MAPPING SERUNE 3, RABU 29/6/2016

NO

Kamar

Nama

No.CM

1a/Gyn

Nurti Wardani/41 thn/H4

0808022

1b/gyn

Rusmiyati/51thn/H1

1088211

2a/obs

Nurafrina/40thn/H1

1094928

2b/gyn

Zuriati/39tahun/H2

1064500

MAPPING SERUNE 3, RABU 29/6/2016

5

3a/Gyn

saniah/68 thn/ H4

1088717

3b/Obs

eka julianti/21 th/h3

1094809

4a/gyn

4b/obs

ysura/36thn/H1

1094954

MAPPING SERUNE 3, RABU 29/6/2016

9

4c/obs

yusrawati/38thn/H2

1018650

10

4d/obs

cut rafikah/23th/H2

1094942

11

5a/ Gyn

nur nikmat/ 31th/ H3

1091635

12

5b/gyn

desi marsalena/20tahun/h2

1094974

MAPPING SERUNE 3, RABU 29/6/2016

13

5c/obs

Habibah/29tahun/H3

1094810

14

5d/obs

zakiah/27tahun/H2

1094862

15

6a/gyn

nurbaiti/41thn/H17

1042932

16

6b/gyn

jauhari/47th/H2

1083310

MAPPING SERUNE 3, RABU 29/6/2016

17

6c/ gyn

anidar/35tahun/H3

1094866

18

6d/ gyn

nasriah/ 19 th/h8

1094440

19

6e/gyn

20

6f/gyn

Marliah/60thn/H3

1094860

MAPPING SERUNE 3, RABU 29/6/2016

21

7a/gyn

Sakdiah/66thn/H5

1089551

22

7b/gyn

halimah/78th/h7

1094503

23

7c/ gyn

Mahdiati/31 tahun/H4

1094620

24

7d/gyn

Nursiah/47 tahun/H4

1092788

MAPPING SERUNE 3, RABU 29/6/2016

25

7e/gyn

Maryani/62th/H9

1094437

26

7f /gyn

Hayaton/33 th/H9

1094364

27

ISO1/gyn

Wardani Hasan/66thn/H1

1088211

28

ISO2/gyn

Darmawati/38th/H3

1094837

total gyn 19 obs 7

total: 26 pasien

MAPPING SERUNE 3, RABU 29/6/2016

dr. Hasanuddin, Sp.OG (K

dr. Yusra Septivera Sp.Og

dr, Rajuddin,Sp.OG(k)
dr. Tgk. Puspa Dewi, Sp.O
dr. Sarah Ika Sp.OG (k)
dr. Roziana,Sp.OG
dr. Munizar, Sp.OG
dr Niken.Sp.OG
Dr.dr.Mohd.Andalas,Sp.O
dr. Munawar, Sp.OG

0
0
2
6
1
2
0
3
4

1a 2b 3a 5a 6a 6b 7e iso1

2a, 4d
1b 6d 7b 7c 7f 7a
5b
4b 7d
4c 6c iso2
3b 5c 5d 6f

MAPPING SERUNE 3, RABU 29/6/2016

Diagnosa

Laboratorium

POD 3 post laparotomy+mimectomy multiple+reconstruksi

tgl 27/6 hb 10,0; ht 33; eri 4,8; leu 4,9; tromb
uterus+adesiolisis+kistetctomy ovarium kiri +oriling ovarium kanan a/i mioma
349
uteri multiple+kista ovarium kanan dan kiri

Tumor ovarium susp ganas

tgl 28/6 hb 13,5; ht 45; erit 5,5; leu 9,8; trom

303; SGOT/SGPT 17/13

POD1 post sc ai BSC 1x (IDT 2,8th) + CPD

lab 29/6 Hb 12,1; Ht 38; Eri 4,3; Leu 8,6; tr

236; Na 139; K 4,8; Cl 111;

ca. Cervix uteri

lab 29/6 Hb 9,7; Ht 31; Eri 3,6; Leu 7,9; tr

342; Na 145; K 3,8; Cl 107; ur 12; cr 0,50;

MAPPING SERUNE 3, RABU 29/6/2016

adenocarcinoma musinous

POD 2 post sc ai gagal induksi post transfusi

POD0 post sc ai impending eklampsia + IUGR para 1

lab 27-6-16 hb 10,4 ht 33. eri 4,0. leu 9.9 .

