Sabtu, 22 DESEMBER 2018 BEDAH SARAF MIR / DBI /RIR /JUS/MMA/DIP / TAM

Jumlah total pasien : 38 (DBI:2,RIR:4,MMA:5,JUS:5,DIP:8,TAM:13)

GCS
Bangsal Res Kmr Nama Usia No RM MRS = Diagnosa= Status DPJP Plan Penunjang Jaminan
Masuk
An. Hani 10 th 00926213 22/12 COR E4V5M6 Comotio Cerebri E4V5M6 Konservatif HS Awasi KU / VS / Lateralisasi Hb 11 Ht 33 Leu 22 Tromb 377 PT 12.9 APTT 25.2
IGD COR E4V5M6 Oedem Cerebri Pro Urgent Craniotomi
An. Rifki 12 th E4V5M6 Pre Op UA
EDH R. Frontal Vol.17 debridement + Elevasi
Penurunan Kesadaran ai tumor cerebri 16/12 Hb 13.2 Ht 41 Leu 4.9 Tromb 279 PT 12.3 APTT 27.5
MRI kepala kontras dengan
DBI A Painem 47 01442859 16/12 intraaxial R frontal susp olfaktori grup E3V5M6 konservatif UA INR 0.9 GDS 184 Cr 0.4 Ur 8 Na 136 K 3.2 Cl 102 HbsAg BPJS
navigasi 20/12
meningioma NR
Post Craniotomi Evakuasi SDH
20/12 Hb 11.8 Ht 36 Leu 16.2 Tromb 236 GDS 155 Na 135
ROI JUS G Darto 78 01443330 20/12 R. Frontotemporoparietal Dextra dengan E4V5M6 Post Op HS Perawatan post op
K 4.1 Cl 104
Hemiparese Sin
16/12 Hb 11.6 Ht 35 Leu 12.6 Tromb 463 PT 12.7 APTT
JUS J Sumarwi 45 01442866 16/12 Tumor Cerebri R. Temporoparietal (D) E3V4M6 Konservatif UA Awasi KU / VS / Lateralisasi BPJS
23.2 INR 0.98 GDS 110 Cr 0.6 Ur 41 Na 133 K 3.6 Cl 100
10/12 hb 11,1 hct 34 al 8,6 at 246 ae 3,93 cr 0,7 ur 32 na 135 k
POST VP SHUNT AI Hidrocephalus POST op
ICU MMA 17 Antonius 38 01442535 Paru 13/12
komunikan dg meningoenchepalitis TB
E2V2M2
14/12
HS Perawatan post op 3,5 cl 105 BPJS

20/12 Hb 14.6 Ht 44 Leu 21.5 Tromb 224 PT 13.2 APTT

COR E4V5M6 dengan Nyeri Kepala Awasi KUVS GCS
RIR C Alexander 21 01443456 21/12 E4V5M6 Konservatif HS 25.4 INR 1.020 GDS 117 Cr 1.0 Ur 27 Na 132 K 3.3 Ca BPJS
Commotio Cerebri + Hiponatreima Lateralisasi
1.11 HbsAg NR
COS E2V2M5 21/12 Hb 10.5 Ht 31 Leu 12.3 Tromb 428 Na 128 K 4.2 Ca
Awasi ketat KUVS GCS
RGB DIP J Piscalita D 16 01442260 11/12 CF clavicula D 1l3 tengah, CF shaft femur D
1/3 tengah
E2V2M5 konservatif UA
lateralisasi
1.19
19/12 hb 9,9 hct 29 al 11,8 at 419 ae 3,23 na 128 k 4,1 cl 93
BPJS

