Rabu, 13 Juni 2018 BEDAH DIGESTIF HRE/SOE/SWR/MIR/GIH/PBP/TWN/DEF

P
BED Nama Usia Tgl msk Diagnosis Status Plan Pemeriksaan Penunjang
DR
11/6 hb 11.6 ht 36 al 28.3 at 472 ae 3.95 gds 122 alb 2.8 na 132 k 4.6 cl 101
9/6 HB 11.3 HT 34 AL 27.6 AT 391 AE 3.85 GOLDA B SGOT 12 SGPT 17 ALB 3.3 CR 0.5 UR 23 NA 131
Sumarti IGD Post laparotomi eksplorasi + omentektomy Post op K 3.4 CL 100
A 39 AR Perawatan Post OP
01421690 8/6 cholesistoyeyunostomy ai suspek ruptur CBD 11/6 5/6 CT SCAN ABDOMEN TANPA KONTRAS : lesi ireguler uk 3.79x3.11x4.43 cm disertai dengan cairan
bebas di fosa vesika felea. Dd sisa kandung empedu dan adhesi omentum
29/5 HB 12.5 AL 18.01 SGOT 13 SGPT 17 HBSAG nr
12/6 GDS 289
Pardijati IGD
ROI F
01421726
79
9/6
Hematoschezia susp tumor rectum KU AR Perbaikan KU 11/6 HB 10.1 HT 30 AL 23.0 AT 211 AE 3.49 kol total 107 LDL 60 HDL 27 TG 200
9/6 Hb 8,5 AL 28,2 AT 287 PT 15,5 APTT 23,1
12/6 hb 11.2 ht 34 al 19.9 at 465 ae 3.55 alb 2.8 na 138 k 4.5 cl 115
11/6 hb 9.0 ht 29 al 12.4 at 202 ae 3.02 gds 137 alb 1.0 na 137 k 3.8 cl 118 ca 1.12
10/6 pt 14.9 aptt 27.9 inr 1.190 alb 2.6 cr 0.4 ur 41 na 138 k 4.5 cl 115
8/6 hb 12.0 ht 36 al 10.8 at 496 ae 3.91
8/6 msct : 1. Subpleural type, pneumonic type dan noduler type pulmonal metastase, 2. Nodul tiroid,
Partiyem IGD Post laparotomi eksplorasi + biopsi + adhesiolisis ai Pre OP multiple nodul hepar dan pleural nodul netastase, 3. Limphodenophati axila bilateral, station 4R, 4. Ascites
1 55 AR Perawatan post op
01410501 4/6 Tumor Intraabdomen ec metastase ke sisterna usus 10/3 7/6 Golda B HB 8.7 HT 29 AL 10.9 AT 618 AE 3.00 CEA <0.05CA125 > 600
6/6 PA ; Metastasis adeno Ca (sitologi cairan pleura)
4/6 Thorak PA : 1. Cor tak valid dinilai, 2. Efusi pleura bilateral, 3. Terpasang WSD dari sisi dekstra dengan
TIP terproyeksi setinggi SIC 3 posterior dekstra
ICU 3/6 Hb 10.7 ht 32 al 16.3 at 819 ae 3.59 sgot 19 sgpt 3 gds 168 alb 3.4 cr 0.7 ur 33
3/3 PA : Omentum : Metastasis adeno carcinoma
12/6 Hb 8.6 ht 27 al 6.9 at 105 ae 2.95 pt 20.8 aptt 41.4 inr 1.800 gds 113 alb 1.7 cr 1.6 ur 101 na 133 k
Siti 2.9 cl 107
IGD Post OP
4 Mukarrohmah 65 Post laparotomi eksplorasi ai Ileus obstruktif AR Perawatan post OP 12/6 hb 10.3 ht 31 al 10.5 at 196 PT 17.3 APTT 44.1 ALB 3.0 CR 1.7 UR 97 NA 134 K 3.0 CL 1.06
11/6 12/6
01366521 11/6 HB 6.8 HT 21 AL 13.4 AT 462 AE 2.1 GOLDA O PT 39.9 APTT 44.6 INR 4.470 GDS 107 SGOT 11
SGPT 9 ALB 2.3 CR 1.1 UR 56 NA 119 K 3.4 CL 93 HBSAG NR
Ernawati IGD Post Laparotomi eksplorasi + adhesiolisis + biopsi + Post OP 11/6 cr 4.8 ur 301 na 142 k 3.6 ca 1.04
15 35 IBB Perawatan post OP
01421702 9/6 PA 9/6 9/6 HB 10.1 HT 31 AL 3.7 AT 140 AE 3.54 GDS 155 ALB 2.1 CR 4.0 UR 307 NA 137 K 3.4 CL 113

