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REGISTER RAWAT INAP TUMBUH KEMBANG DAN PEDIATRIK SOSIAL

PERIODE : 12 APRIL - 30 MEI 2023


MADYA : ABI ANDAYU

No. Tgl/Bln/Thn Nama Pasien Usia MR Alamat No. Telp Diagnosis Klinis Penting Hasil Penunjang Penting Tindakan yang dilakukan Madya Masuk Pulang/ Meninggal

BBLC 3040 gram


Aterm babv
1 16-May-23 Talago Jorong Newborn affected bv sc de iverv due to Resusitasi neonatus, injeksi vitamin K,
VERONIKA MANIK. BY 7 hari 01176084 082362853320 Bayi baru lahir GDR 91 mg/dL dr. Abi Andayu 16-May-23
IV Surabayo mother conditior imunisasi. Cek labor.
Ibu hipertiorid dalam
pengobatan PTU

2 27-Apr-23 BBLC 2600 gram Resusitasi neonatus, injeksi vitamin K,


FIDIAWATI, BY 26 hari 01173601 Sijunjung 082376755048 Bayi baru lahir GDR 89 mg/dL dr. Abi Andayu 27-Apr-23
Prematuritas 35-36 mingggu, SMK imunisasi. Cek labor.
3 17-May-23 PASAMAN BBC 2600gr Resusitasi neonatus, injeksi vitamin K,
DELIANA BY 6 hari 01176178 081378005869 Bayi baru lahir GDR 104 mg/dL dr. Abi Andayu 17-May-23
BARAT Aterm babv imunisasi. Cek labor.
4 14-May-23 PASAMAN BBLC 2900 gram, Neonatal jaundice Resusitasi neonatus, injeksi vitamin K,
SELMA OKTARIANA BY 4 hari 01175762 082285243963 Bayi baru lahir GDR 65 mg/dL dr. Abi Andayu 14-May-23
BARAT SC due to mother condition imunisasi. Cek labor.
5 9-May-23 PASAMAN NBBLC3500 gram,SC due to mother Resusitasi neonatus, injeksi vitamin K,
SUSI MARIANI BY 14 hari 01175236 083142680387 Bayi baru lahir GDR 76 mg/dL dr. Abi Andayu 9-May-23
BARAT condition PEB. IUGR. HBsAg(+ imunisasi. Cek labor, injeksi hbig

Respiratory distress ec Aspirasi pneumonia,


Malfungsi VP shunting ec susp ventriculitis
6 10-May-23 AKI injuri ec Sepsis Sesak nafas memberat sejak 3 jam sebelum Asesmen skrining tumbuh kembang,
ARDIAN ADHLINO GAVIN 5 bulan 01156803 Padang 085363257399 Denver : Global devlopemntal delayed dr. Abi Andayu 10-May-23
Hipertensi stage 2 ec susp sentral masuk RS Fisioterapi
Feeding difficulty
Gizi Kurang

Respiratory Distress ec Recurrent


Pneumonia, Kolestasis Intrahepatal ec
infeksi CMV
PJB Asianotik ec ASD
7 18-Apr-23 IMMANUEL PARLINDUNGAN Hipotiroid Kongenital sesak nafas yang semakin memberat sejak Asesmen skrining tumbuh kembang,
8 Bulan 01151407 Sarolangun 082264321584 Denver : Global devlopemntal delayed dr. Abi Andayu 18-Apr-23
SIMAJUNTAK Gizi Buruk Tipe Marasmik Kondisi V 1 hari SMRS Fisioterapi
Suspek Pierre Robin Syndrome
Anemia Normositik Normokromik ec infeks
Hiponatremia
Hipokalemia

Dyspneu ec Bronkopneumonia, tumor


plexus coroideus
Meningitis TB on OAT
8 18-Apr-23 FATHIAN RAHMAD Sesak napas yang semakin meningkat 1 Asesmen skrining tumbuh kembang,
3 tahun 01167606 Padang 081388665536 Gizi buruk tipe marasmik kondisi V Denver : Global devlopemntal delayed dr. Abi Andayu 18-Apr-23
RAMADHAN hari yang lalu Fisioterapi
Asites masif post draignase asites
Hidrosefalus post VP shunt
DILI ec OAT (perbaikan)

9 16-May-23 11 tahun 01157165 Pariaman 085272446655 Multipel abses serebri anak dengan multipel abses serebri PSC 17 : Tidak ada kelainan prilaku dan emosi Asesmen skrining tumbuh kembang, 16-May-23
BERLIAN YOKANZA berulang dr. Abi Andayu
Fisioterapi
Epilepsi Intractable, Cerebral palsy tipe
10 9-May-23 9 tahun 00858329 Padang Selatan 081372183256 spastik kuadriplegik GMFCS V, Kejang 1 jam sebelum masuk RS Asesmen skrining tumbuh kembang, 9-May-23
ADI SURYA Hipotiroid kongenital Denver : Global developmental delayed dr. Abi Andayu
Fisioterapi
Riw Status Epileptikus

Anemia dan trombositopenia ec keganasan


Cancer pain
11 9-May-23 Inkontinensia Urin dan Inkontinensia Alvi Nyeri di kedua telapak kaki sejak 4 hari Asesmen skrining tumbuh kembang, 9-May-23
BOBI PURNOMO 17 tahun 01156877 Jambi 082282772729 PSC 17 : Tidak ada kelainan prilaku dan emosi dr. Abi Andayu
ec suspek infiltrasi Medula Spinalis yang lalu Fisioterapi
Demam neutropenia
Gangguan perilaku

12 19-May-23 Lemah keempat anggota gerak sejak 5 Asesmen skrining tumbuh kembang,
NUR AAIN 15 tahun 01176029 Padang 081245869666 Mielitis transversa PSC 17 : Tidak ada kelainan prilaku dan emosi dr. Abi Andayu 19-May-23
minggu sebelum masuk rumah sakit Fisioterapi
Gagal nafas ec proses sentral dengan stasis
lendir
13 4-May-23 Asesmen skrining tumbuh kembang,
OLIVER KRISTIAN SAOGO 3 tahun 01157572 Mentawai 081261283849 Gizi buruk tipe marasmik kondisi V Sesak napas 2 jam sebelum masuk RS Denver : Global developmental delayed dr. Abi Andayu 4-May-23
Fisioterapi
Alkalosis respiratorik
SOL ec susp eppendymoma
astrocytoma)
Multisistem Inflamatory Syndrome in
Children
Agranulositosis
Hiponatremia ec Suspek CSW
Hidrosefalus obstruktif post removal VP
14 15-May-23 shunting Asesmen skrining tumbuh kembang,
AQYSA MALIQA 2 Tahun 01100917 Jambi 082281263723 Sesak nafas bertambah sejak 5 jam SMRS Denver : Global developmental delayed dr. Abi Andayu 15-May-23
Incomplete Immunization Fisioterapi
Mixed Global Developmental
Demam neutropenia
Hipokalsemia
Hipokalemia
Hipocloremi
Diare akut tanpa dehidrasi
Rhabdomiosarcoma right hand pro wide eksisi Asesmen skrining tumbuh kembang,
15 16-May-23 ABIEL DHICY PRATAMA 12 Tahun 01152245 Tanah datar 08124578666 Agranulositosis Anak dengan rhabdomiosarkoma PSC 17 : Tidak ada kelainan prilaku dan emosi dr. Abi Andayu 16-May-23
Fisioterapi
16 16-May-23 15 tahun 01129093 Agam 081267107873 PNET pro kemoterapi siklus ke 10 Anak dengan PNET, rencana kemoterapi Asesmen skrining tumbuh kembang,
MUHAMMAD DAFFA Hipertensi Stage II PSC 17 : Tidak ada kelainan prilaku dan emosi dr. Abi Andayu 16-May-23
Fisioterapi
17 23-May-23 Rhabdomiosarkoma, Demam neutropenia Asesmen skrining tumbuh kembang,
ARSYA ALVARO 1 tahun 01158609 Ampek Nagari 08124578966 Demam sejak 1 hari yang lalu Denver : Global developmental delayed dr. Abi Andayu 23-May-23
Agranulositosis Fisioterapi
18 23-May-23 Asesmen skrining tumbuh kembang,
KEVIN RIYAN PUTRA 17 tahun 01134069 Lubuk buaya 082387036432 Anemia aplasia Tampak pucat sejak 3 hari yang lalu PSC 17 : Tidak ada kelainan prilaku dan emosi dr. Abi Andayu 23-May-23
Fisioterapi
19 23-May-23 Demam thypoid Asesmen skrining tumbuh kembang,
AYUMI TASNIM ZEFANYA 5 bulan 01176748 Padang 085274661181 Demam sejak 10 hari yang lalu Denver : Tidak ada kelainan dr. Abi Andayu 23-May-23
Susp ISK Fisioterapi
Diare akut dengan dehidrasi berat
20 17-May-23 MUHAMMAD KHALID Anak buang air besar encer sejak 2 hari Asesmen skrining tumbuh kembang,
4 bulan 01176114 Koto Tangah 085376991012 PJB asianotik ec suspek ASD Denver : Tidak ada kelainan dr. Abi Andayu 17-May-23
MUBARAK yang lalu Fisioterapi
gizi buruk tipe marasmik kondisi II
Anemia Aplasia
21 20-May-23 5 tahun 01113602 PASAMAN 082268117414 Gum bleeding ec trombositopenia Gusi berdarah semakin banyak sejak 1 hari Asesmen skrining tumbuh kembang, 20-May-23
LATIFA KHAIRA BARAT sebelum masuk rumah sakit Denver : Tidak ada kelainan dr. Abi Andayu
Inkomplit imunisasi Fisioterapi

riwayat syok hipovolemik ec dehidrasi


Berat ec disentri (perbaikan)
dehidrasi ringan sedang e.c disentri
Demam non netropenia
22 21-Apr-23 3 tahun 01150363 Jambi 082341694744 Riwayat SVT ec dehidrasi DD/ Elektrolit BAB cair sejak 2 minggu sebelum masuk Asesmen skrining tumbuh kembang, 21-Apr-23
RAYYAN DEZAN ATHFAL imbalans ? Rumah Sakit Denver : Global developmental delayed dr. Abi Andayu
Fisioterapi
Alveolar Soft Part Sarkoma
Limfadenitis TB on OAT fase lanjutan bulan
ke-6
Gizi Buruk tipe marasmik kondisi III

Respiratory distress ec suspek Aspirasi


Pneumonia dd Bronkopneumonia, Riwayat
Edem Aritenoid
23 16-May-23 Sesak nafas semakin berat sejak 2 jam Asesmen skrining tumbuh kembang,
SELIN SALSA ZAKEYSA 3 tahun 01072418 Pesisir selatan 082385362747 Epilepsi intractable dalam terapi Denver : Global developmental delayed dr. Abi Andayu 16-May-23
sebelum masuk rumah sakit Fisioterapi
Cerebral Palsy GMFCS V
Hidrosefalus post VP Shunt
Hipotiroid

Meningitis TB DD/ bakterial


TB Milier
24 14-May-23 MUHAMMAD AL BARIEQ Lubuk Peningkatan TIK ec Edema Serebri Penurunan kesadaran sejak 1 hari sebelum Asesmen skrining tumbuh kembang,
5 Tahun 01175766 082385718319 Denver : Global developmental delayed dr. Abi Andayu 14-May-23
AFRINDES Begalung Suspek down sindrome masuk rumah sakit Fisioterapi
Gizi Kurang
Hiponatremia

Respiratory distress ec Bronkopneumonia


dd/ Edema paru, ISK kompleks ec Sistitis
dengan riw retensio urine Susp CAKUT
25 1-May-23 Down Syndrome Anak bertambah sesak sejak 6 jam sebelum Asesmen skrining tumbuh kembang,
SYALQIA ALESHA DRIA 6 Bulan 01155844 Air tawar 081374162942 Denver : Global developmental delayed dr. Abi Andayu 1-May-23
PJB Asianotik ec susp VSD masuk rumah sakit Fisioterapi
Riw Atresia Ani post PSARP
Growth Faltering
Hipotiroid subklinis
26
27
28
29

Mengetahui, Supervisor Tumbuh Kembang dan Pediatrik Sosial


Dr. dr. Eva Chundrayetti, SpA(K) / dr. Asrawati, M. Biomed, SpA(K)
REGISTER RAWAT JALAN TUMBUH KEMBANG DAN PEDIATRIK SOSIAL
PERIODE : 12 APRIL - 30 MEI 2023
MADYA : ABI ANDAYU

