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PETA PASIEN ORTHOPAEDI

Sabtu, 20 Juni 2015


MRT/VER/AYT/GIT/AIP/ASD/GAS/MID/PUR/WOS/MYH/VEL/DIQ/RID

BGSL

BE
D

NAMA

2A

Ria Rini
Ning
Kusuma
P

Umur

14

CM

013049
91

Dx Ortho
Open amputatum digiti 3,4,5 pedis S
OF metatarsal 4,5 pedis S comminutive
displaced gr.IIB

ICD
10

Dx non orto

skin loss dorsum pedis S

MRS

STTS

Tgl
Tindkn

Tindakan

18/6

post op

18/6

post cito debridement + amputasi


trans metatarsal 3,4,5 pedis S

RABE
R

LAB yg tdk normal

PJ

STAF

rawat post op
tatalaksana raw surface
dorsum pedis S ~ TS Plastik

umum kls
3

B.
Plastik

18/6 Hb 14.2, Ht 44,


L 7.5, T 266

VER/AYT
/PUR/AI
P

AP

VER/AYT
/PUR/AI
P

AP

10/6 Hb 13,8 Al 18,5


At 334 Cr 0,5 Ur 50

VER/AYT
/PUR/AI
P

UH

5/6 Hb14,1 L8,2


T307

VER/AYT
/PUR/AI
P

AP

10/6 Hb 10.2, L 10.2,


T 210
9/6 Alb 2.7,
hasil FNAB gambaran
sarcoma dd/
chondrosarcoma usul
biopsi

VER/AYT
/PUR/AI
P

AP

9/6 Hb 10.1 AL 14.6


AT 259

MID/GA
S

BJ

19/6 Hb16,0 L23,5


T282 GDS150
HbsAg+

MID/GA
S

AP

15

013024
78

Susp. Osteosarcoma R. proximal humerus (D)


metastase pulmo

28/5

post OP

6/6

2F

Pujiyant
o

40

013031
30

abses femur-gluteus (S)


sequelle coxitis hip (S)

DM tipe 2

1/6

15/6

Yatiman

65

012430
48

Union Femur (S) post ORIF ai CF intercondyler


Femur (S) kominutif

19/6

20/6

Pro ROI

FNAB ulang, alih rawat HOM,


raber B.onko

BPJS NPBI

intern
a
B.onk
o

alih leader interna pro


kemoterapi

Pulmo

post cito evakuasi pus +


debridement
post re debridement +
debridement Hip

rawat luka post OP

BPJS NPBI
kls.3

intern
a

BPJS PBI

BPJS NPBI

9/6 Hb 11.0, L 12.1,


T 262
19/5 Hb 9.1 L 15.3 T
511 LED1 88 LED2
111 Alkali fosfatase
355 Alb 2.8
FNAB tidak
didapatkan tanda
ganas

8J

Pawiro
Sumarto

70

009219
65

Destruksi illiac wing (D), massa pelvis (S)


Paraparese inferior ec MBD Adeno Ca Parotis

26/5

konservatif

4A

Marine
m

52

013002
87

Destruksi Femur (S) 1/3 tengah displaced +


destruksi VTh XII ec MBD Squamous cell Ca
paru

Pulmonologi : Squamous cell Ca


paru

25/5

Paru: kemoterapi
Konservatif

MRI Femur (S)

BPJS

5A

Joko
Supriya
nto

46

013051
28

Fr.dislokasi shoulder (S) (fraktur pada


tuberositas mayor dan collum chirurgicum)
dengan lesi N.Axillaris

19/6

19/6

post closed reduction dengan GA

Pro ORIF Elektif

BPJS I

5C

Hendra
Noor

52

012908
83

Fr linier tibia (S)


raw surface regio cruris pedis (S)

Interna : DM Type II

post op

24/2

post OREF
post debridement + nekrotomi

perawatan + mobilisasi post


OP
medikasi / 3 hari

BPJS NPBI

11/6 Hb 8.6 AL 10.4


AT 125 Hba1c 6.4
GDP 126 GDS 158
Alb 2.4

MID/GA
S

BJ

8A

Deasy

25

012648
48

Chondrosarcoma R. Distal Femur (S)


Infected megaprostesis Femur Distal (S)

pulmonologi : Nodul kalsifikasi


TB Lama

post op

8/12
27/12

Post wide excisi + Megaprostesa


Post debridement + Irigasi

perawatan post OP
medikasi / 5 hari

BPJS
(titipan
dir)

