19 Juli 2017
3.
2. sumarni tameida dr. astrina
P3A0 36 thn dengan ca cervix stad klinis 2B
+ anemia sudah dilakukan biopsy (5/7)
Ekg normal
Perbaiki KU tranfusi prc
Lab 17/7 Hb 12,7 leuko 12900 trombo
304000, ur/cr 19/0.8
Obat as tranex, sf, asmef
CT scan tampak lesi massa tumor >4cm
berinfiltrasi kevagina dan parametrium,
dinding pelvis sebelah kiri kesan ca cervix
stadium IIIb hidroureter hidronefrosis
sinistra
1. Lumape yulin dr. astrina
P0A0 31 thn dengan kista ovarium suspect
ganas + general weakness + elektrolit
imbalance + hipoalbumin
Lab 14/7 Hb 10,9 leuko 29400 trombo
615000 OT/pt 24/12 ur/cr 48/1.4 albumin
2,86, Na 131 K 3.16 Cl 93.3 Ca 125 692.20
Lab 18/7 hb 10 leuko 56000 thrombo
634000 SGOT/SGPT 24/10 Ur/Cr 56/1.3 GDS
55 Albumin 2.32 Cl 94.8 K 3.72 Na 130
Ct scan 29 juni: Massa adnexa dominan
cyst, infiltrative, gambaran malignant.
Pelvocalyectasis bilateral, ascites
Foto thorax bronchitis spesifik paru lama
EKG normal
Bedah digestif setuju pendampingan
4. bachitiar salma dr. ryan
P2A1 47 thn dengan ca cervix stad klinis 3B +
anemia + radiotherapy 25x + hiponatremia
lab 10/7 Hb 6,9 leuko 12150 trombo 541000
OT/PT 18/15 ur/cr 79/1.6 Na 116
PA 31/8: papillary squamous cell carcinoma
cervix
5. Paendong Lamira Olvie dr. Ryan
P2A1 41 tahun post HT radikal ai ca cervix
stadium IIA + post radiasi 25x + post nefrostomi
+ suspect fistula enterocutaneous + anemia +
hipoalbumin
Hasil lab 17/7 hb 6.2 leuko 7700 thrombo
404000 SGOT/SGPT 41/17 Ur/Cr 77/0.9 GDS
137 Albumin 1.97
Hasil lab 3/7 Na 138 K 4.6 Cl 107
Bedah urologic a cervix + hidronefrosis post
nefrotomi
Patologi klinis metastasis malignant tumor,
squamous cell carcinoma cervix berkeratin,
metastasis squamous cel carcinoma pada kedua
kelenjar limfe
Foto thorax dbn
CT scan maasa berbatas kurang tegas lobulated
irregular 6.5x5.2x7.7 melekat pada bowel
menginfiltrasi rektus abdominis kiri dan
subkutan, region lumbal iliaca, colon descend,
sigmoid.
Rencana perbaiki ku, transfuse,paliatif care
6.
10. 7. Norma Mondaringin dr astrina
P5A0 37 thn dengan Ca cervix stadium IIB + anemia
+elektrolit imbalance

Lab 12/7 Hb 7,3 leuko 11800 trombo 498000 Ot/Pt

26/14 ur/cr 19/1.1 Na 126 K 3,4 CL 102
PA 13/4-17 hasil NON keratizing squamous cell
carcinoma cervix
Sudah transfuse 3 bag
Konfrimasi BJL ttg radiasi

9 8.
 2. Ny. Yohana pandeleke dr ryan 3.

P4A0 68 thn post TVh H1 ai prolapse uteri

gr 2 + sistokel gr 2 + rektokel gr 2

Lab 4/7 Hb 14.1 leuko 6702 thrombo

175000 SGOT 60 SGPT 44 UR/Cr 24/0.6 Uric
acid 3.3 Alb 4.38 Cl 100.8 Na 139 k 5.32 4. Ny. Tangkuno Hartin dr.ryan
P1A0 49 tahun dengan neoplasma ovarium
Hasil PA Radang kronik atypical glandular kistik suspect malignancy + general weakness
cell + asites + hiponatremia + Hipoalbuminemia
Hasil lab 17/7 Hb 12 leuko 9800 thrombo
181000 SGOT/SGPT 27/10 UR/Cr 29/0.3 GDS
104 Cl 105 K 4.4 Na 123 Albumin 2.43 Ca 125
>10.000
EKG sinus takikardi
USG uterus antefleksi 5.81.4.07 el+ FF +
tampak massa kistik campur padat berasal
dari adnexa uk 5.42x7.16
Patologi Anatomi benign cellular changes
radang kronis non spesifik
Foto thorax efusi pleura kanian
Rencana perbaikan KU, human albumin 20 %
NaCl
1. Ny. Saadah Leniji dr Astrina 5.

1. P3A0 57 tahun dengan prolapse uteri grade

IV + sistokel grade IV + erosi portio
2. Hasil Lab 5/7 Hb 14.1 leuko 10310 thrombo
353000 GDP 113 SGOT/SGPT 14/21 UR/cr
21/0.6 Uric acid 3.5 Albumin 4.46 NA 134 Cl
110 K 4
3. Tes valsava portio turun keluar sampai +
3cm diluar introitus vagina. Dinding anterior
vagina turun sampai setengah
4. Hasil PA atypical squamous cell
undetermined significant dengan radang
supurativa
5. Foto thorax normal, EKG normal
6. Rencana TVh + KA + KPR 19/7
6. ny. Yewen Naomi dr.astrina
A9 P1A0 47 tahun dengan kista ovarium suspect
ganas +asites
Lab 4/7/2017 Hb 11.7 leuko 9657 thrombo
420000 SGOT/SGPT 43/16 Ur/Cr 19/0.7 mg/dL
Na 138 Kalium 4.02 Chlorida 104.7 AFP 1.30
thrombo 21.40 albumin 3.22 GDS 77 Ca 125
21.40 AFp 1.10
Lap vc 24/7/2017
CT Scan kista ovarium multilokuler suspect
malignancy+ asites
10 7. manopo Christy dr. astrina
P0A0 14 tahun dengan PUAO+ anemia
Hasil lab 17/7 hb 7.3 leuko 8200 thrombo
359000 . PT 13.8 ApTT 20.1
Perbaiki ku, transfusi

9. 8.