list pasien divisi urologi 25 okt 2015

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LIST PASIEN DIVISI UROLOGI Minggu, 25 Oktober 2015 IRINA A ATAS (5Pasien) NO KAMAR IDENTITAS PASIEN DIAGNOSIS PEMERIKSAAN PENUNJANG TERAPI 1. A11 Bed 2 Aaron Tn. Alfius Tangkilisan L/63 thn/07.24.84 MRS 28/9/2015 HariPerawatan ke-26 (Map Baru) H-1 Dr. AinunAschorijanto, SpU Post URS ec nefrolithiasi s 17/10/201 5 Leu 8115 Eri 4,40 Hb 12,3 Ht 39,5 Trombo 553 MCH 28 MCHC 31 MCV 90 Ur 43 Cr 1,5 Na 136 K 4,64 Cl 93,9 PT 15,1 INR 1,27 APTT 29,0 07/10/2015 Leu 10920 Eri4,22 Hb12,2 Ht 37,5 Trombo 282 MCH 29 MCHC 33 MCV 89 SGOT 15 SGPT 13 Ur 26 Cr 1,1 GDS 136 K 4,60 Na 133 PT 15,4 INR 1,31 APTT 23,4 06/10/2015 Hasil PA : Adenocarcino ma pyelum 29/9/2015 EKG : - Irama sinus 62x/m Axis normal 29/9/2015 X-foto thorax : Normal 08/9/2015 EKG : Susp omi anteroseptal - Harnal tab 0-0-1 - Avodart 1-0-0 - Casodex 0-1-0 R/ nefrourotektomi sinistra 2. A8 Bed 2 Aaron Wantania Fanly L/23thn/ 32.31.12 MRS 11/10/2015 Hari perawatan ke-13 Dr. AinunAschorijanto, SpU - Trauma tumpulginja lkiri gr. III 11/10/201 5 Leu 21200 Eri 5.56 Hb 16 Ht 48.9 Tromb 329 Mch 29 Mchc 33 Mcv 88 Sgot 42 Sgpt 20 Ur 29 Cr 1.2 Gds 100 Cl 106 K 4.1 Na 139 22 /10/2015 Leu11140 Eri4,83 Hb13,1 Ht 42,8 Tromb561 Mch27 Mchc 31 Mcv 89 Ur 27 Cr 1.2 Gds71 Cl96,1 K 4,47 Na 138 PT 12,6” APTT 30,2” INR 1.00” Ct scan urologi + kontras terlampir - IVFD RL 20gtt/mnt - Ciprofloxacin 2x400mg - Ranitidin 2x1 amp - Ketorolac 3x1 amp (k/p) - As.Traneksamat 3x1 iv (k/p) - Vit K 1x1 i.m - Bedrest 3. A8 Bed 3 Denny Pangemanan Yuliana/P/78 thn/ 45.76.40 MRS 24/10/2015 Hari perawatan ke-2 Dr. Richard Monoarfa, SpU - Gross hematuri ec susp ca nuli 1 3 /10/201 5 Leu 10340 Eri 3,61 Hb 9,9 Ht 31,8 Trombo 209 MCH 28 MCHC 31 MCV 88 SGOT 17 SGPT 10 Ur 39 Cr 1,0 GDS 105 K 3,50 Na 139 - IVFD RL 20 gtt/mnt - Ceftriaxone 2x1 gr iv - Ranitidin 2x1 amp IV - Ketorolac 3x1 amp IV 4. A7 Bed 5 Denny Tn. George Hamber L/56thn/42.93.27 MRS 19/10/2015 Hariperawatanke-4 Dr. AinunAschorijanto, - Nefrolitias issinistra 20/10/201 5 Leu 10470 Eri 5.19 Hb 12,8 Ht 41,2 Tromb 321 Mch 25 Mchc 31 Sgot 18 Sgpt 26 Ur 30 Cr 1.6 Gds 126 Cl 101,3 K 3,18 Na 139 Alb 3,53 21/10/15 PT 12,9 INR 1,03 APTT 32,7 9/10/15 EKG: kesan normal Asammefenamat 3x1 Ciprofoksasin 2x400 mg Pro PCML sinistra hr selasa (27/10/2015) 1

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Page 1: List Pasien DIVISI Urologi 25 Okt 2015

LIST PASIEN DIVISI UROLOGIMinggu, 25 Oktober 2015

IRINA A ATAS (5Pasien)

