KORAN SUBDIVISI BEDAH UROLOGI Selasa, 3 JUNI 2014

LONTARA 2 UROLOGI KAMAR 1

1
Edwar Minggu
661603
Kmr 1 Bed 1
10/11/1953
JKN
dr. Khoirul Kholis, Sp.U
TUMOR Buli-Buli Susp. Malignancy +
Fistel Vesicorektalis
Anemia
Imbalance elektrolit
Hipoalbuminemia
Sepsis
Trombositopenia
Edema paru
- IVFD Nacl 0.9% 20 ntpm
- Inj Gentamycin 1 amp/12 jam/iv
- Novalgin amp/8jam/iv
- Balance cairan
- Optimalisasi KU
- Terapi lanjut TS. Gizi klinik
- Terapi lanjut TS. Pulmonologi
- Konfirmasi TS digestif
- Cek elektrolit post koreksi kalium
Lab (30/5/2014)
Ur: 61, Cr: 0,80, Na/K/Cl: 160/ 1,3/ 119

Lab (29/6/2014)
RBC: 4,07, HB: 10,0, HCT: 31,2, PLT: 378, WBC: 10,8

Laboratorium (22/5/2014)
PT: 13,4 ; APTT: 30,7 ;GOT: 38 GPT: 18

MSCT Urografi (30/5/2014)
Kesan :
- Massa buli-buli disertai tanda-tanda metastasis ke hepar
- Fistel vesicorectal
- Splenomegaly

USG Abdomen (19/05/2014)
Kesan:
Tanda-tanda edema paru
DD/ bronchopneumonia bilateral
Efusi bilateral
Dilatatio aortae

Foto Thorax PA (01 Mei 2014) :
DBN

Echocardiografi (08/05/2014)
Fungsi systolic LV baik, EF 75%
LVH (+)
Disfungsi diastolic LV

Laboratorium ( 10/05/2014)
Golongan darah O Rh positif
LONTARA 2 UROLOGI KAMAR 2
3 SUKARDI
66 35 90
MRS 14/05/2014
TGL LAHIR 23/10/1966
K2 B2

dr Syakri Syahrir, Sp U
Hidronefrosis dextra susp. ureterolith
Efusi pleura sinistra
Nefrolithiasis dekstra (batu caliks
superior)
Ciprofloxacin 2x500mg
As.Mef 3x1
Ranitidin 2x1
Vip Albumin 3x2
Rencana operasi Rabu(4/6/2014)
Terapi lanjut sesuai TS BTKV & Neuro
Cek lab DR,ur/cr,elektrolit
Lab (26/5/2014)
Sputum BTA negative, jamur (-), pengecatan gram (-)

Lab 22/5/2014
CEA: 0,59

Lab 19/5/2014
WBC: 7,33, RBC: 4,65, HGB: 11,7, HCT: 33,8 , PLT: 436, Alb: 2,7,
Na: 130, K :4,2, Cl:102

KORAN SUBDIVISI BEDAH UROLOGI Selasa, 3 JUNI 2014

Urine kultur 19/5/2014
Sensitive: meropenem

Lab 18/5/2014
DDR: negative

Lab (15/5/2014)
WBC: 9,2, RBC: 4,87, HGB: 12,4, HCT: 38,1 , PLT: 475, GDS: 90
Ur : 31, Cr: 1,30 SGOT/SGPT : 19/21, CT/BT : 800/300
PT/APTT : 13,1 / 33,5 , Na: 132, Kalium :4,6 , klorida :95

Urin Rutin (14/5/2014)
Warna : kuning tua Ph : 6.0 bj : 1,030 protein : (-) glukosa : (-)
bilirubin: (-) urobilinogen : normal keton : (+/15) nitrit : (-) blood
: (++/80) lekosit: (-) vit c : (-) sedimen lekosit: 3
sedimen eritrosit: 10 sedimen epitel sel : 3 Sedimen lain-lain:
(-)
Foto polos abdomen 14/5/2014
Kesan: tidak tampak kelainan radiologic pada foto ini.

