LONTARA 2 ATAS BELAKANG KAMAR 6

BED 3Rompa31-12-1956706331MRS: 27-04-2015Bulukumba

Residen: dr. VannesDPJP:dr. Haryasena, Sp.B(K)Onk Riwayat Penyakit:

A: Melanoma MalignaOptimalisasi KU

Lab (24/4/15)RBC 3,25HGB 9,4HCT 27PLT 248WBC 9,1UR/CR 21/0,70SGOT/SGPT 20/13GDS 109Na/K/Cl 135/3,5/108As.Urat 3,7

Bed 4Hapidah31/12/1950560095Alamat : KaberaMRS: Residen: dr. Vannes CaesarDPJP: dr. Haryasena, Sp.B(K)Onk

Riw. Penyakit:Pro kemoterapi siklus ke IV

A: ca mamma bilateralR/ kemoterapi siklus IVTransfusi trombosit

Lab ( 25/4/15 )WBC : 4,1Hb : 11,5RBC : 3,82HCT : 33PLT : 40Lab (22/4/15)WBC 1,7Hb 11,3RBC 3.57HCT 32PLT 7Lab (14/4/15)Na/K/Cl: 138/4,8/110CT/BT: 8/3LED 121/139Gds 126Ur/Cr: 42/1,2Sgot/Sgpt: 38/36Alb: 3,9As. Urat: 5,6

LONTARA 2 ATAS BELAKANG KAMAR 8

Bed 1Petronela Relmasira23-12-1947709099MRS: 28-4-2015Alamat : Desa Suli Kab. Maliku Tengah

DPJP:dr. Haryasen, Sp.B(K)Onk

D/carcinoma tyhroidLaboratorium(24/4/2015)TSHs : 1,22FT4 : 0,83

(21/4/2015)BT/CT : 300/800PT : 10,3APTT : 24,6

Bed 2Kartini12-04-1983678255MRS: 21-4-2015Alamat : Jl. Flamboyan, Makassar

DPJP:dr. Septiman, Sp.B(K)Onk

Riwayat Penyakit:Benjolan dileher kanan,disertai luka sejak 1 tahun,kadang sesak napas.

Lokasi tumor: Tampak benjolan di regio colli dextra.

Ukurantumor : 8cm x 7 cm.

Nyeri tahan,konsistensi kenyal,mobil,tampak luka pada benjolan dengan pendarahan akut.

D/lymphoma Maligna -anemia penyakitKronisInfus RL: D 5% (1:1) = 28 tpmCeftriaxone 1gr/12 jamMetronidazole 500mg/8jam/ivRanitidine 50 mg/8jamKetorolac 30mg/8jamDuragesic Patch 25mgGanti Verban

Laboratorium(24/4/2015)WBC : 54,8RBC : 3,83HGB : 11,3HCT : 32PLT :766

19/4/2015 :Wbc : 47,4Rbc : 3,43Hgb :10,2Plt 572Hct : 31Albumin : 2,1Na/K/Cl:137/3.2/101

(6/4/2015)WBC:35.0 RBC:2.9HGB: 8.5HCT: 25,5PLT:613GDS:100SGOt/SGPT:37/15Na/K/Cl:136/4/105

PA:Malignant epithelial tumor menyokong untuk undifferentiated carcinoma.

USG:tidaktampak tanda2 metastasis pada organ intraabdomen

BED 3Maria Fonataba11/03/1956688849Jl. Pulau Batanta

DPJP : dr. Djonny F, Sp.B(K) OnkRiwayat Penyakit :S : Pro KemoterapiO : KU: Sakit Sedang/Gizi Baik/Compos MentisA: Ca. Mammae dextra

-Transfusi PRC 1 bag- Rencana kemoterapi jika KU optimalLaboratorium 23/04/2015WBC : 7,4RBC : 3,85HGB : 9,6PLT : 125HCT : 31

Bed 5Haderah01/07/1962705159MRS:8/4/2015Alamat : massila Bone (Jln. Baruga raya bone )085242464889

DPJP:dr.Haryasena,Sp.B(Onk)S : Benjolan dipayudara kananSesak BerkurangO : KU: Sakit Sedang/Gizi Baik/Compos MentisA: Ca mammae dextraEfusi Pleura DextraRinger Laktat 28 tpmCeftriaxone 1gr/12 jamRanitidine 50 mg/8jamKetorolac 30mg/8jamDuragesic Patch 25mg

Lab (27-04-2015)Albumin : 2,4WBC : 8,3RBC : 4,05HGB : 11,8PLT : 191HCT : 34Lab (16-04-2015)GDS : 84WBC : 8.2RBC : 3.52HGB : 9.6PLT : 252HCT : 29SGOT/SGPT : 47/25Ur/Cr : 29/0,49Na/K/Cl : 132/4.2/106

Lab 18-03-2015WBC:11.02RBC:4.44Hb:11.5Plt:274GDS:174Ur/cr:51/0.70GOT/GPT:136/80Albumin:3.5Na/k/cl:134/4.7/101

PA: Invasif ductal carcinoma mammae dextra,high grade malignancy