REKAPITULASI PASIEN BEDAH UROLOGI RSUP HAM

1 Mei 2017

No. DPJP Ruangan Identitas Diagnosis Keterangan Assessment

Batu Cetak Ginjal (L) + Hidronefrosis Berat (L) Hb/L/T : 10/6/303

Jumilah/P/54 Tranfusi PRC 350 cc
1. GPS RB3 on Nefrostomi (L) Ur/Cr : 30/0.7
702624 Nefrektomi (L) per Laparoskopi
Batu Ureter Distal (R) + DJ Stent Insitu (R) Na/K/Cl : 138/3.1/106

Hb/L/T : 14/12/503
Ur/Cr : 54/2.6 PCNL (R)
2. FAU RB3 Sarwiyah/P/56 Batu Pielum (R) + Batu Kaliks Inferior (R)
Na/K/Cl : 134/4.2/108 Selasa 2/5/17
Alb : 3.9

Hb/Ht/L/Tr : 12.4/37/13/205
Ur/Cr :19/0.81
RB2B Samri/L/38 Gun shot wound Na/K/Cl :143/4.3/106
3. WR BNO-IVP
III3/1 706791 Susp Ruptur Ureter (L) Urinalisa
Eritrosit : 16-20
Leukosit : 10-12
Hb/L/T : 14/11/248
Ur/Cr : 24/0.83
RB2B M.Nasir/L/40
4. RMN Batu Urethra Post Open Sistostomi Na/K/Cl : 140/3.6/113 R/ Litotripsi Batu Urethra
III5/5 706775

Sistostomi : 2000cc/24 jam jernih

Hb/L/T : 7.1/12/296
Hidronefrosis Ringan Bilateral Ur/Cr : 150/5.98
Leakage Buli Post Sectio Alta Na/K/Cl : 133/5.0/106
Suhariono/L/38
5. RMN RB2B PSMBA Transfusi PRC 175 cc
706779 PCT : 7.87
AKI
Anemia
FC: 1800cc/24 jam jernih

1
 Penurunan Kesadaran Hb/L/T : 7.7/56/27
Sepsis Ur/Cr : 165/7.68
Hematuria HD
Na/K/Cl : 120/5.7/98
TCC Buli TxNxM0 Koreksi Hipoglikemia
Biaunillah/L/53 KGD : 230
6. RMN HDU Hidronefrosis Moderat Bilateral CT Scan Abdomen
671561 pH/PCO2/PO2/HCO3/BE :
AKI
Asidosis Metabolik 7.18/12/150/4.5/-21.4
Hiponatremia
Hiperkalemia FC : Irigasi (+) merah semu
Hb/L/T : 9.7/18/351
Ur/Cr : 120/8.37
Na/K/Cl : 134/5.2/99
Abses Perirenal (L) post Open Drainase Abses
PCT: 6.03
Dj stent Insitu (L)
RB2B Bistok/L/50 pH/PCO2/PO2/HCO3/BE:
7. RMN Batu Cetak Ginjal (R) + Multiple kalik inferior
II2/2 701053 7.51/23/186/18/-3.0
(R) on nefrostomi (R)
CKD on HD
Drain: 50 cc/24 jam serohemoragik
Nefrostomi (R) : 300cc/24 jam,
jernih
Hb/L/T : 8.5/10.3/657
Ur/Cr : 26/0.93
Susp. Pionefrosis (R) Na/K/Cl : 138/3.9/108 Nefrostomi (R)
Riani/P/37
8. RMN RA1 Batu Multipel Ginjal (R)
705694 Transfusi PRC 350 cc
Anemia Urinalisa :
Erit : 3-6/LPB
Leu : 10-150/LPB
Hb/L/T : 11.2/13.4/597
Ur/Cr : 6/0.31
Na/K/Cl : 130/4.4/105

Urinalisa :
RB4 Alby/L/10 bulan Hidronefrosis Ringan Bilateral Erit : 2-3 /LPB
9. RMN VCUG
III5 706155 Susp VUR bilateral Leu : 10-15 /LPB