Foto Thoraks PA/AP 14/05/2014
Kesan : Efusi pleura sinistra

LONTARA 2 UROLOGI KAMAR 3
-

LONTARA 2 UROLOGI KAMAR 10
5
Bed 4
Muh. Natsir
660955
21/12/1974
MRS 28/05/2014
DPJP: dr. Syakri Syahrir,Sp.U
POH I TUR-BT

IVFD NaCl 0,9% 32 tpm
Inj. Ceftriaxon 1gr /12j/iv
Inj. Asam traneksamat/8jam/iv
Inj. Ketorolac 30mg//8j/iv
Inj. Ranitidin 50mg/8j/iv
Inj.As. Traneksamat 1 amp/8jam/IV
Spooling kateter dengan NaCl 0,9% 60 tpm
Diet biasa
Transfusi PRC 2 Bag
Premedikasi dxamethasone 1 amp/ IV
PARACETAMOL 500 MG 3 X 1(bila depan)


Lab 2/6/2014
WBC 10,13 ; RBC 2,42 ; HGB 6,2; HCT 19,7 ; MCV 81,4 ; MCH
25,6 ; PLT 258

Lab 1/6/2014
RBC: 2,74, Hb: 7,6, PLT: 267, WBC: 11,7, HCT: 22,9

Lab (29/5/2014)
RBC 2.09, WBC 10.4, Hb 5.5, HCT 17.3, PLT 265, Ur 18, Cr 0.7
GOT/GPT: 12/9 |Na/K/Cl: 138/4.2/108| HbSag reactive Anti HCV
non reactive CT/BT: 7/330 PT/APTT: 10.4/34.9 GDS: 145

Hasil PA (05/05/2014)
Invasif urothelial carcinoma dengan ada bagian otot nekrotik
yang tidak diinfiltrasi oleh tumor.
KORAN SUBDIVISI BEDAH UROLOGI Selasa, 3 JUNI 2014

6
Bed 5
Yayang Hasan
660952
27/04/1983
MRS 23/05/2014
DPJP: dr.khoirul kholis,SpU
Hidronefrosis ginjal (S) grade IV
DM Tipe 2 Non obes
Nonvisualized ginjal (S)
Rencana nefrektomy sinistra hari Rabu, 4 juni
2014 pukul 09.00
Persiapan operasi :
- Informed concent
- Persetujuan tindakan
- Lapor ok
- Konsul anestesi
- Siap darah PRC 4 unit (2 siap, 2 ambil)
- 8 jam pre op
- Ceftriaxone 2g/1jam


Lab (2/6/2014)
GDS: 87 g/dL GDP: 112
Lab (24/5/2014)
GDP: 94 mg/dl
Lab (18/5/2014)
SGOT : 17, SGPT: 22,Albumin : 3,5, Na/ka/kl: 137/3.7/101
Lab (18/5/2014)
RBC;4.33, HGB : 11,9, PLT : 236BT; 200,CT: 700, ur/cr: 24/0.70
URIN RUTIN 2/6/2014
Warna kuning muda; ph: 6,0 ; BJ 1,005

LONTARA 2 UROLOGI KAMAR 11

LONTARA 2 UROLOGI KAMAR 12

Bed 1
Andi Palinrungi
665975
TL: 01-01-1937
MRS: 2-6-2014
DPJP: dr. Syakri Syahrir, Sp.U
Umum
Retensi urin
Susp. Ruptur Urethra
Hematuri
BPH
Trombositopenia
Cystisis
IVFD NaCL 0,9% 28 tpm
Inj. Ceftriaxon 1gr /12j/iv
Inj. Ranitidin amp/8j/iv
Terapi lanjut sesuai TS HOM
Balance cairan
Cek ulang DR, Na, K
Evaluasi produksi urin
Konsul nefrologi
Lab 2/6/2014
RBC: 3,00 WBC 13,1, PLT 54, HCT 26,8, Hb 9,1