20/12 Hb 12.2 Ht 36 Leu 5.7 Tromb 163 PT 12.4 APTT 29.1

Post VP Shunt a.i Post Op Awasi ketat KUVS GCS
DIP K Sukono 40 01443451 21/12 E4V5M6 HS INR 0.950 GDS 97 Ur 39 Cr 1.0 Na 133 K 3.6 Ca 1.13 BPJS
Hidrocephalus Non Communican 21/12 lateralisasi
HbsAg NR
Post laminektomi + Fusi a.i Post op
JUS L Mulyani 56 th 01442478 19/12 E4V5M6 HS Foto LumboSacral AP/Lat 21/12 Hb 11.1 Ht 33 Leu 8.6 Tromb 241 Eri 3.64 BPJS
Spondilolistesis VL 5-VS1 21/12
19/12 Hb 13.2 Ht 43 Leu 22 Tromb 383 Na 137 K 3.9 Ca
Post op 1.22
PICU TAM D Widya Irawan 15 01424749 29/11 Post craniotomi eksisi tumor ai tumor CPA E4V5M6
19/12
HS Pro craniotomi eksisi tumor
12/12 hb 14,2 hct 46 al 10,2 at 386 ae 5,52 ur 22 cr 0,8 na 140
BPJS
k 3,9 cl 103
20/12 Hb 17.4 Ht 49 Leu 9.7 Tromb 195 PT 11.7 APTT 28.1
Neuro Post op
MMA C Sugiyono 38 01440858 Abses cerebellum S E4V5M6 HS Pro vp shunt INR 0.880 N 131 K 3.7 Cl 95 BPJS
13/12 21/12
10/12 HB 15 HT 44 AL 9 AT 249 NA 127 K 3.4 CA 1.18
Post kraniotomi eksisi tumor ai tumor cerebri 17/12 Na 135 K 2.7 Cl 98
POST OP
TAM J Sumi 62 01440254 23/11 a/r temporoparietal s E4V2M5 UA Perawatan Post Op 22/11 hb 11,1 hct 35 Al 12,9 tromb 317 Ae 3,93 pt 12,8 aptt 27,1 BPJS
14/12
HCU Post eksisi debridement ai wound infeksi gds 337 sgot 23 sgpt 16 cr 1.1 ur 59 na 145 k 2,8 cl 108
20/12 Hb 14.3 Ht 43 Leu 17.1 Tromb 213 GDS 234 Na 134
ANGG 2 Post Craniotomi eksisi tumor ec. Tumor
Post op Awasi ketat KUVS GCS K 3.4 Ca 1.25
TAM K Sri Suparti 53 01432328 30/11 cerebri R temporoparietal S susp E4V5M6 HS BPJS
20/12 lateralisasi 19/12 hb 13,9 hct 41 al 10,6 at 203 ae 4,52 sgot 17 sgpt 10 alb
meningioma
4,1 cr 0,6 ur 17 na 135 k 3,6 cl 105
Recurent ICH Post Craniotomi + Epilepsi Awasi ketat KUVS GCS 19/12 Hb 10.3 Ht 34 Leuko 8.5 Tromb 348 PT 12.3 APTT
MMA I Sulastri 54 01443310 19/12 E3V1M5 Work Up HS
simptomatic lateralisasi 24.2 INR 0.940
Post VP Shunt a.i Hydrocephalus ec tumor 15/12 GDS 111 Ur 29 Cr 0.4
MEL 2 DIP 3F Rizki Ansah 7 01440984 15/12
R glandula pineal
E3V3M4 Pre op UA Pro craniotomi excisi tumor
14/12 Hb 10.6 Ht 34 Leu 5.6
UMUM

15/12 Hb 12.8 Ht 38 Leu 5.5 Tromb 341 PT 12.4 APTT 32.1

MEL 3 RIR 4C Kilau 10 01362397 13/12 Tumor cerebri E4V5M6 Pre op FE
Pro Craniotomi Eksisi Tumor
GDS 76 Cr 0.5 Ur 16 Na 133 K 4 Cl 98 BPJS
Dg Mri Cd Navigasi
26/9 HB 14 HT 42 AL 7 AT 203 AE 4.6 PT 11 APTT 3
8/12 hb10,5 hct 32 al 14,0 at 385 ae ,45
Post craniotomi evakuasi sdh+ICH ai SDH+ Post op Perawatan post op
MMA 602D Ariyanto 32 01441128 1/12 E2V2M5 HS 1/12 hb 8,5 hct 25 al 17,3 tromb 121 ae 2,71 pt 14,3 aptt 27,6 BPJS
ICH R frontal S 1/12 Konsul Gizi
gds 101 alb 2,4 na 134 k 4,7 cl 1,18
Awasi ketat KUVS GCS 10/12 hb 11,1 hct 34 al 8,6 at 246 ae 3,93 cr 0,7 ur 32 na 135 k
RIR 603C Haryanti 60 01442071 9/12 IVH, Hidrocephalus non komunikan, B20 E3V4M5 konservatif FE lateralisasi 3,5 cl 105
BPJS
Konsul Neuro 9/12 HB 14 HT 42 AL 7 AT 203 AE 4.6 PT 11 APTT 30
COR GCS E4V5M6 dg nyeri kepala
menetap, oedem cerebri, SAH
DIP 606A Sri Rochajati 47 01263929 11/12 E4V5M6 konservatif UA Awasi ku / vs / lateralisasi 10/12 hb 14,4 hct 4 al 18,7 at 03 ae 4,58 hbsag reactive BPJS
Rtemporoparietalis
Vulnus laceratum R dorsum pedis S
Pro Craniotomi Eksisi Tumor
DIP 607B Ngadimin 59 01435595 17/12 Tumor CPA (D) DD. Meningioma E4V5M6 Pre Op FE 08/11 Ur 0.7 Cr 13 HbsAg NR
(edukasi)
FLb 6 DIP 606B Lami 51 01439469 13/12 Susp meningioma E4V5M6 Pre op HS
Pro Craniotomi Eksisi Tumor
BPJS
(edukasi)
 Pro laminektomi +
DIP 608C Sri Rahayu 61 01441759 14/12 Spondilolisthesis L5, LBP E4V5M6 Pre op HS
stabilisasi fusi (26/12)
post craniotomi evakuasi edh ai cos gcs 16/12 Hb 11.4 Ht 35 Leu 14.1 Tromb 331 Eri 4.15
POST OP
MMA 609 C Galuh Irvan 13 01442039 9/12 e3v4m5, EDH SAH R. parietalis S E2V3M4 FE Perawatan post op 13/12 HB 10.8 HT 32 AL 21.2 AT 218 AE 3.7 GDS 131 BPJS
13/12
Parietoocipital, ALB 3.2 NA 130 K 4.6 CL 95 CA 1.14
13/12 Hb 12.9 Ht 41 Leu 11.5 Tromb 259 Na 132 K 3.3
Post revisi vp shunt Hidrocephalus post op
RIR 611A Jawi 19 00786883 23/11 E4V5M6 HS Perawatan post op 10/12 hb 13,3 hct 41 al 13,1 at 253 ae 5,82 cr 0,7 ur na 136 BPJS
komunican post VP shunt 11/12
k 3,9 cl 110
Onko Hemiparese S, hidropneumothorak, Ca Pro CT-scan kepala dg
FLb 7 DIP 702E Tatik 47 01276952
17/12 mamae on kmeo
E4V5M6 Work up UA
kontras(21/12)
18/12 hb 10,5 hct 36 al 23,6 at 446 ae 392, BPJS