Nomor Tanggal Nama MR Diagnosis Tindakan


Global developmental delayed, Assesment, Evaluasi perkembangan, edukasi,
1 4/3/2023 Gueen Permata Bhidsa 01170521
speech delayed konsul rehab medis, konsul THT
Global developmental delayed, Assesment awal, Assessment Perkembangan, Pem
2 4/3/2023 Vanny Evan Azzahra 01141450
speech delayed Fisik, Edukasi, konsul THT, Konsul Rehab medis,
edukasi
3 Muhammad Rassya Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
4/3/2023 01167822
Syarani Fisik, Edukasi, lebor
4 4/3/2023 Alika Farzana 01056107 Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
Fisik, Edukasi
5 4/3/2023 Amrullah Azzaky 01169833 Global developmental delayed Evaluasi perkembangan, edukasi, konsul mata
6 4/3/2023 Muhammad Mirza Hanif 01079761 Global developmental delayed Evaluasi perkembangan, edukasi
Global developmental delayed, Evaluasi perkembangan, edukasi, konsul rehab
7 4/4/2023 Fathur Faslah Maulana 00929806 speech delayed medis, konsul THT
8 4/4/2023 Alfaizan Ibnu Khairan 01170635 Global developmental delayed Evaluasi perkembangan, edukasi, konsul rehab
medis
9 4/5/2023 Cahaya Yafitri 01137852 Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
Fisik, Edukasi
10 4/6/2023 By. Ny. Osa. Syahputri 01166206 Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
Fisik, Edukasi, labor
12 4/6/2023 Faiza Tazkiya Shafiya 01152557 Global developmental delayed Assesment, Evaluasi perkembangan, edukasi,
konsul rehab medis
13 4/6/2023 Beyazid Rumi Faeyza 01167488 Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
Fisik, Edukasi,konsul rehab medis
14 4/6/2023 Vanny Evan Azzahra 01141450 Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
Fisik, Edukasi,konsul rehab medis
15 4/6/2023 Muhammad Dzaki Afnan 01133713 Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
Fisik, Edukasi
16 Rafael Adrian Darma Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
4/6/2023 01119497
Arifin Fisik, Edukasi, labor
17 4/7/2023 By. Megawati 01170777 BBLC 2900 gram, Assesment awal, injeksi vitamin K.
18 4/10/2023 Zidan Barra Kusuma 01171206 Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
Fisik, Edukasi,konsul rehab medis
20 4/10/2023 Septhania Gloria Hura 01168569 Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
Fisik, Edukasi
21 4/10/2023 Alfa Samuel Tua Purba 01171181 Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
Fisik, Edukasi, labor
22 4/10/2023 Willsen Jordan Liem 01063777 Global developmental delayed Assesment, Evaluasi perkembangan, edukasi,
konsul rehab medis
Global developmental delayed, Assesment awal, Assessment Perkembangan, Pem
23 4/11/2023 Arkana Maliq 01171381
speech delayed Fisik, Edukasi,konsul rehab medis
24 Nathan Halomoan Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
4/11/2023 01171344
Situmorang Fisik, Edukasi,konsul rehab medis
25 4/11/2023 Fadhlan Pahlevi 01164564 Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
Fisik, Edukasi,konsul rehab medis
26 4/13/2023 Algibran Faheem Aelsan 01160566 Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
Fisik, Edukasi,konsul rehab medis
27 4/13/2023 Vino Baihaqi Anwar 01115073 Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
Fisik, Edukasi,konsul rehab medis
28 4/13/2023 Akifa Naila 01171771 Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
Fisik, Edukasi
31 4/13/2023 Sarfaraz Khalid Antori 01157242 Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
Fisik, Edukasi, labor
32 4/13/2023 Hamzah Sayyodina Ali 01123043 Global developmental delayed Assesment, Evaluasi perkembangan, edukasi,
konsul rehab medis
33 Global developmental delayed, Assesment awal, Assessment Perkembangan, Pem
4/13/2023 by. Retno Zartika Sari 01155934 speech delayed Fisik, Edukasi,konsul rehab medis
35 4/13/2023 Afif Maulana 01168826 Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
Fisik, Edukasi,konsul rehab medis
36 4/13/2023 Hafizah Aqila 01133678 Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
Fisik, Edukasi
37 4/13/2023 Muhammad Elfathan 01166198 Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
Fisik, Edukasi, labor
38 4/13/2023 Humaira Permata Devi 01166022 Global developmental delayed Assesment, Evaluasi perkembangan, edukasi,
konsul rehab medis
39 Global developmental delayed, Assesment awal, Assessment Perkembangan, Pem
4/17/2023 Muhammad Luthfi Marjko 01172263 speech delayed Fisik, Edukasi,konsul rehab medis
40 4/17/2023 Alfa Samuel Tua Purba 01171181 Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
Fisik, Edukasi
Muhammad Zahdan Assesment awal, Assessment Perkembangan, Pem
41 4/17/2023 01125858 Global developmental delayed
Kurniawan Fisik, Edukasi, labor
42 4/18/2023 Rizqiana Ayumi 01156077 Global developmental delayed Assesment, Evaluasi perkembangan, edukasi,
konsul rehab medis
43 4/18/2023 Fylan Syahrir Lie 01172841 Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
Fisik, Edukasi,konsul rehab medis
Global developmental delayed, Assesment awal, Assessment Perkembangan, Pem
44 4/18/2023 Fadhlan Pahlevi 01164564 speech delayed Fisik, Edukasi,konsul rehab medis
45 4/27/2023 Bintang Rizky 01173564 Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
Fisik, Edukasi,konsul rehab medis
Muhammad Khaizan Al Assesment awal, Assessment Perkembangan, Pem
46 4/28/2023 01157817 Global developmental delayed
Ghazi Fisik, Edukasi,konsul rehab medis
Muhammad Raziq Assesment awal, Assessment Perkembangan, Pem
47 4/28/2023 01140642 Global developmental delayed
Alfarizky Fisik, Edukasi,konsul rehab medis
48 5/2/2023 SAKHA RANSI ALDEN Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
01.15.31.99 Fisik, Edukasi, lebor
49 5/2/2023 ALFA SAMUEL TUA PURBA Global developmental delayed Assesment, Evaluasi perkembangan, edukasi, konsul
01.17.11.81 rehab medis

50 LATHIF ALHAKIM SESAFA


Global developmental delayed, Assesment awal, Assessment Perkembangan, Pem
5/2/2023 speech delayed
00.99.26.96 Fisik, Edukasi, lebor
51 5/2/2023 AYKO RAZAKKI Global developmental delayed Assesment, Evaluasi perkembangan, edukasi, konsul
01.17.40.20 rehab medis
52 5/2/2023 FADHLAN PAHLEVI Assesment, Evaluasi perkembangan, edukasi, konsul
01.16.45.64 Speech delayed rehab medis, konsul THT

53 5/2/2023 MUHAMMAD ABDURRAHMAN Global developmental delayed, Assesment awal, Assessment Perkembangan, Pem
01.16.05.70 speech delayed Fisik, Edukasi,konsul rehab medis

54 5/3/2023 BY FATMAWATI Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
01.17.38.23 Fisik, Edukasi, labor
55 ELHAZIQ WILLIAM
Global developmental delayed, Assesment, Evaluasi perkembangan, edukasi,
5/3/2023 speech delayed
01.16.65.68 konsul rehab medis
56 5/3/2023 RAFAEL ADRIAN DARMA ARI Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
01.11.94.97 Fisik, Edukasi,konsul rehab medis
57 5/3/2023 CALEB HICKS Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
01.17.56.19 Fisik, Edukasi
58 5/3/2023 WILLSEN JORDAN LIEM Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
01.06.37.77 Fisik, Edukasi, labor
59 5/3/2023 AZKA FAIZAN MUZZAKI Global developmental delayed Assesment, Evaluasi perkembangan, edukasi,
01.04.05.88 konsul rehab medis
60 5/3/2023 DYLAN SYAHRIR LIE Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
01.17.28.41 Fisik, Edukasi,konsul rehab medis
62 HUMAIRA SHAKILA NAJMA
Global developmental delayed, Assesment awal, Assessment Perkembangan, Pem
5/3/2023 speech delayed
01.15.13.66 Fisik, Edukasi,konsul rehab medis
63 5/4/2023 ZHAFIRAH ZUHRI Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
01.02.13.54 Fisik, Edukasi,konsul rehab medis
64 5/4/2023 HUMAIRA PERMATA DEVI Assesment awal, Assessment Perkembangan, Pem
01.16.60.22 Speech delayed Fisik, Edukasi,konsul rehab medis
MUHAMMAD DZAKI Global developmental delayed, speech Assesment awal, Assessment Perkembangan, Pem
65 5/4/2023 AFNAN 01.13.37.13 delayed Fisik, Edukasi,konsul rehab medis
66 5/4/2023 MUTIARA RIKARDO Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
01.11.16.71 Fisik, Edukasi, lebor
Global developmental delayed, speech Assesment, Evaluasi perkembangan, edukasi, konsul
67 5/4/2023 GHULAMAN ZAKIYA NAFIS
delayed
01.17.55.98 rehab medis
68 5/4/2023 Ghibran naoki nirankara Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
01.17.54.88 Fisik, Edukasi, lebor
MUZAMMIL FACHRU Assesment, Evaluasi perkembangan, edukasi, konsul
69 5/4/2023 RAHMAN Global developmental delayed
01.09.46.76 rehab medis
70 5/4/2023 IKRAM ALFARIZI DEBUZA Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
01.12.51.86 Fisik, Edukasi, lebor
72 5/5/2023 SHAKEIL FATIH RISWANDI Global developmental delayed Assesment, Evaluasi perkembangan, edukasi, konsul
01.05.14.34 rehab medis
73 5/5/2023 AZZAM NUFAIL ABIYYU Global developmental delayed Assesment, Evaluasi perkembangan, edukasi, konsul
01.16.64.25 rehab medis, konsul THT
Global developmental delayed, speech Assesment awal, Assessment Perkembangan, Pem
75 5/5/2023 FAIZ KURNIADI delayed
01.17.54.28 Fisik, Edukasi,konsul rehab medis
FATHUR FASLAH Assesment awal, Assessment Perkembangan, Pem
76 5/5/2023 MAULANA
Global developmental delayed
00.92.98.06 Fisik, Edukasi, labor
77 5/5/2023 ZUL AZIZ Assesment, Evaluasi perkembangan, edukasi, konsul
01.17.54.23 Speech delayed rehab medis
78 5/5/2023 DESWITA YULIA.BY Global developmental delayed, speech Assesment awal, Assessment Perkembangan, Pem
01.16.89.22 delayed Fisik, Edukasi,konsul rehab medis
ABDULLAH AZZAM Assesment awal, Assessment Perkembangan, Pem
79 5/5/2023 KARTIZA Global developmental delayed
01.15.52.91 Fisik, Edukasi
Global developmental delayed, speech Assesment awal, Assessment Perkembangan, Pem
80 5/5/2023 BY NY TESA MELIZA delayed
01.17.05.41 Fisik, Edukasi, labor
81 5/5/2023 AQILA JEKASTRA Global developmental delayed Assesment, Evaluasi perkembangan, edukasi, konsul
01.14.56.02 rehab medis
82 5/8/2023 FITRI ANDINI Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
01.16.80.83 Fisik, Edukasi,konsul rehab medis
83 5/8/2023 NABIL HABII BII Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
01.17.56.32 Fisik, Edukasi,konsul rehab medis
84 5/8/2023 Razka abqory zaidan Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
01.16.66.86 Fisik, Edukasi,konsul rehab medis
85 5/8/2023 AYZA NURA MAFAZA Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
01.17.56.48 Fisik, Edukasi, lebor
ANNAHLA KURNIA Assesment, Evaluasi perkembangan, edukasi, konsul
86 5/8/2023 HAMZAH
Global developmental delayed
01.10.89.85 rehab medis
MUHAMMAD GHAZAN Global developmental delayed, speech Assesment, Evaluasi perkembangan, edukasi, konsul
87 5/8/2023 DZIKRA delayed
01.04.59.79 rehab medis, konsul THT
88 5/8/2023 HANA QUEENZI ARMENA Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
00.93.45.39 Fisik, Edukasi,konsul rehab medis
MUHAMMAD RASSYA Assesment awal, Assessment Perkembangan, Pem
89 5/8/2023 SYABANI
Global developmental delayed
01.16.78.22 Fisik, Edukasi, labor
90 5/9/2023 AABID FAJRI YUSUF Global developmental delayed Assesment, Evaluasi perkembangan, edukasi, konsul
01.17.48.83 rehab medis
91 5/9/2023 FAIZ KURNIADI Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
01.17.54.28 Fisik, Edukasi,konsul rehab medis
92 5/9/2023 VANNY EVAN AZZAHRA Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
01.14.14.50 Fisik, Edukasi
Global developmental delayed, speech Assesment awal, Assessment Perkembangan, Pem
93 5/9/2023 ABHI RAFAEL AKBAR
delayed
01.01.67.72 Fisik, Edukasi, labor
94 5/9/2023 AKIFA NAILA Global developmental delayed Assesment, Evaluasi perkembangan, edukasi, konsul
01.17.17.71 rehab medis
95 5/9/2023 LATHIF ALHAKIM SESAFA Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
00.99.26.96 Fisik, Edukasi,konsul rehab medis
96 5/9/2023 SAKHA RANSI ALDEN Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
01.15.31.99 Fisik, Edukasi,konsul rehab medis
97 5/10/2023 RAZKY HAIL RADI Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
01.15.40.11 Fisik, Edukasi,konsul rehab medis
98 5/10/2023 ALFA SAMUEL TUA PURBA Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
01.17.11.81 Fisik, Edukasi, lebor
99 5/10/2023 TISHA HARIYAWATI Global developmental delayed Assesment, Evaluasi perkembangan, edukasi, konsul
01.13.47.21 rehab medis
SHAQUILLE PRAWIRA Global developmental delayed, speech Assesment, Evaluasi perkembangan, edukasi, konsul
100 5/10/2023 ESRA delayed
01.16.78.40 rehab medis, konsul THT
101 5/10/2023 BY NY TESA MELIZA Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
01.17.05.41 Fisik, Edukasi,konsul rehab medis
102 5/10/2023 MUHAMMAD FAHIM Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
01.16.81.92 Fisik, Edukasi, labor
103 5/10/2023 YUSRON AR RAZAQ Global developmental delayed Assesment, Evaluasi perkembangan, edukasi, konsul
01.16.27.47 rehab medis
MAHATMA NARABUMI Assesment awal, Assessment Perkembangan, Pem
104 5/10/2023 PRIFI
Global developmental delayed
01.13.26.72 Fisik, Edukasi,konsul rehab medis
105 5/10/2023 Arkana Azlan wardana Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
01.17.64.04 Fisik, Edukasi
Global developmental delayed, speech Assesment awal, Assessment Perkembangan, Pem
106 5/11/2023 ABDUL KARIM MUSA
delayed
01.17.15.49 Fisik, Edukasi, labor
107 5/11/2023 GHULAMAN ZAKIYA NAFIS
01.17.55.98
108 5/11/2023 GAFFAR GEMI PUTRA Global developmental delayed Assesment, Evaluasi perkembangan, edukasi, konsul
01.17.63.38 rehab medis
109 5/11/2023 ABHI RAFAEL AKBAR Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
01.01.67.72 Fisik, Edukasi,konsul rehab medis
110 5/11/2023 DIMAS SAPUTRA Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
01.14.88.21 Fisik, Edukasi,konsul rehab medis
111 5/11/2023 ADENA ZAHRAH ADIA Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
01.16.96.15 Fisik, Edukasi,konsul rehab medis
112 5/11/2023 NADHIF ALFARIZ Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
01.16.30.01 Fisik, Edukasi, lebor
MUHAMMAD AMIR Assesment, Evaluasi perkembangan, edukasi, konsul
113 5/11/2023 ALQOHAR
Global developmental delayed
01.15.60.87 rehab medis
Global developmental delayed, speech Assesment, Evaluasi perkembangan, edukasi, konsul
114 5/11/2023 ARSYA ATHA REAN
delayed
01.17.59.24 rehab medis, konsul THT
115 5/11/2023 Shafiyya khirani alexander Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
01.16.72.86 Fisik, Edukasi,konsul rehab medis
116 5/11/2023 FADHLAN PAHLEVI Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
01.16.45.64 Fisik, Edukasi, labor
117 5/11/2023 RAHIYD ZURAHMAN Global developmental delayed Assesment, Evaluasi perkembangan, edukasi, konsul
01.04.29.53 rehab medis
118 5/11/2023 SUFFINA VAN SANI BY Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
01.16.14.26 Fisik, Edukasi,konsul rehab medis

Mengetahui, Supervisor Tumbuh Kembang dan Pediatrik Sosial

Dr. dr. Eva Chundrayetti, SpA(K) / dr. Asrawati, M. Biomed, SpA(K)


REGISTER RAWAT JALAN TUMBUH KEMBANG DAN PEDIATRIK SOSIAL
PERIODE : 12 APRIL - 30 MEI 2023
MADYA : ABI ANDAYU
Nomor Tanggal Nama MR Diagnosis Tindakan
Global developmental delayed, Assesment awal, Assessment Perkembangan, Pem
1 5/12/2023 ZHAFIRAH ZUHRI 01.02.13.54 speech delayed Fisik, Edukasi, lebor