NO KAMAR IDENTITAS PASIEN DIAGNOSIS PEMERIKSAAN PENUNJANG TERAPI

1. A11Bed 2

Aaron

Tn. Alfius TangkilisanL/63 thn/07.24.84

MRS 28/9/2015HariPerawatan ke-26(Map Baru) H-1

Dr. AinunAschorijanto, SpU

Post URS ec nefrolithiasis

17/10/2015Leu 8115Eri 4,40Hb 12,3Ht 39,5Trombo 553MCH 28MCHC 31MCV 90Ur 43Cr 1,5Na 136K 4,64Cl 93,9PT 15,1INR 1,27APTT 29,0

07/10/2015Leu 10920Eri4,22Hb12,2Ht 37,5Trombo 282MCH 29MCHC 33MCV 89SGOT 15SGPT 13Ur 26Cr 1,1GDS 136K 4,60Na 133PT 15,4INR 1,31APTT 23,4

06/10/2015Hasil PA :Adenocarcinoma pyelum

29/9/2015EKG :- Irama sinus

62x/mAxis normal

29/9/2015X-foto thorax :Normal

08/9/2015EKG :Susp omi anteroseptal

- Harnal tab 0-0-1- Avodart 1-0-0- Casodex 0-1-0R/ nefrourotektomi sinistra

2. A8Bed 2

Aaron

Wantania FanlyL/23thn/ 32.31.12

MRS 11/10/2015Hari perawatan ke-13

Dr. AinunAschorijanto, SpU

- Trauma tumpulginjalkiri gr. III

11/10/2015Leu 21200Eri 5.56Hb 16Ht 48.9Tromb 329Mch 29Mchc 33Mcv 88Sgot 42Sgpt 20Ur 29Cr 1.2Gds 100Cl 106K 4.1Na 139

22 /10/2015 Leu11140Eri4,83Hb13,1Ht 42,8Tromb561Mch27Mchc 31Mcv 89Ur 27Cr 1.2Gds71Cl96,1K 4,47Na 138PT 12,6”APTT 30,2”INR 1.00”

Ct scan urologi + kontras terlampir

- IVFD RL 20gtt/mnt- Ciprofloxacin 2x400mg- Ranitidin 2x1 amp- Ketorolac 3x1 amp (k/p)- As.Traneksamat 3x1 iv

(k/p)- Vit K 1x1 i.m- Bedrest

3. A8Bed 3

Denny

Pangemanan Yuliana/P/78 thn/ 45.76.40

MRS 24/10/2015Hari perawatan ke-2

Dr. Richard Monoarfa, SpU

- Gross hematuri ec susp ca nuli

1 3 /10/2015 Leu 10340Eri 3,61Hb 9,9Ht 31,8Trombo 209MCH 28MCHC 31MCV 88

SGOT 17SGPT 10Ur 39Cr 1,0GDS 105K 3,50Na 139

- IVFD RL 20 gtt/mnt- Ceftriaxone 2x1 gr iv- Ranitidin 2x1 amp IV- Ketorolac 3x1 amp IV

4. A7Bed 5

Denny

Tn. George HamberL/56thn/42.93.27

MRS 19/10/2015Hariperawatanke-4

Dr. AinunAschorijanto, SpU

- Nefrolitiasissinistra

20/10/2015Leu 10470Eri 5.19Hb 12,8Ht 41,2Tromb 321Mch 25Mchc 31Mcv 79

Sgot 18Sgpt 26Ur 30Cr 1.6Gds 126Cl 101,3K 3,18Na 139Alb 3,53Glo 3,37

21/10/15PT 12,9INR 1,03APTT 32,7

9/10/15EKG: kesan normal

Asammefenamat 3x1Ciprofoksasin 2x400 mgPro PCML sinistra hr selasa (27/10/2015)

5. A7Bed 7

Niar

Topo Suripto/L/40 thn/45.76.00

MRS 23/10/2015Hariperawatanke-3

Dr. AinunAschorijanto, SpU

- SCI fr. A ec fr. Dislokasi V lumbal I + Piuria ec isk

2 3/ 10/2015 Leu 6920Eri 5.04Hb 12,9Ht 42,1Tromb 251Mch 26Mchc 31Mcv 84

- IVFD NaCl 20 gtt/m- Cefotaxim 3x1 gr iv- Ketorolac 3x1 amp- Kultur urine

1

Page 2: List Pasien DIVISI Urologi 25 Okt 2015

IRINA A BAWAH (7Pasien)NO KAMAR IDENTITAS PASIEN DIAGNOSIS PEMERIKSAAN PENUNJANG TERAPI

1 B2Bed 2

Petra

Ny. Aneke SumendapP/42 thn/45.59.20

MRS 17/9/2015Perawatanhari ke-36

Dr. Ainun Aschorijanto, SpU

- Post PCNL dextra + nefrolitihiasisdextra

23/10/15Leu 8100Eri 2,96Hb 9,2Ht 26,9Trombo 155MCH 31,1MCHC 34,2MCV 90,9SGOT 79SGPT 90Ur 73Cr 6,3GDS 103Fosfor 3,8Mg 1,29Na 142K 3,8Cl 102,6Ca 8,52

