list pasien divisi urologi 25 okt 2015
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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
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
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