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DAFTAR PASIEN BEDAH SARAF RSUP HAM dr.

Ridha : dr238
DIVISI ONKOLOGI
Senin, 26 Maret 2019

RA4BS
No Ruangan Tgl Masuk MR Nama Umur Op Diagnosis Lab Radiologi Rencana Divisi
1 RA4BS 16/03/19 774422 Pretty Ginting 44th/P SOL Intracranial 21/03/19 16/03/2019 Terapi sesuai Onko
3.3.4 Dr. Ridha, + hiponatremia Na/K/Cl : 138/4.1/106 Thorax: RM 8.1
Sp.BS Suspek metastase dd/ lesi R/ operasi
16/03/19 primer paru besok
Hb/Ht/Leu/Plt : Saran: CT-scan thorax
15.5/43/18.350/334.000 dengan kontras IV
Na/K/Cl : 124/3.9/94
pH/pCO2/pO2/HCO3/BE:
7.49/26/172/19.8/20.6/-2.2
BUN/Ur/Cr: 11/24/0.68
2 RA4BS 17/03/19 771908 Gani br. 54th/P CPA Tumor 22/03/19 17/03/2019 Terapi sesuai Onko
3.5.3 Dr. Ridha, Ginting KGDp: 175 Thorax: RM 8.1
Sp.BS KGD2pp: 209 Aorta elongasi R/ operasi hari
HbA1c: 8.3 Tidak tampak tanda-tanda ini
metastase
19/03/19
Na/K/Cl: 133/4/105 25/03/2019
Thorax:
17/03/19 Tidak tampak kelainan
Hb/Ht/Leu/Plt: pada cor dan pulmo
13.1/37/8.700/308.000
Na/K/Cl: 129/3.8/94
KGD: 215
BUN/Ur/Cr: 8/17/0.67
PT/aPTT/TT: 14.8/48.5/17.5
pH/pCo2/pO2/BE/SaO2:
7.49/29/195/99

25/03/2019
Hb/Ht/Leu/Plt:
14.1/41/21.400/255.000
Na/K/Cl: 135/4/104
KGD: 224
BUN/Ur/Cr: 12/26/0.74
pH/pCo2/pO2/BE/SaO2:
7.4/31/190/20.1/-3.5/100
Kol.Tot/Trigliserida/HDL/LDL:
211/146/46/143
3 RA4BS 19/03/19 666102 Leni Liani 25th/P SOL Intracranial 19/03/19 19/3/2019 Terapi sesuai Onko
3.5.1 Dr. Ridha, + Ca ovarium Hb/Ht/Leu/Plt : Thorax: RM 8.1
Sp.BS 13.5/37/5.020/80.000 Aorta Elongasi R/ MRI Brain
Na/K/Cl : 131/3.4/98 IV contrast
pH/pCO2/pO2/HCO3/BE: Head CT Scan:
7.46/29/226/20.6/-2.2 Suspect SOL di lobus
BUN/Ur/Cr: 9/19/0.62 fronto-temporo-parieto-
PT/aPTT: 12.6/26.8 occipital sinistra

24/03/19
Hb/Ht/Leu/Plt :
10.7/31/8.960/450.000
Na/K/Cl : 137/4.1/106
pH/pCO2/pO2/HCO3/BE:
7.4/33/174.7/21.4/22.4/-2.4
KGDS:190

4 RA4BS 28/02/19 77.29.09 Suria Pratiwi 32 th/P SOL 17/03/19: 15/03/2019 - Terapi sesuai Onko
2.5.1 Dr. Ridha, Intrakranialo/t Hb/Ht/Leu/Plt : Thorax: RM 8.1
Sp.BS (L) temporal 12.6/39/14.220/380.000 Susp. Effusi pleura kiri
KGDS : 180 ETT & CVC terpasang
Na/K/Cl : 138/4.6/99 11/03/19
pH/pCO2/pO2/HCO3/BE: Head CT Scan:
7.46/41/87/29.2/4.9 Meningioma pada daerah
temporo-parietalis kanan
16/03/19 dengan herniasi subfalcin
Hb/Ht/Leu/Plt : ke kiri, edema serebri
12.6/38/16.850/353.000 terutama hemisfer kanan
dan ventrikulomegali
KGDS : 130
ventrikel lateralis kiri.
Na/K/Cl : 132/4.6/95 Defek os temporo-
pH/pCO2/pO2/HCO3/BE: parietalis kanan (post op)
7.5/28/164/21.8/-0.4
14/03/19 04/03/19
KGDS : 111 (15/03/19) Infiltrat perihiler kiri
Na/K/Cl : 134/4.3/98
pH/pCO2/pO2/HCO3/CO2/BE:
7.43/38.5/77/26/27/2