Trom 383

lab 28/06/16 hb/ht/e/l/t = 9,0/29/3,8/15,3/267

sgot/sgpt=25/13

lab 29/6 hb/ht/e/t/l = 12,6/40/5,0,292/9,

bilirubin total/direk= 0,19/0,10 SGOT/SGPT=
19/11 albumin 3,10 elektrolit
na/k/cl/ca=139/4,2/102/9,1

MAPPING SERUNE 3, RABU 29/6/2016

POD 2 post sc ai oligohidramnion berat para 5

lab 29/06/16 hb/ht/e/l/t= 12,0/36/4,2/13,1/239

POD 0 POST sc ai CPD para 1

lab 29/6 Hb 10,1; Ht 33; eri 4,8; leu 15,1; tr

381; cr 0,50; Cl 112;

POD 2 POST LAPARATOMI DEBULKING TUMOR ai suspec ca ovarium

lab 29/06/16 hb/ht/e/l/t= 8,0/25/3,1/24,9,374

lab 30/6/16 kgd 164, hba1c 5,90

unembrionic pregnancy

lab 30/6/16 hb/ht/e/l/t= 12,9/40/4,5/8,7/323

MAPPING SERUNE 3, RABU 29/6/2016

POD 2 SC a.i KPD + gagal induksi para 3 + IUD, bayi laki, BB 3000 gr, PB 47 lab 29/6 Hb 11,9; Ht 35; Erit 4,0; leuko 19,0;
cm, A/S 8/9, lilitan tali pusat di leher (+)
trom 187

POD2 post sc + miomectomy + IUD ai oligohidramnion berat + fetal distress + lab 29/6 HB 12,3; Ht 37; Erit 4,1; leuko 9,3,
mioma uteri subserosa. Lahir bayi pr BB 1500gr, PB 29 cm, A/S 3/5/6
tromb 332

ca ovarium residif + asites masif

lab 26/06 hb 9,7 ht 30 eri 3,5 leu 10,8 trom

359

post surgical stagging ai ca. ovarium post kemoterapi siklus 4

lab 7/6/16 = hb/ht/e/l/t= 11,9/37/4,2/2,7/244

sgot/sgpt= 73/69 kol total 268 hdl 43 ldl 150
trigliserida 109 na/k/cl= 145/4,8/104

MAPPING SERUNE 3, RABU 29/6/2016

POD0 post ekstipasi mioma geburt = kurve ai AUB mioma geburt

lab 30/6 Hb/ht/e/l/t= 9,9/33/4,8/8,5/338

tumor ovarium susp ganas + post punksi pleura ai efusi pleura sinistra

lab 29/6 CA 125 215,21; SGOT/SGPT 165/36;

HDL 10; LDL 101; trigliserida 339

mioma uteri + hipertensi + trombositopenia +hipoalbuminemia + hipokalemia

lab 28/6 Hb 11,1 Ht 35 Eri 4,9 Leu 7,9 Tromb

36 K 2,3 Cl 113 D-dimer 2065,29

MAPPING SERUNE 3, RABU 29/6/2016

POD4 post laparotomi debulking tumor + omentektomi total + reseksi noduil
multiple, adhesiolisis ai susp ca ovarium advance stage

Post Histerektomi 2,5 tahun yll+ post punksi asites

POD 4 post Laparotomi eksplorasi +salfingoovarektomi sinistra+kistektomi

ovarium kanan + rekonstruksi ovarium ai kista ovarium terpuntir kiri + kista
ovarium pecah kanan

POD 3 post laparotomy+miomectomy multiple+salpingoforectomy

dextra+adesiolisis a/i mioma uteri multiple+kista Ovarium kanan+perlengketan

lab 29/6 hb/ht/e/l/t= 9,3/29/3,4/15,4/198

Lab 28/06 Hb: 13,7 ht,40 eri 4,8 ; leu 11,6

trom 240, albumin 2,0, ca 125 6,18; GDP 36;
G 2 jam pp 49

lab 29/06 hb/ht/e/l/t= 8,7/27/3,8/13,7/342

lab 28/6 Hb 10,4 Ht 34 Eri 5,0 Leu 14,5 tr 468

MAPPING SERUNE 3, RABU 29/6/2016

POD 3 post laparotomy Eksplorasi + Adesiolisis + omentectomy + reseksi
lab 29/6 hb 9,7 ht 30 eri 3,5 leu 28,0 trom
sigmoid + colostomy + reseksi jejenum a/i Mioma Uteri + tumor colon sigmoid
258 , albumin 2,3, protein total 4,6
metastase ke jejunum

