
ELECTROLYTES
Sodium
145
136 - 145
Potassium
4.0
Chloride
107
IMMUNOLOGY
HIV Ag/Ab Screening
1.18
Remarks
Suggest to
Procalsitonin
0.687
:<0.5
UNITS
FLAG
REF.
mmol/L
mmol/L
mmol/L
3.5 5.1
98 107
S/CO
Equivocal
repeat after 6 months
ng/mL
:>2.0
HAEMATOLOGY
COAGULATION
D Dimer
3.00
ug/mL
< 0.5
1/1
Patients name
Hospital Num
IC No.
(16:21)
Age/Gender
Admission Num.
UNIT
Consultant

: 17363/04
Lab ID
: A8454197
Request Date
: 16 Years / Male
: A1514181
: S15053922
: 26/08/2015
Report Date : 26/08/2015 (17:28)

TEST NAME
RANGES
BIOCHEMISTRY
Calsium
2.10 2.55
Phosphorus
1.52
Uric Acid
420.0
RESULT
2.36
FLAG
REF.
mmol/L
0.91
mmol/L
122
umol/L
2.0
mg/L
Glucose
4.22 6.11
RENAL FUNCTION TEST
Urea
Creatinine
-110.5
Sodium
136 - 145
Potassium
Chloride
LIVER FUNCTION TEST
Total Protein
Albumin
Globulin
A/G Ratio
UNITS
5.42
L
mmol/L
97.7
mg/L
4.2
48.4
mmol/L
umol/L
135
0.74
210.0
3.6 7.1
76.04 110.10
L
mmol/L
2.8
95
mmol/L
mmol/L
74
37
37.0
1.00
g/L
g/L
g/L
3.0 -7.5
63.6
L
L
L
H
L
3.5 5.1
98 - 107
64.0 83.0
35 - 50
23.0 35.0
1.10 1.90
Total Bilirubin
27.1
umol/L
3.4
Direct Bilirubin
10.1
umol/L
20.5
8.6
Indirect Bilirubin
17.0
Alkaline Phospatase
82
GGT
71
ALT (SGPT)
25
AST (SGOT)
42
LIPID PROFILE
Total Cholesterol
6.00
231.7
Triglyserides
1.32
116.8
HDL Cholesterol
1.07
1.04
umol/L
U/L
U/L
U/L
U/L
H
H
H
mmol/L
mg/dL
H
mmol/L
mg/dL
mmol
3.4 11.9
40 - 150
12 - 64
0.0 - 55
5 34
< 5.18
< 200
< 1.7
< 150.0
Major risk
<
Negative risk
<
1.55
1/3
Patients name
Hospital Num
IC No.
(16:21)
Age/Gender
Admission Num.
UNIT
Consultant

: 17363/04
Lab ID
: A8454197
Request Date
: 16 Years / Male
: A1514181
: S15053922
: 26/08/2015
Report Date : 26/08/2015 (17:28)

TEST NAME
RANGES
BIOCHEMISTRY
RESULT
UNITS
FLAG
REF.
Major risk
< 1.04
Negative risk
<
1.55
41.3
mg/dL
Major risk
< 40
Negative risk
>
60
LDL Cholesterol
4.3
mmol/L
0.0
3.9
167.2
mg/dL
H
Total Chol/HDL Ratio
5.6
IMMUNOLOGY
Hepatitis Bs Ag Screen
0.16
S/CO
Hepatitis Bs Ab
98.77
mlU/mL
0 150.6
1.5 4.5
Non Reactive
Positive
Syphilis Ab
Free T4
9.01 19.5
TSH
0.12
S/CO
10.18
1.5620
Non Reactive
pmol/L
mlU/L
0.35
4.94
C-reactive Protein 40.3
mg/L
H
< 5.0
Rheumatoid Factor < 20.0
lU/mL
<30
HAEMATOLOGY
ESR
31
mm/hr
H
0-9
Blood Film Comment
Total rbcs are reduced in number. Erythrocytes
are normochromic
with few macrocytes occasional polychromatic rbcs
and nucleated
rbcs seen. There is neutrophills but no abnormal
leucocytes seen.
Platelets are adequate in number.
Blood Group
A
(Blood Group based on forward grouping)
Rhesus (D)
Positive
FULL BLOOD COUNT
ERYTHROCYTE
Haemoglobin
13.1
g/dL
L
13.5
18.0
4.04
x10^12L
L
4.5 6.5
Haematocrit
38.4
%
40.0 54.0
2/2
Patients name
Hospital Num
IC No.
(16:21)
Age/Gender
Admission Num.
UNIT
Consultant

