PETA PASIEN ORTHOPAEDI

Jumat, 19 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

2E

Heru C

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

ICD
9

PLAN

Status

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

alih leader interna pro

kemoterapi

BPJS NPBI
kls.3

intern
a

BPJS PBI

10/6 Hb 13,8 Al 18,5

At 334 Cr 0,5 Ur 50

VER/AYT
/PUR/AI
P

UH

FNAB ulang, alih rawat HOM,

raber B.onko

BPJS NPBI

intern
a
B.onk
o

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

Mwr 2
AIP`

Mlt3
GAS

MWR
3
GAS

RGB
GIT

ICU
GIT

rawat luka post OP

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

Pulmo

9/6 Hb 10.1 AL 14.6

AT 259

MID/GA
S

BJ

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

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

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

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

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

pro ORIF

umum kls
2

B.Sara
f

15/6 Hb 13.5, L 11.9,

T 161

MRT/AS
D/WOS

AP

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

Tulip
ASD

``

post cito evakuasi pus +

debridement
post re debridement +
debridement Hip

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

3/12

post closed red hip

post cito debridement knee +
evaluasi ligamen injury