2
HUMAIRA SHAKILA 01.15.13.66 Global developmental delayed, Assesment awal, Assessment Perkembangan, Pem
5/12/2023 NAJMA speech delayed Fisik, Edukasi

3
GHULAMAN ZAKIYA 01.17.55.98 Global developmental delayed
5/12/2023 NAFIS Evaluasi perkembangan, edukasi, konsul mata
4 5/12/2023 FAIZ KURNIADI 01.17.54.28 Global developmental delayed Evaluasi perkembangan, edukasi
5 5/12/2023 CALEB HICKS 01.17.56.19 Global developmental delayed Evaluasi perkembangan, edukasi, imunisasi
6 5/12/2023 DESWITA YULIA.BY 01.16.89.22 Global developmental delayed Evaluasi perkembangan, edukasi, konsul rehab
medis
Global developmental delayed, Assesment awal, Assessment Perkembangan, Pem
7 5/12/2023 NABIL HABII BII 01.17.56.32 speech delayed Fisik, Edukasi

8 5/12/2023 AYZA NURA MAFAZA 01.17.56.48 Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
Fisik, Edukasi, labor
Global developmental delayed, Assesment, Evaluasi perkembangan, edukasi,
9 5/12/2023 BY FATMAWATI 01.17.38.23 speech delayed konsul rehab medis
Global developmental delayed, Assesment awal, Assessment Perkembangan, Pem
10 5/15/2023 BY NY TESA MELIZA 01.17.05.41 speech delayed Fisik, Edukasi, labor
12 5/15/2023 TISHA HARIYAWATI 01.13.47.21 Global developmental delayed Assesment, Evaluasi perkembangan, edukasi,
konsul rehab medis

13 5/15/2023 MUHAMMAD FAHIM 01.16.81.92 Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
Fisik, Edukasi,konsul rehab medis

14
GHULAMAN ZAKIYA 01.17.55.98 Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
5/15/2023 NAFIS Fisik, Edukasi,konsul rehab medis

15 5/15/2023 ABHI RAFAEL AKBAR 01.01.67.72 Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
Fisik, Edukasi
Global developmental delayed, Assesment awal, Assessment Perkembangan, Pem
16 5/15/2023 NADHIF ALFARIZ 01.16.30.01 speech delayed Fisik, Edukasi, labor
17 5/15/2023 AKIFA NAILA 01.17.17.71 Global developmental delayed, speeAssesment awal, injeksi vitamin K.

18 5/15/2023 ARSYA ATHA REAN 01.17.59.24 Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
Fisik, Edukasi,konsul rehab medis
20 5/16/2023 DIMAS SAPUTRA 01.14.88.21 Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
Fisik, Edukasi

21 5/16/2023 SAKHA RANSI ALDEN 01.15.31.99 Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
Fisik, Edukasi, labor

22 5/16/2023 ADENA ZAHRAH ADIA 01.16.96.15 Global developmental delayed Assesment, Evaluasi perkembangan, edukasi,
konsul rehab medis
Global developmental delayed, Assesment awal, Assessment Perkembangan, Pem
23 5/16/2023 YUSRON AR RAZAQ 01.16.27.47 speech delayed Fisik, Edukasi,konsul rehab medis

24
ALFA SAMUEL TUA 01.17.11.81 Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
5/16/2023 PURBA Fisik, Edukasi,konsul rehab medis
25 5/16/2023 FADHLAN PAHLEVI 01.16.45.64 Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
Fisik, Edukasi,konsul rehab medis

26 5/16/2023 RAHIYD ZURAHMAN 01.04.29.53 Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
Fisik, Edukasi,konsul rehab medis

27 5/16/2023 ABDUL KARIM MUSA 01.17.15.49 Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
Fisik, Edukasi,konsul rehab medis

28 5/19/2023 GAFFAR GEMI PUTRA 01.17.63.38 Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
Fisik, Edukasi
31 5/19/2023 RAZKY HAIL RADI 01.15.40.11 Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
Fisik, Edukasi, labor

32
MUHAMMAD AMIR 01.15.60.87 Global developmental delayed Assesment, Evaluasi perkembangan, edukasi,
5/19/2023 ALQOHAR konsul rehab medis
33
LATHIF ALHAKIM 00.99.26.96 Global developmental delayed, Assesment awal, Assessment Perkembangan, Pem
5/19/2023 SESAFA speech delayed Fisik, Edukasi,konsul rehab medis

35
Shafiyya khirani 01.16.72.86 Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
5/19/2023 alexander Fisik, Edukasi,konsul rehab medis

36
Arkana Azlan 01.17.64.04 Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
5/19/2023 wardana Fisik, Edukasi

37 5/19/2023 SUFFINA VAN SANI BY 01.16.14.26 Global developmental delayed Assesment awal, Assessment Perkembangan, Pem
Fisik, Edukasi, labor

38
MAHATMA 01.13.26.72 Global developmental delayed Assesment, Evaluasi perkembangan, edukasi,
5/19/2023 NARABUMI PRIFI konsul rehab medis

39
SHAQUILLE PRAWIRA 01.16.78.40 Global developmental delayed, Assesment awal, Assessment Perkembangan, Pem
5/19/2023 ESRA speech delayed Fisik, Edukasi,konsul rehab medis

Mengetahui, Supervisor Tumbuh Kembang dan Pediatrik Sosial

Dr. dr. Eva Chundrayetti, SpA(K) / dr. Asrawati, M. Biomed, SpA(K)


LOGBOOK RAWAT INAP TUMBUH KEMBANG DAN PEDIATRIK SOSIAL
PERIODE : 12 APRIL - 30 MEI 2023
dr. Asrawati, M. Biomed, SpA(K)

No Nama Pasien MR Diagnosis Tindakan yang dilakukan


BBLC 3040 gram
Aterm babv
1 VERONIKA MANIK. Newborn affected bv sc de iverv due Resusitasi neonatus, injeksi vitamin K, imunisasi.
01176084
BY to mother conditior Cek labor.
Ibu hipertiorid dalam
pengobatan PTU

2 BBLC 2600 gram Resusitasi neonatus, injeksi vitamin K, imunisasi.


FIDIAWATI, BY 01173601 Prematuritas 35-36 mingggu, SMK Cek labor.
3 BBC 2600gr Resusitasi neonatus, injeksi vitamin K, imunisasi.
DELIANA BY 01176178 Aterm babv Cek labor.

4 SELMA OKTARIANA BBLC 2900 gram, Neonatal jaundice Resusitasi neonatus, injeksi vitamin K, imunisasi.
01175762
BY SC due to mother condition Cek labor.

5 NBBLC3500 gram,SC due to mother Resusitasi neonatus, injeksi vitamin K, imunisasi.


SUSI MARIANI BY 01175236 condition PEB. IUGR. HBsAg(+ Cek labor, injeksi hbig

Respiratory distress ec Aspirasi


pneumonia, Malfungsi VP shunting ec
susp ventriculitis
6 ARDIAN ADHLINO
GAVIN
01156803 AKI injuri ec Sepsis Asesmen skrining tumbuh kembang, Fisioterapi
Hipertensi stage 2 ec susp sentral
Feeding difficulty
Gizi Kurang

Respiratory Distress ec Recurrent


Pneumonia, Kolestasis Intrahepatal ec
infeksi CMV
PJB Asianotik ec ASD
IMMANUEL Hipotiroid Kongenital
7 PARLINDUNGAN 01151407 Gizi Buruk Tipe Marasmik Kondisi V Asesmen skrining tumbuh kembang, Fisioterapi
SIMAJUNTAK Suspek Pierre Robin Syndrome
Anemia Normositik Normokromik ec
infeks
Hiponatremia
Hipokalemia

Dyspneu ec Bronkopneumonia, tumor


plexus coroideus
Meningitis TB on OAT
8 FATHIAN RAHMAD
RAMADHAN 01167606 Gizi buruk tipe marasmik kondisi V Asesmen skrining tumbuh kembang, Fisioterapi
Asites masif post draignase asites
Hidrosefalus post VP shunt
DILI ec OAT (perbaikan)

9 BERLIAN YOKANZA 01157165 Multipel abses serebri Asesmen skrining tumbuh kembang, Fisioterapi

Epilepsi Intractable, Cerebral palsy


10 ADI SURYA 00858329 tipe spastik kuadriplegik GMFCS V,
Hipotiroid kongenital Asesmen skrining tumbuh kembang, Fisioterapi
Riw Status Epileptikus
Anemia dan trombositopenia ec
keganasan
Cancer pain
11 Inkontinensia Urin dan Inkontinensia
BOBI PURNOMO 01156877 Alvi ec suspek infiltrasi Medula
Asesmen skrining tumbuh kembang, Fisioterapi
Spinalis
Demam neutropenia
Gangguan perilaku

12 NUR AAIN 01176029 Mielitis transversa Asesmen skrining tumbuh kembang, Fisioterapi

Gagal nafas ec proses sentral dengan


stasis lendir
13 OLIVER KRISTIAN
SAOGO
01157572 Gizi buruk tipe marasmik kondisi V Asesmen skrining tumbuh kembang, Fisioterapi
Alkalosis respiratorik
SOL ec susp eppendymoma
bronkopneumonia, Abses serebri
Bronkopneumonia ec psedomonas
aeruginosa
Astrositoma on kemoterapi, post
craniotomy removal tumor (pilocytic
astrocytoma)
Multisistem Inflamatory Syndrome in
Children
Agranulositosis
Hiponatremia ec Suspek CSW
Hidrosefalus obstruktif post removal
VP shunting
14 AQYSA MALIQA 01100917 Incomplete Immunization Asesmen skrining tumbuh kembang, Fisioterapi
Mixed Global Developmental
Demam neutropenia
Hipokalsemia
Hipokalemia
Hipocloremi
Diare akut tanpa dehidrasi
Alkalosis metabolik mixed asidosis
respiratorik
ISK
Hiperkoagulasi
Ulkus cornea oculi dextra
ABIEL DHICY Rhabdomiosarcoma right hand pro wide eksisi
15 01152245 Agranulositosis Asesmen skrining tumbuh kembang, Fisioterapi
PRATAMA
PNET pro kemoterapi siklus ke 10
16 MUHAMMAD DAFFA 01129093 Hipertensi Stage II Asesmen skrining tumbuh kembang, Fisioterapi

Rhabdomiosarkoma, Demam
17 ARSYA ALVARO 01158609 neutropenia Asesmen skrining tumbuh kembang, Fisioterapi
Agranulositosis

18 KEVIN RIYAN
PUTRA
01134069 Anemia aplasia Asesmen skrining tumbuh kembang, Fisioterapi

19 AYUMI TASNIM Demam thypoid


ZEFANYA
01176748 Susp ISK
Asesmen skrining tumbuh kembang, Fisioterapi

Diare akut dengan dehidrasi berat


20 MUHAMMAD
KHALID MUBARAK 01176114 Asesmen skrining tumbuh kembang, Fisioterapi
PJB asianotik ec suspek ASD
gizi buruk tipe marasmik kondisi II
Anemia Aplasia
21 LATIFA KHAIRA 01113602 Gum bleeding ec trombositopenia Asesmen skrining tumbuh kembang, Fisioterapi
Inkomplit imunisasi
riwayat syok hipovolemik ec dehidrasi
Berat ec disentri (perbaikan)
dehidrasi ringan sedang e.c disentri
Demam non netropenia
RAYYAN DEZAN Riwayat SVT ec dehidrasi DD/
22 01150363 Elektrolit imbalans ? Asesmen skrining tumbuh kembang, Fisioterapi
ATHFAL
Alveolar Soft Part Sarkoma
Limfadenitis TB on OAT fase lanjutan
bulan ke-6
Gizi Buruk tipe marasmik kondisi III

Respiratory distress ec suspek Aspirasi


Pneumonia dd Bronkopneumonia,
Riwayat Edem Aritenoid
23 SELIN SALSA
ZAKEYSA
01072418 Epilepsi intractable dalam terapi Asesmen skrining tumbuh kembang, Fisioterapi
Cerebral Palsy GMFCS V
Hidrosefalus post VP Shunt
Hipotiroid

Meningitis TB DD/ bakterial


TB Milier
24 MUHAMMAD AL Peningkatan TIK ec Edema Serebri
BARIEQ AFRINDES
01175766 Suspek down sindrome
Asesmen skrining tumbuh kembang, Fisioterapi
Gizi Kurang
Hiponatremia

Respiratory distress ec
Bronkopneumonia dd/ Edema paru,
ISK kompleks ec Sistitis dengan riw
retensio urine Susp CAKUT
25 SYALQIA ALESHA
DRIA
01155844 Down Syndrome Asesmen skrining tumbuh kembang, Fisioterapi
PJB Asianotik ec susp VSD
Riw Atresia Ani post PSARP
Growth Faltering
Hipotiroid subklinis

Mengetahui, Supervisor Tumbuh Kembang dan Pediatrik Sosial

dr. Asrawati, M. Biomed, SpA(K)


LOGBOOK RAWAT INAP TUMBUH KEMBANG DAN PEDIATRIK SOSIAL
PERIODE : 12 APRIL - 30 MEI 2023
Dr. dr. Eva Chundrayetti, SpA(K)

No Nama Pasien MR Diagnosis Tindakan yang dilakukan


BBLC 3040 gram
Aterm babv
1 VERONIKA MANIK. Newborn affected bv sc de iverv due Resusitasi neonatus, injeksi vitamin K, imunisasi.
01176084
BY to mother conditior Cek labor.
Ibu hipertiorid dalam
pengobatan PTU

2 BBLC 2600 gram Resusitasi neonatus, injeksi vitamin K, imunisasi.


FIDIAWATI, BY 01173601 Prematuritas 35-36 mingggu, SMK Cek labor.
3 BBC 2600gr Resusitasi neonatus, injeksi vitamin K, imunisasi.
DELIANA BY 01176178 Aterm babv Cek labor.

4 SELMA OKTARIANA BBLC 2900 gram, Neonatal jaundice Resusitasi neonatus, injeksi vitamin K, imunisasi.
01175762
BY SC due to mother condition Cek labor.