12/6 HB 10.3 HT 30 AL 11.0 AT 23 AE 3.31

11/6 hb 11.1 ht 32 al 10.0 at 41 ae 3.53 na 128 k 4.7 cl 105
9/6 Hb 8.8 ht 24 al 6.7 at 65 ae 2.82 gds 110 alb 2.3 cr 2.1 ur 184 na123 k 4.6 cl 98
7/6 HB 10.8 HT 30 AL 8.6 AT 105 AE 3.41 ALB 2.8 CR 1.8 UR 145 NA 129 K 5.1 CL 105
5/6 GDS 109 Alb 2,9

RGB
Safuan IGD Post Laparotomi + Cholesistektomi + appendikstomi Post OP Perawatan Post OP 4/6 hb 10.0 ht 28 al 5.8 at 422 ae 3.16 pt 15.3 aptt 37.7 inr 1.230 gds 90 alb 2.6 cr 1.8 ur 138 na 130 k 6.3
A 72 AR
01420166 24/5 ai ileus obstruktif ec suspek tb usus 24/5 ca 1.18
31/5 hb 10.0 ht 28 al 2.5 at 212 ae 3.19 alb 2.6
30/5 Hb 9,7 AL 2,9 AT 142 Alb 2,3
25/5 LED 26 CEA 9,14
25/5 Ro thorax: Pneumonia
23/5 Hb 10.7 Ht 32 al 6.6 at 121 ae 3.61
9/6 hb 9.8 ht 29 al 4.8 at 258 ae 3.19 at 17.4 aptt 58.8 inr 1.440 alb 2.8 na 130 k 3.0 cl 100 hbsag NR
7/6 hb 11.3 ht 34 al 9.4 at 301
Choirul huda Interna Pre OP
Melati 3 8A
01419208
53
8/6
Choledocolithiasis post ERCP
10/6
AR Pro laparotomi biliodigest 4/6 kol total 264 ldl 125 hdl 19 tg 437
3/6 hb 10.4 ht 28 al 7.1 at 212 ae 3.3 pt 12.9 aptt 31.6 inr 1.030 gds 360 alb 3.0 cr 0.7 ur 34 na 131 k 3.6
ca 1.20
9/6 hb 11.0 ht 36 al 10.0 at 108 ae 4.3 pt 13 aptt 29.5 inr 1.040alb 2.9 na 156 k 2.9 cl 135 hbsag rapid NR
Wing 2E
Ansori
57
Interna
Post Gastrotomy ai Adeno Ca Esofagus
Post op
AR Perawatan post OP 9/6 hb 10.9 ht 34 al 9.7 at 108 ae 4.08 na 162 k 3.8 ca 1.35
Melati 3 01419785 8/6 11/6
4/6 bone survey : lesi litik di calvaria dan proksimal os radius bilateral dapat merupakan bone metastasis
12/6 hb 11.9 ht 38 al 11.1 at 276 ae 4.23 alb 2.8 cr 0.7 ur 32 na 133 k 3.9 ca 1.10
Interna Post Laparotomi eksplorasi ai Adeno Ca Recti Post OP 8/6 Hb 10.8 HT 35 al 14.4 at 170 ae 4.20 golda B rh + pt 13.0 aptt 29.3 inr 0.950 gds 76 sgot 114 sgpt 33
D Darmanto 45 AR Perawatan post op
HCU 8/6 Sigmoid 12/6 alb 2.9 cr 0.6 ur 19 na 135 k 4.0 cl 103HbsAG NR
5/6 PA : adeno carcinoma
melati 12/6 hb 133 k 4.0 ca 1.09
1 M Nanik Sri 54
IGD Inkontinensia alvi
KU AR Perbaikan KU
11/6 HB 11.2 HT 35 AL 2.4 AL 246 AE 4.18 NA 119 K 4.6 CL 1.01
