LIST PASIEN BEDAH DIGESTIF

Kamis, 9 November 2017

IRINA A BAWAH
1. B1 bed Jossy Katiandago/L/18 thn/13 Trauma tumpul 31/10/017 8/11/2017 Anjuran bedrest total minimal 1 bulan
2 -06-1999 abdomen ec.susp Ekspertisi Ct Leu 15200 Terapi lain mengikuti TS orthopedi
ruptur lien Scan abdomen + Eri 4,72
RM: 51.38.19 kontras terlampi Hb 13,3
Ht 40
r
MRS: 10/10/2017 Trom 356
SGOT 16
SGPT 15
DPJP: dr. W. N. Sumanti, Sp
Ur 21
B-KBD Cr 0,6
Alb 4,26
Cl 95,8
K 4,16
Na 134
2 B2 bed Kumaesaan Betsy/P/65 thn/1 General weaknes 6/11/2017 8/11/2017 R/ DL
2 8-12-1951 s + trombositope Leu 4000 Leu 3199
nia + Ca Kolon S Eri 268 Eri 2,63
RM: 25.02.52 inistra on Kemot Hb 9,4 Hb 9,2
Ht 27,5 Ht 27
erapi
MRS: 25/10/2017 Trom 46 Trom 36
Cl 100,3
K 2,88
DPJP: dr. ToarMambu, SpB-
Na 135
KBD
3 B5 Bed Aco/ L/ 42 thn Tumor intrabdom 3/11/2017 Lab 4-11-2017 Atasi nyeri
4 en ec susp tumor Leu 9400 Leu 10000 Atasi BAB berdarah
RM : 51.60.23 sigmoid Eri 4,08 Eri 4,12 CT-Scan abdomen + Kontras (Tungg
Hb 9,3 Hb 10,1 u hasil)
Ht 30 Ht 31,5
MRS: 3/11/2017
Trom 736
Trom 680
SGOT 15
SGPT 8 SGOT 15
Ur 30 SGPT 8
Cr 0,8 Ur 31
Cl 100 Cr 0,8
K 4,10 CEA 16,23
Na 135

4. B7 bed Liong Ogotan/L/68 thn/28-9- Wound dehirence 21/10/2017 Lab 06/11/2017 Kultur pus
5 1949 post miles proce Alb 2.70 Leu 7000 Rawat luka
dure ec. Tumor r Eri 4,04 Aff hecting abdomen
RM: 51.47.52 ecto sigmoid 20/10/2017 Hb 11,7
Leu 10400 Ht 34,7
MRS: 21-10-2017 Trom 319
Eri 4.16
SGOT 6
Hb 11.8 SGPT 9
DPJP: dr. Ferdinand Tjandra, Ht 35.2 Ur 26
SpB-KBD Tr 355 Cr 0,5
SGPT 14 Alb 2,86
Ur 26 Cl 98,5
Cr 0.6 K 3,28
Na 133 Na 137
K 3.60
Cl 104