USG Abdomen 1/6/2014
Tidak tampak kelainan radiologic pada USG abdomen ini

Lab 1/6/2014
RBC: 3,65 WBC 21,4, PLT 70, HCT 32,8, Hb 11, CT: 600, BT: 300,
PT: 16,7, APTT: 75,8, GDS: 132, Ur: 71, Cr: 2,90, SGOT: 82. SGPT:
21, Albumin: 3,2, Na: 129, K: 4,0, Cl: 101, HbsAg: Non reactive,
Anti HCV: Non Reactive, As. Urat: 5,4

13
Bed 4
M. Arif T.
661610
TL: 31-12-1942
MRS: 1-5-2014
Umum
Tumor buli-buli infiltrasi prostat
cT4aNxM0
POH V TUR Buli-buli
Hipertropi prostat
Hipoalbuminemia
OA
AKI+HT
Dyspepsia
Anemia
Ciprofloxacin 500 mg 2x1
Mobilisasi jalan
Terapi lanjut sesuai TS reumatologi
Aff kateter
Evaluasi perhari
Lab 31-5-2014
RBC: 4,12, WBC: 13,1, Hb: 10,4, PLT: 260, HCT: 32,1, Ur: 16, Cr:
1,10, Na: 140, K: 3,3, Cl: 101

Lab 22-05-2014
WBC 8.94, RBC 4,58 , HBG 10, HCT 32, PLT 612 albumin : 2.0,
asam urat 6.8
Lab 16-05-2014
WBC 8.15, RBC 4.37, HBG 8.9, HCT 29.2, MCV 66.8, MCH 20.4,
MCHC 30.5, PLT 354, Ureum 16, kreatinin 1.25 Asam urat : 8.9 Na
: 143 K : 3.3 Cl : 106 PSA : 7.42
PT/APTT: 12.3/23.6, CT/BT: 8`00/2`30
USG Abdomen 14-5-2014
Kesan: hipertrofi prostat
Susp. Massa buli-buli
DD/ prostat yang meluas ke dinding posterior buli-buli
Lab 12-5-2014
KORAN SUBDIVISI BEDAH UROLOGI Selasa, 3 JUNI 2014

ureum 23, kreatinin 1.4Na/K/Cl/: 137/3.6/103
Lab 7-5-2014
WBC 8.98, RBC 4.01, HGB 6.7, HCT 25.5, MCV 63.6, MCH 16.7,
MCHC 26.3, PLT 265
Urin Rutin (13/05/2014)
Warna : kuning kemerahan pH : 6.5 bj : 1,025 protein :+++/300
glukosa : (-) bilirubin: (-) urobilinogen : normal, keton : (-) nitrit : (-
) blood : (+++/200) lekosit: (+/70) vit c : (-) sedimen lekosit: 10
sedimen eritrosit: penuh, sedimen torak eritrosit ++, sedimen
epitel sel : 1
Bed 3
Sake
665354
MRS 28/5/2014
JKN
dr. Syakri Syahrir, Sp.U


Tu. Buli-Buli
Hematuri
Leukositosis
BPH
Sistoskopi
Pro TURP/ open prostaektomi rabu 4/6/2014
Informed consent
Lapor OK
Konsul anestesi
Puasa
Siap darah
Antibiotik profilaksis
Ceftriaxone 2 gr iv (1 jam pre op)
Spirometri 2/6/2014
Kesan: Mild Restriksi, pasien dengan resiko ringan berdasarkan
hasil spirometri

