koran 18-10-15
DESCRIPTION
Most authors feel that total resection of the bullae is of major importance since the risk of development of bronchogenic carcinoma is a lot higher in patients with GBE [18]. Venuta and Goldstein respectively reported an incidence of primary lung cancer associated with bulla as 4.2% and 3.8% [18, 19]. The relative risk of lung cancer adjoining a pulmonary bulla is much higher, therefore requiring a strict follow-up. Differentiating malignancy in emphysematous lungs is a difficult diagnosis with HRCT, so low threshold towards biopsy or resection of growing low-density mass can be defended.TRANSCRIPT
PALEM ATAS
Hj, Rusni21-12-1964729284MRS 14/10/2015DPJP : dr. IbrahimPindah ke ICU(ICU)
Ileus Obstruksi RL:DS:ClinimixSharox 750 mg/12 jam/ intravenaKetorolac 30 mg/8jam.intravenaRantidin 50 mg/8j/ivMetronidazole 500 mg/8jParacetamol drip k/pPRC 2 bagFoto Thorax AP/PA CITO
17/10/15WBC 19.400Hgb: 8,6HCT 25PLT 43.000GDS 22Albumin 2,4Na/K/Cl 143/2,4/104
Foto thorax 18/10/15Cardiomegaly dengan edema paruEfusi pleura dextraElevasi diafragma dextra (proses intrahepatik?
B1/6Paongananam16-01-1966RM :727739MRS:DPJP : dr. ikhwan
POH III eksplorasi batu CBD
Cefadoroxil 2 x1 tabAs. Mefenamat 3 x 500 mgRanitidin 2x150 mgMetronidazole 500 mg/8jDiet biasaPertahankan T tube.Boleh rawat jalan
14/10/2015WBC 9000HGB 13,1HCT 39PLT 75.000
01/10/201PT : 11,6Aptt 31,3Ur/cr : 23/1,1Biliirubin total : 0,8Bilirubin direct; 0,37GOT/GPT 77/147Albumin 4,1Na/K/Cl : 144/4,7/106
MSCT whole abd Non Kontras02/10/15Cholecystolith dan choledocolith
B2/4 bed2Hasnah29-11-62705562MRS : 28-9-15705562DPJP : dr Ikhwan Kusuma
Post colonstomyec adenocarcinoma colonPOH VI tutup colostomy
Infuse RL:DS: Clinimix500:500:1000Sharox 750mg/12jRanitidine 50 mg/8 jMetronidazole 500 mg/8jMinum 5 sdk/jam
Lab 16/10/15GDS 128
15/10/15WBC 8800HGB 10HCT 30PLT 179.000Alb 2,7Na/k/Cl 139/3,5/105
Loposkopi: Dalam Batas Normal
Colonoskopi 5/10/2015IBD (proktitis) drajat ringan
K2/B6 bed1Hanasia31-12-58724664MRS: 4-9-2015DPJP: dr. Warsinggih
POH 42 laparotomi eksplorasi ec tumor colon sigmoid
Infuse RL:DS: Clinimix500:500:1000Sharox 750mg/12jRanitidine 50 mg/8 jVipAlbumin 3 x 2tab
Lab (14/10/15)WBC 6600HGB 12,5HCT 37 %PLT 135.000
Foto thorax AP/PA 07/07/2015Pneumoniae dextraDilatatio AortaeElevasi Diafragma Dextra (pross intrahepatic?)Terpasang CVC
PA (9/9/15): Adenocarcinoma sigmoid differensiasisedangdenganbatasreseksibebas tumor
B2/8 bed2Amir2/03/19653681137MRS :DPJP : dr. samuel
Aneurysma Aorta Abdominal
Operasi graft aneyrysma hari kamis
GDS 314 mg/dl
12/10/2015WBC 5100HGB 9,4HCT 28PLT 464.000Pt/apt 11/21,5Ur/cr 40/0,62SGOT 17SGPT 15Albumin 3,2
B2/13 bed2Sriyani dargo3-3-1965MRS 24-9-15723379DPJP : dr Ibrahim
POH X Laparotomy explorasi + Biopsi Tumor pancreas
Sharox 750 mg/12 j/ivKetorolac 30 mg/8jRanitidine 50mg/8jVipalbumin 3 x 1 tabNeurobion 1 amp/24 j
12/10/2015
WBC : 16.500Hb : 9,7Ht : 30PLT : 387.000Alb : 2,3Na/K/Cl 139/4,3/108Foto Thorax AP/PA 11/10/2015
Efusi Pleura SinistraPneumonia DextraChest Tube terpasang pada hemithorax dextra dengan tip tidak tervisualisasi.