NoIdentitasRuangMRSDPJPDiagnosisTindakanRencanaKeterangan

1. Tn. Devi Ria Kurniawan/ 22thn/C527497 / 8077799BPJS NPBIR1B7.420-5-2015APRIschaligia bilateral ec canalis stenonis L I-II ec spondiloditis c/ TBSpondilitis Vth 8-9Laminektomi , PSRS5-06-15

Menolak foto post op1

2. Ny Tuti anggreani/27thn/C438552R2A5.126/5/15APRDelayed union fr femur dextra post FSEKontraktur genu dextraPost amputasi above knee sinistraPost amputasi dig II pedis dextra

Aff FSEDebridement ATL, Gips09-06-151

3. Ny. Veronica /B214463/60 thnR2A7.112/5/2015DIDNecglected dislokasi hip joint dextra posteriorOsteoarthritis hip joint sinistraSkoliosis V. LumbalNefrolitiasis sinistraSkeletal traksi 22/5/1531 beban 15 kg

Pro THR 11-05-15

1

4. Ny Suyati/ 56 th/ C530396/NPBIR2A6.223/4/2015APRParaparese inferior ec Spondilolithesis VL 4-5

Laminektomi+ PSRS jumat 29/5/2015555/555Menunggu korset1

5. Ny. Yamtini/B39955/61thn/JKN PBIR2A6.17/5/2015APROA Genu BilateralTKR genu sinistra kamis 28/5/2015Drain 10 cc

Konsul RM Walker 9-6-16

1

6. Ny. Priyanti/31th/C535974/BPJSR2A22-5-15DRYFraktur dislokasi collum humeri dextra post ORIF + Reposisi tbkRupture a. axillaris Post repair arteriNecrosis antebrachii dextra, post amputasi above elbowRedislokasi shoulder joint dextraPost amputasi above elbow (thorvask)

Pro debridement, reposisi terbuka + internal fiksasi10-6-16 Rawat luka

1

7. Ny.Partini/39 th/C537759UmumR2A03-06-15DIDFr tibia dextra 1/3 tengah cominutif ttp nkFr fibula dextra 1/3 tengah oblique ttp nkFr femur dextra 1/3 prox trensverse displaced ttp nkFr basis metarcarpal sinistra digiti VFr shaft metacarpal sinistra digiti IVPost ORIF 05-06-15

1

8. Tn Bambang Sulisno/30thn/C514703R2B7.226/5/15DIDNon union fr femur dex 1/3 tengah kominutif tertutup NKJoint stiffness genu dex ec mobilisasi lamaORIF09-0615Foto masih di radiologi1

9. Tn Suwadi/ C495812R2B 5.106/05/2015Konsulan neuroDID APRParaparese inferior ec canalis stenosis multiple e.c HNP L3-4, L 4-5. Drop foot dextraPost PSRS1-06-15Korset sudah ada dan sedang latihan mobilisasi jalanNyeri kaki kananDrain 30 cc serous1

10. Tn Karsono/ 52 th/C537072UmumR2B1.6

30-5-15APRCoxitis , sacroilitispost debridement+ PA + kultur 3-6-16Kruk sudah ada dan sedang dilatih oleh bagian RM Nyeri hilang dg analgetik ivKultur..??????1

11. Tn.Sunardi/43 th/ C538063JamkesmasR2B1.504-06-2015DRYFraktur ramus pubis superior sinistraFraktur ramus pubis inferior sinistraKonservatif dengan analgetik kuat1

12. Ny Markamah/ 56 th/ C532081/ umum( tanggungan penabrak)R2B28/4/2015DIDFr basis metacarpal VDisruption sacro iliaca joint dxFr Acetabulum dekstraFr ramus superior pubis sinFr ramus inferior pubis dx et sin

ORIF pelvis acetabulum dx tgl 6-5-2015

Post rekontruksi pelvis (04-06-15)1

13. Tn.Marzuki santoso/32 th/C535887BPJS PBIR2B3.405-06-2015DRYNeglected fraktur dislokasi hip joint sinistraUnion fraktur tibia 1/3 tengah ttp nkUnion fraktur tibia 1/3 tengah ttp nkPro THRACCAN (-)1

14. Tn.Giyanto/37 th/C538286JAMKESKOTR2B3.306-06-2015DIDFraktur calcaneus dexPro ORIFACCan ( +).. steinmen pin, K wire, canulated screw tdk ditanggungKeluarga setuju bayar sendiri 3jtan1