Lab 1/6/2014
RBC: 4,21 WBC 15,6, PLT 374, HCT 36,6, Hb 12.1,

Urin Rutin 31/5/2014
Proteinuria, Hematuria

Lab 27/5/2014
RBC 4.41, WBC 20.7, PLT 281, HCT 38.9, Hb 12.7, CT: 600, BT:
230, PT: 14,3, APTT: 33,4, GDS: 129, Ur: 33, Cr: 1,20, SGOT: 18.
SGPT: 16, Albumin: 3,1, Na: 135, K: 3,4, Cl: 107, HbsAg: Non
reactive, Anti HCV: Non Reactive

USG Abdomen: 28/5/2014
Massa Buli-buli
LONTARA 2 UROLOGI KAMAR ISO

LONTARA 2 ORTOPEDI
LONTARA 2 DIGESTIVE

17. Mariati
662931
Kmr 10 bed 3
TTL : 1/7/1953
MRS : 11/5/2014
Konsul : 12/5/2014
DPJP :

Hidronefrosis Bilateral
POH 1 URS + DJ Stent Bilateral
Instruksi post op
Awasi keadaan umum dan tanda vital
Bed rest 24 jam
IVFD NaCl 0,9% 32 tpm
Terapi:
Inj. Ceftriaxon 1gr /12j/iv
Inj. Ketorolac/8j/iv
Inj. Ranitidin/8j/iv
Diet biasa
Foto BNO control besok
Spooling manual/hari sbyk 1x dengan NaCl
Lab 20/5/2014
WBC: 10.5, RBC: 3.30, HBG8.9, HCT: 27,0 PLT: 337,
Lab (20/5/2014)
Ureum 60, Kreatinin: 2,60 GDS: 61 SGOT/SGPT:18/3
CT : 800, BT: 3,00 , PT: 17,6, APTT : 54,9
Foto Thoraks ( 23/5/2014)
Kesan : Efusi pleura bilateral. Tanda-tanda edema pulmo
USG (10/5/2014)
- Hidronefroureter bilateral
- Ascites
- Efusi pleura dekstra
KORAN SUBDIVISI BEDAH UROLOGI Selasa, 3 JUNI 2014

0,9%


LONTARA 2 ONKO
18. Ny. Talaha
TTL: 17/1/2014
MRS : 21/5/2014
RM: 663275
Ruangan : L2 AB (onko) K8/5
DPJP :

Hidronefrosis dekstra
POH 1 URS DJ Stent

Instruksi post op
Awasi keadaan umum dan tanda vital
Bed rest 24 jam
IVFD NaCl 0,9% 28 tpm
Terapi:
Inj. Ceftriaxon 1gr /12j/iv
Inj. Ketorolac/8j/iv
Inj. Ranitidin/8j/iv
Spooling kateter dengan NaCl 0,9% 32 tpm
Diet biasa

Lab 13/5/2014
WBC: 11.2, RBC: 4.00, HBG: 9.3, HCT: 28.9 PLT: 444, Ureum10,
Kreatinin: 0.70 GDS: 155 SGOT/SGPT: 19/10 Asam Urat 4.6
CT: 8.00, BT: 2.30, PT: 12,3, APTT: 31.0
Elektrolit Na: 135, K: 3,9, Cl 9,1
Anti HCV nonreaktif, HbSag Nonreaktif
CT scan abdomen (16/5/2014)
Kesan :
- Destruksi CV L4-L5 disertai paravertebral abses yang meluas
ke musculus psoas kanan sesuai gambaran spondylitis
- Hidronefrosis dekstra
- Distended buli-buli dengan gambaran cystitis
Foto Thoraks (13/5/2014)
Kesan : Suspek tumor metastasis ke paru
Foto Lumbosakral (13/5/2014)
Kesan : tanda-tanda muscle spasm. Osteoporosis senilis
LONTARA 3
1 Madjid Dg Palallo
14/8/1944 (69 thn)
Lont 3 B.Saraf K2 B 1
441480
Dikonsul Uro: 27/5/2014