POD2 post laparotomi debulking tumor + sitologi asites + adhesiolissi ai susp ca lab 29/6 Hb 11,1, Ht 34, eri 3,9, leu 13,1, tr
ovarium advance stage dengan perlengketan
298

ca endometrium

Lab 20/6 hb/ht/e/l/t: 10,2/21/4,4/6,0/113

POD0 post laparoskopi diagnostik + laparoskopi operatf + salphingektomi +

adhesiolissi ai kehamilan di ampula tuba kanan

Lab 30/6 hb/ht/e/t/l: 13,1/39/4,7/228/17,0

6a 6b 7e iso1

7f 7a

MAPPING SERUNE 3, RABU 29/6/2016

MAPPING SERUNE 3, RABU 29/6/2016

Terapi dan planning

DPJP

cefixime 2x100mg / omeprazole 2x1 / PCT

3x1

dr. Hasanuddin, Sp.OG(K)

laparotomi tgl 1/7/16

dr. Sarah Ika Nainggolan, Sp.OG(K)

observasi KU , inj ceftriaxone 2gr/24j, drip

metronidazole 500mg/8j, tramadol 1
amp/8j,inj ketorolac 1 amp/8j

dr. Tgk Puspa Dewi, Sp.OG

observasi TTV untuk persiapan kemoterapi

dr. Hasanuddin, Sp.OG(K)

MAPPING SERUNE 3, RABU 29/6/2016

inj. Ketorolac 1 amp/ 8 jam/. Ranitin 1
amp/ 8 jam, kaltrofenn supp 2 / 8 jam,
planning;KSR 1x1, rencana punksi

dr. Hasanuddin, Sp.OG(K)

cefixime 2x200mg, metronidazole tab 3x1,

as mefenamat 3x1, sohobion 1x1

dr. Munawar ,Sp.OG

inj ceftriaxone 2gr/24j, inj ketorolac 1

amp/ 8j, kaltropen supp II/8jam, inj
ranitidin 1amp/8j, inj kalnex 1amp/12j,
drip mgso4 16/j selama 24j, metildopa
3x250, aldalat oros 1x30mg, pantau ttv,
kontraksi, perdarahan

dr. Munizar, Sp.OG

MAPPING SERUNE 3, RABU 29/6/2016

inj ceftriaxone 2 gr/24j, keterolac 1
amp/8j, inj ranitidin 1 amp /8jam,
kaltropen supp 2/ 8jam, inj transaminb 1
amp/8jam

Dr.dr.moh. Andalas sp.og

inj cetriaxone 2 gr/24jam, inj tramadol 1

amp/8jam, inj keterolac 1 amp/8jam,
kaltropensup 2 /8 jam jika nyeri plan cek
hb 2 jam post op

dr. Tgk Puspa Dewi, Sp.OG

inj ceftriaxone 2gr/24jam, inja ketrolac 1

amp/8jam, inj alinamin f 1 amp/8jam, inj
ranitidin 1 amp/8jam,

dr Hasanuddin Sp. OG (K)

rencana kuret jam 6 pagi cito kaltropen

supp 1 /8jam, inj tramadol 1 amp /8jam

dr Roziana, Sp. OG

MAPPING SERUNE 3, RABU 29/6/2016

cefixim 2x200mg, metronidazole 3x1,
asam mefenamat 3x1, sohobion 1x1

dr. Munawar ,Sp.OG

inj. Ceftriaxon 2 gr/24 jam, inj. Ketorolac

1 amp/8jam, inj. Alinamin F 1 amp/8 jam,
kaltropen supp 2/8 jam

dr. munawar ,Sp.OG

ondansentron 3x8mg, diet tinggi kalori

tinggi protein, merlopam 1x1mg, atapulgit
4x2, ketorolac dan tramadol dalam RL
500cc 20gtt/menit, omeprazole 2x1

dr. Hasanuddin, Sp.OG K

ivfd rl 20 gtt/i, inj ceftriaxone 2gr/24jam,

inj ranitidin 1 amp/8jam, keterolac 1
amp/8jam, inj transamin 1 amp/8jam, inj
alinamin f 1 amp/8jam, kaltropen supp 2
per 8 jam

dr. Hasanuddin, Sp.OG K

MAPPING SERUNE 3, RABU 29/6/2016

obs TTV/perdarahan, terpasang tampon
vagina 2 buah 1x/24j, cek hb 2 jam post
op, transfusi sd hb 10, inj ceftriaxone
2gr/24j, inj ketorolac 3% /8j, kaltrofen
supp 3x1, inj transamin 1gr/8j