: 17363/04
Lab ID
: A8454197
Request Date
: 16 Years / Male
: A1514181
: S15053922
: 26/08/2015
Report Date : 26/08/2015 (17:28)

TEST NAME
RESULT
RANGES
HAEMATOLOGY
ERYTHROCYTE
Mean Cell Volume 95.1
Mean cell Haemoglobin 32.5
Mean Cell HbConc 34.1
UNITS
fL
H
pg
g/L
FLAG
REF.
81.0 95.0
27 32.0
30.0 -35.0

Reticulosyte Count 2.09
THROMBOCYTE
Platelet Count
150 400
LEUCOCYTES
11.0
Neutrophils
76.3
8.32
7.50
Lymphocytes
1.87
4.00
Monocytes
5.53
0.60
1.20
Eosinophils
.206
0.02
Basophils
.756
0.08
Nucleated RBC
17.0
%
%
H
H
153
x10^9/L
10.9
x10^9/L
%
x10^9/L
17.2
< 15
0.2 2.0
4.0
H
H
40 - 75
2.50
%
x10^9/L
15 - 45
1.00
%
x10^9/L
2 - 10
%
L
x10^9/L
%
x10^9/L
/100 WBC
1-6
0.10
< 0. 501
<2
< 0.101
Hospital Lam Wah Ee

Name : Frederick Leonard Sipayung
Lab No : 01411672
NRIC NO : A8454197
10:45
Date/Time received : 27/08/2015
RN : 117363/04
Reported date : 27/08/15
AGE/SEX : /MALE
Ward/Clinic : Island Hospital
Doctor/clinican : Not available
TEST
Result
Sample Type : Cerebrospinal Fluid
Mycobacterium tuberculosis
PCR
Mycobacterium tuberculosis
Lab No : BP 00494/0815
02/09/2015
Patient name :
Male
Not detected
IC No : A 8454197
FREDICK LEONARD SIPAYUNG
Date of Report :
Age/ Sex : 16/
Doctors name : DR LIM THIEN THIEN
Tel : 2288222
Clinic name : IS - ISLAND HOSPITAL
Fax : ext 1023
Clinics address :
Date received : 27/08/2015
Specimen : BLOOD
Time received : 13:58:38
Sampling date : 27/08/2015
Refer No : 17363/04
*Anti-ds DNA
(Negative : <1.0
:0.50
Equivocal : 1.0 to 1.4

Positive : >1.4)
Island Hospital
NAME : FREDICK LEONARD SIPAYUNG
EEG REF. NO : 416/15/1
NRIC/RN NO : 17363/04
DATE OF TEST : 26.08.2015
AGE/SEX : 16/MALE
FACTUAL REPORT
REFERRING DR. :
There is 5 6 c/s background theta activity.