Hematuri
Nefrolithiasis
IVFD NaCl 0,9 % 28tpm
Ceftriaxon 1gr/ 12j/iv
Kultur & sensitivitas urin
Spooling cateter 3 way
Lab control: DR,Ur,Cr
Lab 26/5/2014
WBC: 9,8, RBC: 3,57, HBG: 10,1, HCT: 29,9 PLT: 62000, Ureum:95,
Kreatinin: 1.20, Elektrolit Na: 134, K: 4,5, Cl 102
USG Abdomen Bawah (Lower)
Kesan:-Susp. Nephrolithiasis Sinistra
-Lesi Slight Hiperechoic dalambuli-buli kesan bekuan darah

LONTARA 1 ATAS

Nursiah
18/10/1969
664573
RPK atas bed 4
Dikonsul k uro: 25/5/2014

Hidronefrosis bilateral
Ca. cervix
Anemia
CKD Stage V
Optimalisasi KU
Kultur urine
LAB 2/6/2014
PT 12.6 K 10.9 ; INR 1.10; APTT 181; UREUM 181; KREATININ
6.20; NA 132; KALIUM 3.6; KLORIDA 99
RBC 3.75; WBC 14.1; HGB 10.2 ; PCT 0.143;

Lab (31/5/2014)
GDS : 45 , FT4 : 0,71
Usg tgl 28/5/2014
USG : hidronefrosis bilateral, efusi pleura bilateral
CT-SCAN 3/6/2014
Hidronefrosis bilateral,, suspek massa uterus, ascites dan efusi
pleura bilateral, pembesaran KGB paraaorta abdominalis
Lab (28/5/2014)
WBC: 12,7, RBC: 2,89, HBG: 7,6, HCT: 23,3 PLT: 219, Ureum 233,
Kreatinin: 9,6
Urin Rutin 22/5/2014
KORAN SUBDIVISI BEDAH UROLOGI Selasa, 3 JUNI 2014

Protein +++/300, Blood: +++/200, Leukosit +/70, sedimen
eritrosit: penuh





LONTARA 1 BAWAH
Ny. Sona
02/06/1968
665839
Tgl masuk rumah sakit: 30/5/2014
Kamar 1 kelas 2 bed 2

Hidronefrosis bilateral e.c Tumor recti
Hipoalbuminemia
anemia

Perbaiki KU
Kultur urine
LAB 2/6/2014
GLOBULIN 3.2 ; kolesterol total 48 ; kolesterol hdl 4 ;
kolesterol ldl 18; TG 55 ; natrium 137 ; kalium 2,7 ; klorida
105 ; ferritine 458.30; CEA 7.80; ALBUMIN 1,5; protein total
4,7 ; GDS 73 ; UREUM 22 ; KREATININ 1.14.
RBC 2.59 ; WBC 10.55 ; HGB 6.2; HCT 20.1; MCV 77.6; MCH
23.9 ; PLT 187

Usg ABDOMEN abdomen (16/5/2014)
-HIDROURETER DEXTRA DAN HIDRONEFROSIS SINISTRA
-SUSPEK MASSA RECTI
-HEPATOSPLENOMEGHALY dengan Fattr liver
-Efusi pleura bilateral dan ascites.
CT scan abdomen (16/5/2014)
- Hidronefrosis bilateral dengan tanda-tanda nefropathy
splenomeghaly
- ascites

19.
Andi Baharuddin
TL : 29-1-1976 (38 tahun)
625545
MRS : 29/4/14
Dikonsul ke urologi :
29/4/2014
Kls III/Kmr 6/Bed 3
dr. Syakri S, Sp.U
Ca.buli-buli metastase hepar +
Hidronefrosis bilateral + Hematuri + CKD
stage V + anemia + elektrolit inbalance

Optimalisasi KU
Rencana nefrostomi

Lab 2/6/2014
Hb 7,6 ureum 105; creatinin 14,82; natrium 127; kalium 4,9;
clorida 98; PT 13,; INR 1,14; APTT 28,5 K 24,6; SGOT 16; SGPT 9
USG 2/5/2014
Massa buli-buli disertai hidronefrosis bilateral,
Ct-scan 2/5/2014
Massa buli-buli, hidroureter bilateral efusi pleura bilateral, nodul
soliter hepar suspek tumor metastasis.