5 NBBLC3500 gram,SC due to mother Resusitasi neonatus, injeksi vitamin K, imunisasi.


SUSI MARIANI BY 01175236 condition PEB. IUGR. HBsAg(+ Cek labor, injeksi hbig

Respiratory distress ec Aspirasi


pneumonia, Malfungsi VP shunting ec
susp ventriculitis
6 ARDIAN ADHLINO
GAVIN
01156803 AKI injuri ec Sepsis Asesmen skrining tumbuh kembang, Fisioterapi
Hipertensi stage 2 ec susp sentral
Feeding difficulty
Gizi Kurang

Respiratory Distress ec Recurrent


Pneumonia, Kolestasis Intrahepatal ec
infeksi CMV
PJB Asianotik ec ASD
IMMANUEL Hipotiroid Kongenital
7 PARLINDUNGAN 01151407 Gizi Buruk Tipe Marasmik Kondisi V Asesmen skrining tumbuh kembang, Fisioterapi
SIMAJUNTAK Suspek Pierre Robin Syndrome
Anemia Normositik Normokromik ec
infeks
Hiponatremia
Hipokalemia

Dyspneu ec Bronkopneumonia, tumor


plexus coroideus
Meningitis TB on OAT
8 FATHIAN RAHMAD
RAMADHAN 01167606 Gizi buruk tipe marasmik kondisi V Asesmen skrining tumbuh kembang, Fisioterapi
Asites masif post draignase asites
Hidrosefalus post VP shunt
DILI ec OAT (perbaikan)

9 BERLIAN YOKANZA 01157165 Multipel abses serebri Asesmen skrining tumbuh kembang, Fisioterapi

Epilepsi Intractable, Cerebral palsy


10 ADI SURYA 00858329 tipe spastik kuadriplegik GMFCS V,
Hipotiroid kongenital Asesmen skrining tumbuh kembang, Fisioterapi
Riw Status Epileptikus
Anemia dan trombositopenia ec
keganasan
Cancer pain
11 Inkontinensia Urin dan Inkontinensia
BOBI PURNOMO 01156877 Alvi ec suspek infiltrasi Medula
Asesmen skrining tumbuh kembang, Fisioterapi
Spinalis
Demam neutropenia
Gangguan perilaku

12 NUR AAIN 01176029 Mielitis transversa Asesmen skrining tumbuh kembang, Fisioterapi

Gagal nafas ec proses sentral dengan


stasis lendir
13 OLIVER KRISTIAN
SAOGO
01157572 Gizi buruk tipe marasmik kondisi V Asesmen skrining tumbuh kembang, Fisioterapi
Alkalosis respiratorik
SOL ec susp eppendymoma
bronkopneumonia, Abses serebri
Bronkopneumonia ec psedomonas
aeruginosa
Astrositoma on kemoterapi, post
craniotomy removal tumor (pilocytic
astrocytoma)
Multisistem Inflamatory Syndrome in
Children
Agranulositosis
Hiponatremia ec Suspek CSW
Hidrosefalus obstruktif post removal
VP shunting
14 AQYSA MALIQA 01100917 Incomplete Immunization Asesmen skrining tumbuh kembang, Fisioterapi
Mixed Global Developmental
Demam neutropenia
Hipokalsemia
Hipokalemia
Hipocloremi
Diare akut tanpa dehidrasi
Alkalosis metabolik mixed asidosis
respiratorik
ISK
Hiperkoagulasi
Ulkus cornea oculi dextra
ABIEL DHICY Rhabdomiosarcoma right hand pro wide eksisi
15 01152245 Agranulositosis Asesmen skrining tumbuh kembang, Fisioterapi
PRATAMA
PNET pro kemoterapi siklus ke 10
16 MUHAMMAD DAFFA 01129093 Hipertensi Stage II Asesmen skrining tumbuh kembang, Fisioterapi

Rhabdomiosarkoma, Demam
17 ARSYA ALVARO 01158609 neutropenia Asesmen skrining tumbuh kembang, Fisioterapi
Agranulositosis

18 KEVIN RIYAN
PUTRA
01134069 Anemia aplasia Asesmen skrining tumbuh kembang, Fisioterapi

19 AYUMI TASNIM Demam thypoid


ZEFANYA
01176748 Susp ISK
Asesmen skrining tumbuh kembang, Fisioterapi

Diare akut dengan dehidrasi berat


20 MUHAMMAD
KHALID MUBARAK 01176114 Asesmen skrining tumbuh kembang, Fisioterapi
PJB asianotik ec suspek ASD
gizi buruk tipe marasmik kondisi II
Anemia Aplasia
21 LATIFA KHAIRA 01113602 Gum bleeding ec trombositopenia Asesmen skrining tumbuh kembang, Fisioterapi
Inkomplit imunisasi
riwayat syok hipovolemik ec dehidrasi
Berat ec disentri (perbaikan)
dehidrasi ringan sedang e.c disentri
Demam non netropenia
RAYYAN DEZAN Riwayat SVT ec dehidrasi DD/
22 01150363 Elektrolit imbalans ? Asesmen skrining tumbuh kembang, Fisioterapi
ATHFAL
Alveolar Soft Part Sarkoma
Limfadenitis TB on OAT fase lanjutan
bulan ke-6
Gizi Buruk tipe marasmik kondisi III

Respiratory distress ec suspek Aspirasi


Pneumonia dd Bronkopneumonia,
Riwayat Edem Aritenoid
23 SELIN SALSA
ZAKEYSA
01072418 Epilepsi intractable dalam terapi Asesmen skrining tumbuh kembang, Fisioterapi
Cerebral Palsy GMFCS V
Hidrosefalus post VP Shunt
Hipotiroid

Meningitis TB DD/ bakterial


TB Milier
24 MUHAMMAD AL Peningkatan TIK ec Edema Serebri
BARIEQ AFRINDES
01175766 Suspek down sindrome
Asesmen skrining tumbuh kembang, Fisioterapi
Gizi Kurang
Hiponatremia

Respiratory distress ec
Bronkopneumonia dd/ Edema paru,
ISK kompleks ec Sistitis dengan riw
retensio urine Susp CAKUT
25 SYALQIA ALESHA
DRIA
01155844 Down Syndrome Asesmen skrining tumbuh kembang, Fisioterapi
PJB Asianotik ec susp VSD
Riw Atresia Ani post PSARP
Growth Faltering
Hipotiroid subklinis

Mengetahui, Supervisor Tumbuh Kembang dan Pediatrik Sosial

Dr. dr. Eva Chundrayetti, SpA(K)


LOGBOOK RAWAT INAP TUMBUH KEMBANG DAN PEDIATRIK SOSIAL
PERIODE : 12 APRIL - 30 MEI 2023
MADYA : Abi Andayu
No Nama Pasien MR Diagnosis Tindakan yang dilakukan Paraf
BBLC 3040 gram
Aterm babv
1 VERONIKA Newborn affected bv sc de iverv due Resusitasi neonatus, injeksi vitamin K,
01176084
MANIK. BY to mother conditior imunisasi. Cek labor.
Ibu hipertiorid dalam
pengobatan PTU

2 BBLC 2600 gram Resusitasi neonatus, injeksi vitamin K,


FIDIAWATI, BY 01173601 Prematuritas 35-36 mingggu, SMK imunisasi. Cek labor.

3 BBC 2600gr Resusitasi neonatus, injeksi vitamin K,


DELIANA BY 01176178 Aterm babv imunisasi. Cek labor.

4 SELMA BBLC 2900 gram, Neonatal jaundice Resusitasi neonatus, injeksi vitamin K,
01175762
OKTARIANA BY SC due to mother condition imunisasi. Cek labor.

5 NBBLC3500 gram,SC due to mother Resusitasi neonatus, injeksi vitamin K,


SUSI MARIANI BY 01175236
condition PEB. IUGR. HBsAg(+ imunisasi. Cek labor, injeksi hbig

Respiratory distress ec Aspirasi


pneumonia, Malfungsi VP shunting ec
susp ventriculitis
6 ARDIAN ADHLINO Asesmen skrining tumbuh kembang,
01156803 AKI injuri ec Sepsis
GAVIN
Hipertensi stage 2 ec susp sentral Fisioterapi
Feeding difficulty
Gizi Kurang

Respiratory Distress ec Recurrent


Pneumonia, Kolestasis Intrahepatal ec
infeksi CMV
PJB Asianotik ec ASD
IMMANUEL Hipotiroid Kongenital
7 Asesmen skrining tumbuh kembang,
PARLINDUNGAN 01151407 Gizi Buruk Tipe Marasmik Kondisi V
SIMAJUNTAK Suspek Pierre Robin Syndrome Fisioterapi
Anemia Normositik Normokromik ec
infeks
Hiponatremia
Hipokalemia

Dyspneu ec Bronkopneumonia, tumor


plexus coroideus
FATHIAN Meningitis TB on OAT
8 Asesmen skrining tumbuh kembang,
RAHMAD 01167606 Gizi buruk tipe marasmik kondisi V
RAMADHAN Asites masif post draignase asites Fisioterapi
Hidrosefalus post VP shunt
DILI ec OAT (perbaikan)

9 BERLIAN
01157165 Multipel abses serebri Asesmen skrining tumbuh kembang,
YOKANZA Fisioterapi
Epilepsi Intractable, Cerebral palsy
10 00858329 tipe spastik kuadriplegik GMFCS V, Asesmen skrining tumbuh kembang,
ADI SURYA Hipotiroid kongenital Fisioterapi
Riw Status Epileptikus

Anemia dan trombositopenia ec


keganasan
Cancer pain
11 Inkontinensia Urin dan Inkontinensia Asesmen skrining tumbuh kembang,
BOBI PURNOMO 01156877 Alvi ec suspek infiltrasi Medula Fisioterapi
Spinalis
Demam neutropenia
Gangguan perilaku

12
Asesmen skrining tumbuh kembang,
NUR AAIN 01176029 Mielitis transversa
Fisioterapi
Gagal nafas ec proses sentral dengan
stasis lendir
13 OLIVER KRISTIAN Asesmen skrining tumbuh kembang,
01157572 Gizi buruk tipe marasmik kondisi V
SAOGO
Alkalosis respiratorik Fisioterapi
SOL ec susp eppendymoma
bronkopneumonia, Abses serebri
Bronkopneumonia ec psedomonas
aeruginosa
Astrositoma on kemoterapi, post
craniotomy removal tumor (pilocytic
astrocytoma)
Multisistem Inflamatory Syndrome in
Children
Agranulositosis
Hiponatremia ec Suspek CSW
Hidrosefalus obstruktif post removal
VP shunting
14 Asesmen skrining tumbuh kembang,
AQYSA MALIQA 01100917 Incomplete Immunization
Mixed Global Developmental Fisioterapi
Demam neutropenia
Hipokalsemia
Hipokalemia
Hipocloremi
Diare akut tanpa dehidrasi
Alkalosis metabolik mixed asidosis
respiratorik
ISK
Hiperkoagulasi
Ulkus cornea oculi dextra
ABIEL DHICY Keratitis exposure oculi
Rhabdomiosarcoma rightdextra
handetpro wide
Asesmen
eksisi skrining tumbuh kembang,
15 01152245 Agranulositosis
PRATAMA Fisioterapi

16 MUHAMMAD 01129093 PNET pro kemoterapi siklus ke 10 Asesmen skrining tumbuh kembang,
DAFFA Hipertensi Stage II Fisioterapi
Rhabdomiosarkoma, Demam
17 Asesmen skrining tumbuh kembang,
ARSYA ALVARO 01158609 neutropenia
Agranulositosis Fisioterapi

18 KEVIN RIYAN Asesmen skrining tumbuh kembang,


01134069 Anemia aplasia
PUTRA Fisioterapi

19 AYUMI TASNIM Demam thypoid Asesmen skrining tumbuh kembang,


01176748
ZEFANYA Susp ISK Fisioterapi
MUHAMMAD Diare akut dengan dehidrasi berat
20 Asesmen skrining tumbuh kembang,
KHALID 01176114 PJB asianotik ec suspek ASD
MUBARAK gizi buruk tipe marasmik kondisi II Fisioterapi

Anemia Aplasia
21 01113602 Gum bleeding ec trombositopenia Asesmen skrining tumbuh kembang,
LATIFA KHAIRA
Inkomplit imunisasi Fisioterapi

riwayat syok hipovolemik ec dehidrasi


Berat ec disentri (perbaikan)
dehidrasi ringan sedang e.c disentri
Demam non netropenia
22 RAYYAN DEZAN 01150363 Riwayat SVT ec dehidrasi DD/ Asesmen skrining tumbuh kembang,
ATHFAL Elektrolit imbalans ? Fisioterapi
Alveolar Soft Part Sarkoma
Limfadenitis TB on OAT fase lanjutan
bulan ke-6
Gizi Buruk tipe marasmik kondisi III

Respiratory distress ec suspek Aspirasi


Pneumonia dd Bronkopneumonia,
Riwayat Edem Aritenoid
23 SELIN SALSA Asesmen skrining tumbuh kembang,
01072418 Epilepsi intractable dalam terapi
ZAKEYSA
Cerebral Palsy GMFCS V Fisioterapi
Hidrosefalus post VP Shunt
Hipotiroid

Meningitis TB DD/ bakterial


TB Milier
24 MUHAMMAD AL Peningkatan TIK ec Edema Serebri Asesmen skrining tumbuh kembang,
01175766
BARIEQ AFRINDES Suspek down sindrome Fisioterapi
Gizi Kurang
Hiponatremia
Respiratory distress ec
Bronkopneumonia dd/ Edema paru,
ISK kompleks ec Sistitis dengan riw
retensio urine Susp CAKUT
25 SYALQIA ALESHA Asesmen skrining tumbuh kembang,
01155844 Down Syndrome
DRIA
PJB Asianotik ec susp VSD Fisioterapi
Riw Atresia Ani post PSARP
Growth Faltering
Hipotiroid subklinis

Mengetahui, Supervisor Tumbuh Kembang dan Pediatrik Sosial

Dr. dr. Eva Chundrayetti, SpA(K)/ dr. Asrawati, M. Biomed, SpA(K)


LOGBOOK RAWAT JALAN TUMBUH KEMBANG DAN PEDIATRIK SOSIAL
PERIODE : 12 APRIL - 30 MEI 2023
dr. Asrawati, M. Biomed, SpA(K)