5 B9 Bed Weken Ary/L/66 thn/11-01-1 Limfadenopati in X foto 1/11/2017 1/11/2017 7/11/2017 NGT + kateterisasi
4 951 guinal dextra + tu Kesan : Alb 2.89 Leu : 26400 Pro laparotomo eksplorasi
mor intra abdome Susp brochopneu Eri : 4.29
RM: 510514 n moni Hb :12.6
Jantung kesan tid Ht : 38.5
MRS:17/10/2017 X-Foto Thorax : ak jelas Trom : 217
dbn (27-9-2017) Membesar SGOT : 15
DPJP: dr. Ferdinan Tjandra, S Arotsa elongasi SGPT :10
pB KBD EKG ; dbn (14-9- Ur : 109
17) Cr : 2.91
Cl :102.2
 Kultur urine :25/ K : 3.97
10/2017 :tidak ad Na :132
pertumbuhan ba
kteri
6 B11 bed Madjisat Mangawingi /L/ 59 thn/ Tumor inraabodme EKG 7-11-17 31-10-17 Kurangi nyeri
1 14-8-1958 n suspek malignan Kesan : RBBB co Leu :5400 Menunggu hasil EKG dan foto thoraks
cy e.c tumor retope mplete Eri : 4.72
RM : 47.61.79 ritomnium Hb :13.8
Ht :40.3
MRS:
Trom :225
DPJP : dr. Ferdinand Tjandra, Sp SGOT : 14
B-KBD SGPT :8
Ur : 35
Cr : 1.2
GDS:117
Cl :105.0
K :4.00
Na :135
7 B10 bed Woir Natasya /P/ 15 thn/ 18-12- Appendisitis Infiltr 05/10/2017 Atasi nyeri
1 2001 at Leu :20700 Atasi infeksi
Eri : 4.36
RM : 51.62.83 Hb :12.7
Ht :37.1
MRS : 6-11-2017
Trom :359
DPJP dr. W. Sumanti, SpB-KBD SGOT : 15
SGPT :7
Ur : 10
Cr : 0.6
Cl 101
K 3,6
Na 132
IRINA A ATAS
1 A3 Bed Moningkey heidy/P/42 t Adenoma papillary esofagus 1/3 distal 1/11/2017 6/11/2017 Post op gastrectomy parsial
4 h/09-04-1975 Anemia + Hipoalbuminemia Leu 9700 Leu : 10200 6/11/2017
Eri 3.65 Eri : 3.37
RM: 50.99.37 Hasil PA esophagus 1/3 distal (25/09/2017): Hb 9.6 Hb : 8.3 Rawat luka/hari
tampak 2 jaringan, 1 Ht 30.8 Ht : 27.8 Transfusi PRC 1bag/ hari hin
MRS: 04/10/2017 potongpermukaanadaepitelpipihbertatah, Trombo 614 Trom : 321 gga Hb > 10
subepiteltampakbangunanbangunankelenjardanpapilerdan SGOT 11 Diet cair melalui NGT
DPJP: dr.W. Sumanti, Sp 1 jaringan tumor denganbangunan- SGPT 7 Aff kateter
B-KBD bangunanpapilerdankelenjardilapisisel- Ur 18 Diet TKTP
selepiteltorakdengan inti hiperkromatik. Cr 0.5
Papillary adenocarcinoma Albumin 2.89
Na 138
Hasil PA colon sigmoid (25/09/2017) K 4.39
Tampakjaringanberbentukpolipdilapisiselepiteltorak. Cl 98,2
Lamina propria dengansebukansel-
selradangdiantaranyakelenjar-
kelenjarmukosadankapilerdarah.
Lapisanmuskularismukosatebal.
Tidakditemukankeganasan
Polip inflammation sigmoid

Thorax 11/10/17 : cord an pulmo normal

2 A6 Bed PangemananYenny/P/35 Post WSD ec hematopneumothorax sinistra ex vulnus ictum 1/11/2017 R/ CT Scan Abdomen + kontras
3 thn/ 12-08-1982 Leu 15400
Eri 3.33 Aff WSD
RM: 51.56.66 Hb 10.6 Analgetik
Antibiotik
Ht 29.2
MRS: 30-10-2017 Aff infus
Trom 364 Inj NOP
SGOT 24
DPJP: SGPT 27
Ur 13
Cr 0.5
GDS 105
Albumin 3.42
Cl 94.2
Kal 3.21
 Na 133

3 A6 B2 Rengku Feybe/P/43thn Ikterus obstruktif ec susp batu CBD 5/11/2017 7/11/2017 Tunggu hasil MRCP
Leu 5813 Leu 4200 Kurangi nyeri
RM : 51.62.31 Eri 4.87 Eri 4.11
MRS : 5/11/2017 Hb 14.1 Hb 12.7
Ht 44.5 Ht 37.3
DPJP : dr. Ferdinand Trom 224 Trombo 190
Tjandra SpB-KBD SGOT 47 SGOT 45
SGPT 26 SGPT 23
Ur 10 Gamma GT 46
Cr 0.6 Bil. Total 21.48
GDS 115 Bil. Direk 18.53
Cl 104.0 Ur 12
Kal 3.80 Cr 0.7
Na 138 Albumin 3.18
Alk. Fosfatase 133
Na 136
K 3.26
Cl 104.4
AFP 2.39
CA 19.9 – 44.35
4 A6 B8 Mekel Silvana/P/32 thn/ Obstruksi usus mekanis parsial ec susp skibala + anemia 1/11/2017 Lab 8/11/2017 CT-scan abdomen + kontras
18-09-1985 Leu 7300 (9/11/2017)
Eri 3.94
RM: 51.58.62 Hb 10.2
Ht 31.5
MRS: 02-11-2017 Trom 582
MCH 25.9
DPJP: dr. Ferdinand Tja MCHC 32.4
ndra, SpB-KBD MCV 79.9
SGOT 23
SGPT 14
Ur 24
Cr 0.5
GDS 75
Cl 98.0
Kal 3.21
Na 4.30