-
KORAN SUBDIVISI BEDAH UROLOGI Selasa, 3 JUNI 2014

LONTARA 4 ANAK BELAKANG
LONTARA 4 OBGYN DEPAN

Kamar 2 Bed 4
Ny. Ramlah
TL: 28/8/1964
MRS: 29/5/2014
630463
DPJP: dr. Syakri Syahrir, Sp.U
Ca. Cervix Stb III.B
Squamous cell Ca. non keratinizing (dari
buli-buli)
Terapi lanjut sesuai TS Obgin
Konfirmasi hasil PA biopsy serviks (belum ada)
Lab 31/5/2014
RBC: 3,49 WBC 1,3, PLT 21, HCT 28,6, Hb 9,8,

Lab 31/5/2014
CT: 700, BT: 330, GDS: 123, Ur: 167, Cr: 26,20, SGOT: 12. SGPT:
18, HbsAg: Non reactive,
PA 12/5/2014
Squamous cell carcinoma non keratinizing
LONTARA 4 OBGYN BELAKANG
RPK
ICU
UGD
NICU
PICU
CVCU
Infection Center
PALEM BAWAH
30
Mokawu Dee
TL: 29-09-1949
663647
Dikonsul
MRS : 27-05-2014
B2K14 Bed 2
Hipertropi Prostat Grade IV
Tunggu hasil PSA
Tunggu hasil TRUS
Pertahankan Kateter
Tunggu Hasil Faal baru
Awasi TTV
Diet Biasa
Lab 31/5/2014
CT:700, BT: 300, PT 14,0, INR 1,2, APTT 44,6,
GDS:158,ur/cr:75/3,90,GOT/GPT:64/71,Alb:3,0, As urat:5,4,
Na:133,K:2,6,Cl:109,HGB:10,5,RBC:3,36,WBC:6,30,HCT:30,4,PLT:
128
Lab 27/05/2014
GDP 131, GD2PP 207, Kolesterol total 228, HDL 24, LDL 145<
Trigliserida 150

Lab 24/05/2014
RBC 4.37, Hb 13.21, HCT 39.8, PLT 162, WBC 27.2

Foto USG Abdomen (Whole Abdomen) 21/05/2014
Kesan : Hipertropi Prostat

31
Mohammad Adnan
665847
MRS: 31-05-2014
TL: 31-12-1942
B1K8
Dr. Syakri Syahrir Sp.U

Massa Kistik prostat
Efusi pleura Sinistra post chest tube H2

IVFD NaCL 0,9% 20 tpm
Ceftriaxone 1gr/12jam/iv
Ketorolac 1amp/8jam/iv
Ranitidine amp/8jam/iv
Cek PSA
Kultur Urin
USG Abd(2/6/14)
-Hipertrophy Prostat
Lab 30/5/2014
CT:900, BT:200, PT 13,4,INR 1,10, APTT 36,5,
GDS:79,ur/cr:106/2,20,GOT/GPT:29/26,Na:128,K:2,7,Cl:97,
HGB:13,2,RBC:4,38,WBC:18,100,HCT:39,6,PLT:325

KORAN SUBDIVISI BEDAH UROLOGI Selasa, 3 JUNI 2014

Cek kalium post koreksi
Terapi sesuai TS BTKV

32
M.Jafar
(Konsul cardio)
665960
MRS: 1/6/14
TL:1/1/51
Umum
B2/10bed1
Hidronefrosis
Paracetamol 3x500mg
Tunggu hasil BNO IVP
Terapi lain sesuai TS Penyakit Dalam
Lab 2/6/2014
CT:900, BT:300, PT 12,5,INR 1,0, APTT 29,3, As.Urat:5,0
PSA 6,11

