Professional Documents
Culture Documents
Hari
: Senin
Tanggal
: 25 Mei 2015
Dokter jaga: dr.Kenanga Marwan S., Sp.An
No
OK
Nama/Umur
Diagnosis
Choelitiasis
Laparoscopy
Ca gaster
Jejunostomy
feeding
Tn. Saparudin
Nor/62 th
Eksisi
Mass at region L
proximal humerus
Debridement
Corpectomy
Interlocking nail +
pro remove graft
femur dex
laparotomy
Tn M. Yahya/23 th
Tindakan
Problem
Medis : Bedah : Anestesi: Medis : alergi
mixagrip
Bedah : Anestesi: Medis : TB paru, HT,
batuk, pilek, alergi
makanan
Bedah : Anestesi: Medis : batuk, gigi
goyang
Bedah : Anestesi: Medis : asthma
Bedah : Anestesi: R op dengan
spinal 4x, terakhir nov
2014
Medis : Bedah : Anestesi: -
Prognosis ASA
Rencana
Anestesi
ASA I
GA
ASA II
GA
ASA II
GA
ASA II
GA
ASA II
GA
ASA III
GA
10
11
Ny. Siti
Fatimah/26th
Tn.Muslim/ 48th
An. M Aidil/ 5 th
Post DJ stent D
Hidronefrosis
bilateral, HN grade II
D, HN grade III S +
nefrolithiasis multiple
D + renal failure post
HD cito
Batu kalix sinistra +
batu uvj dextra
Adenotonsilitis
Aff DJ stent D
URS + litotripsi +
dj stent D
ESWL Sinistra +
URS + lithotripsy
Dextra
Adenotonsilektom
i
Medis : Bedah : Op
pemasangan DJ stent
D Maret 2015
Anestesi: Op dengan
GA Maret 2015
Medis : azotemia, (Ur:
59, CR: 2,6), Anemia
(Hb: 6,9), batuk, gigi
palsu
Bedah : Anestesi: riwayat
anestesi GA
Medis : HT, merokok,
gigi ompong
Bedah : Anestesi: Medis : Batuk, pilek,
gigi ompong
Bedah : Anestesi:
ASA II
GA
ASA III
GA
ASA II
GA
ASA II
GA