No Nama Pasien MR Diagnosis Tindakan yang dilakukan


Global
developmental
1 Gueen Permata Bhidsa 01170521
delayed, speech
delayed Assesment, Evaluasi perkembangan, edukasi,
konsul rehab medis, konsul THT
Global
developmental Assesment awal, Assessment Perkembangan,
2 Vanny Evan Azzahra 01141450
delayed, speech
delayed Pem Fisik, Edukasi, konsul THT, Konsul
Rehab medis, edukasi
Global
3 Muhammad Rassya Syarani 01167822 developmental Assesment awal, Assessment Perkembangan,
delayed
Pem Fisik, Edukasi, lebor
Global
4 Alika Farzana 01056107 developmental Assesment awal, Assessment Perkembangan,
delayed
Pem Fisik, Edukasi
Global
5 Amrullah Azzaky 01169833 developmental
delayed
Evaluasi perkembangan, edukasi, konsul mata
Global
6 Muhammad Mirza Hanif 01079761 developmental
delayed
Evaluasi perkembangan, edukasi
Global
developmental
7 Fathur Faslah Maulana 00929806 delayed, speech
delayed Evaluasi perkembangan, edukasi, konsul rehab
medis, konsul THT
Global
8 Alfaizan Ibnu Khairan 01170635 developmental Evaluasi perkembangan, edukasi, konsul rehab
delayed
medis
Global
9 Cahaya Yafitri 01137852 developmental Assesment awal, Assessment Perkembangan,
delayed
Pem Fisik, Edukasi
Global
10 By. Ny. Osa. Syahputri 01166206 developmental Assesment awal, Assessment Perkembangan,
delayed
Pem Fisik, Edukasi, labor
Global
11 Faiza Tazkiya Shafiya 01152557 developmental Assesment, Evaluasi perkembangan, edukasi,
delayed
konsul rehab medis
Global
12 Beyazid Rumi Faeyza 01167488 developmental Assesment awal, Assessment Perkembangan,
delayed
Pem Fisik, Edukasi,konsul rehab medis
Global
13 Vanny Evan Azzahra 01141450 developmental Assesment awal, Assessment Perkembangan,
delayed
Pem Fisik, Edukasi,konsul rehab medis
Global
14 Muhammad Dzaki Afnan 01133713 developmental Assesment awal, Assessment Perkembangan,
delayed
Pem Fisik, Edukasi
Global
15 Rafael Adrian Darma Arifin 01119497 developmental Assesment awal, Assessment Perkembangan,
delayed
Pem Fisik, Edukasi, labor
16 By. Megawati 01170777 BBLC 2900 gram, Assesment awal, injeksi vitamin K.
Global
17 Zidan Barra Kusuma 01171206 developmental Assesment awal, Assessment Perkembangan,
delayed Pem Fisik, Edukasi,konsul rehab medis
Global
18 Septhania Gloria Hura 01168569 developmental Assesment awal, Assessment Perkembangan,
delayed Pem Fisik, Edukasi
Global
19 Alfa Samuel Tua Purba 01171181 developmental Assesment awal, Assessment Perkembangan,
delayed Pem Fisik, Edukasi, labor
Global
20 Willsen Jordan Liem 01063777 developmental Assesment, Evaluasi perkembangan, edukasi,
delayed
konsul rehab medis
Global
21 developmental
Arkana Maliq 01171381
delayed, speech
delayed Assesment awal, Assessment Perkembangan,
Pem Fisik, Edukasi,konsul rehab medis
Global
22 Nathan Halomoan developmental
01171344 Assesment awal, Assessment Perkembangan,
Situmorang delayed
Pem Fisik, Edukasi,konsul rehab medis
Global
23 Fadhlan Pahlevi 01164564 developmental Assesment awal, Assessment Perkembangan,
delayed
Pem Fisik, Edukasi,konsul rehab medis
Global
24 Algibran Faheem Aelsan 01160566 developmental Assesment awal, Assessment Perkembangan,
delayed
Pem Fisik, Edukasi,konsul rehab medis
Global
25 Vino Baihaqi Anwar 01115073 developmental Assesment awal, Assessment Perkembangan,
delayed
Pem Fisik, Edukasi,konsul rehab medis
Global
26 Akifa Naila 01171771 developmental Assesment awal, Assessment Perkembangan,
delayed
Pem Fisik, Edukasi
Global
27 Sarfaraz Khalid Antori 01157242 developmental Assesment awal, Assessment Perkembangan,
delayed
Pem Fisik, Edukasi, labor
Global
28 Hamzah Sayyodina Ali 01123043 developmental Assesment, Evaluasi perkembangan, edukasi,
delayed
konsul rehab medis
Global
29 developmental
by. Retno Zartika Sari 01155934 delayed, speech
delayed Assesment awal, Assessment Perkembangan,
Pem Fisik, Edukasi,konsul rehab medis
Global
30 Afif Maulana 01168826 developmental Assesment awal, Assessment Perkembangan,
delayed
Pem Fisik, Edukasi,konsul rehab medis
Global
31 Hafizah Aqila 01133678 developmental Assesment awal, Assessment Perkembangan,
delayed
Pem Fisik, Edukasi
Global
32 Muhammad Elfathan 01166198 developmental Assesment awal, Assessment Perkembangan,
delayed
Pem Fisik, Edukasi, labor
Global
33 Humaira Permata Devi 01166022 developmental Assesment, Evaluasi perkembangan, edukasi,
delayed konsul rehab medis
Global
34 developmental
Muhammad Luthfi Marjko 01172263 delayed, speech
delayed Assesment awal, Assessment Perkembangan,
Pem Fisik, Edukasi,konsul rehab medis
Global
35 Alfa Samuel Tua Purba 01171181 developmental Assesment awal, Assessment Perkembangan,
delayed Pem Fisik, Edukasi
Global
Muhammad Zahdan developmental
36 01125858 Assesment awal, Assessment Perkembangan,
Kurniawan
delayed Pem Fisik, Edukasi, labor
Global
37 Rizqiana Ayumi 01156077 developmental Assesment, Evaluasi perkembangan, edukasi,
delayed
konsul rehab medis
Global
38 Fylan Syahrir Lie 01172841 developmental Assesment awal, Assessment Perkembangan,
delayed
Pem Fisik, Edukasi,konsul rehab medis
Global
developmental
39 Fadhlan Pahlevi 01164564 delayed, speech
delayed Assesment awal, Assessment Perkembangan,
Pem Fisik, Edukasi,konsul rehab medis
Global
40 Bintang Rizky 01173564 developmental Assesment awal, Assessment Perkembangan,
delayed
Pem Fisik, Edukasi,konsul rehab medis
Global
41 Muhammad Khaizan Al developmental
01157817 Assesment awal, Assessment Perkembangan,
Ghazi delayed
Pem Fisik, Edukasi,konsul rehab medis
Global
42 Muhammad Raziq Alfarizky 01140642 developmental Assesment awal, Assessment Perkembangan,
delayed
Pem Fisik, Edukasi,konsul rehab medis
Global
43 SAKHA RANSI ALDEN developmental
Assesment awal, Assessment Perkembangan, Pem
01.15.31.99
delayed
Fisik, Edukasi, lebor
Global
44 ALFA SAMUEL TUA PURBA developmental
Assesment, Evaluasi perkembangan, edukasi,
01.17.11.81
delayed
konsul rehab medis
Global
45 LATHIF ALHAKIM SESAFA
developmental
delayed, speech
delayed Assesment awal, Assessment Perkembangan, Pem
00.99.26.96 Fisik, Edukasi, lebor
Global
46 AYKO RAZAKKI developmental
Assesment, Evaluasi perkembangan, edukasi,
01.17.40.20
delayed
konsul rehab medis
47 FADHLAN PAHLEVI Assesment, Evaluasi perkembangan, edukasi,
01.16.45.64 Speech delayed konsul rehab medis, konsul THT

Global
48 MUHAMMAD ABDURRAHMAN developmental
delayed, speech Assesment awal, Assessment Perkembangan, Pem
01.16.05.70 delayed Fisik, Edukasi,konsul rehab medis
Global
49 BY FATMAWATI developmental Assesment awal, Assessment Perkembangan,
delayed
01.17.38.23 Pem Fisik, Edukasi, labor
Global
50 ELHAZIQ WILLIAM
developmental
delayed, speech
delayed Assesment, Evaluasi perkembangan, edukasi,
01.16.65.68 konsul rehab medis
Global
51 RAFAEL ADRIAN DARMA ARIF developmental Assesment awal, Assessment Perkembangan,
delayed
01.11.94.97 Pem Fisik, Edukasi,konsul rehab medis
Global
52 CALEB HICKS developmental Assesment awal, Assessment Perkembangan,
delayed
01.17.56.19 Pem Fisik, Edukasi
Global
53 WILLSEN JORDAN LIEM developmental Assesment awal, Assessment Perkembangan,
delayed
01.06.37.77 Pem Fisik, Edukasi, labor
Global
54 AZKA FAIZAN MUZZAKI developmental Assesment, Evaluasi perkembangan, edukasi,
delayed
01.04.05.88 konsul rehab medis
Global
55 DYLAN SYAHRIR LIE developmental Assesment awal, Assessment Perkembangan,
delayed
01.17.28.41 Pem Fisik, Edukasi,konsul rehab medis
Global
56 HUMAIRA SHAKILA NAJMA
developmental
delayed, speech
delayed Assesment awal, Assessment Perkembangan,
01.15.13.66 Pem Fisik, Edukasi,konsul rehab medis
Global developmental Assesment awal, Assessment Perkembangan, Pem
57 ZHAFIRAH ZUHRI
delayed
01.02.13.54 Fisik, Edukasi,konsul rehab medis
58 HUMAIRA PERMATA DEVI Assesment awal, Assessment Perkembangan, Pem
01.16.60.22 Speech delayed Fisik, Edukasi,konsul rehab medis

59 MUHAMMAD DZAKI AFNAN Global developmental


delayed, speech Assesment awal, Assessment Perkembangan, Pem
01.13.37.13 delayed Fisik, Edukasi,konsul rehab medis
Global developmental Assesment awal, Assessment Perkembangan, Pem
60 MUTIARA RIKARDO delayed
01.11.16.71 Fisik, Edukasi, lebor
Global developmental
61 GHULAMAN ZAKIYA NAFIS delayed, speech Assesment, Evaluasi perkembangan, edukasi,
delayed
01.17.55.98 konsul rehab medis
Global developmental Assesment awal, Assessment Perkembangan, Pem
62 Ghibran naoki nirankara
delayed
01.17.54.88 Fisik, Edukasi, lebor
MUZAMMIL FACHRU Global developmental Assesment, Evaluasi perkembangan, edukasi,
63 RAHMAN delayed
01.09.46.76 konsul rehab medis
Global developmental Assesment awal, Assessment Perkembangan, Pem
64 IKRAM ALFARIZI DEBUZA
delayed
01.12.51.86 Fisik, Edukasi, lebor
Global developmental Assesment, Evaluasi perkembangan, edukasi,
65 SHAKEIL FATIH RISWANDI
delayed
01.05.14.34 konsul rehab medis
Global developmental Assesment, Evaluasi perkembangan, edukasi,
66 AZZAM NUFAIL ABIYYU delayed
01.16.64.25 konsul rehab medis, konsul THT
Global developmental
67 FAIZ KURNIADI delayed, speech Assesment awal, Assessment Perkembangan, Pem
delayed
01.17.54.28 Fisik, Edukasi,konsul rehab medis
Global developmental Assesment awal, Assessment Perkembangan, Pem
68 FATHUR FASLAH MAULANA delayed
00.92.98.06 Fisik, Edukasi, labor
69 ZUL AZIZ Assesment, Evaluasi perkembangan, edukasi,
01.17.54.23 Speech delayed konsul rehab medis

Global developmental
70 DESWITA YULIA.BY
delayed, speech Assesment awal, Assessment Perkembangan, Pem
01.16.89.22 delayed Fisik, Edukasi,konsul rehab medis
Global developmental Assesment awal, Assessment Perkembangan, Pem
71 ABDULLAH AZZAM KARTIZA delayed
01.15.52.91 Fisik, Edukasi
Global developmental
72 BY NY TESA MELIZA delayed, speech Assesment awal, Assessment Perkembangan, Pem
delayed
01.17.05.41 Fisik, Edukasi, labor
Global developmental Assesment, Evaluasi perkembangan, edukasi,
73 AQILA JEKASTRA delayed
01.14.56.02 konsul rehab medis
Global developmental Assesment awal, Assessment Perkembangan, Pem
74 FITRI ANDINI delayed
01.16.80.83 Fisik, Edukasi,konsul rehab medis
Global developmental Assesment awal, Assessment Perkembangan, Pem
75 NABIL HABII BII delayed
01.17.56.32 Fisik, Edukasi,konsul rehab medis
Global developmental Assesment awal, Assessment Perkembangan, Pem
76 Razka abqory zaidan
delayed
01.16.66.86 Fisik, Edukasi,konsul rehab medis
Global developmental Assesment awal, Assessment Perkembangan, Pem
77 AYZA NURA MAFAZA
delayed
01.17.56.48 Fisik, Edukasi, lebor
Global developmental Assesment, Evaluasi perkembangan, edukasi,
78 ANNAHLA KURNIA HAMZAH delayed
01.10.89.85 konsul rehab medis