11/6 Riwayat CVA 10/6 Thorak PA : cor dan pulmo normal, dilatasi gaster
10/6 bno 3 posisi : 1. Ileus obstruktif letak rendah
Post total histerektomi ai Mioma geburt bertangkai 12/6 hb 9.7 ht 31 al 14.2 at 309 ae 3.71
Obsgin Post op
2B Sri Haryanti 41 besar + inkompatibilitas rhesus + riwayat sc 13 th yg AR Perawatan post op 11/6 AU 5.2 Kol total 238 LDL 133 hdl 58 TG 119 HBSAG nr
9/6 12/6
lalu 2/6 HB 11.1 HT 37 AL 10.2 T 424 AE 4.98
Mawar 1 7/6 hb 13.2 ht 40 al 7.6 at 292 ae 4.64 pt 13.5 aptt 31.4 gds 86 sgot 27 sgpt 14 alb 4.4 cr 0.5 ur 19 na 138
Erma Ayu Obsgin Post kistektomi + adhesiolisis ai kista ovarium Post op
8G 25 AR Perawatan Post op K 4.6 cl 108 hbsag NR
01408168 8/6 11/6
7/6 THORAX PA : COR dan paru tak tampak kelainan
12/6 hb 11.0 ht 33 al 4.7 at 121 ae 3.93 gds 81 alb 2.7 na 129 k 4.8 cl 106
Mesiiyem IGD Low intake pada high grade neuroendocrin Perbaikan KU 11/6 hb 8.1 ht 26 al 15.4 at 163 ae 3.16 gds <20 181 sgot 466 sgpt 269 alb 2.4 cr 0.8 ur 217 na 132 k 5.7
2B 45 KU AR
01418235 11/6 carcinoma Transfusi jika hb < 10 mg/dl cl 106 HBSAG rapis NR
Mawar 2 4/6 PA : Gaster : high grade neuroendocrine ca
7/6 HB 12.5 HT 39 AL 7.1 AT 246 GOLDA O RH + PT 12.9 APTT 31.3 ONR 0.940 GDS 104 SGOT 29
Watini Poli Post Kolesistektomi ai Cholelithiasis Post op
4B 45 AR Perawatan post op SGPT 21 BIL TOTAL 0.41 BIL DIREK 0.11 BIL INDIREK 0.3 ALB 4.1 CR 0.6 UR 17 NA 137 K 4.4 CA 1.17
01333083 8/6 Cholesistitits 11/6
HBSAG NR
 11/6 ALB 3.1 NA 141 K 3.4 CL 113
Tumor intra abdoment suspek Malignancy DD susp 10/6 hb 10.9 HT 35 AL 7.7 AT 525 AE 4.47 NA 137 K 3.9 CL 109
Larmi Poli Pre OP
4E 75 GIST AR Pro Laparotomi biliodigest 9/6 HB 8.8 HT 29 AL 8.3 AT 571 AE 3.72 ALB 2.6 golda A
01420685 8/6 11/6
Anemia 7/6 HB 7.6 HT 28 AL 8.0 722 AE 3.87 PT 14.4 APTT 25.5 INR 1.090 GDS 100SGOT 13 SGPT 9 ALB 2.7
CR 0.5 UR 23 NA 140 K 3.2 CA 1.16
Pujo sutopo IGD Observasi tanda akut abdomen 12/6 Hb 14.1 ht 42% al 12.6 at 161 ae 5.02 na 141 k 3.8 cl 110 pt 12.8 aptt 28.3 inr 0.980 alb 4.3 cr 1.0 ur
6E 29 TTA WD AR
01421931 11/6 Cek Hb serial 23 na 142 k 3.4 cl 109

