KORAN BEDAH ONKOLOGI RABU 15 OKTOBER 2014

1 KAMAR : 205Ny. Rahmayanti02/02/1989674076MRS : 13/10/2014DPJP: dr.Septiman,Sp.B(K) Onk

A:- Carcinoma thyroid

- Operasi selasa 14/10/2014- Ceftriaxone 1gr//IV- Puasa

Laboratorium Tgl. 08-10-2014WBC : 7,0RBC : 4,41Hb : 13,2HCT : 38,0PLT : 243SGOT/SGPT: 20/13Ur/Cr: 21/0,72PT/APTT: 11,7/27,7

2 KAMAR: 220Ny.dr.Farida Abd Rauf24/01/1964683102MRS : 3/10/2014DPJP: dr. William Hamdani,Sp.B (Onk)

A:- Carcinoma mammae sinistra- POH-V modified radical mastectomy- Hematoma axilla sinistra

- Ganti botol draine- Ganti verban dan rawat luka

Laboratorium Tgl. 10-10-2014WBC : 18,8RBC : 3,57HB : 11,0PLT : 343Bilirubin total: 0,52Bilirubin direk: 0,26Prot. Total: 6,6Albumin: 4,0Gamma GT: 12Kolesterol total: 210HDL/LDL: 76/140Trigeliserida: 52

Laboratorium Tgl. 1-10-2014Na/K/Cl: 143/4,1/107CT/BT: 8’00/5’00PT/APTT/INR: 14,7/37,9/1,23HbsAg (elisa): POSITIF (20,69)SGOT/SGPT: 17/16GDS: 99Ur/Cr: 20/0,5

Pemeriksaan Sitologi tgl 1-10-2014Adenocarcinoma mammae

3 KAMAR 301Ny. Nadjmah Tompo8/5/1950140384MRS: 13/10/2014DPJP: dr. Septiman,Sp.B(K) Onk

A:- Limfoma maligna

- Lapor bila sudah ada hasil kemoterapi- Rencana kemoterapi bila regimen kemoterapi sudah ada

4 KAMAR 321Ny. Hasma31/12/1965427566MRS: 13/10/2014DPJP: dr. Djonny Ferianto,Sp.B(K) Onk

A:- Carcinoma mammae sinistra cT4N0M0

- Rencana kemoterapi 14/10/2014 bila sudah ada regimen

Laboratorium Tgl. 13-10-2014WBC : 7,3RBC : 3,85Hb : 12,2HCT : 36,1PLT : 257SGOT/SGPT: 75/101Ur/Cr: 31/0,73GDS: 104

5 KAMAR 329Ny. Suzzana Santoso7/5/1969680944MRS: 11/10/2014DPJP: dr.Septiman,Sp.B(K) Onk

A:- Ulkus Carcinoma mammae dextra cT4N2M0 stadium III

- IVFD RL 28 tpm- Ranitidin 50 mg/8jam/IV- Ganti verban dan rawat luka- Ceftriaxone 1gr/12jam/IV- Terapi sesuai Bedah Thorax

Analisa cairan pleura tanggal 13/10/2014Warna: kuning kemerahanVolume: 4Bekuan: positif

Laboratorium Tgl. 11-10-2014WBC: 17,4

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KORAN BEDAH ONKOLOGI RABU 15 OKTOBER 2014

RBC: 4,05HB: 10,9HCT: 33PLT: 443SGOT/SGPT: 10/9CT/BT: 7’00/3’00PT/APTT/INR: 12,0/32,7/1,00Ur/Cr: 24/0,7Bilirubin total/Bil. Direk: 0,61/0,37Albumin: 2,6GDS: 244Na/K/Cl 139/5,3/108Kolesterol total: 200HDL/LDL/trigliserida: 12/158/161

6 KAMAR 412Fatmawati7/10/1966669567MRS: 11/10/2014DPJP: dr. William Hamdani,Sp.B (Onk)

A:- Carcinoma mammae

dextra- POH-II modified radical

mastectomy

- IVFD RL 28 tpm- Ceftriaxone 1gr/12jam/IV- Ranitidin 50mg/8jam/IV- Ketorolac 30mg/8jam/IV- Diet oral bebas- Ganti botol draine, pantau produksi draine

Laboratorium tgl 07-10-2014WBC : 4,7RBC: 4,29HGB : 11,4HCT : 34,1PLT : 523

Laboratorium Tgl. 07-10-2014SGOT/SGPT: 32/32Ur/Cr: 24/0,45PT/APTT/INR: 10,3/27,9/0,91CEA: 2,14Ca15-3: 11,6GDS: 161

Hasil Patologi Anatomi 11-07-2014Invasif ductal carcinoma mammae (moderate grade malignancy)

7 KAMAR 431Ny. Rahmatiah Mallopo10/03/1965669254MRS: 13/10/2014DPJP: dr.Septiman,Sp.B(K) Onk

A:- Carcinoma mammae dextra cT4cN3M0

Operasi Modofied Radical Mastectomy 14/10/2014

Foto Lumbosacral AP-lateral tgl 7-10-2014Spondylosis lumbalLesi opaque pada os sacrum, susp. Bone Island DD/ lesi blastik

Laboratorium Tgl. 07-10-2014WBC : 6,3RBC: 3,70HGB : 12,2HCT : 34,6PLT : 247SGOT/SGPT: 40/70Ur/Cr: 17/0,59PT/APTT: 10,2/28,7

8 KAMAR 432Sulfianti28/12/1994663378MRS: 25/9/2014DPJP: dr.Septiman,Sp.B(K) Onk

A:- Angiosarcoma

hemithorax- Cancer pain- Trombositopenia- Anemia

- Cek darah rutin per 6 jam post transfusi- Penanganan nyeri sesuai anastesi- Rencana penanganan radioterapi di RSUH bila ada kamar- IVFD RL 28 tpm

Laboratorium tgl 10-10-2014WBC: 9,6RBC: 2,77HGB: 8,9HCT: 26,1PLT: 66

Laboratorium tgl 12-09-2014Ur/Cr: 5/0,44GDS: 148SGOT/SGPT: 31/27

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