Hyperventilation and photic stimulation were not performed.
ECG shows sinus tachycardia.
CONCLUSION
This EEG is suggestive of moderate severe generalised diffuse encephalopathy.
Patients name : FREDICK LEONARD SIPAYUNG
Lab ID : S15036348
Hospital Num : 17363/04
Request date : 10/09/2015 (09:43)
IC No : A8454197
Report date : 10/09/2015 (10:54)
Age/ gender : 16/ MALE

DEPENDENCY UNIT
Ward/Clinic : HIGH
Admission num. : A1514181

Consultant : DR. MICHELLE KAO
TEST NAME
BIOCHEMISTR
Y
RESULT
UNITS
FLAG
REF. RANGES
RENAL
FUNCTION
TEST
Urea
Creatinin
Sodium
Potassium
Chloride
IMMUNOLOGY
Procalcitonin
6.4
42.1
133
3.9
98
Mmol/L
Mmol/L
Mmol/L
Mmol/L
Mmol/L
0.153
ng/mL
Low risk of severe sepsis :

<0.5
High risk of severe sepsi : >2.0
g/dL
X10^12/L
L
L
13.5-18.0
4.5-6.5
%
fL
L
H
40.0-54.0
81.0-95.0
Pg
27.0-32.0
HAEMATOLOG
Y
FULL BLOOD
COUNT
ERYTHROCYTE
Haemoglobin
10.7
Total red blood 3.15
cells
Haematocrit
31.7
Mean cell
101
volume
Mean cell
33.8
haemoglobin
Mean cell Hb
33.6
conc
RBC
20.3
Distribution
Width
THROMBOCYT
E
Platelet count 283
Occasional small platelet clumps
LEUCOCYTES
Total white
blood cell
Neutrophils
17.7
L
L
g/dL
3.0-7.5
63.6- 110.5
136-145
3.5-5.1
98-107
30.0-35.0
<15
X10^12/L
150-400
seen, possible undercounting of platelets
X10^9/L
83.2
%
14.73
X10^9/L
Lymphocytes
10.6
%
1.88
X10^9/L
Monocytes
5.00
%
H
H
L
4.0-11.0
40-75
2.50-7.50
15-45
1.00-4.00
2-10
Lab ID : S15036352
Request date : 10/09/2015 (09:43)
IC No : A8454197
Report date : 10/09/2015 (10:54)

DEPENDENCY UNIT
Ward/Clinic : HIGH

HAEMATOLOG
Y
LEUCOCYTES
Eosinophils
Basophils
0.88
.783
0.14
.366
0.07
X10^9/L
%
X10^9/L
%
X10^9/L
0.10-1.20
1-6
<0.501
<2
<0.101
Lab ID : S15036352
Request date : 07/09/2015 (09:14)
IC No : A8454197
Report date : 07/09/2015 (10:22)

DEPENDENCY UNIT
Ward/Clinic : HIGH
Consultant : DR. LEONG KAR NIM

TEST NAME
BIOCHEMISTR
Y
RENAL
FUNCTION
TEST
Urea
Creatinin
Sodium
Potassium
Chloride
RESULT
UNITS
4.4
37.3
136
4.1
99
Mmol/L
Mmol/L
Mmol/L
Mmol/L
Mmol/L
FLAG
L
L
REF. RANGES
3.0-7.5
63.6- 110.5
136-145
3.5-5.1
98-107
Lab ID : S15053761
Request date : 04/09/2015 (09:59)
IC No : A8454197
Report date : 04/09/2015 (12:01)

DEPENDENCY UNIT
Ward/Clinic : HIGH

TEST NAME
BIOCHEMISTR
Y
RENAL
FUNCTION
TEST
Urea
Creatinin
Sodium
Potassium
Chloride
LIVER
FUNCTION
TEST
Total protein
Albumin
Globulin
A/G Ratio
Total bilirubin
Direct bilirubin
Indirect
bilirubin
Alkaline
phosphatase
GGT
ALT (SGPT)
AST (SGOT)
IMMUNOLOGY
Procalcitonin
HAEMATOLOG
Y
FULL BLOOD
COUNT
ERYTHROCYTE
Haemoglobin
Total red blood
cells
Haematocrit
Mean cell
volume
Mean cell
haemoglobin
RESULT
UNITS
5.2
46.1
140
3.1
98
Mmol/L
Mmol/L
Mmol/L
Mmol/L
Mmol/L
60
38
22.0
1.73
23.7
11.7
12.0
g/L
g/L
g/L
umol/L
umol/L
umol/L
H
H
H
66
U/L
188
55
63
U/L
U/L
U/L
0.202
ng/mL
Low risk of severe sepsis :