Kultur urin : Tidak ada

pertumbuhan kuman/jamur

FC no 6 Fr : 1000 cc/24jam, jernih

2
 Hb/L/T : 9.6/8.2/237
Ur/Cr : 118/10.5
Na/K/Cl : 125/4.2/93
Tumor Buli TxNxMx pH/pCO2/pO2/HCO3/BE : HD
RB2B Supandi/L/53 Hidronefrosis Moderat Bilateral
10. RMN Nefrostomi Bilateral
III5/4 706733 AKI Urinalisa :
R/ Sistoskopi + TURBT
Hiponatremia Erit : 25-30 /LPB
Leu : 0-1 /LPB

UOP : 1000 cc/24 jam

Hb/L/Tr : 9/13/368
Ur/Cr : 47/2.15
Na/K/Cl : 132/4.3/105
KGD : 181
BPH post Open Prostatektomi + TURP
PSA : 176
RB3 Bahrum/M/63 AKI
11. RMN
I3 706649 DM Tipe 2
Urinalisa:
Anemia
Eri : 0-1
Leu : 5-10

FC 1500cc/24h, clear
Susp. Abses Ginjal (R) Hb/L/T : 7.9/7/485
AKI Ur/Cr : 79/2.14
Nephrotic Syndrome Na/K/Cl : 136/3.6/104
Edema anasarka KGD : 324
Efusi Pleura Bilateral Alb : 1.6
RA2 Lili/M/57
12. RMN Ascites PCT : 0.18 USG IDT
III1 705789
DM tipe 2
HT stg 2 FC: 1800 cc/24h, clear
Ulkus DM pedis (L)
Anemia
Hipoalbuminemia
Hb/L/T : 9.2/12/287
CKD on HD Reguler post Transplantasi Ginjal Ur/Cr : 139/2.46
RIC Budi/L/37 (H+7) Na/K/Cl : 132/3.0/97
13. RMN
305 664443 Hipertensi Stg II Albumin: 2.7
Hepatitis C pH/PCO2/PO2/HCO3/BE:
7.40/33/162/20.4/-3.6
3
 Intake :
UOP :
Balance :

LO: Rembes (-)

Hb/L/T : 13/8.5/272
RA3 Sania/P/41 Batu Ureter Distal (R) + Batu Kalik Inferior (R)
14. GPS Ur/Cr : 15/0.72 PBJ besok
III2 702654 post URS litotripsi (R) (H+2)
Na/K/Cl : 139/4.6/107

Hb/L/T : 11/16.9/259
Kista Ginjal (L) post Unroofing per
Ur/Cr : 13/0.59
VIP A Idayati/P/43 Laparoskopi (H+3)
15. GPS Na/K/Cl : 134/3.2/95
I4 701980 Batu Cetak Ginjal (L) + Hidronefrosis Moderat
(L)
Drain : - cc/24 jam

Hb/L/T : 14.8/14/322
Ur/Cr : 21/0.79
RB2A Jean/L/29 Ruptur Urethra Total Pars Bulbosa post
16. RMN Na/K/Cl :140/4/106 R/ Urethrosistografi
II3 704248 Urethroskopi
Sistostomi : 2000 cc/24 jam

Hb/L/T : 8.6/6/305
SCC penis T3N3M0 post parsial penektomi on
RA3 Jauli/L/33 Ur/Cr : 11/0.63
17. FAU Kemoterapi TIP Siklus 3 Tranfusi PRC 350 cc
III3/4 691374 Na/K/Cl : 135/3.4/106
Anemia
Alb: 3.1
Hb/L/T : 7.3/9/317
Ur/Cr : 28/1.63
Hematuria
Na/K/Cl :129/2.8/95
TCC buli T4aN1M0 post TURBT
PCT ; 9.42 Transfusi PRC 350 cc
RB2B Poleser/L/59 Hidronefrosis Berat (R) + Ringan (L) post
18. RMN
III4 704568 Nefrostomi bilateral R/ Radiasi
Nefrostomi (R): 600 cc/24 jam,
Burst Fracture L4
jernih
Anemia
Nefrostomi (L): 100 cc/24 jam,
jernih