Tumor cerebri fossa posterior post vp shunt 4/12 hb 12,9 hct 38 al 15,2 tromb 345 ae 4,29 na 135 k 4,1 cl
TAM 1011 A Jarot 31 01275227 4/12 E4V5M6 4//12 HS Pro craniotomi eksisi tumor BPJS
dd hemangioblastoma, astrocitoma 103

COS E3V4M5, oedem cerebri Awasi KUVS GCS 18/12 hb 11,5 hct 36 al 27,1 ae 251 ae 3,86 cr 0,9 ur 31 na 135
DBI 1011 B Tri Astuti 25 0144194 18/12 E3V4M5 konservatif HS Umum
Fr maxila S, fr arc zygoma S Lateralisasi k ,5 cl 98
21/12 Na 124 K 2.8 Cl 88
Hidrocephalus non komunikan susp tumor 19/12 hb 14,5 hct 42 al 12,1 at 156 ae 4,97 na 125 k 3,6 cl 85
TAM 1011 C Arin Suyatni 46 01440872 29/11 E4V5M6 Pre op HS Pro VP Shunt BPJS
cerebellum 16/12 hb 12,7 hct 38 al 7,8 at 150 ae 4,50 gds 426 cr 0,4
ur 43 na 113 k 3,2 cl 79
TAM 1011 D Maryuni 54 01437711 10/12 Falx meningioma parietalis E4V5M6 Pre op HS Pro Craniotomi Eksisi Tumor BPJS

Kanal Stenosis L4-L5

FLb 10 TAM 1011 E Sumirih 48 01438790 15/12
Spondilokulosisi L5
E4V5M6 Pre Op UA Pro laminektomi dekompresi BPJS
19/12 hb 11,4 hct 33 al 18,1 at 353 ae 3,94 na 126 k 5,7 cl 94
Post craniotomi eksisi tumor ai tumor R Post op Awasi KU / VS, manitol
TAM 1012 A Purwati 45 01405047 29/11 E4V5M6 HS cr 0,5 ur 29 BPJS
olfactori growth meningioma 3/12 100/8jam,
Perwatan post op
Post craniotomi dekompresi ai ICH R. Post op 17/12 hb 10,8 hct 33 al 19,7 at 210 ae ,43 na 141 k 3,6 ca ion
JUS 1012 B Pariyem 59 01442795 15/12 E4V5M6 UA Awasi KU/VS/ BPJS
Capsula Externa, IVH GCS E4V5M6 17/12 1,10
GCS/Lateralisasi
TAM 1012 C Suyati 45 01428343 20/12 Tumor Cerebri R. Temporal D E4V5M6 Pre Op UA Pro Craniotomi eksisi tumor BPJS
Penkes, glioblastoma gr IV post craniotomi
TAM 1012E Sadinem 53 01433170 23/11 E2V2M4 Work up UA Paliatif 23/11 Hb 10,3 hct 34, al 10, at 367, na 138, BPJS
eksisi tumor, hemiplegia S
Awasi kuvs GCS lateralisasi 19/12 Hb 12.1 Ht 36 Ht 12.7 Tromb 165 PT 13.3 APTT 28.6
TAM 1013 A Dasuki 75 01443283 20/12 COR E4V5M6 Konservatif HS
INR 1030 GDS 151 Cr 1 Ur 59 HbsAg NR
COR GCS E3V5M6, subdural higroma R
pro mri kepala kontras + 13/12 HB HB 14.5 HT 41 AL 11 AT 253 AE 4.5 GOLDA AB GDS
JUS 1013 B Ely Sarbono 50 01442648 14/12 frontotemporoparietal D, enchepalomalacia R E3V5M6 KONSERVATIF UA BPJS
navigasi 21/12 161 CR 0.6 CR 35 HBSAG NR
occipitatotemporoparietal D
TAM 1013 D Saeno 53 01441643 20/12 Skull Defect R. Temporoparietal D E4V5M6 Pre Op UA Pro Craniotomi eksisi tumor