<0.5
High risk of severe sepsi : >2.0
3.20
g/dL
X10^12/L
L
L
13.5-18.0
4.5-6.5
31.5
98.4
%
fL
L
H
40.0-54.0
81.0-95.0
32.7
Pg
27.0-32.0
10.5
FLAG
L
L
REF. RANGES
3.0-7.5
63.6- 110.5
136-145
3.5-5.1
98-107
64.0-83.0
35-50
23.0-35.0
1.10-1.90
3.4-20.5
0-8.6
3.4-11.9
40-150
12-63
0.0-55
5-34
Lab ID : S15053761
Request date : 04/09/2015 (09:59)
IC No : A8454197
Report date : 04/09/2015 (12:01)

DEPENDENCY UNIT
Ward/Clinic : HIGH

HAEMATOLOG
Y
FULL BLOOD
COUNT
ERYTHROCYTE
Mean cell Hb
33.2
conc
RBC
18.2
Distribution
Width
THROMBOCYT
E
Platelet count 321
Occasional small platelet clumps
LEUCOCYTES
Total white
blood cell
Neutrophils
Lymphocytes
Monocytes
Eosinophils
Basophils
Coagulation
Patient P.T.
Control P.T.
INR
g/dL
%
30.0-35.0
H
<15
X10^12/L
150-400
seen, possible undercounting of platelets
21.8
X10^9/L
4.0-11.0
91.3
19.90
5.45
1.19
3.04
0.66
.171
0.04
.081
0.02
%
X10^9/L
%
X10^9/L
%
X10^9/L
%
X10^9/L
%
X10^9/L
H
H
L
40-75
2.50-7.50
15-45
1.00-4.00
2-10
0.10-1.20
1-6
<0.501
<2
<0.101
12.1
11.0
1.10
9.7-12.0
<1.26
Name
: Fredick Leonard Sipayung
Lab Id
S15054307
NRIC No
: A8454197
Request date 29/08/2015
Hosp No
: 17363/04
Reported date 05/09/2015
Age/Sex
: 16 Y/M
A/N No
14:02
A1514181
Consultant 1 DR. Lim Thien Thien

Source
High Dependency Unit
RESULT
TEST
BLOOD C & S
Specimen Inoculated Time
Specimen Inoculated Date
Blood Culture
UNIT
FLAG
REF.RANG
ES
1.55 PM
29/08/2015
No Growth after 6
days of incubation
Name
Lab ID
S15055704
NRIC No
: A8454197
Hosp No
: 17363/04
Age/Sex
: 16 Y/M
A/N No
14:43
A1514181

Source
TEST
RESULT
MICROBIOLOGY
Urine For Analysis
Specific Gravity
1.026
Appearance
Colour
Sugar
Protein
Urobilinogen
Slight hazy
Yellow
Negative
20
Negative
Bilirubin
PH
Ketones
Erythrocytes/free Hb
Nitrite
Leucocyte
Negative
5.0
Negative
60
Negative
250
Mg/dl
Automated Cell Count

