PETA PASIEN ORTHO Sabtu, 4 November 2017 DIA/FIZ/AIP/HAN/TAN/FEN/DEN/BIB/FAN/SIB/RAH /LHB/FND/DDI

Ward NO BED NAMA U RM DIAGNOSIS NON ORTHO MRS STS OP TINDAKAN PLAN BIAYA OPR RABER LAB PPDS DPJP

2/11 Hb 11,4 AL 9,7 AT 259 GDS 99 Alb 3,6 Ur 21 Cr 0,6 Na

1 3C Ossy 13 01395137 Osteosarcoma proximal tibia (S) 1/11 Post OP 3/11 Post Core biopsi medikasi-BLPL BPJS RYN FEN/FIZ RYN
136 K 4,2 Cl 105

COR E4V5M6 Post

OF Shaft Humeri (S) 1/3 tengah GA gr I dengan Post OREF Perwatan Post operasi, medikasi 1/11 Hb 13,6 Al 14 AT 233
2 4F Wahyudi 23 01397074 dengan nyeri kepala 31/10 1/11 BPJS AIP B.Saraf DDI/RAH RYN
lesi N. Radia;is post debridement
menetap OP + eksplorasi /2 hari, pertahankan slab 31/10 HB 13,0 AL 28,7 AT 287 HbsAg NR

COR E4V5M6
Ahmad B. saraf 31/10 HB 12,9 AL 17,6 AT 229 GDS 107 Cr/Ur 0,6/32 Na 137
3 5F
Humam
21 01397079 CF Shaft Tibia Fibula (D) + CF Styloid Ulna (D) Fr maxilla (D/S) 31/10 Pre op Pro ORIF UM
B. plastik K 3,8 HbsAg NR
DDI/RAH RYN
Mawar 2 Fr Rima orbital (D)
Post AFF Ilizarov 3/11 Hb 13 AL 12,4 AT 216
OF Femur (D) 1/3 tengah post OREF Post RYN
4 6E Tarno 40 01341491 1/11 3/11 ORIF Rekonstruksi BPJS 1/11 Hb13.5 Ht44 AL8.9 AT244 PT13.3 APTT34.9 GDS159 FEN/FIZ RYN
OF Tibia Fibula (D) post ilizarov OP DIA
Tibia Cr0.9 Ur21 Na137 K3.6 Cl104 HbsAg:REAKTIF

5 7A Rosito 17 01356832 Metachronus Lesion Osteosarcoma Scapula (D) 3/11 Pre op Pro Partial Scapulectomy BPJS FEN/FIZ RYN

Pro ORIF Tibia dg interlocking nail,

Terrible triad of elbow (S) 2/11 Hb 12.1 HT 38 AL 17.8 AT 260 PT 12.2 APTT 26.2 Alb FND/RA
6 7C Karmin 76 01397426
CF Tibia Fibula (D) multi segmental
1/11 OP Post debridement ORIF fibula dg IM wire, ORIF BPJS
3.2 Cr 0.9 Ur 18 Na 135 K 3.5 Cl 105 HbsAg NR H
RYN
olecranon dg TBW
Perbaikan KU oleh TS Paru & 3/11 OT 64 PT 96 Alb 2,7 Na 130 K 3,7 Cl 103
Anggrek
Hengky Paraplegia Inf erior LMN Tyoe e.c Destruksi Vth Interna, Peningkatan OT/PT(OAT Paru 27/10 Hb 11.5 Ht 39 AL 9,1 AT 520 PT 11.7 APTT 31 GDS
1 7 5J
Tatompo
24 01396777
11 e.c Susp Spondilitis TB
TB Paru Aktif 28/10 WD Stop)Advis dr. RVA : MRI
BPJS
Interna 124 Alb 3,8 Na 133 K 5,2 Ca 1.21 GOT 135 GPT 126 Bil tot
TAN/AIP RVA
Thorakolumbal (6/10) 0.44
Iksan Tetraparese UMN type ec destruksi VC 7 susp
8 14 B
Pamungkas
53 01396783
MBD dd Infeksi
Tetraparese ec MBD 31/10 WD Cek lab MST, Bone survey BPJS Neuro 29/10 Hb 10,6 Ht 33 AL 9,4 AT 432 GOT 130 GPT 83 Cr 0,4 HAN/FIZ RYN

Anemia perbaikan KU
Desktruksi head femur S post THR ai MBD 1/11 Hb 10,3 AL 8,3 AT 201
9 16A Novita Silvia 37 01248494 Ca Nasofaring post 2/11 Zometa (+) BLPL BPJS HAN/FIZ RYN
Melati 3 30/10 Hb 7.7 AL 9.0 AT 219 LED 84
KemoRadioterapi