sohobion 1x1, curcuma 1x1

drip albumin 20% per hari, drip kalium

25mg dalam 1kolf RL 20gtt/menit, inj
lasix 1amp/8j, valsaltan 1x80mg

Dr. dr Mohd. Andalas, Sp.OG

dr. Sarah Ika, Sp.OG (K)

dr. munawar ,Sp.OG

MAPPING SERUNE 3, RABU 29/6/2016

cefixime 2x1, PCT 3x1, OMZ 2x1

dr. Sarah Ika, Sp.OG K

tunggu hasil PA, inj ranitidin /12j,

sohobion 1x1, kaltrofen supp, new diatab
3x1

dr, Sarah Ika, Sp.OG(K)

cygest 1x400 mg ; Farmadol 3x1;

cefadroxil 3x500mg

dr. Sarah Ika, Sp.OG K

cefadroxil 2x500, as mefenamat 3x500;

sohobion 1x1

dr. Munizar, Sp.OG

MAPPING SERUNE 3, RABU 29/6/2016

keterolac/8jam, transamin/8jam,
ranitidin/8jam, alinamin F/8jam, ceftriaxon
2 gr/24jam, kaltropen supp/8jam, drip
metronidazol 500mg/8jam

ceftriaxon 2gr/24;, inj ketorocal 1amp/8j;

omeprazole 1x40mg; inj transamin
1amp/8j; curcuma 3x1; sohobionm 1xi;
KSR 2x1; drip ondancentron/8j

rencana laparotomi tgl 1/07/2017

dr. Hasanuddin, Sp.OG (k)

dr. Sarah ika, Sp.OG

dr. Hasanuddin, Sp.OG (K)

Dr. dr Mohd. Andalas, Sp.OG

MAPPING SERUNE 3, RABU 29/6/2016

Inj
Ceftriaxon
2gr/12jam
, ketorolac
post
1
lab
salpingekt amp/8jam,
04/4/2016
omi
ranitidin I
israwani/1
: Hb 9, Ht
7B/Gyn
1085768 dextra a/I amp/8jam,
9th/H2
2,7, Er 3,
ruptur
asam
Leu 8,7,
kehamilan traneksam
Trom 172
tuba
at /
12jam
,kaltropen
supp
II/8jam

7C/
7D/
7E/

Lab
4/4/16
Hb: 10,7
Tumor
sohobion Ht: 33, E:
ovarium
Nurlela/44
1x1,
4,9 l: 11,1
7F/ gyn
1085559
susp.
th/H6
curcuma Tr: 556,
Malignanc
1x1
CA 125
y
308,17 Na
133, Cl
3,6

Cefadroks
il 2 x 500 Lab 2/4/6
NH1 mg, Asam Hb 12,9
Mardian/3
Pospartus mefenama Ht 38 Er
ISO1/Obs
1085670
0th/H3
spontan
t 3 x 48 Leu
pada P2 500mg, 12,9 Trom
Sohobion 228
1 x 1 tab

ISO2/Gy nurmina/4
1816730
n
5thn/H2

susp.
Meigh
sindrom

TOTAL:
GYN:12
, OBS:
10

dr. Hasanuddin, S

3B,6A,
6B , 6E

lab 4/4/16
CA 125
>600,
Sgot 34,
Kolstrol
ttl 852,
asm urat 3

dr. Yusra Septiver

dr. Tgk Puspa Dew

dr. Munizar, Sp.O

dr. Munawar, Sp.
Dr.dr. Andalas, S
Dr. dr. Rajudin, S
dr. Cut Meurah Ye

Dr. Niken Asri Ut

dr. RR Obs
dr. RR Gyn

2A,4D,5
A,5C
7A, 4B,
Iso2

4A,5D,
6C,6E,
7B, 7F

1
1

6D
5B

IA IB 4C
Iso1

dr.
Munizar,
Sp.OG

dr
munizar
sp.oG

dr. Niken
Asri
Utami,
Sp.OG

dr tgk
puspa ,
sp.OG

6a/gyn

POD 3 post
cefixime
histerektom
2x200mg,
i total +
asam
salpingoop lab 15/6 hb mefenamat
horectomi 11,4 ht 35 3x1,
dr.
Nurusridar/
1092970
sinistra eri 4,1 leu ranitidine
Munawar,
41th/H5
+adhesiolisi 8,7 trom 3x1,
Sp.OG
s ai mioma 187
sohobion
uteri + kista
1x1,
ovarium
transfusi
sinistra
PRC