20/10/15Leu 6442Eri 3,15Hb 9,6Ht 39.05Trombo 239MCH 31MCHC 33MCV 92Ur 54Cr 5,7GDS 124Alb 3,6Cl 106K 3,4Na 135PT 13,2INR 1,05APTT 30,9

HemostasisPT@detik 12,4@INR 0,98APTT 26,7

EKGDbn

X-foto thorax Dbn

- IVFD NaCl 20 gtt/m- Cefotaxim 3x1 gr iv- Ketorolac 3x1 amp- As. Tranexamat 3x1 amp- Ranitidin 2x1 IV- Transfusi PRC s/d 10 gr/dl

2. B11Bed 1

Shinly

Tn. Kobandaha Filipi Abednego/L/75 thn/43.05.63

MRS 6/10/2015Hariperawatanke-18

Dr. Richard Monoarfa, SpU

- Post TUR buli ec ca buli

21/10/2015Leu 8156Eri 4,43Hb 10,7Ht 34,3Trombo 317MCH 24MCHC 31MCV 77

13/10/2015Leu 6208Eri 4,58Hb 11,1Ht 36Trombo 426MCH 24MCHC 31MCV 79SGOT 12SGPT 9Ur 18Cr 0,9GDS 89Na 96K 4,16Cl 131

21/01/2015Hasi PA:

BanigneProstateHyperplasia

9/10/15Hasil di status

CT scanterlampir

X-Foto Thorax :

Kardiomegali

- IVFD NaCl 0,9% 20 gtt/m- As traneksamat 3x1 amp IV- Ciprofloxacin 3x1 IV- Vit K 1x1 IM- Vit C 1x1 IV- Ketorolac 3x1 amp

3 B9Bed 1

Aaron

Tatara HetmonL/65 thn/45.51.91

MRS 21/10/2015Hariperawatanke-5

Dr. AinunAschorijanto, SpU

- Post TUR prostat ec susp. Ca prostat

20/10/2015Leu 13900Eri 3,17Hb 10,4Ht 30,4Trombo 377MCH 32MCHC 34MCV 93

SGOT 13SGPT 24Ur 3,0Cr 1,1GDS 97Cl 106,0K 3,50N 136

- IVFD RL 500cc 20gtt/m- Ciprofloxacin drips

2x400mg- Vit K 1x1 i.m- Vit C 1x1 i.v- As.Tranexamat inj 3x1 iv- Harnal 1x1 tab- Asodec 1x1 tab

4 B9Bed 4

Niar

Albert KindangenL/71 thn/ 17.16.09

MRS 11/10/2015Perawatanharike-14

Dr. AinunAschorijanto, SpU

- Post TUR prostat ec susp. Ca prostat

1 7 /10/15 Leu 6469Eri 4,31Hb 14.0Ht 41.5Trombo 195MCH 32MCHC 34MCV 96SGOT 28SGPT 25Ur 17Cr 0,9GDS 108Cl 95.6K 4.04Na 135PT 12.9INR 1.02APPT 27.0

22/10/15Leu14610Eri 4,12Hb13,8Ht39,5Trombo256MCH 34MCHC 5MCV 96Ur 25Cr 0,7Na 134K 4,2Cl 102

PSA 100

13/10/15Kardio : hasil echo terlampir di status

1/10/15EKG: pvctrigemini, LAHB dd/omi inferiorLAH

- Ranitidin 2x1 iv- Ketorolac 3x1 iv- Cefotaxime 3x1 gr iv- Kalnex inj 3x1 mg- Harnal 1x1 tab- Asodec 1x1 tab- Avodart 1x1 tab