Rano Salim IGD Pre op 11/6 hb 9.6 HT 30 AL 9.2 AT 204 AE 4.77 Golda B PT 14.0 APTT 30.5 INR 1.100 GDS 117 ALB 4.5 CR 1.2
6F 80 Ileus obstruktif AR Pro Laparotomi eksplorasi
O1421926 11/6 11/6 UR 97 NA 134 K 3.7 CL 93 HBSAG NR
12/6 HB 8.0 24% AL 9.3 AT 111 AE 2.76 ALB 2.8
Laparotomi jahit hepar + eksplorasi ai Trauma tumpul 11/6 hb 8.4 ht 25 al 8.2 at 148 ae 2.81 alb 2.9 na 136 k 4.3 cl 0.99
Giyanto IGD Post OP
8A 43 abdomen AR Perawatan Post OP 10/6 HB 10.3 HT 31 AL 8.6 AT 131 AE 3.48 PT 16.2 APTT 32.2 INR 1.320 GDS 175 ALB 2.6 CR 2.6 UR 55
01421736 9/6 10/6
Fr. Interthrokhanter femur s NA 135 K 5.3 CL 110
9/6 USG ABDOMEN : 1. ASCITES, 2. SUSPEK HEPATOMA
Wound Dehisense post colostomy
Supriyanto Poli Perbaikan KU 12/6 hb 9.1 ht 27 al 13.7 at 697 ae 3.45 pt 14.1 aptt 28.4 inr 1.060 gds 82 sgot 32 sgpt 38 alb 3.4 cr 1.8 ur
8C 34 Anemia KU IBB
01327436 12/6 Transfusi prc jik hb < 10 md/dl 82 na 110 k 2.8 ca 1.02 hbsag NR
Hiponatremi
12/6 GDP 320 KOL TOTAL 221 LDL 189 HDL 27 TG 172
11/6 SGOT 50 SGPT 50 ALB 3.4
10/6 GDS 321 CR 0.7 CR 22 NA 132 K 4.9 CL 105
10/6 HB 10.1 HT 29 AL 25.2 AT 857 AE 3.38 PT 15.8 APTT 34.5 INR 1.270
9/6 alb 3.4
8/6 HB 10.1 HT 29 AL 20.2 AT 294 AE 3.43
Post laparotomi splenektomi ai peritonitis 8/6 hb 9.9 ht 27 al 28.7 at 643 ae 3.28
Daud Deni IGD Post OP Perawatan post OP
8D 34 generalisata ec ruptur lien grade 3 AR 5/6 Hb 10,1 AL 20,2 AT 294
01420901 1/6 1/6 FFP 1kolf/hari
Fraktur humerus sinistra 3/6 hb 10.2 ht 28 al 19.0 at 189 at 3.30 alb 3.3 na 135 k 3.6 cl 105
Mawar 2 1/6 Hb 13.6 ht 38 al 15.2 at 122 ae 4.26 pt 16.5 aptt 22.0 inr 1.420 gds 280 alb 2.6 na 132 k 5.1 cl 109
31/5 USG ABDOMEN : Usg fast positif, organ solid tidak dapat dieksplorasi karena keterbatasan posisi
pasien
31/5 BNO 3 posisi ; tak tampak gambaran ileus maupun pneumoperitoneum
31/5 humerus kiri ap/lat : fraktur komplit di 1/3 media os humerus kiri dengan fragment fraktur displaed
disertai soft tisue swelling disekitarnya
12/6 HB 10.7 HT 31 l 4.1 at 167 ae 3.55 sgot 17 sgpt 7 alb 3.0 cr 4.1 ur 62 na 123 k 2.9 cl 94
10/6 HB 11.2 HT 32 AL 4.4 AT 195 AE 3.66 NA 123 K 2.8 CL 99
9/6 9.8 ht 37 al 5.4 at 278 ae 3.38 na 114 k 2.1 cl 89
Wito Wiyono IGD Tumor Hepar + cholesistitis dg cholelithiasis
8I 57 KU IBB Perbaikan KU 8/6 HB 9.5 HT 26 AL 9.0 AT 277 AE 3.31 Golda O RH + PT 13.9 APTT 51.2 INR 1.040 GDS 102 SGOT
01421442 7/6 Anemia dg akut on CKD
31 SGPT 16 BIL TOTAL 0.61 BIL DIREK 0.22 BIL INDIREK 0.4 ALB 3.1 NA 105 K 2.8 CL 76 HBSAG
rapid NR
7/6 CR 4.2 UR 64 HBSAG NR