4
 FC: irigasi (+), semu merah

Hb/L/T : 11/10/357
Ur/Cr : 28/0.67
Na/K/Cl :129/4/99 GV
RA4 Oloan/L/63 Abses Skrotum PCT: 0.57
19. RMN Foto Klinis
2.1 706465 Striktur uretra
R/ Urethrografi
Urinalisa:
Eri : 5-8
Leu : 10-15
Hb/L/T : 10/32/821
Fistula Vesikokutan Ur/Cr : 45/0.70
Post Open Prostatektomi Na/K/Cl : 134/4.9/97
RB2B Sutikno/L/58
20. WR Neurogenic bladder
III3/6 706312
Paraparese e.c Suspect Mielitis Transversalis LO: Rembes (+),
Ulkus Dekubitus
FC: 200cc/24jam, Jernih
Batu Cetak Ginjal (R) + Multipel Kaliks Inferior
(R) + Hidronefrosis moderat (R) + Kista Ginjal
Hb/L/T : 10/12/302
(R)
Ur/Cr : 124/4.48
Batu Cetak Ginjal (L) + Batu Kalik Inferior (L) +
RA2 Minton/L/55 Na/K/Cl : 137/5.2/101 Susul CT Scan Abdomen + BNO
21. RMN Contracted Kidney (L)
III1 706189 KGD : 256
DM tipe 2
Hipertensi
UOP: 1800cc/24jam
AKI
CHF
Hb/L/T : 7.4/37/376
Ur/Cr : 60/3.43
Na/K/Cl : 132/4.5/105
Sepsis PCT : 2.73
Abses Skrotum (R) KGD :
RA2 Suryono/L/57 CKD on HD GV
22. FAU
III3/3 706277 DM tipe II pH/pCO2/pO2/HCO3/BE: Foto Klinis
Anemia 7.51/23/167/18.4/-3.0
Hiperkalemia
Urinalisa :
Eritrosit : 40-50
Leukosit : 60-80

5
 Hb/L/T : 11/8/285
Ruptur Buli Ekstraperitoneal post Sistoskopi Ur/Cr : 47/0.98
RB2B Asmuri/L/63 (H+4) Na/K/Cl : 135/3.7/104
23. FAU Pertahankan FC
3.4.3 706258 Simfisis Diastasis
AKI FC: 1200cc/24jam, Jernih

Batu Ureter Proksimal (L) + Batu Ureter Distal

Hb/L/T : 9.2/14/519
(L) + Hidronefrosis Berat (L)
RA2 Hamlet/L/64 Ur/Cr : 122/5.76 Susul CT scan abdomen
24. FAU AKI
II2 705375 Na/K/Cl : 131/3.7/102 Nefrostomi (L) Rabu 3/5/17
Anemia
As. Urat : 7.6
Hiperuricemia
Hb/L/T : 9.9/7/251
Ur/Cr : 105/3.98
Na/K/Cl : 136/5.4/106
Hidronefrosis Moderat (R) + Contracted
pH/pCO2/pO2/HCO3/BE: Susul CT scan abdomen
RIC 3 Golut/L/55 Kidney (L)
25. FAU 7.28/17/174/8.0/-16.4
319/2 705910 AKI URS 3/5/17
Hipertensi st I
Urinalisis:
Erit: 2-4
Leu: 3-5
Hb/L/T : 7.9/21/77
Ur/Cr : 169/7.31
Na/K/Cl : 136/3.0/99
PCT : >100
Penurunan kesadaran
pH/pCO2/pO2/HCO3/BE:
Sepsis
7.27/6.0/195/3.0/-22.0
Batu Multipel Kaliks (L) + Hidronefrosis Berat
Rajin/L/55 (L) HD hari ini
26. FAU ICU Urinalisis:
691044 Contracted Kidney (R) Susul CT Scan Abdomen
Erit: 20-30
DJ Stent Insitu Bilateral
Leu: 60-80
CKD on HD
Asidosis Metabolik
Kultur darah : Tidak ada
pertumbuhan bakteri

FC: 300 cc/24 jam

6
 Hb/L/T : 9.2/8.3/470
Ur/Cr : 13/0.42
Adeno Ca Testis (R) TxN3M0S2 Post
Na/K/Cl : 134/4.7/105
Orchidectomi (R)
RB4 Fuad/L/3 Albumin: 3.3
27. GPS Hidronefrosis Moderat (R) + Hidronefrosis Review PA
III/2 706161 LDH : 720
Ringan (L)
Beta HCG: <1.20
Gizi Buruk
AFP: > 2000