5 B8Bed 2

Shinly

Merfy TampomaluL/23thn/45.71.97

MRS 18/10/15Hariperawatan ke-8

Dr. AinunAschorijanto, SpU

- RupturGinjal Gr. III

2 4 /10/2015 Leu 12600Eri 3,23Hb 10,1Ht 28,1Trombo 243MCH 33,1MCHC 35,9MCV 87,0

Ur 29Cr 0,7Cl 94,0K 3,90Na 131PT 15,3INR 124APPT 16,2

- IVFD RL:NaCl:Aminofusid=2:1:1

- Meropenem 3x1 - Metronidazole 3x1- Omeprazole 2x1- Paracetamol 3x1-

2

Page 3: List Pasien DIVISI Urologi 25 Okt 2015

6 B8Bed 5

Denny

Tn. Mararoating LaurentsL/40 thn/44.69.45

MRS 2/10/2015Perawatanhari ke-22

Dr. Richard Monoarfa, SpU

- Post TUR bulieccabuli

17/102015Leu 10060Eri 3.35Hb 8.8Ht 28.6Trombo389MCH 26MCHC 31MCV 85SGOT 13SGPT 9Ur 30Cr 3.0GDS 89Alb 3.73Cl 105.6K 4.51Na 141

(12/10/15)Urinalisis

MikroskopisEri 10-20Leu 6-8Epitel 6-8

KimiaLeu +++Prot ++Eri/darah +++++

- IVFD NaCl 0,9%- Ciprofloxacine 2x1 tab- Ranitidin 2x1 iv- Ketolorac 3x1 iv- R/ sitologi urine

(26/10/2015)

7 B8Bed 6

Petra

WemTumilantowL/90thn/45.72.31

MRS 20/10/15Hariperawatan ke-4

Dr. AinunAschorijanto, SpU

- Gross Hematuriecsusp. CaBuliddCaProstat

22/10/15 (UL)Warna: kuningKkeruhan:jernihEri: padatLeu: 8-10/LPBEpitel: 30-40Berat jenis:1010pH 7Leu +++NItrat: -Prot: ++Glu: normalKeton: -

Urobilinogen: normalBilirubin: negDarah: +++++

19/10/2015Leu 14350Eri 4,09Hb 12,0Ht 36.3Trombo 3102MCH 29MCHC 33

MCV 89Ur 34Cr 1,7GDS 137Cl 103K 2,0Na 130

- IVFD NaCl 0,9 %- Ceftriaxone 2x1 gr iv- As.Tranexamat 3x1 iv- Vit. K 3x1 iv- Spooling kateter- Menunggu hsl sitilogi urine,

ct scan

Anggrek 2 (1pasien)No Kamar Identitas Diagnosa PemeriksaanPenunjang Terapi1.

Atas212 Tn. Kawalur Fredy

L/45 thn/35.97.35

MRS 22/9/2015Perawatanhari ke-29

Dr. Ainun A, SpU

- Post nefrolitotomydextra ec nefrolithiasis S

20/10/15Leu 14700Eri 3,54Hb 10,2Ht 29,3Trom 486Mch 89Mchc 35Mcv 83Cl 107K 3,6Na 137

9/10/2015Leu7624Eri 3.26Hb 9.3Ht 27.5Tromb 221Mch 28Mchc 34Mcv 84Sgot 15Sgpt 9Ur 28Cr 1.9Gds 72Cl 106K 3.5Na 138Pt 14.2Inr 1.22Appt 33.2

02/10/2015Leu 6900Eri 5,43Hb 15,5Ht 45,5Trombo 255MCH 28,5MCHC 34,1MCV 83,8SGOT 14SGPT 13Ur 39Cr 2,1As. Urat 9,5Prot tot 7,17GDS 78Cl 101,1K 3,88Na 140PT 12,8INR 1,02APTT 24,5

UrinalisisKuningjernihBJ 1015Leukosit (-)Nitrit (-)pH 6protein –glukosa ++darah +++++bilirubin –

USG abdomenCholecystolithiasis, caelyectasisringanrendekstra, nefrolithiasisdekstra

5/10/2015Hasil echoDbn

IVFD RL 20gtt/mntCefotaxime 2x1gr ivRanitidin 2x1 ampKetorolac 3% 3x1 ampVit K 3x1 IMVit C 3x1 ivRawat lukaAff kateter

Irina B: 1 pasienNo Kamar Identitas Diagnosa PemeriksaanPenunjang Terapi1. K. 7 Ny. Sophia Maria

ToyP/75 thn/05.69.37

MRS 23/10/2015Perawatanhari ke-2

Dr. Ainun A, SpU

- Nefrolithiasis S R/ Echo

3