MUHAMMAD GHAZAN Global developmental


79 DZIKRA delayed, speech Assesment, Evaluasi perkembangan, edukasi,
delayed
01.04.59.79 konsul rehab medis, konsul THT
Global developmental Assesment awal, Assessment Perkembangan, Pem
80 HANA QUEENZI ARMENA delayed
00.93.45.39 Fisik, Edukasi,konsul rehab medis
MUHAMMAD RASSYA Global developmental Assesment awal, Assessment Perkembangan, Pem
81 SYABANI delayed
01.16.78.22 Fisik, Edukasi, labor
Global developmental Assesment, Evaluasi perkembangan, edukasi,
82 AABID FAJRI YUSUF delayed
01.17.48.83 konsul rehab medis
Global developmental Assesment awal, Assessment Perkembangan, Pem
83 FAIZ KURNIADI delayed
01.17.54.28 Fisik, Edukasi,konsul rehab medis
Global developmental Assesment awal, Assessment Perkembangan, Pem
84 VANNY EVAN AZZAHRA
delayed
01.14.14.50 Fisik, Edukasi
Global developmental
85 ABHI RAFAEL AKBAR delayed, speech Assesment awal, Assessment Perkembangan, Pem
delayed
01.01.67.72 Fisik, Edukasi, labor
Global developmental Assesment, Evaluasi perkembangan, edukasi,
86 AKIFA NAILA
delayed
01.17.17.71 konsul rehab medis
Global developmental Assesment awal, Assessment Perkembangan, Pem
87 LATHIF ALHAKIM SESAFA
delayed
00.99.26.96 Fisik, Edukasi,konsul rehab medis
Global developmental Assesment awal, Assessment Perkembangan, Pem
88 SAKHA RANSI ALDEN delayed
01.15.31.99 Fisik, Edukasi,konsul rehab medis
Global developmental Assesment awal, Assessment Perkembangan, Pem
89 RAZKY HAIL RADI delayed
01.15.40.11 Fisik, Edukasi,konsul rehab medis
Global developmental Assesment awal, Assessment Perkembangan, Pem
90 ALFA SAMUEL TUA PURBA delayed
01.17.11.81 Fisik, Edukasi, lebor
Global developmental Assesment, Evaluasi perkembangan, edukasi,
91 TISHA HARIYAWATI delayed
01.13.47.21 konsul rehab medis
Global developmental
92 SHAQUILLE PRAWIRA ESRA delayed, speech Assesment, Evaluasi perkembangan, edukasi,
delayed
01.16.78.40 konsul rehab medis, konsul THT
Global developmental Assesment awal, Assessment Perkembangan, Pem
93 BY NY TESA MELIZA delayed
01.17.05.41 Fisik, Edukasi,konsul rehab medis
Global developmental Assesment awal, Assessment Perkembangan, Pem
94 MUHAMMAD FAHIM
delayed
01.16.81.92 Fisik, Edukasi, labor
Global developmental Assesment, Evaluasi perkembangan, edukasi,
95 YUSRON AR RAZAQ
delayed
01.16.27.47 konsul rehab medis
MAHATMA NARABUMI Global developmental Assesment awal, Assessment Perkembangan, Pem
96 PRIFI delayed
01.13.26.72 Fisik, Edukasi,konsul rehab medis
Global developmental Assesment awal, Assessment Perkembangan, Pem
97 Arkana Azlan wardana
delayed
01.17.64.04 Fisik, Edukasi
Global developmental
98 ABDUL KARIM MUSA delayed, speech Assesment awal, Assessment Perkembangan, Pem
delayed
01.17.15.49 Fisik, Edukasi, labor
Global developmental Assesment awal, Assessment Perkembangan, Pem
99 GHULAMAN ZAKIYA NAFIS
delayed
01.17.55.98 Fisik, Edukasi,konsul rehab medis
Global developmental Assesment, Evaluasi perkembangan, edukasi,
100 GAFFAR GEMI PUTRA delayed
01.17.63.38 konsul rehab medis
Global developmental Assesment awal, Assessment Perkembangan, Pem
101 ABHI RAFAEL AKBAR delayed
01.01.67.72 Fisik, Edukasi,konsul rehab medis
Global developmental Assesment awal, Assessment Perkembangan, Pem
102 DIMAS SAPUTRA delayed
01.14.88.21 Fisik, Edukasi,konsul rehab medis
Global developmental Assesment awal, Assessment Perkembangan, Pem
103 ADENA ZAHRAH ADIA delayed
01.16.96.15 Fisik, Edukasi,konsul rehab medis
Global developmental Assesment awal, Assessment Perkembangan, Pem
104 NADHIF ALFARIZ delayed
01.16.30.01 Fisik, Edukasi, lebor
105 MUHAMMAD
ALQOHAR
AMIR Global developmental Assesment, Evaluasi perkembangan, edukasi,
delayed
01.15.60.87 konsul rehab medis
Global developmental
106 ARSYA ATHA REAN delayed, speech Assesment, Evaluasi perkembangan, edukasi,
delayed
01.17.59.24 konsul rehab medis, konsul THT
Global developmental Assesment awal, Assessment Perkembangan, Pem
107 Shafiyya khirani alexander delayed
01.16.72.86 Fisik, Edukasi,konsul rehab medis
Global developmental Assesment awal, Assessment Perkembangan, Pem
108 FADHLAN PAHLEVI delayed
01.16.45.64 Fisik, Edukasi, labor
Global developmental Assesment, Evaluasi perkembangan, edukasi,
109 RAHIYD ZURAHMAN delayed
01.04.29.53 konsul rehab medis
Global developmental Assesment awal, Assessment Perkembangan, Pem
110 SUFFINA VAN SANI BY delayed
01.16.14.26 Fisik, Edukasi,konsul rehab medis
Mengetahui, Supervisor Tumbuh Kembang dan Pediatrik Sosial

dr. Asrawati, M. Biomed, SpA(K)


LOGBOOK RAWAT JALAN TUMBUH KEMBANG DAN PEDIATRIK SOSIAL
PERIODE : 12 APRIL - 30 MEI 2023
Dr. dr. Eva Chundrayetti, SpA(K)

No Nama Pasien MR Diagnosis Tindakan yang dilakukan


Global
developmental
1 Gueen Permata Bhidsa 01170521
delayed, speech
delayed Assesment, Evaluasi perkembangan, edukasi,
konsul rehab medis, konsul THT
Global
developmental Assesment awal, Assessment Perkembangan,
2 Vanny Evan Azzahra 01141450
delayed, speech
delayed Pem Fisik, Edukasi, konsul THT, Konsul
Rehab medis, edukasi
Global
3 Muhammad Rassya Syarani 01167822 developmental Assesment awal, Assessment Perkembangan,
delayed
Pem Fisik, Edukasi, lebor
Global
4 Alika Farzana 01056107 developmental Assesment awal, Assessment Perkembangan,
delayed
Pem Fisik, Edukasi
Global
5 Amrullah Azzaky 01169833 developmental
delayed
Evaluasi perkembangan, edukasi, konsul mata
Global
6 Muhammad Mirza Hanif 01079761 developmental
delayed
Evaluasi perkembangan, edukasi
Global
developmental
7 Fathur Faslah Maulana 00929806 delayed, speech
delayed Evaluasi perkembangan, edukasi, konsul rehab
medis, konsul THT
Global
8 Alfaizan Ibnu Khairan 01170635 developmental Evaluasi perkembangan, edukasi, konsul rehab
delayed
medis
Global
9 Cahaya Yafitri 01137852 developmental Assesment awal, Assessment Perkembangan,
delayed
Pem Fisik, Edukasi
Global
10 By. Ny. Osa. Syahputri 01166206 developmental Assesment awal, Assessment Perkembangan,
delayed
Pem Fisik, Edukasi, labor
Global
11 Faiza Tazkiya Shafiya 01152557 developmental Assesment, Evaluasi perkembangan, edukasi,
delayed
konsul rehab medis
Global
12 Beyazid Rumi Faeyza 01167488 developmental Assesment awal, Assessment Perkembangan,
delayed
Pem Fisik, Edukasi,konsul rehab medis
Global
13 Vanny Evan Azzahra 01141450 developmental Assesment awal, Assessment Perkembangan,
delayed
Pem Fisik, Edukasi,konsul rehab medis
Global
14 Muhammad Dzaki Afnan 01133713 developmental Assesment awal, Assessment Perkembangan,
delayed
Pem Fisik, Edukasi
Global
15 Rafael Adrian Darma Arifin 01119497 developmental Assesment awal, Assessment Perkembangan,
delayed
Pem Fisik, Edukasi, labor
16 By. Megawati 01170777 BBLC 2900 gram, Assesment awal, injeksi vitamin K.
Global
17 Zidan Barra Kusuma 01171206 developmental Assesment awal, Assessment Perkembangan,
delayed Pem Fisik, Edukasi,konsul rehab medis
Global
18 Septhania Gloria Hura 01168569 developmental Assesment awal, Assessment Perkembangan,
delayed Pem Fisik, Edukasi
Global
19 Alfa Samuel Tua Purba 01171181 developmental Assesment awal, Assessment Perkembangan,
delayed Pem Fisik, Edukasi, labor
Global
20 Willsen Jordan Liem 01063777 developmental Assesment, Evaluasi perkembangan, edukasi,
delayed
konsul rehab medis
Global
21 developmental
Arkana Maliq 01171381
delayed, speech
delayed Assesment awal, Assessment Perkembangan,
Pem Fisik, Edukasi,konsul rehab medis
Global
22 Nathan Halomoan developmental
01171344 Assesment awal, Assessment Perkembangan,
Situmorang delayed
Pem Fisik, Edukasi,konsul rehab medis
Global
23 Fadhlan Pahlevi 01164564 developmental Assesment awal, Assessment Perkembangan,
delayed
Pem Fisik, Edukasi,konsul rehab medis
Global
24 Algibran Faheem Aelsan 01160566 developmental Assesment awal, Assessment Perkembangan,
delayed
Pem Fisik, Edukasi,konsul rehab medis
Global
25 Vino Baihaqi Anwar 01115073 developmental Assesment awal, Assessment Perkembangan,
delayed
Pem Fisik, Edukasi,konsul rehab medis
Global
26 Akifa Naila 01171771 developmental Assesment awal, Assessment Perkembangan,
delayed
Pem Fisik, Edukasi
Global
27 Sarfaraz Khalid Antori 01157242 developmental Assesment awal, Assessment Perkembangan,
delayed
Pem Fisik, Edukasi, labor
Global
28 Hamzah Sayyodina Ali 01123043 developmental Assesment, Evaluasi perkembangan, edukasi,
delayed
konsul rehab medis
Global
29 developmental
by. Retno Zartika Sari 01155934 delayed, speech
delayed Assesment awal, Assessment Perkembangan,
Pem Fisik, Edukasi,konsul rehab medis
Global
30 Afif Maulana 01168826 developmental Assesment awal, Assessment Perkembangan,
delayed
Pem Fisik, Edukasi,konsul rehab medis
Global
31 Hafizah Aqila 01133678 developmental Assesment awal, Assessment Perkembangan,
delayed
Pem Fisik, Edukasi
Global
32 Muhammad Elfathan 01166198 developmental Assesment awal, Assessment Perkembangan,
delayed
Pem Fisik, Edukasi, labor
Global
33 Humaira Permata Devi 01166022 developmental Assesment, Evaluasi perkembangan, edukasi,
delayed konsul rehab medis
Global
34 developmental
Muhammad Luthfi Marjko 01172263 delayed, speech
delayed Assesment awal, Assessment Perkembangan,
Pem Fisik, Edukasi,konsul rehab medis
Global
35 Alfa Samuel Tua Purba 01171181 developmental Assesment awal, Assessment Perkembangan,
delayed Pem Fisik, Edukasi
Global
Muhammad Zahdan developmental
36 01125858 Assesment awal, Assessment Perkembangan,
Kurniawan
delayed Pem Fisik, Edukasi, labor
Global
37 Rizqiana Ayumi 01156077 developmental Assesment, Evaluasi perkembangan, edukasi,
delayed
konsul rehab medis
Global
38 Fylan Syahrir Lie 01172841 developmental Assesment awal, Assessment Perkembangan,
delayed
Pem Fisik, Edukasi,konsul rehab medis
Global
developmental
39 Fadhlan Pahlevi 01164564 delayed, speech
delayed Assesment awal, Assessment Perkembangan,
Pem Fisik, Edukasi,konsul rehab medis
Global
40 Bintang Rizky 01173564 developmental Assesment awal, Assessment Perkembangan,
delayed
Pem Fisik, Edukasi,konsul rehab medis
Global
41 Muhammad Khaizan Al developmental
01157817 Assesment awal, Assessment Perkembangan,
Ghazi delayed
Pem Fisik, Edukasi,konsul rehab medis
Global
42 Muhammad Raziq Alfarizky 01140642 developmental Assesment awal, Assessment Perkembangan,
delayed
Pem Fisik, Edukasi,konsul rehab medis
Global
43 SAKHA RANSI ALDEN developmental
Assesment awal, Assessment Perkembangan, Pem
01.15.31.99
delayed
Fisik, Edukasi, lebor
Global
44 ALFA SAMUEL TUA PURBA developmental
Assesment, Evaluasi perkembangan, edukasi,
01.17.11.81
delayed
konsul rehab medis
Global
45 LATHIF ALHAKIM SESAFA
developmental
delayed, speech
delayed Assesment awal, Assessment Perkembangan, Pem
00.99.26.96 Fisik, Edukasi, lebor
Global
46 AYKO RAZAKKI developmental
Assesment, Evaluasi perkembangan, edukasi,
01.17.40.20
delayed
konsul rehab medis
47 FADHLAN PAHLEVI Assesment, Evaluasi perkembangan, edukasi,
01.16.45.64 Speech delayed konsul rehab medis, konsul THT

Global
48 MUHAMMAD ABDURRAHMAN developmental
delayed, speech Assesment awal, Assessment Perkembangan, Pem
01.16.05.70 delayed Fisik, Edukasi,konsul rehab medis
Global
49 BY FATMAWATI developmental Assesment awal, Assessment Perkembangan,
delayed
01.17.38.23 Pem Fisik, Edukasi, labor
Global
50 ELHAZIQ WILLIAM
developmental
delayed, speech
delayed Assesment, Evaluasi perkembangan, edukasi,
01.16.65.68 konsul rehab medis
Global
51 RAFAEL ADRIAN DARMA ARIF developmental Assesment awal, Assessment Perkembangan,
delayed
01.11.94.97 Pem Fisik, Edukasi,konsul rehab medis
Global
52 CALEB HICKS developmental Assesment awal, Assessment Perkembangan,
delayed
01.17.56.19 Pem Fisik, Edukasi
Global
53 WILLSEN JORDAN LIEM developmental Assesment awal, Assessment Perkembangan,
delayed
01.06.37.77 Pem Fisik, Edukasi, labor
Global
54 AZKA FAIZAN MUZZAKI developmental Assesment, Evaluasi perkembangan, edukasi,
delayed
01.04.05.88 konsul rehab medis
Global
55 DYLAN SYAHRIR LIE developmental Assesment awal, Assessment Perkembangan,
delayed
01.17.28.41 Pem Fisik, Edukasi,konsul rehab medis
Global
56 HUMAIRA SHAKILA NAJMA
developmental
delayed, speech
delayed Assesment awal, Assessment Perkembangan,
01.15.13.66 Pem Fisik, Edukasi,konsul rehab medis
Global developmental Assesment awal, Assessment Perkembangan, Pem
57 ZHAFIRAH ZUHRI
delayed
01.02.13.54 Fisik, Edukasi,konsul rehab medis
58 HUMAIRA PERMATA DEVI Assesment awal, Assessment Perkembangan, Pem
01.16.60.22 Speech delayed Fisik, Edukasi,konsul rehab medis

Global developmental
59 MUHAMMAD DZAKI AFNAN
delayed, speech Assesment awal, Assessment Perkembangan, Pem
01.13.37.13 delayed Fisik, Edukasi,konsul rehab medis
Global developmental Assesment awal, Assessment Perkembangan, Pem
60 MUTIARA RIKARDO delayed
01.11.16.71 Fisik, Edukasi, lebor
Global developmental
61 GHULAMAN ZAKIYA NAFIS delayed, speech Assesment, Evaluasi perkembangan, edukasi,
delayed
01.17.55.98 konsul rehab medis
Global developmental Assesment awal, Assessment Perkembangan, Pem
62 Ghibran naoki nirankara delayed
01.17.54.88 Fisik, Edukasi, lebor
MUZAMMIL FACHRU Global developmental Assesment, Evaluasi perkembangan, edukasi,
63 RAHMAN delayed
01.09.46.76 konsul rehab medis
Global developmental Assesment awal, Assessment Perkembangan, Pem
64 IKRAM ALFARIZI DEBUZA
delayed
01.12.51.86 Fisik, Edukasi, lebor
Global developmental Assesment, Evaluasi perkembangan, edukasi,
65 SHAKEIL FATIH RISWANDI
delayed
01.05.14.34 konsul rehab medis
Global developmental Assesment, Evaluasi perkembangan, edukasi,
66 AZZAM NUFAIL ABIYYU
delayed
01.16.64.25 konsul rehab medis, konsul THT
Global developmental
67 FAIZ KURNIADI delayed, speech Assesment awal, Assessment Perkembangan, Pem
delayed
01.17.54.28 Fisik, Edukasi,konsul rehab medis
Global developmental Assesment awal, Assessment Perkembangan, Pem
68 FATHUR FASLAH MAULANA delayed
00.92.98.06 Fisik, Edukasi, labor
69 ZUL AZIZ Assesment, Evaluasi perkembangan, edukasi,
01.17.54.23 Speech delayed konsul rehab medis