33.
Tn.Paulus
RM: 19397
TL:29/9/52
MRS: 3/6/14
DPJP:SS
-DJ Stent insitu (D) + Nefrolitiasis (D)
Rencana ESWL (4/5/14)
Af DJ stent (5/5/14)
Lab 19/5/2014
CT:700, BT:200, PT 11,4,INR 0,92, APTT 24,2,
GDS:142,ur/cr:22/1,10,GOT/GPT:26/28,Na:139,K:4,5,Cl:104,


PALEM ATAS
1
Ali Muqtadir
646431
MRS: 02-06-2014
TL: 05-04-1983
B2K11 Bed1
DPJP:KK
ProKemoterapi siklus III
Kemoterapi
Mytimicin 40mg
Lab 30/5/2014
GDS:96,ur/cr:117/5,30,HGB:11,3,WBC:8,0,

2
PCC
41

Abd. Thalib
646191
MRS 16/05/2014
TL 30/12/1960
PCC lt 3
Dr Khoirul Kholis,Sp.u

DJ stent insitu bilateral + stenosis
ureter sinistra
Post Replace Dj stant H-3

Terapi lain sesuai TS interna
Diet rendah garam
Mobilisasi jalan
Tunggu hasil Lab
USG Abdomen0.654
LAB 2/6/2014
Ur: 142; Cr:3.25; Na:134; K:4.7; Cl:104

LAB 1/6/2014
WBC: 16.6; HGB: 8.4; HCT 24.0; PLT: 524; RBC:2.76

LAB 28/05/14
Bil tot: 7.62 bil direk: 5.89 alkali fosfatase: 451 pro total: 3.7
albumin: 2.6 gamma GT: 648

USG Abdomen26/05/14
Kesan:
Pelvocalyectasis bilateral dengan tanda-tanda pyelonefritis
chornic

Lab 23/5/2014
PT 18.6
APTT 50.8
INR 1.51
KORAN SUBDIVISI BEDAH UROLOGI Selasa, 3 JUNI 2014

KMR
IDENTITAS
PASIEN
TGL MRS DIAGNOSIS DPJP PEMERIKSAAN PENUNJANG KET.
418
Tn. Mahmud
63 tahun
RM 019034
16/05/2014 Batu staghorn ginjal (D) Dr. Syarif Bakri, Sp.U
Lab 29/05/2014
Wbc 15.30 RBC 4,60 HB 11.9 HCT 34.1 PLT
516
Foto polos abdomen (24/05/2014)
Dj stent terpasang pada kedua traktus
urinarius pada hypocondrium kanan
dengan ujung cranial bergelung sempurna
setinggi CV L3 pada hypocodrium kiri
dengan ujung cranial bergelung setinggi CV
L2 serta kedua ujung caudal bergelung
pada rongga pelvis.
Lab 18/05/2014
Wbc 11,29 RBC 4,03 HB 9,6 HCT 29,1 PLT
489 Na 137 K 4,1 Cl 109

Lab 07/05/2014
Ur/Cr 48/2,1 SGOT 9 SGPT 3
USG Abdomen 07/05/2014
- Nefrolith bilateral
- PNC sinistra
- Cystitis
POH 14 bivalve
nefrolitotomi

409
Tn. Sahar rahim
15/12/1959
021820
27/05/2014
batu pyelium (D)
Multiple batu ginjal (D)
Hidronefrosis (D)
Dr. Syarif Bakri, Sp.U
28/05/2014
WBC : 19,36 RBC 4.6 HGB 13.7 HCT 40.2
PLT 223
Foto thoraks PA: (14/05/2014)
Tidak tampak kelainan pada foto thoraks
ini
POH 5 extended
pyelolitotomi (D)
HbSag 0.11
Anti HCV 28.3
Anti HIV non reactive