13/03/19
Hb/Ht/Leu/Plt :
11.6/35/14.630/288.000
KGDS : 189
Na/K/Cl : 126/3.9/95
pH/pCO2/pO2/HCO3/CO2/BE:
7.47/30/97/21.8/22.7/-1.0

17/03/19
Hb/Ht/Leu/Plt :
12.6/39/14.220/380.000
Na/K/Cl : 138/4.6/99
KGDS : 180
pH/pCO2/pO2/HCO3/CO2/BE:
7.4/41/87/29.2/30.5/4.9

5 RA4 BS 23/03/19 774652 Muhammad 21th/L SOL Intracranial 21/03/19 21/3/2019 Terapi sesuai Onko
3.3.5 Dr. Ridha, Ridowan dd sinis Hb/Ht/Leu/Plt : Thorax: RM 8.1
Sp.BS cavernosus 17/49/5.810/332.000 Tidak tamapak metastasis
meningioma Na/K/Cl : 140/4.9/105 paru
BUN/Ur/Cr: 16/34/1.54
PT/aPTT/TT: 13.5/26.2/13.2 23/032019
Thorax:
25/03/2019 Tidak tampak kelainan
Na/K/Cl : 134/33/100 pada cord an pulmo

6 RA4 BS 25/03/19 775300 Syahrul 25th/L SOL Intracranial 25/03/19 25/03/2019 Terapi sesuai Onko
3.3.4 Dr.Ridha Ramadhan Hb/Ht/Leu/Plt: Head CT Scan: RM 8.1
Sp.BS 12.9/37/16.200/504.000 SOL intracranial disertai
Na/K/Cl : 128/3.6/94 edema disekitarnya di
BUN/Ur/Cr: 13/28/0.76 lobus temporoparietal kiri
PT/aPTT/TT: 16.5/39.8/17.2 dan herniasi subfalcin ke
kanan.
7 RA4BS 25/03/19 774786 Areh Kliat 53th/L SOL Intracranial 25/03/19 25/03/2019 Terapi sesuai Onko
3.3.6 Dr.Ridha dd/: Kista Hb/Ht/Leu/Plt: Head CT Scan: RM 8.1
Sp.BS 11.8/33/6.590/273.000 Lesi hipodens multiple di
Na/K/Cl : 134/2.9/93 lobus parietal kiri disertai
BUN/Ur/Cr: 16/34/1.63 herniasi subfacin ke kanan
PT/aPTT/TT: 12.6/36.3/19.6

8. RA4BS 26/03/19 726625 Robekka 34th/P Obs.Konvulsi + 25/03/19 Terapi sesuai Onko
2.5.4 Dr.Ridha Matanari anaplastic Hb/Ht/Leu/Plt: RM 8.1
Sp.BS astrositoma 14.4/39/7.480/297.00
Na/K/Cl : 133/4.3/99
BUN/Ur/Cr: 9/19/0.71
PT/aPTT/TT: 12.2/31.3/15.7

RA
9 RA6 28/02/19 756136 Dra. 52th/P 22/3/19 Makroadenoma 23/03/19 15/03/19 Terapi sesuai Onko
1.1.2 Dr. Ridha, Erlinawati hipofisis pH/pCO2/pO2/HCO3/CO2/BE: Thorax Dewasa PA RM 8.1
Sp.BS 7.31/32/196/16.1/17.1/-9.1 Tidak tampak kelainan
KGDp: 565 pada cor dan pulmo
Aorta elongasi-kalsifikasi
21/03/19
KGDS: 338
20/03/19
KGDp: 351
KGD2pp: 338
KGDs: 539

