LONTARA 3 BAWAH BELAKANG

1HCU Bed 4ST. Nurnaini70393128/12/1952MRS :07/03/2015

DPJPDr. dr. Djoko Widodo, Sp.BS

S:kesadaran menurunO: KU:GCS 5 (E1M5V2)

A: post op H2 ec meningioma

Infus RL 28tpmCeftriaxone 1gr/12j/IVKetorolac 30mg/8j/IVRanitidin 50mg/8j/IVHeadup 300Ganti Verban /2hari

Lab 15/03/2015RBC : 3,73WBC : 28,300HGB : 11,3HCT : 33PLT : 308,000Ur/Cr : 22/0,30Na/K/Cl : 137/2,8/102Lab 13/03/2015RBC : 3,44WBC : 20, 300HGB : 10,4HCT : 31PLT : 182,000PT/APTT : 10,8/31Ur/Cr : 37/0,40SGOT/SGPT : 22/26GDS : 100Alb : 2,5Na/K/Cl : 140/ 2,7/107

CT-Scan Kepala (tanpa kontras) 07/03/2015-Massa extraaxil regio frontotemporalis suspek meningioma disertai brain swelling dan tanda-tanda herniasi subfalcine dan trans tentorial- Hydrocephalus obstruktif- Encephalomalacia pons sisi kanan

2K3B5Sampara Dg SibaliRM : 705407Tgl lahir01/07/1963Tgl MRS19/03/2015S:O: Ku = BaikA : Multiple Abses Cerebri dan CerebellumTerapi sesuai TS SarafTunggu Konfirmasi bagian sarafLab 19/03/2015WBC: 24.6RBC: 4.07HGB: 11.9HCT: 35.7PLT: 341000CT/BT: PT/APTT: GDS: 95Ur/Cr: 29/0.9SGOT/SGPT: 24/1.1Na/K/Cl: 140/3.6/102HBsAg: nonreactiveMSCT Kepala 20/03/2015Multiple Abses Cerebri dan Cerebelum

LONTARA 3 THT ATAS DEPAN

1K1B3SartianiMR: 705635Tanggal lahir:1-5-1963DPJP:Dr. Willy Adhimarta, Sp. BSS: Nyeri kepalaO: GCS 15 Region occipital sinistra: tampak luka terjahit untuk 5x2 cm, hematoma tidak adaA: Trauma kapitis ringan GCS 15- RL 10 tpm- Ceftriaxone 1gr/12j/iv- Ketorolac 30mg/8j/iv- Ranitidine 50mg/8j/ivLab (22-3-2015)WBC: 18,8RBC: 4,86HGB: 14,9HCT: 43PLT: 223GDS: 185Ur/Cr: 23/ 0,6

2Simon Seda70516701-01-1945

MRS:17-03-2015

DPJP:S: keluhan : Kesadaran MenurunO: Sakit SedangGCS 11(E3M5V3)A:Post craniektomi hari ke-1 SDH tempoparietal sinistra ICH temporal sinistraInstruksi post OPIVFD RL 28 tpmCeftriaxone 1gr/12j/ivRanitidin ampl/8j/ivKetorolac amp/8j/ivFeniton 100mg dalam Nacl piggy bag/8jCek HB post opAsam traneksamat amp/8jLab 17-03-2015RBC : 4.88HGB: 12.6HCT: 37.7PLT:242

PT : 10.5APPT: 28.5GDS:190UR/CR: 25/1.10SGOT: 31SGPT: 19NA/KA/KL:140/4.3/103

3Rukka Lindung65941824-4-1959MRS:24-3-2015DPJPS: Nyeri kepalaO: Status generalisKU: LemahA: Tumor intrakranialInfus RL: dextrose 5% 2:1Mannitol 100cc/6 jamLab 16/03/2015WBC 8750RBC 3.35HGB 10,6HCT 31.1PLT 364GDS 90Ur/Cr 28/0,80SGOT/SGPT 21/18Na/K/Cl 134/4.6/99

LONTARA 3 ATAS BELAKANG

1K2B6N. Zulkarnaen68733531/12/1962MRS!9/03/2015DPJPdr. Nasrullah Sp.BSS: Tidak ada batok kepalaO: : status generalisata : SS/GC/CMGCS 15 pupil isokor2mm/2mm,RC +/+A: Skull Defect Regio Frontal Dextra

Rencana Cranioplasty hari Selasa 24/03/2015Lab 1403/2015WBC 7300RBC 5.27HGB 15.3HCT 46PLT 297000CT/BT 800/230GDS 108Ur/Cr 30/0.90SGOT/SGPT 24/28Na/K/Cl 146/4.4/109

2K3B4Rizaldi Winata70599527/12/1997MRS:24/03/2015DPJPDr. dr. Nasrullah, Sp.BSS: Nyeri kepalaO: Status generalis:SS/GC/CMGCS 15A: TCR GCS 15- RL 10 tpm- Ketorolac 30mg/8j/iv- Ranitidine 50mg/8j/iv- MannitolLab 2403/2015WBC 10,1RBC 3,88HGB 11,7HCT 35,0PLT 678GDS 85Ur/Cr 14/0,60SGOT/SGPT 53/80

3K4B4Anggun Febriyani70545927/2/2000MRS:20/03/2015DPJP: Prof Dr. dr. Andi Asadul I, Sp.BSS: Nyeri kepalaO: Status generalis:SS/GC/CMGCS 15A: TCR GCS 15- RL 10 tpm- Ketorolac 30mg/8j/iv- Ranitidine 50mg/8j/iv

Lab 20/03/2015WBC 9,9RBC 5,07HGB 14,7HCT 43,2PLT 403GDS 131Na/K/Cl: 141/5,2/106

LONTARA 4 ATAS BELAKANG

1K7B6Ayu Andini22/11/2003704797MRS:14/03/2015S: Lemah kedua tangan dan kakiO: : status generalisata : SS/GC/CMGCS 15 pupil isokor3mm/2mm,RC +/+A: Tetraparese ec SOLTunggu hasil kulturLab 14/03/2015WBC 7600RBC 4,76HGB 13,2HCT 39,3PLT 500GDS 90Ur/Cr 20/0,40SGOT/SGPT 15/21Na/K/Cl 144/4,4/113

2Putra Ansar10/05/2014701432MRS:DPJP:S: Demam ada, spastik adaO: status generalisata : SS/GC/CMGCS 15 pupil isokor3mm/2mm,RC +/+A: Post VP shunt- RL 10 tpm- Ketorolac 30mg/8j/iv- Ranitidine 50mg/8j/iv