42
Ambrosius Takare
665742
MRS: 1/6/2014
TL: 2/4/1960
PCC Lt.3 Kmr:325
Dr Khoirul Kholis,Sp.u

Batu Ureter 1/3 Prox. Dextra +
Hydronefrosis Dextra
- Cifrofloxacin 2x5
- Pct 3x5
- Diet Bebas
- Banyak Minum
- Mobilisasi Jalan
- Tunggu hasil foto thorax
LAB 30/5/2014
RBC:5.10; HB: 15.1, HCT: 43.7, PLT: 355, WBC: 13.3
Ur: 21; Cr: 0.82; SGOT:21; SGPT:14; Albumin:4.4
HBs Ag : Negatif

Foto Thorax 30/5/2014
- DBN

RSUH
KORAN SUBDIVISI BEDAH UROLOGI Selasa, 3 JUNI 2014

Foto BNO Abdomen:
Fungsi sekresi kedua ginjal baik
Nefrolith disertai hidronephrosis (D) grade
II-III

423
Sumiati
36 tahun
RM 021680
Dikonsul dari
TS.Obgin
13/05/2014
08/05/2014
Hidronefrosis bilateral +
hidroureter bilateral +
NOK
Dr. Syarif Bakri, Sp.U
Hasil lab 28/05/2014
Wbc 17.48 RBC 2,68 HB 6,9 HCT 23.3 PLT
630 Ur 39 Cr 1.3
Lab 17/05/2014
Na 138 K 5,4 Cl 104 Ur/Cr 87/3,4
Lab 16/05/2014
Ca 125: 289,71
Lab 15/05/2014
Wbc 12,73 RBC 4,78 HB 12,6 HCT 39 PLT
394
MSCT Scan Abdomen 8/05/2014
- Massa kompleks adnexa bilateral
- Pneumouteri
- Hidronefrosis dan hidroureter
bilateral
- Tanda-tanda fatty liver awal disertai
slight hepatomegali
- Spondylosislumbalis
Rencana
URS+DJ Stent
409
Andreas rumba
04/02/1965
022329


23/5/14 BPH grade III Dr. Syarif Bakri, Sp.U
Lab 23/5/2014
Wbc 7,86 RBC 5,45 HB 15,7 HCT 49,3 PLT
188 Na 237 K 6,7 Cl 103 GDS 105, hbsAg(+.
USG 13/5/14
Pembesaran kelenjar prostat(vol :19,68 ml

POH 5 TURP
407
Rosmawati
24/9/1981
O22362
24/05/15 Fistel vesicovaginalis Dr. Syarif Bakri, Sp.U
Lab 24/5/14
Na/k/cl : 14o/3,9/1o7. Wbc 5,15.rbc 4,o5o.
Hgb 1O,2. Hct 31,9. Plt 346 pt/aptt
14,1/25,6.
MSCT CT-Scan urografi
Hidronefrosis dan hidroureter kanan
USG Abdomen
Hidronefrosis (D)
POH 1 Cystoskopi
305
Abdul Azis
31/12/1944
022640
31/05/14
-kista ginjal kiri susp.
Tumor ginjal
Dr. Syarif Bakri, Sp.U
Lab 31/05/2014
Wbc 2.99 RBC 3.67 HB 11.1 HCT 32.4 PLT
139
Na 139 K 3.6 Cl 107
GDS 114 Ur:30 Cr:1.6


KORAN SUBDIVISI BEDAH UROLOGI Selasa, 3 JUNI 2014

425
Abdul Kadir
12/04/1952
006146
30 05 14

dj stent insitu dextra
Nefrolithiasis dextra
Dr. Syarif Bakri, Sp.U
Lab 30/05/2014
Wbc 8.38 RBC 2.97
HB 8.9 HCT 26.7 PLT 261
Na 134 K 3.2 Cl 99
SGOT : 16 SGPT :14
Ur : 32 Cr : 1.0