15. Tn. Kasmui/56 th/ R2B5.2Konsulan dari bagian urologiAPRAbses region flank dext dg severe sepsis post debridement 26-5-16Fr kompresi VL IV ec c/TBPro PSRS555/115Kultur pseudomonas aeruginosa, tdk ada AB yg sensitivePA: radang kronik non spesifikAcc (-) pedicle screw 8, crosslink 1, nut 8, rod 1 pasang1

16. Tn.Muh Jafar 50 th / C536101 / 8083363R5A2.424-5-2015APRTetra parese ec canalis stenosis vertebra cervical IV-V ec Spondilosis vertebra cervical IV-VAnterior cervikal disektomi ( dekompresion ) and fusion / ACDF444/444444/444Konsulan neuroACCan (+) anterior graft plate (cervical plate) alat masih belum ada1

17. Tn Muhammad Syafii/C53677834thn

R6B

26/5/2015APRSpondilitis TB vertebrata L I-II Paraparese inferiorTBC kategori I (OAT h-10)Pro PSRSMotorik ext sup 555/555 Ext inf 333/3332bln yll pasien nyeri di tulang belakang

Na/k/cl 118/2,8/84

ACC (+) rod 1, cross link 1, nut 6, pedicle screw 6 Alat (-)Imbalance elektrolit, hipoalbumin, OAT H-15

1

18. Tn.Rosmidi 35 th / C532714 /NPBIMRK D6.38-5-2015APRParaparesis inferior ec. Spondilitis TB VTh 11-12Abcess reg. lumbal

PSRS hari sabtu tgl 30-5-2015Jam 11.00555/555555/555Mobilisasi jalan, drain 30cc hematoserous/hariHasil kultur pus kuman dan pengecatan (-) PA: spondylitis TB OAT ..1

19. Ny Mei Listiyana 22 th / C537110MRKD5.102-06-15APRParaparesis inferior ec spondilitis TB, kompresi V.Th 7-10Konsulan neuro555/555444/444Acc (+) pedicle screw 8, nut 8, rod 1 ps, crosslink 11

20. Tn. Galieh Febri/ 23 th/ NPBIMRK 122-5-2015APRParaplegi inferior, paraparese superior ec burst fraktur vertebra cervical V, fr tibia plateu sinistra schatzer type III ttp, ulcus decubitus gr IV reg sacrumRaber bedah plasticRaber Gizi KlinikACC (+) cervical plate, alat (-)1

21. Ny Soemartani/ 61th/ NPBI

MRK 122-5-2015APROA genu bilateralPro TKR sin(11-06-15)ACC (+)1

22. Tn Fx Rais Haryono, 72 thGERD31-5-15DIDFr sub trochanter femur sinistra ttp NKORIF 08/06/151

23. Ny. Sri Murwani/54th/C247119/UmumKPD3.323-5-15DRYFraktur femur dextra 1/3 proksimal obliq displaced tertutup nkMalformasi vaskulerHepatitis CORIF batalKonservatif dg skin traksi 5 kgEvaluasi x foto femur dextra tiap 2 minggu1

24. Ny Tri Lestari 40 thMRK 13.228-5-15ERYDIDSOLFr tibia fibula dext 1/3 tgh comm. Ttp nkUlcus granulosum regio cruris dextraCraniotomiORIF 2-6-15Pro STSGRawat luka1

25. Tn. Yusron 54 th / C537508BPJSKTL9.101-06-15APRFr. Tibia dekstra 1/3 tengah trans displ ttp NKFr. Fibula dekstra segmental ttp NKPro ORIF, bone graft SIASAcc (+) tibia locking plate 12 holeKonsul anestesi (+)Alat di farmasi (-)1

26. Tn Ahmad Fahmi Karami/ 27th/ C527498UmumKTL7-06-15DIDTotal tear anterior ACL sinistraLongitudinal tear lateral meniscusHorizontal tear medial meniscus Avulsion fraktur condylus femoralis sinistraLesi condylus femoralis lateralis medialis sinistraPro Artroscopy 10-06-151

27. Ny. Sulistyowati 40 th / C538401HCU07/06/15DRYFr. Intercondyler femur dex comm tbk gr IIIBFr. Os pubis ramus superior et inferior dex et sin tbk gr IIIBDisrupsi sacroiliac joint dexFr. Maksilla dexDeridement + skeletel traksiORIF pelvis + FSE femur dex1

28. Tn.Maryanto / 50 th / C538778BPJS NPBIR2B1.309 / 06 /15APRFraktur collesPro ORIFACCAN (-)

2