Pulmo

6/6 Hb 10.9 AL 9.6


AT 559 GDS 99 Alb
3.6 Na 137 K 3.7 Cl
109

MID/GA
S

BJ

20
C

Sumino

58

013021
75

Paraplegi inferior level VTh.VII dg tandem


lession (LMN type) ec MM
Fraktur kompresi patologis VTh XII ec MM
Ulcus decubitus R.sacrum gr.IV, ulcus decubitus
R.pedis D et S

Interna: anemia gravis,


inkontinensia uri et alvi,
splenomegali ringan, efusi
pleura bilateral
Neuro: paraparese inferior,
hipoestesi setinggi VTh.III

pre Op

Work up diagnostik

Medikasi ulkus dekubitus, cek


SPE

BPJS Kls.I

Intern
a,
Neuro

9/6 Hb 10.1 AL 14.6


AT 259
29/5 SGOT 43 SGPT
46 Alb 1.6 Glo 4.8,
LED1 71, LED2 95

MID/GA
S

RYN

3B

Rati

83

CF Collum femur (D) transcervical Garden


type II AO 31.B2

Cardio : Decomp cordis


NYHA II, OMI anteroseptal

14/6

pre Op

Skin traksi

Pro Hemiarthroplasty
(menolak operasi)

BPJS PBI

Cardi
o

14/6 Hb 11.5, Al
13.7 AT 251 GDS
157 Cr 0.7 Ur 32

VER/AYT
/PUR//G
AS

RYN

6B

Ina
Nurliana

33

013046
05

CF clavicula D 1/3 tengah alman grup 1


cominutif displaced

edema cerebri
fr. maxilla D dengan
hematosinus

15/6

pre op

20/6

pro ORIF

BPJS kls 2

B.Sara
f
B.Plas
tik

VER/AYT
/PUR//G
AS

AP

8B

Riyanto

26

013046
16

CF radius ulna 1/3 tengah displaced,


posterior dislocation hip S Eipstein Thompson
type 1 post close red
ACL, PCL rupture dgn V. lacerasi R. Genu (S)

FBC anterior
edema cerebri
fr le fort 1

15/6

pre op

15/6
22/6

pro orif elektif

BPJS PBI

B.Sara
f
B.plas
tik

MRT/AS
D/WOS

AP

Sukirno

56

013044
45

OF tibia fibula S severe comminutive gr IIIC

stenosis total a.tibialis anterior


post bypass + heparin

13/6

pre op

16/6
22/6

post bypas a.tibialis anterior

Perbaikan KU
jika vaskular membaik pro
OREF
perawatan luka tiap hari

VIP B

BTKV

16/6 Hb 6,4 Al 12,6


At 110
13/6 GDS 145, Ur
41, Cr 1.0, PT 16.9,
PTT 48.8

GIT/MY
H/VEL

RYN

Rahman
to

27

013041
55

CF subtrochanter femur S displaced

Plastik : combutio elektrik 12%

10/6

pre op

18/6

post ORIF elektif

rawat luka post OP

umum kls
3

B.plas
tik

10/6 Hb 11.2, L 11.4,


T 156

GIT/MY
H/VEL

RYN

18/6

post OP

19/6

perbaikan KU post OP

rawat luka post OP

VIP

GIT/MY
H/VEL

AP

CF distal radius (S) Frykmann I


CF Clavicula (D) 1/3 tengah kominutif displaced
CF Humerus (D) 1/3 tengah oblique type
displaced
CF Tibial plateau (D) Schatzker VI
OF intercondyler femur (D) gr IIIA OGP
CF intercondyler femur (S)
CF Tibial plateau (S) Schatzker VI

3/12

post closed red hip


post cito debridement knee +
evaluasi ligamen injury

Marsiya
h

85

11

warsono

26

013046
11

CF metacarpal I manus S comminutive


displaced,
CF base phalanx proximal digiti I mamus (S)
displaced,
CF base metacarpal V manus (S) comminutive
displaced

b. saraf : EDH reg temporal


post craniotomi evakuasi EDH
plastik; fr zmc, fr rima orbita
(D)

15/6

pre op

22/6

pro ORIF elektif (tgg acc


b.saraf)

umum kls
3

b.
saraf
B.plas
tik

15/6 hb 13,9 ht 42 al
15,1 at 430

GIT/MY
H/VEL

AP

Abu
Sholeh

65

013046
07

CF distal radius D frykman VII colles type


CF distal radius S frykman VII colles type
CF patell D kominutif min displaced

SAH regio parietal (S)

15/6

pre op

19/6

konservatif

umum kls
2

B.Sara
f

15/6 Hb 13.5, L 11.9,


T 161

MRT/AS
D/WOS

AP

ICU
GIT

Tulip
ASD

Status

Heru C

Mlt3
GAS

RGB
GIT

PLAN

2E

Mwr 2
AIP`

MWR
3
GAS

ICD
9

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