Erythrocytes
Leucocytes
Epithelial Cell
Casts
Bacteria
185.3
369.7
6.0
0.68
35.1
/ul
/ul
/ul
/ul
/ul
Urine C&S
Bacteria Count
Urine Culture & Sensitivity
UNIT
FLAG
REF.RANG
ES
1.0051.030
Mg/dl
Mg/dl
Mg/dl
Negative
Negative
Negativetrace
Negative
Acidic
Negative
Negative
Negative
Negative
Mg/dl
Ery/ul
Mg/dl
Leuco/u
l
H
H
H
0.0-13.6
0.0-13.2
0.0-5.2
0.0-1.0
0-1000
10^4-10^5
Organism/ml
Moderate pure
growth of
Pseudomonas
aeruginosa
Antibiotics
Amikacin
S
Gentamicin
R
Name
Netromycin
R
Imipenem
R
NRIC No
: A8454197
Meronem
R
Lab ID
Hosp No
: 17363/04
Age/Sex
: 16 Y/M
A/N No
S15055704
14:43
A1514181

Source
TEST
RESULT
Ceftazidime
Ceftriaxone
Cefuroxime
Cefoperazone/sulbactam
Ciprofloxacin
Levofloxacyn
Piperacillin/Tazobacyam
Augmentin
Unasyn
Cefepime
Doripenem
Nitrofurantoin
R
R
R
R
R
R
S
R
R
R
R
R
UNIT
FLAG
Name
Lab ID
NRIC No
: A8454197
Hosp No
: 17363/04
Age/Sex
: 16 Y/M
A/N No
REF.RANG
ES
S15055704
16:28
A1514181

Source
TEST
BLOOD C & S
Specimen Inoculated Time
Specimen Inoculated Date
Specimen Inoculated
Temperature
Blood Culture
RESULT
4 pm
26/08/2015
38.1 0C
No Growth after 6
days of incubation
UNIT
FLAG
REF.RANG
ES
Name
Lab ID
S15055661
NRIC No
: A8454197
Hosp No
: 17363/04
Age/Sex
: 16 Y/M
A/N No
10:45
A1514181

Source
TEST
Sputum C & S
Culuture & sensitivity
Antibiotics
Amikacin
Gentamicin
Meronem
Ceftazidime
Ciprofloxacin
Levofloxacin
Doripenem
Antibiotics
Amikacin
Gentamicin
Ertapenem
Meronem
Ciprofloxacin
Levofloxacin
RESULT
UNIT
FLAG
REF.RANG
ES
Moderate mixed growth

of Pseudomonas
aeroginosa
S
R
R
R
R
R
R
R=Resistent S=Sensitivity
Intermediate
Klebsiella pneumonia
ESBL
S
R
I
S
R
R
R = Resistent S = Sensitivity I = Intermediate
Name
Lab ID
S15055647
NRIC No
: A8454197
Hosp No
: 17363/04
Age/Sex
: 16 Y/M
A/N No
18:01
A1514181

Source
TEST
RESULT
Urine For Analysis

Specific Gravity
Apperance
Colour
Sugar
Protein
Urobilinogen
1.004
Clear
Straw
Negative
Negative
Negative
Bilirubin
PH
Ketones
Erythrocytes/free HB
Nitrite
Leucocytes
Negative
8.0
Negative
20
Negative
25
Mg/dl
18.9
33.3
5.0
0.00
40.0
/ul
/ul
/ul
/ul
/ul
Automated Cell Count

Erythrocytes
Leucocytes
Epithelial cell
Casts
Bacteria
Urine C&S
Bacteria count
Urine culture & sensitivity
Antibiotics
Amikacin
Gentamicin
Netromycin
Meronem
Ceftazidime
10^3-10^4
Organism/ml
Moderate pure
growth of
Pseudomonas
species
S
R
R
R
R
UNIT
FLA
G
REF.RANGE
S
1.005-1.030
Mg/dl
Mg/dl
Mg/dl
Negative
Negative
Negativetrace
Negative
Acidic
Negative
Negative
Negative
Negative
Mg/dl
Ery/ul
Mg/dl
Leuco/u
l
H
H
0.0-13.6
0.0-13.2
0.0-5.2
0.0-1.0
0-1000
Name
Lab ID
S15055647
NRIC No
: A8454197
Hosp No
: 17363/04
Age/Sex
: 16 Y/M
A/N No
18:01
A1514181