70 DESWITA YULIA.BY Global developmental


delayed, speech Assesment awal, Assessment Perkembangan, Pem
01.16.89.22 delayed Fisik, Edukasi,konsul rehab medis
Global developmental Assesment awal, Assessment Perkembangan, Pem
71 ABDULLAH AZZAM KARTIZA delayed
01.15.52.91 Fisik, Edukasi
Global developmental
72 BY NY TESA MELIZA delayed, speech Assesment awal, Assessment Perkembangan, Pem
delayed
01.17.05.41 Fisik, Edukasi, labor
Global developmental Assesment, Evaluasi perkembangan, edukasi,
73 AQILA JEKASTRA
delayed
01.14.56.02 konsul rehab medis
Global developmental Assesment awal, Assessment Perkembangan, Pem
74 FITRI ANDINI
delayed
01.16.80.83 Fisik, Edukasi,konsul rehab medis
Global developmental Assesment awal, Assessment Perkembangan, Pem
75 NABIL HABII BII
delayed
01.17.56.32 Fisik, Edukasi,konsul rehab medis
Global developmental Assesment awal, Assessment Perkembangan, Pem
76 Razka abqory zaidan
delayed
01.16.66.86 Fisik, Edukasi,konsul rehab medis
Global developmental Assesment awal, Assessment Perkembangan, Pem
77 AYZA NURA MAFAZA
delayed
01.17.56.48 Fisik, Edukasi, lebor
Global developmental Assesment, Evaluasi perkembangan, edukasi,
78 ANNAHLA KURNIA HAMZAH delayed
01.10.89.85 konsul rehab medis

MUHAMMAD GHAZAN Global developmental


79 DZIKRA delayed, speech Assesment, Evaluasi perkembangan, edukasi,
delayed
01.04.59.79 konsul rehab medis, konsul THT
Global developmental Assesment awal, Assessment Perkembangan, Pem
80 HANA QUEENZI ARMENA delayed
00.93.45.39 Fisik, Edukasi,konsul rehab medis
MUHAMMAD RASSYA Global developmental Assesment awal, Assessment Perkembangan, Pem
81 SYABANI delayed
01.16.78.22 Fisik, Edukasi, labor
Global developmental Assesment, Evaluasi perkembangan, edukasi,
82 AABID FAJRI YUSUF delayed
01.17.48.83 konsul rehab medis
Global developmental Assesment awal, Assessment Perkembangan, Pem
83 FAIZ KURNIADI delayed
01.17.54.28 Fisik, Edukasi,konsul rehab medis
Global developmental Assesment awal, Assessment Perkembangan, Pem
84 VANNY EVAN AZZAHRA
delayed
01.14.14.50 Fisik, Edukasi
Global developmental
85 ABHI RAFAEL AKBAR delayed, speech Assesment awal, Assessment Perkembangan, Pem
delayed
01.01.67.72 Fisik, Edukasi, labor
Global developmental Assesment, Evaluasi perkembangan, edukasi,
86 AKIFA NAILA
delayed
01.17.17.71 konsul rehab medis
Global developmental Assesment awal, Assessment Perkembangan, Pem
87 LATHIF ALHAKIM SESAFA
delayed
00.99.26.96 Fisik, Edukasi,konsul rehab medis
Global developmental Assesment awal, Assessment Perkembangan, Pem
88 SAKHA RANSI ALDEN delayed
01.15.31.99 Fisik, Edukasi,konsul rehab medis
Global developmental Assesment awal, Assessment Perkembangan, Pem
89 RAZKY HAIL RADI delayed
01.15.40.11 Fisik, Edukasi,konsul rehab medis
Global developmental Assesment awal, Assessment Perkembangan, Pem
90 ALFA SAMUEL TUA PURBA delayed
01.17.11.81 Fisik, Edukasi, lebor
Global developmental Assesment, Evaluasi perkembangan, edukasi,
91 TISHA HARIYAWATI delayed
01.13.47.21 konsul rehab medis
Global developmental
92 SHAQUILLE PRAWIRA ESRA delayed, speech Assesment, Evaluasi perkembangan, edukasi,
delayed
01.16.78.40 konsul rehab medis, konsul THT
Global developmental Assesment awal, Assessment Perkembangan, Pem
93 BY NY TESA MELIZA delayed
01.17.05.41 Fisik, Edukasi,konsul rehab medis
Global developmental Assesment awal, Assessment Perkembangan, Pem
94 MUHAMMAD FAHIM
delayed
01.16.81.92 Fisik, Edukasi, labor
Global developmental Assesment, Evaluasi perkembangan, edukasi,
95 YUSRON AR RAZAQ
delayed
01.16.27.47 konsul rehab medis
MAHATMA NARABUMI Global developmental Assesment awal, Assessment Perkembangan, Pem
96 PRIFI delayed
01.13.26.72 Fisik, Edukasi,konsul rehab medis
Global developmental Assesment awal, Assessment Perkembangan, Pem
97 Arkana Azlan wardana
delayed
01.17.64.04 Fisik, Edukasi
Global developmental
98 ABDUL KARIM MUSA delayed, speech Assesment awal, Assessment Perkembangan, Pem
delayed
01.17.15.49 Fisik, Edukasi, labor
99 GHULAMAN ZAKIYA NAFIS
01.17.55.98
Global developmental Assesment, Evaluasi perkembangan, edukasi,
100 GAFFAR GEMI PUTRA delayed
01.17.63.38 konsul rehab medis
Global developmental Assesment awal, Assessment Perkembangan, Pem
101 ABHI RAFAEL AKBAR delayed
01.01.67.72 Fisik, Edukasi,konsul rehab medis
Global developmental Assesment awal, Assessment Perkembangan, Pem
102 DIMAS SAPUTRA delayed
01.14.88.21 Fisik, Edukasi,konsul rehab medis
Global developmental Assesment awal, Assessment Perkembangan, Pem
103 ADENA ZAHRAH ADIA delayed
01.16.96.15 Fisik, Edukasi,konsul rehab medis
Global developmental Assesment awal, Assessment Perkembangan, Pem
104 NADHIF ALFARIZ delayed
01.16.30.01 Fisik, Edukasi, lebor
105 MUHAMMAD
ALQOHAR
AMIR Global developmental Assesment, Evaluasi perkembangan, edukasi,
delayed
01.15.60.87 konsul rehab medis
Global developmental
106 ARSYA ATHA REAN delayed, speech Assesment, Evaluasi perkembangan, edukasi,
delayed
01.17.59.24 konsul rehab medis, konsul THT
Global developmental Assesment awal, Assessment Perkembangan, Pem
107 Shafiyya khirani alexander delayed
01.16.72.86 Fisik, Edukasi,konsul rehab medis
Global developmental Assesment awal, Assessment Perkembangan, Pem
108 FADHLAN PAHLEVI delayed
01.16.45.64 Fisik, Edukasi, labor
Global developmental Assesment, Evaluasi perkembangan, edukasi,
109 RAHIYD ZURAHMAN delayed
01.04.29.53 konsul rehab medis
Global developmental Assesment awal, Assessment Perkembangan, Pem
110 SUFFINA VAN SANI BY delayed
01.16.14.26 Fisik, Edukasi,konsul rehab medis
Mengetahui, Supervisor Tumbuh Kembang dan Pediatrik Sosial

Dr. dr. Eva Chundrayetti, SpA(K)


LOGBOOK RAWAT JALAN TUMBUH KEMBANG DAN PEDIATRIK SOSIAL
PERIODE : 12 APRIL - 30 MEI 2023
MADYA : Abi Andayu
No Nama Pasien MR Diagnosis Tindakan yang dilakukan Paraf

Global
Gueen Permata developmental
1 01170521
Bhidsa delayed, speech
delayed Assesment, Evaluasi perkembangan, edukasi,
konsul rehab medis, konsul THT
Global
2 Vanny Evan developmental Assesment awal, Assessment Perkembangan,
01141450
Azzahra delayed, speech
delayed Pem Fisik, Edukasi, konsul THT, Konsul
Rehab medis, edukasi
Global
Muhammad
3 01167822 developmental Assesment awal, Assessment Perkembangan,
Rassya Syarani
delayed Pem Fisik, Edukasi, lebor
Global
4 Alika Farzana 01056107 developmental Assesment awal, Assessment Perkembangan,
delayed
Pem Fisik, Edukasi
Global
5 Amrullah Azzaky 01169833 developmental
delayed
Evaluasi perkembangan, edukasi, konsul mata
Global
6 Muhammad Mirza 0H1079761 developmental
delayed
Evaluasi perkembangan, edukasi
Global
7 Fathur Faslah developmental
00929806 delayed, speech
Maulana
delayed Evaluasi perkembangan, edukasi, konsul rehab
medis, konsul THT
Global
8 Alfaizan Ibnu developmental
01170635 Evaluasi perkembangan, edukasi, konsul rehab
Khairan
delayed
medis
Global
9 Cahaya Yafitri 01137852 developmental Assesment awal, Assessment Perkembangan,
delayed
Pem Fisik, Edukasi
Global
By. Ny. Osa.
10 Syahputri
01166206 developmental Assesment awal, Assessment Perkembangan,
delayed Pem Fisik, Edukasi, labor
Global
Faiza Tazkiya
11 Shafiya
01152557 developmental Assesment, Evaluasi perkembangan, edukasi,
delayed
konsul rehab medis
Global
12 Beyazid Rumi developmental
01167488 Assesment awal, Assessment Perkembangan,
Faeyza
delayed
Pem Fisik, Edukasi,konsul rehab medis
Global
13 Vanny Evan developmental
01141450 Assesment awal, Assessment Perkembangan,
Azzahra delayed
Pem Fisik, Edukasi,konsul rehab medis
Global
Muhammad Dzaki
14 01133713 developmental Assesment awal, Assessment Perkembangan,
Afnan
delayed
Pem Fisik, Edukasi
Global
15 Rafael Adrian developmental
01119497 Assesment awal, Assessment Perkembangan,
Darma Arifin
delayed
Pem Fisik, Edukasi, labor
16 By. Megawati 01170777 BBLC 2900 gram, Assesment awal, injeksi vitamin K.
Global
17 Zidan Barra Kusum01171206 developmental Assesment awal, Assessment Perkembangan,
delayed
Pem Fisik, Edukasi,konsul rehab medis
Global
18 Septhania Gloria developmental
01168569 Assesment awal, Assessment Perkembangan,
Hura
delayed
Pem Fisik, Edukasi
Global
19 Alfa Samuel Tua developmental
01171181 Assesment awal, Assessment Perkembangan,
Purba delayed
Pem Fisik, Edukasi, labor
Global
Willsen Jordan
20 01063777 developmental Assesment, Evaluasi perkembangan, edukasi,
Liem
delayed
konsul rehab medis
Global
developmental
21 Arkana Maliq 01171381
delayed, speech
delayed Assesment awal, Assessment Perkembangan,
Pem Fisik, Edukasi,konsul rehab medis
Global
22 Nathan Halomoan developmental
01171344 Assesment awal, Assessment Perkembangan,
Situmorang delayed
Pem Fisik, Edukasi,konsul rehab medis
Global
23 Fadhlan Pahlevi 01164564 developmental Assesment awal, Assessment Perkembangan,
delayed Pem Fisik, Edukasi,konsul rehab medis
Global
24 Algibran Faheem A01160566 developmental Assesment awal, Assessment Perkembangan,
delayed
Pem Fisik, Edukasi,konsul rehab medis
Global
25 Vino Baihaqi Anwa01115073 developmental Assesment awal, Assessment Perkembangan,
delayed
Pem Fisik, Edukasi,konsul rehab medis
Global
26 Akifa Naila 01171771 developmental Assesment awal, Assessment Perkembangan,
delayed
Pem Fisik, Edukasi
Global
27 Sarfaraz Khalid Ant01157242 developmental Assesment awal, Assessment Perkembangan,
delayed
Pem Fisik, Edukasi, labor
Global
28 Hamzah Sayyodina01123043 developmental Assesment, Evaluasi perkembangan, edukasi,
delayed
konsul rehab medis
Global
29 developmental
by. Retno Zartika S01155934
delayed, speech
delayed Assesment awal, Assessment Perkembangan,
Pem Fisik, Edukasi,konsul rehab medis
Global
30 Afif Maulana 01168826 developmental Assesment awal, Assessment Perkembangan,
delayed
Pem Fisik, Edukasi,konsul rehab medis
Global
31 Hafizah Aqila 01133678 developmental Assesment awal, Assessment Perkembangan,
delayed Pem Fisik, Edukasi
Global
32 Muhammad developmental
01166198 Assesment awal, Assessment Perkembangan,
Elfathan
delayed
Pem Fisik, Edukasi, labor
Global
33 Humaira Permata developmental
01166022 Assesment, Evaluasi perkembangan, edukasi,
Devi delayed
konsul rehab medis
Global
Muhammad developmental
34 01172263
delayed, speech
Luthfi Marjko
delayed Assesment awal, Assessment Perkembangan,
Pem Fisik, Edukasi,konsul rehab medis
Global
35 Alfa Samuel Tua developmental
01171181 Assesment awal, Assessment Perkembangan,
Purba delayed
Pem Fisik, Edukasi
Muhammad Global
36 Zahdan 01125858 developmental Assesment awal, Assessment Perkembangan,
Kurniawan delayed Pem Fisik, Edukasi, labor
Global
37 Rizqiana Ayumi 01156077 developmental Assesment, Evaluasi perkembangan, edukasi,
delayed
konsul rehab medis
Global
38 Fylan Syahrir Lie 01172841 developmental Assesment awal, Assessment Perkembangan,
delayed
Pem Fisik, Edukasi,konsul rehab medis
Global
developmental
39 Fadhlan Pahlevi 01164564
delayed, speech
delayed Assesment awal, Assessment Perkembangan,
Pem Fisik, Edukasi,konsul rehab medis
Global
40 Bintang Rizky 01173564 developmental Assesment awal, Assessment Perkembangan,
delayed Pem Fisik, Edukasi,konsul rehab medis
Global
41 Muhammad developmental
01157817 Assesment awal, Assessment Perkembangan,
Khaizan Al Ghazi
delayed
Pem Fisik, Edukasi,konsul rehab medis
Global
42 Muhammad Raziq developmental
01140642 Assesment awal, Assessment Perkembangan,
Alfarizky
delayed
Pem Fisik, Edukasi,konsul rehab medis
Global
43 SAKHA RANSI ALDE developmental
Assesment awal, Assessment Perkembangan, Pem
01.15.31.99
delayed
Fisik, Edukasi, lebor
Global
44 ALFA SAMUEL TUA developmental
Assesment, Evaluasi perkembangan, edukasi,
01.17.11.81
delayed
konsul rehab medis
Global
45 LATHIF ALHAKIM S
developmental
delayed, speech
delayed Assesment awal, Assessment Perkembangan, Pem
00.99.26.96 Fisik, Edukasi, lebor
Global
46 AYKO RAZAKKI developmental
Assesment, Evaluasi perkembangan, edukasi,
01.17.40.20
delayed
konsul rehab medis
47 FADHLAN PAHLEVI Assesment, Evaluasi perkembangan, edukasi,
01.16.45.64 Speech delayed konsul rehab medis, konsul THT