19/03/19
Na/K/Cl: 137/4.6/103

18/03/19
KGDp: 246
KGD2pp: 379

15/03/19
KGDs: 352
KGD2pp: 497

14/03/19
Hb/Ht/Leu/Plt:
13.4/40/6.560/287.000
BUN/Ur/Cr :8/17/0.9
Na/K/Cl : 126/4.8/95
KGDs: 445

15/03/19
KGDs: 365
1 RA6 24/03/19 724068 Johan 18th/L SOL Intracranial 24/03/19 24/03/2019 Terapi sesuai Onko
0 1.2.2 Dr. Ridha, Sihombing + Post VP Shunt Hb/Ht/Leu/Plt: Head CT Scan: RM 8.1
Sp.BS 9.0/26/10.620/267.000 Serebral atrofi
BUN/Ur/Cr :25/54/1.85
Na/K/Cl : 120/2.7/93
KGDs: 74

25/03/19
Na/K/Cl : 140/3/106

1 HCU RA Konsul 751755 Budi


1 Bed 3 Dr.Ridha
Sp.BS

RB

ICU Pasbed
PAVILIUN
12 ICU 02/01/19 76.27.06 Josep 52 thn/ - Post tumor 21/03/19 15/02/2019 -Terapi Onko
Paviliun dr.Ridha, Barus Lk 04/01/2 Removal d/t pH/pCO2/pO2/HCO3/BE: MSCT Scan Head Sesuai RM
Bed 1 Sp.BS 019 CPA Tumor 7.42/48/129/31.1/5.6 Tidak jelas terlihat adanya 8.1
- KGDs: 153 residu tumor hemorrhage
pada temporal kanan +
30/11/2 herniasi eksterna pada
018 (VP 19/03/2019
Hb/Ht/Leu/PLT: temporal kanan
Shunt)
9.2/26/15.420/245.000
Na/K/Cl: 133/3.3/98 11/01/2019
pH/pCO2/pO2/HCO3/CO2/BE: MSCT Scan Head
Post craniotomy os
7.40/39.0/114/24.2//-0.5
mastoid dantemporo-
KGDs: 148
parietal kanan dengan
fokal herniasi eksternal
18/03/19
parenkim temporal kanan
pH/pCO2/pO2/HCO3/CO2/BE: + sugestif edema temporal
7.49/30/199/22.9/23.8/0.3 kanan, tidak tampak jelas
KGDP: 126 adanya residu. Terpasang
KGD2PP: 228 VP Shunt dengan ujung
distal pada ventrikel III.
17/03/19
pH/pCO2/pO2/HCO3/CO2/BE: Hasil PA:
7.53/24/198/20.1/20.8/-1.2 Jaringan cerebellum
KGDs: 107 denganperdarahaninterstisi
al,
16/03/2019 pembuluhdarahkongestida
Hb/Ht/Leu/PLT: nsedikitreaksiradang.
9.7/28/13.430/323.000
pH/pCO2/pO2/HCO3/CO2/BE:
7.5/26/190/20.3/21.1/-1.6

15/03/19
pH/pCO2/pO2/HCO3/CO2/BE:
7.38/37/193/21.9/23/-2.8
Albumin: 2.6
KGDs: 125
14/03/19
KGDS : 116
Na/K/Cl : 130/3.3/105
pH/pCO2/pO2/HCO3/CO2/BE:
7.32/31.3/171.3/16.4/17/-10

13/03/2019
Hb/Ht/Leu/PLT:
9.9/29/14.720/314.000
Na/K/Cl:
135/3.2/106
pH/pCO2/pO2/HCO3/CO2/BE:
7.41/23.9/173/15.2/16/-9

Analisa CSF 08/03/2019


Warna: jernih
LDH: 30
Total protein: 16
Jlhleu: 0.014
Jlheri: 0.000
Glukosa: 84
pH: 8
MN sel: 71.4
PMNsel : 28.6

23/03/2019
Hb/Ht/Leu/PLT:
10.5/31/8.420/350.000

24/03/2019
GDS: 152

25/03/2019
pH/pCO2/pO2/HCO3/CO2/BE:
7.38/53/158/31.4/33/5

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