Post laparotomi Biliodigest +eksplore CBD + 8/6 HB 13.4 HT 41 AL 15.8 AT 177 AE 4.37 ALB 3.4 NA 135 K 4.0 CL 1.17
Joko usmanto IGD Post op Perawatan post op
605B 57 Cholesistotomi ai Obstruksi joundice ec tumor retro IBB 8/6 gds 161 kol total 232 ldl 167 hdl 20 tg 205
01421498 6/6 8/6 Diet clear fluid
ampula + batu vesika velea + batu cbd + cholangitis 6/6 hb 14.4 ht 40 al 8.6 at 178 golda O PT 12.4 APTT 24.5 INR 0.940 GDS 212 SGOT 47 SGPT 143 ALB
3.9 CR 0.5 UR 15 NA 134 K 3.5

13/6 HB 8.9 HT 27 AL 1.9 AT 89 AE 3.49

Sarsini Poli Pro kemoterapi
605D 40 Adeno Ca Sigmoid Kemo AR 12/6 HB 10.0 HT 31 AL 1.9 AT 105 AE 3.91 GDS 103 SGOT 14 SGPT 12 ALB 2.5 CR 0.6 UR 19 NA 135 K
01398806 12/6 Transfusi jika hb < 10mg/dl
3.3 CL 100

FLB 6
12/6 hb 7.9 ht 24 al 9.0 at 240 ae 2.59 golda B SGOT 20 SGPT 6 ALB 3.0 CR 22.0 UR 367 NA 126 K 6.3
Hanggorini Poli CL 99
607C 54 Adeno ca Rekti Kemo AR Pro kemoterapi
01340110 12/6 26/5 PA : Ovarium ilateral : Adeno carcinoma differensiasi buruk metastase ke implant colon
11/11/2017 PA ; Metastase adeno ca rekti

11/6 led 62 alkali fosfatase 51 protein total 7.2 alb 3.8 glb 3.4 au 3.8 ldh 392 hs-crp 0.36
9/6 NA 138 K 3.9 CL 108
Tan Kwie IGD Pre OP Pro eksisi Tumor
611C 67 Soft tissue massa regio abdomen AR 8/6 ALB 3.8 CEA <0.5 CA 19-9 3 CA 125 <4
01420948 7/6 8/6 Konsul onkologi
4/6 hb 11.4 ht 34 al 5.6 at 319 ae 3.53 pt 14.7 aptt 30.1 inr 1.110 gds 112 sgot 27 sgpt 20 alb 3.9 cr 0.8 ur
24 na 139 k 3.4 cl 109hbsag rapid NR

FLB 7

FLB 8