Post 2/11 Hb 14.0 HT 43 AL 8.6 AT 241 GolDa O PT 13.7 APTT

Post Explorasi + Pertahankan slab
10 20C Waluyo 50 01397417 Ruptur tendon extensor hallucis longus pedis (S) 1/11 2/11 BPJS RAH 30.2 GDS 80 Alb 3.5 Cr 0.9 Ur 19 Na 139 K 4.3 Cl 106 DDI/RAH RYN
OP repair tendon Medikasi / 2 hari-BLPL
HbsAg NR
Perbaikan KU
Anemia Transfusi PRC + Koreksi Elektrolit 31/10 Hb 8,8 Ht 29 Al 12.2 AT 99 Na 131 K 2.4 Cl 100
CF Patologis R. Proximal Femur (S) e.c small
11 603B Shohibudin 46 01368585
round cell carcinoma post kemoterapi
Hipokalemia 29/10 WD + MRI Hip Femur (D), bila BPJS 28/10 LED 121 ALP 123 Prot total 6,7 alb 2,9 Glob 3.8 LDH HAN/FIZ RYN
Hiponatremia salvageable pro HA – KU baik 384 hs CRP 10.05
BLPL jadwal ulang
Non Union Fr. Phalang Prox digiti II,III, IV, V
Pro ROI pedis +
Flam 6 manus (D) Post ORIF Crosspinning dgn Stiff 3/11 Hb 11,7 AL 7,9 AT 255 GDS 94 Alb 3,7 Cr 0,5 Ur 14 Na
12 611C Muharomah 17 01386485
finger dan MCP + Union Fr. Phalang prox digiti OP manus + manipulasi BPJS
137 K 3,9 Cl 106 HbsAg NR
HAN//FIZ GIN
ROM
III,IV pedis (D)
Vulnus Degloving 3/11 Hb 11 Al 9,2 AT 165 GDS 102 OT 15 PT 10 Alb 3,3 Cr 1
13 611B
Dwi
19 01397324
OF Phalanx Proximal Digiti III Manus (D) gr. IIIB Regio Dorsum –
1/11
Post 1/11
Post Cito Debridement
Perawatan Post Op UM FIZ B. Plastik
Ur 17 Na 128 K 3 Cl 99
DDI/RAH RYN
Kristianto Open Dislokasi DIP Joint Digiti V Manus (D) Palmar Manus OP + Pinning IM Wire 1/11 Hb13.6 Ht42 AL8.6 AT217 PT14.5 APTT31.6 INR1.21
(Crush Injury) GDS110 Alb4.0 Cr0.9 Ur25 Na139 K2.8 Cl105 HbsAg:NR
MRS Perbaikan KU
Hernia inguinalis
Flamb 7 14 705E Mulyanto 43 01386812 Destruksi Femur (S) e.c Osteosarcoma
Hiponatremia
31/10 WD Pain Management BPJS 1/11 HB 10,6 at 556 al 23.7 Na 118 K 4,7 Alb 2.8 Ur 0,6 Cr 27 HAN/FIZ RYN
MSCT Femur (S) 2/11/17
1/11 Hb 11,8 AL 20,8 AT 274 Alb 3,1 Na 136 K 3,8 Ca 1,18
Bagas Ruptur lien gr V Post Splenectomy Perbaikan KU transfusi PRC Alb B.Anak LHB/RA
melati 2 15 3F
Dzulfiqar
15 01396687 CF Shaft Femur 1/3 tengah (S)
Hematothorax (S)
27/10 pre OP Post WSD S pro ORIF Elektif
BPJS
BTKV
28/10 Hb 8,6 AL 12.0 AT 102 Alb 3.2
H
GIN
27/10 Hb 5.4 AL 10.5 AT 58
OF Intercondiler femur (S) Communitive Type GA
COR E4V5M6 RYN
RGB 16 A Septian 14 01397075
gr I post debridement + CF Intertrochanter Femur
dengan nyeri kepala 31/10
Post 1/11
Perawatan post operasi, Medikasi
BPJS FIZ B.Saraf 1/11 Hb 8 Ht 25 AL 9,9 AT 131 Alb 2,1 Na 130 K 4.7 Ca 1.04
FND/RA
RYN
(S) + CF Shaft Humeri (S) 1/3 proximal tanpa lesi
menetap OP luka/ 2 hari, awasi tanda2 FES
AIP
H
N. Radialis
CF Costae 6
CF collum femur (S) + CF Ramus pubis superior BTKV
ROI 17 J Erna 52 01397358
(S) + CF olecranon non displace
TTA hemodinamik 1/11 pre OP Perbaikan KU + Pro HA BPJS
B. Digest
Hb 8,9 AL 6,3 AT252 PT13.2 APTT27.5 INR1.06 HbsAg:NR TAN / FIZ RYN
stabil