rekap pasien ortho 17 agustus 2015
TRANSCRIPT
JEUMPA 1
No DPJP Ruang Identitas TglMasuk AD POD Diagnosa Planning
Plamimg foto pos op
Terapi da lain lain
1 AZH K4B4 Bustami/47 tahun 5/8/15 Paraplegia inferior ec trauma servikalfrankel (B)
2 AZH K5B4 Roni SDP/37 th/988292 11/8/15 (+) Spinal stenosis L3-L4
3 AZH K6B2 Tarsoni/ 46 tahun/ 1059607 7/30/15 Fracture compresi VT 12 s/d VL 4 + Frankel D OP Rabu
4 AZH K7b1 Muksalminah 19 thn, 1060828 11/8/15 (+) Post debridement a/i Fr femur komunitif PBJ senin
5 AZH K7B5 rasyidin/ 26 th/ 1059766 Spinal cord syndrome + Frankel A GV , konsul RM untuk kursi roda ( )
6 ARM K2B1 Nazaruddin/28 th/1061184 13/8/15 (+) 2 Post ORIF cl fr. Distal tibia fibula dex
7 ARM K2B2 Mahdi hasyim/70 th, 13/8/15 (+) 2 Infeksi post TKR
8 ARM K3B2 Saifudin , 38 th, 0780818 13/8/15 (+) Union fr. Femur + cruris dex PBJ (16-8-15)
9 ARM K4b2 Safari/26 thn osteomyelitis dex OP Selasa
10 ARM K5B1 M.RezaFahmi/16/1059943 2/8/15 (+) 4 Post debridement + k.wire a/i open fr metacarpal 1&5 +skin loss GV/hr
11 ARM K5B2 YuliamanLubis/58thn/1026263 (+) 2 Post debridement + ROI +Frankel
joint D + OMC pedis D
12 ARM K5b3 Abdul jalil/60th/1059714 8/1/15 (+) Open Fr. Tibia Fibula (D)+post ORIF Alih rawat bedah plastik
13 ARM K6B5 HeriSetiawan/ 988490 12/3/15 (+) Post ORIF femur
15 SAF K6b6 Irwan Yusuf/27 th/1056450 12/8/15 3 Dislokasi Elbow joint
16 ARM K7B3 Saleh Ali/ 22 tahun/ 1057527 7/6/15 (+) open Fr. Segmental Tibia + post ORIF + debridement GV
17 SAF K1B1 drs.Marizan/ 65 tahun/ 1055234 7/9/15 (+) 8
Post debridement + necrotomy a/iimplant failure + Fr. Humerus (S) 1/3 tengah
18 SAF K6B4 Hamdani/ 44 th/ 1058894 7/22/15 (-) Fr. Tibia 1/3 tengah + close Fr. Fibula 1/3 proximal (S)
19 SAF Iso 1 KhairulFajar/20th (+) 12 Debridement post OREF a/i open fr. Femur (S) grade 3A + necrotomy
20 SAF K7B2 Rusli Sulaiman/55 th/1056596 12/8/15 (-) 3 Mal Union Fr Femur
21 SAF K7B6 M.ibrahim/1059263 27/7/15 (-) Ulcus diabetikum ar Femur
22 AZH K3B1 M Isa/ 18 thn/1061163 13/8/15 (+) 3Dislokasi Post Hip Join dextra + Fr Acetabulum + Post Close Reduction + Skeletal Traksi
CT Scan Hip (D)
JEUMPA 2
No DPJP Ruang Identitas TglMasuk AD POD Diagnosa Planing dan foto
post opLAB
1 AZH K2BI Juminiherawati /61 th/ 1059408 28/7/15 (-) Spinal stenosis L4-L5, L5-S1
2 AZH K5B2 Nurjar Diana/16 tahun 11/8/15 (+) 4 Post koreksiscoliasis a/i scoliosis thoracolumbal
3 AZH K5B3 Rosmawar/50 thn 11/8/15 (+) 4Post laminectomy kompleks posterior fusi + stabilisasi a/i spinal stenosis L4-L5
2 ARM K7b1 Rosmanidar 25/8/15 22 Charcot foot sin
rencanna op, HD persiapan konsul kardio (+) konsul anastesi (+) HD pre op (+)
Foto pos op(-)Foto Thorax, Cruris, Pedis AP/lat (+)
13/8/15Hb: 10,2 Ht:31 erit:4,0 Leu:11,1 trom: 197 Protein tot: 7,1 Alb: 2,95 glob:4,15Na/k/cl : 134/3,1/101 Ur/Cr: 74/3,60
3 ARM ISO 1 Rusdiana 13/8/15 4 OA knee dextra
OP Rabu, persiapan op
6/8/15Hb: 12 Ht:37 erit:3,9 Leu:5,7 trom: 357 GDP: 91 Cr/As. Urat: 0,75/5,2Na/k/cl: 146/4,7/104
4 SAF K1B2 Irmayani/ 42 tahun/ 1058797 7/22/15 (+) diabetic foot (S)
JEUMPA 3
No DPJP Ruang Identitas TglMasuk OP POD Diagnosis
1 ARM k1b1 SayedRamzami/ 18 thn 31/7/15 (+) 2 post debridement open fr. Fibula (D)
2 ARM K2b1 Hj.Rohaya 7/8/15 (+) 5 Bipolar artroplasty a/i Close fr.neck femur
3 ZUL K7bB2 David Gunawan 14/8/15 (+) 2 Post ROI a/i Union Fr.Femur
JEUMPA 4
No DPJP Ruang Identitas tanggalMasuk OP POD Diagnosis
1 SAF K3b1 Baihaqi/33 th/1059895 8/8/15 (+) 3 Post ORIF a/i Close fr. femur
SERUNE 2
No DPJP Ruang Identitas tanggalMasuk OP POD Diagnosis
1 AZH K1b2 Nasbah Ruani/62 th 11/8/15 Close Fr Neck Femur sin
2 ARM K5B2 Alfaizi 12 thn, 1024452 7/8/15 (+) Union Fr. Humerus 1/3 prox sin + Fr. Radius ulna 1/3 sin
3 SAF K5B1 Fatimah/84 tahun 14/8/15 (-) Close Fr. Femur dex
GELIMA 1
No DPJP RUANG IDENTITAS TglMasuk OP POD DIAGNOSA PLANNING1 AZH K7B4 Mardiana, 28/1059703 12/8/15 TB spain + spinal stenosis Konsulanes (+)
2 K5B3 Jamaluddin
PJT
NO DPJP Ruangan
Identitas TglMasuk
OP POD Diagnosis Planning
1 SAF ISO 1 Fatimah 14/8/15 (+) 3 Post bipolar artroplasty a/i dislokasi hip joint sin
GEURUTEE
No DPJP Ruang Identitas TglMasuk OP POD Diagnosis Planning
1 ARM Kamar 7 Razalihanafiah 10/8/15 (+) 2 Post TKR a/i OA knee (D)