Source
TEST
RESULT
Cefoperazone/sulbactam
R
Ciprofloxacin
R
Levofloxacin
R
Doripenem
R
R= ResistentS=Sensitivity
UNIT
I=intermediate
FLAG
REF.RANG
ES
Name
Lab ID
S15055642
NRIC No
: A8454197
Hosp No
: 17363/04
Age/Sex
: 16 Y/M
A/N No
15:12
A1514181

Source
TEST
RESULT
SWAB C&S
Site of Swab
Culture & Sensitivity
Axilla
No MRSA isolated

UNIT
FLAG
REF.RANG
ES

Hasil Lab Fredick

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HASIL PEMERIKSAAN PENUNJANG

PELAYANAN KESEHATAN ST.CAROLUS

JENIS RADIOLOGI : THORAX BED

Pemeriksaan toraks AP supina :

PELAYANAN KESEHATAN ST.CAROLUS

JENIS RADIOLOGI : THORAX BED

Foto thoraks AVP supine :

Kesan : terpasang trakheostomi dengan ujung di proyeksi Th3-4 ( diatas karina).corakan

PELAYANAN KESEHATAN ST.CAROLUS

PELAYANAN KESEHATAN ST.CAROLUS

PELAYANAN KESEHATAN ST.CAROLUS

Laboratorium Medik St. Carolus, Salemba, Jakarta Pusat

( folate pathway inhibitor )

Tgl Bahan di terima: 29-09-2015, 11:43

Tgl Bahan di terima: 27-09-2015, 11:36

A. Baumannii dapat menimbulan infeksi pada sal. Napas bawah / paru

Tgl Bahan di terima: 01-10-2015, 11:47

PELAYANAN KESEHATAN St. Carolus

: Tn. Fredick Leonard Sipayung

Umur /J. Kelamin

PELAYANAN KESEHATAN St. Carolus

: Tn. Fredick Leonard Sipayung

Umur /J. Kelamin

PELAYANAN KESEHATAN St. Carolus

: Tn. Fredick Leonard Sipayung

Umur /J. Kelamin

PELAYANAN KESEHATAN St. Carolus

: Tn. Fredick Leonard Sipayung

Umur /J. Kelamin

: dr. Parlin Susanto, SpS

Elektrolit (Na, K, Cl)

PELAYANAN KESEHATAN St. Carolus

: Tn. Fredick Leonard Sipayung

Umur /J. Kelamin

Analisis Gas Darah

PELAYANAN KESEHATAN St. Carolus

: Tn. Fredick Leonard Sipayung

Umur /J. Kelamin

Elektrolit (Na, K, Cl)

Laboratorium Medik St. Carolus, Salemba, Jakarta Pusat

Specimen : Ujung CVC

Dr. Angela NA, sp MK

Tgl Bahan di terima: 29-09-2015, 11:43

Tgl Bahan di terima: 27-09-2015, 11:36

Specimen : Ujung CVC

A. Baumannii dapat menimbulan infeksi pada sal. Napas bawah / paru

Tgl Bahan di terima: 01-10-2015, 11:47

HASIL LAB RS ST CAROLUS

TGL BAHAN DITERIMA

TGL HASIL SELESAI : 01-10-15 12:55

HASIL LAB RS ST CAROLUS

TGL BAHAN DITERIMA

TGL HASIL SELESAI : 01-10-15 15:35

HASIL LAB RS ST CAROLUS

TGL BAHAN DITERIMA

TGL HASIL SELESAI : 02-10-15 05:49

HASIL LAB RS ST CAROLUS

TGL BAHAN DITERIMA

TGL HASIL SELESAI : 03-10-15 11:46

: FRANSISKA, DR, SP.PD

HASIL LAB RS ISLAND HOSPITAL

FLAG REF. RANGES

Moderate mixed growth of

: FREDICK LEONARD SIPAYUNG