Hb/L/T : 7.9/10/274
Batu ureter proksimal (R ) + Hidronefrosis
Ur/Cr : 105/3.94
berat (R )
RA1 Herlina/P/62 Na/K/Cl : 128/3.6/99
28. FAU Batu ureter distal (L) + Hidronefrosis berat (L) URS bilateral 2/5/17
II1/2 690073 Uric Acid: 7.5
AKI
Post CABG
UOP : 1500 cc/24 jam
Hb/L/T : 11/19/613
Ur/Cr : 17/0.64
RA2 Edyson/L/56 Penile SCC T4N2M0
29. FAU Na/K/Cl : 137/4.0/106 Susul ct scan pelvic
II2 693732 Anemia
Sistostomi : 1500cc/24 jam, jernih
Batu cetak ginjal (R) Hb/L/T : 8.3/13/298
Batu Pielum (L) + Kaliks inferior (L) Ur/Cr : 77/6.9
RB2A Salimudin/L/50 Hidronefrosis Berat Bilateral Post Nefrostomi Na/K/Cl : 139/4.4/110
30. FAU
II3 706014 (L)
AKI Nefrostomi (L): Inisial 30cc, Jernih
Anemia Produksi: 1200cc/24jam, Jernih
Hb/L/T : 8.9/11/135
Ur/Cr : 68/3.31
TCC Buli T4bN2M0 post TURBT + Kemoradiasi Na/K/Cl : 131/4.7/105
RB2A Sunarti/P/56 Hidronefrosis Berat (L) + Ringan (R) Post Alb : 2.7
31. FAU R/ APG (L)
1/4 673906 Nefrostomi (L) PCT: 0.49
Leukopenia
Nefrostomi (L): Inisial 30cc, Jernih.
Produksi: 200cc/14jam

7
 Hb/L/T : 8.5/12/296
Hidronefrosis Moderat Bilateral
Ur/Cr : 90/10.27 Susul lab
RB1 Ratnawati/P/37 Ca Cervix IIIB
32. FAU Na/K/Cl : 133/3.1/98
III6 704676 AKI R/ Nefrostomi Bilateral
Anemia
FC : 1000 cc/24 jam
Hb/L/T : 12/15/145
Ur/Cr : 122/3.7
Hidronefrosis Moderat (R) + Hidronefrosis
Na/K/Cl : 132/3.8/103
Ringan (L) on Nefrostomi Perkutan Bilateral
PCT : 1.11
RB2A Enti/P/34 (H+2)
33. BSH R/ APG
I1 695314 Ca Cervix Std IIIB
Nefrostomi (L): Produksi 200 cc/14
AKI
jam, jernih
Anemia
Nefrostomi (R): Inisial 30cc, Jernih.
Produksi: 500cc/14jam, Jernih
Anuria Hb/L/T : 7.5/6/15
Hidronefrosis Moderat Bilateral Ur/Cr : 257/6.44
Ca Cervix Std IIIB Na/K/Cl : 129/5.5/96
RB1 Mahyarni/P/37
34. FAU AKI pH/pCO2/pO2/HCO3/BE :
III6 689418
Trombositopenia 7.32/17/161/8.8/-14.9
Hiponatremia
Hiperkalemia UOP : 300 cc/24 jam
Hb/L/T : 11/9.4/401
TCC buli TxNxM0 post Sistoskopi + Biopsi Ur/Cr : 21/0.99
(H+2) Na/K/Cl : 134/4.4/96
RB2B Aminullah/L/75 Hidronefrosis Moderat (R) Albumin : 2.4
35. FAU Susul hasil PA
III4 705601 Aneurisma Aorta Abdominalis
Riw Stroke Urinalisis:
Hipertensi st I Eri: 20-30
Leu: 40-50
Sepsis Hb/L/T : 3/21/126
Anuria Ur/Cr : 244/7.69
Hidronefrosis Moderat Bilateral Na/K/Cl : 133/4.4/100
RB1 Amidar/P/48 PCT: 42.6
36. BSH Ca Cervix Post TAH Lab Terakhir ???????
III5/1 612520 pH/CO2/O2/HCO3/BE
PSMBA 7.42/28/132/19.5/-3.3
CKD on HD
Efusi Pleura (L) FC: -/24jam

8
 Pionefrosis (L)+ Hb/L/T : 11/20/217
RB3 Lisnawati/P/42 Batu kalik inferior Ginjal (L) Post Nefrektomi Ur/Cr : 17/0.66
37. RMN R/ PBJ besok
III1 703883 Na/K/Cl : 136/4.8/106
(L) (H+5)
Alb : 3.3