Global
48 MUHAMMAD ABDUR developmental
delayed, speech Assesment awal, Assessment Perkembangan, Pem
01.16.05.70 delayed Fisik, Edukasi,konsul rehab medis
Global
49 BY FATMAWATI developmental Assesment awal, Assessment Perkembangan,
01.17.38.23
delayed Pem Fisik, Edukasi, labor
Global
developmental
50 ELHAZIQ WILLIAM
delayed, speech
delayed Assesment, Evaluasi perkembangan, edukasi,
01.16.65.68 konsul rehab medis
Global
51 RAFAEL ADRIAN DA developmental Assesment awal, Assessment Perkembangan,
delayed
01.11.94.97 Pem Fisik, Edukasi,konsul rehab medis
Global
52 CALEB HICKS developmental Assesment awal, Assessment Perkembangan,
01.17.56.19
delayed Pem Fisik, Edukasi
Global
53 WILLSEN JORDAN L developmental Assesment awal, Assessment Perkembangan,
delayed
01.06.37.77 Pem Fisik, Edukasi, labor
Global
54 AZKA FAIZAN MUZZ developmental Assesment, Evaluasi perkembangan, edukasi,
delayed
01.04.05.88 konsul rehab medis
Global
55 DYLAN SYAHRIR LIE developmental Assesment awal, Assessment Perkembangan,
delayed
01.17.28.41 Pem Fisik, Edukasi,konsul rehab medis
Global
56 HUMAIRA developmental
SHAKILA NAJMA delayed, speech
delayed Assesment awal, Assessment Perkembangan,
01.15.13.66 Pem Fisik, Edukasi,konsul rehab medis
Global developmental Assesment awal, Assessment Perkembangan, Pem
57 ZHAFIRAH ZUHRI
delayed
01.02.13.54 Fisik, Edukasi,konsul rehab medis
HUMAIRA Assesment awal, Assessment Perkembangan, Pem
58 PERMATA DEVI 01.16.60.22 Speech delayed Fisik, Edukasi,konsul rehab medis

MUHAMMAD Global developmental


59 DZAKI AFNAN delayed, speech Assesment awal, Assessment Perkembangan, Pem
01.13.37.13 delayed Fisik, Edukasi,konsul rehab medis
MUTIARA Global developmental Assesment awal, Assessment Perkembangan, Pem
60 RIKARDO delayed
01.11.16.71 Fisik, Edukasi, lebor
Global developmental
GHULAMAN
61 ZAKIYA NAFIS delayed, speech Assesment, Evaluasi perkembangan, edukasi,
delayed
01.17.55.98 konsul rehab medis
Ghibran naoki Global developmental Assesment awal, Assessment Perkembangan, Pem
62 nirankara delayed
01.17.54.88 Fisik, Edukasi, lebor

MUZAMMIL Global developmental


63 FACHRU RAHMAN delayed Assesment, Evaluasi perkembangan, edukasi,
01.09.46.76 konsul rehab medis
IKRAM ALFARIZI Global developmental Assesment awal, Assessment Perkembangan, Pem
64 DEBUZA delayed
01.12.51.86 Fisik, Edukasi, lebor
SHAKEIL FATIH Global developmental Assesment, Evaluasi perkembangan, edukasi,
65 RISWANDI delayed
01.05.14.34 konsul rehab medis
AZZAM NUFAIL Global developmental Assesment, Evaluasi perkembangan, edukasi,
66 ABIYYU delayed
01.16.64.25 konsul rehab medis, konsul THT
Global developmental
67 FAIZ KURNIADI delayed, speech Assesment awal, Assessment Perkembangan, Pem
delayed
01.17.54.28 Fisik, Edukasi,konsul rehab medis
FATHUR FASLAH Global developmental Assesment awal, Assessment Perkembangan, Pem
68 MAULANA delayed
00.92.98.06 Fisik, Edukasi, labor
69 ZUL AZIZ Assesment, Evaluasi perkembangan, edukasi,
01.17.54.23 Speech delayed konsul rehab medis

DESWITA Global developmental


70 YULIA.BY delayed, speech Assesment awal, Assessment Perkembangan, Pem
01.16.89.22 delayed Fisik, Edukasi,konsul rehab medis
ABDULLAH Global developmental Assesment awal, Assessment Perkembangan, Pem
71 AZZAM KARTIZA delayed
01.15.52.91 Fisik, Edukasi
Global developmental
BY NY TESA
72 MELIZA
delayed, speech Assesment awal, Assessment Perkembangan, Pem
delayed
01.17.05.41 Fisik, Edukasi, labor
Global developmental Assesment, Evaluasi perkembangan, edukasi,
73 AQILA JEKASTRA
delayed
01.14.56.02 konsul rehab medis
Global developmental Assesment awal, Assessment Perkembangan, Pem
74 FITRI ANDINI
delayed
01.16.80.83 Fisik, Edukasi,konsul rehab medis
Global developmental Assesment awal, Assessment Perkembangan, Pem
75 NABIL HABII BII
delayed
01.17.56.32 Fisik, Edukasi,konsul rehab medis
Razka abqory Global developmental Assesment awal, Assessment Perkembangan, Pem
76 zaidan delayed
01.16.66.86 Fisik, Edukasi,konsul rehab medis
AYZA NURA Global developmental Assesment awal, Assessment Perkembangan, Pem
77 MAFAZA delayed
01.17.56.48 Fisik, Edukasi, lebor

ANNAHLA KURNIA Global developmental


78 HAMZAH delayed Assesment, Evaluasi perkembangan, edukasi,
01.10.89.85 konsul rehab medis
Global developmental
MUHAMMAD
79 GHAZAN DZIKRA delayed, speech Assesment, Evaluasi perkembangan, edukasi,
delayed
01.04.59.79 konsul rehab medis, konsul THT
HANA QUEENZI Global developmental Assesment awal, Assessment Perkembangan, Pem
80 ARMENA delayed
00.93.45.39 Fisik, Edukasi,konsul rehab medis
MUHAMMAD Global developmental Assesment awal, Assessment Perkembangan, Pem
81 RASSYA SYABANI 01.16.78.22 delayed Fisik, Edukasi, labor
AABID FAJRI Global developmental Assesment, Evaluasi perkembangan, edukasi,
82 YUSUF delayed
01.17.48.83 konsul rehab medis
Global developmental Assesment awal, Assessment Perkembangan, Pem
83 FAIZ KURNIADI
delayed
01.17.54.28 Fisik, Edukasi,konsul rehab medis
VANNY EVAN Global developmental Assesment awal, Assessment Perkembangan, Pem
84 AZZAHRA delayed
01.14.14.50 Fisik, Edukasi
Global developmental
ABHI RAFAEL
85 AKBAR delayed, speech Assesment awal, Assessment Perkembangan, Pem
delayed
01.01.67.72 Fisik, Edukasi, labor
Global developmental Assesment, Evaluasi perkembangan, edukasi,
86 AKIFA NAILA
delayed
01.17.17.71 konsul rehab medis
LATHIF ALHAKIM Global developmental Assesment awal, Assessment Perkembangan, Pem
87 SESAFA delayed
00.99.26.96 Fisik, Edukasi,konsul rehab medis
SAKHA RANSI Global developmental Assesment awal, Assessment Perkembangan, Pem
88 ALDEN delayed
01.15.31.99 Fisik, Edukasi,konsul rehab medis
Global developmental Assesment awal, Assessment Perkembangan, Pem
89 RAZKY HAIL RADI
delayed
01.15.40.11 Fisik, Edukasi,konsul rehab medis
ALFA SAMUEL Global developmental Assesment awal, Assessment Perkembangan, Pem
90 TUA PURBA delayed
01.17.11.81 Fisik, Edukasi, lebor
TISHA Global developmental Assesment, Evaluasi perkembangan, edukasi,
91 HARIYAWATI delayed
01.13.47.21 konsul rehab medis
Global developmental
SHAQUILLE
92 PRAWIRA ESRA delayed, speech Assesment, Evaluasi perkembangan, edukasi,
delayed
01.16.78.40 konsul rehab medis, konsul THT
BY NY TESA Global developmental Assesment awal, Assessment Perkembangan, Pem
93 MELIZA delayed
01.17.05.41 Fisik, Edukasi,konsul rehab medis
MUHAMMAD Global developmental Assesment awal, Assessment Perkembangan, Pem
94 FAHIM delayed
01.16.81.92 Fisik, Edukasi, labor
YUSRON AR Global developmental Assesment, Evaluasi perkembangan, edukasi,
95 RAZAQ delayed
01.16.27.47 konsul rehab medis
MAHATMA Global developmental Assesment awal, Assessment Perkembangan, Pem
96 NARABUMI PRIFI 01.13.26.72 delayed Fisik, Edukasi,konsul rehab medis
Arkana Azlan Global developmental Assesment awal, Assessment Perkembangan, Pem
97 wardana delayed
01.17.64.04 Fisik, Edukasi
Global developmental
ABDUL KARIM
98 MUSA
delayed, speech Assesment awal, Assessment Perkembangan, Pem
delayed
01.17.15.49 Fisik, Edukasi, labor
GHULAMAN
99 ZAKIYA NAFIS 01.17.55.98
100 GAFFAR
PUTRA
GEMI Global developmental Assesment, Evaluasi perkembangan, edukasi,
delayed
01.17.63.38 konsul rehab medis
101 ABHI
AKBAR
RAFAEL Global developmental Assesment awal, Assessment Perkembangan, Pem
delayed
01.01.67.72 Fisik, Edukasi,konsul rehab medis
Global developmental Assesment awal, Assessment Perkembangan, Pem
102 DIMAS SAPUTRA delayed
01.14.88.21 Fisik, Edukasi,konsul rehab medis
103 ADENA
ADIA
ZAHRAH Global developmental Assesment awal, Assessment Perkembangan, Pem
delayed
01.16.96.15 Fisik, Edukasi,konsul rehab medis
Global developmental Assesment awal, Assessment Perkembangan, Pem
104 NADHIF ALFARIZ delayed
01.16.30.01 Fisik, Edukasi, lebor
105 MUHAMMAD
AMIR ALQOHAR
Global developmental Assesment, Evaluasi perkembangan, edukasi,
delayed
01.15.60.87 konsul rehab medis
Global developmental
106 ARSYA ATHA REAN delayed, speech Assesment, Evaluasi perkembangan, edukasi,
delayed
01.17.59.24 konsul rehab medis, konsul THT
107 Shafiyya
alexander
khirani Global developmental Assesment awal, Assessment Perkembangan, Pem
delayed
01.16.72.86 Fisik, Edukasi,konsul rehab medis
Global developmental Assesment awal, Assessment Perkembangan, Pem
108 FADHLAN PAHLEVI delayed
01.16.45.64 Fisik, Edukasi, labor
109 RAHIYD
ZURAHMAN
Global developmental Assesment, Evaluasi perkembangan, edukasi,
delayed
01.04.29.53 konsul rehab medis
110 SUFFINA
SANI BY
VAN Global developmental Assesment awal, Assessment Perkembangan, Pem
delayed
01.16.14.26 Fisik, Edukasi,konsul rehab medis

Mengetahui, Supervisor Tumbuh Kembang dan Pediatrik Sosial

Dr. dr. Eva Chundrayetti, SpA(K)/ dr. Asrawati, M. Biomed, SpA(K)


TARGET DAN PENCAPAIAN KOMPETENSI
PERIODE : 12 APRIL - 30 MEI 2023
MADYA : Abi Andayu

Metode Pembelajaran Stase Hematologi-Onkologi Jumlah


NO Daftar capaian kasus Jumlah
penyakit/topik/prosedur Diskusi Bed Side Diskusi capaian kasus
Pengelolaan Pasien Tindakan Junior Madya Senior minimal
Modul Teaching Kasus

Konsep dasar tumbuh


kembang dan faktor yang
1 mempengaruhi tumbuh V V V V V V 3 5
kembang

Asuhan nutrisi anak dan


2 remaja V V V V V V 3 5

3 Gagal tumbuh V V V V V V 3 5

Obstruktive sleep apnea


4 syndrome V 1 1

5 Usaha kesehatan sekolah V V V V V V 1 1

6 Vaksinasi V V V V V V 10 20

Deteksi dini gangguan


7 V V V V V V 10 15
perilaku

8 Deteksi autisme V 3 4

9 Enuresis V V V V V V 2 3
10 Temper tantrum V V V V V V 2 3
11 Encopresis V 2 3

12 Keterlambatan V V V V V V 10 15
perkembangan umum
Keterlambatan
13 perkembangan bicara V V V V V V 10 20

Substance abuse pada


14 remaja V 1 1

15 Kekerasan pada anak V V V V V V 1 1


Deteksi dini
16 perkembangan anak dan 2 5
retardasi mental

Deteksi dini
17 perkembangan anak V V V V V V 2 5
dengan palsi serebral

Mengetahui, Supervisor Tumbuh Kembang dan Pediatrik Sosial

Dr. dr. Eva Chundrayetti, SpA(K) / dr. Asrawati, M. Biomed, SpA(K)


TARGET DAN PENCAPAIAN PROSEDUR TINDAKAN
PERIODE : 12 APRIL - 30 MEI 2023
MADYA : Abi Andayu

Metode Pembelajaran
Jumlah Jumlah
Diskusi Pengelolaan Bed Tindakan Diskusi capaian
No. Daftar Prosedur Tindakan Modul pasien Side Prosedur Kasus kasus capaian
(Jumlah Teachin minimal kasus
kasus) g
1 Skrining uji denver V V V V V 3 5
2 Skrining uji M-CHAT V V V V V 1 1
3 Skrining uji KMME V V V V V 1 1
4 Skrining uji early language milestone V V V V V 1 1
5 Skrining uji GPPH V V V V V 1 11
6 Skrining PEDS QL V V V V V 10 10

7 Skrining Pediatric Symptoms checklist V V V V V 10 15

8 Vakksinasi V V V V V 5 5

Mengetahui, Supervisor Tumbuh Kembang dan


Pediatrik Sosial

Dr. dr. Eva Chundrayetti, SpA(K) / dr. Asrawati, M. Biomed, SpA(K)

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