5 A7 Bed Frans Kapoh/L/85 thn/10 Hematokezia ec. Susp tumor colon sinistra 4/11/2017 7/11/2017 Pro kolonoskopi
1 -12-1931 Leu 6300 Leu 8200 Perbaiki KU
EKG 20/10/2017: susp. Omi inferior Eri 3,5 Eri 4.00
RM: 28.73.89 Hb 9,9 Hb 11.1
Ht 29,7 Ht 33.9
MRS: 20/10/2017 Trom 548
Trom 544
SGOT 15
SGPT 8 SGOT 19
DPJP: dr. Ferdinand Tja SGPT 8
Ur 21
ndra, SpB-KBD Cr 1,2 Ur 22
Alb 2,74 Cr 1.2
Cl 95 Cl 95.1
K 3,32 Kal 3.22
NA 133 Na 133
A TERATAI
1. Kelas 1 Sendow Victorien / p / 43 th/ 1 Tumor mesenterium+ hipoalbum 01/11/2017 6/11/2017 Perbaiki Kalium
Bed 3 0.8.1974/ winangun in Leu 8800 Albumin 3,25 Persiapan operasi
Eri 4,91
RM : 51.15.24 Hb 14,0
MRS : 27/10/2017 Ht 41,4
DPJP :dr. Ferdinand Tjandra, S Tr 311
p.B-KBD MCH 28,5
MCHC 33,8
MCV 84,3
SGOT 25
SGPT 22
Ur 11
Cr 0,4
GDS 89
Alb 1,81
Cl 101,0
K 2,70
Na 130
PT 17,3
APTT 42,1

2. K1 B2 Nico Tomoelu /L/ 75thn/ 3-3-1 Appendisitis infiltat 07/11/2017 Lab 8/11/2017 USG abdomen
942 Hernis inguinalis lateralis dekstra Leu 25000 Konservatif
Eri 3,57 Konsul Interna
RM : 00.35.45 Hb 12.1
Ht 34,2
MRS: 5-11-2017 Trom 235
MCH 33,9
DPJP : dr. Ferdinand Tjandra, S MCHC 35,4
pB-KBD MCV 95,8
3. Kelas 1 b Pangkey Hendrik/L/79thn/27/0 Tumor Intraabdomenecmasentari 3/11/2017 6/11/2017 Post laparotomi eksplorasi
ed 4b 7/1938 um desmoid Leu 7360 Leu 10940 senin 6/11/2017
Eri 3,70 Eri 3,61
RM; 51.40.84 Hb 10,5 Hb 10,4 NaCl : Kalium = 2:1
Ht 32,5 Ht 31,8 Diet cair
MRS: 31/10/2017 Trom 160 Trom 138 Rawat luka
Imobilisasi

IRINA C
1 C3 203 Meike Mewengkang/P/49 Massa 6/11/2017 R/operasi elektif
Bed 4 intraabdomen Leu 6960 Trf PRC 1 bag/hari hingga Hb>10
RM : 51.26.81 Eri 3,62 Terapi lain sesuai TS interna
MRS : Hb 9,4
Ht 29,7
DPJP : dr. Ferdinand Tjandra Trom 387
SpB-KBD LED 75
Ur 8
Cr 0,4
Phos 3,7
Mg 1,51
Cl 94,7
K 3,37
Na 135
Cal 9,05
Alb 3,77
NYIUR

1. Kamar Wuwung Robert Bernard/L/59 t Obstruksiususmekanikparsialecsusp 28/10/2017 4/11/2017 Rencana operasi

5 hn ek tumor colon kiri Leu 10720 Leu 8037
Eri 3,81 Ekspertise X-foto thorax
Eri 4.05
RM: 51.54.27 Hb 14.2 Hb 13,0 Konsul toleransi oeprasi dari kardiologi
Ht 39,7
Ht 42.7 Persiapan +-2 hari pre-op
DPJP: dr .Toar Mambu, SpB-K Trom 408
Trom 241 SGOT 12
BD SGOT 15 SGPT 26
SGPT 12 Ur 22
Ur 21 Cr 0,6
Cr 0.7 Alb 3,54
GDS 105 Cl 104,0
Cl 103.0 K 3,80
K 3.80 Na 136
Na 133

2. Kamar Saerang Fientje/P/59 tahun Tumor rectal 1/11/2017 3/11/2017 Albumin 3x1 tab
7B Leu 11900 CEA 2.43 Omeprazol 2x1 IV
RM : 51.05.42 Eri 4,15 CA125 22.58 PCT drips 3x1 k/p
Hb 11,4 Menunggu hasil CT-Scan
DPJP : dr. Ferdinand Tjandra, S As. Traneksamat 2x1 IV
Ht 34,7
p.B-KBD Trom 495
SGOT 12
SGPT 6
Ur 16
Cr 0,4
Cl 97,4
K3,98
Na 135
IRINA B

1. K12 B Kalengkongan Nelson Djoni/L/ CKD 5 on HD 3/11/2017 6/11/2017 Rencana aff CAPD jika fungsi ginjal optim
56thn Hepatitis C Leu 8200 Leu 6133 al (Cr <4)
Anemia renal Eri 2,84 Eri 2,73 Terapi lain sesuai TS interna
RM : 36.99.15 Hb 8,7 Hb 8,4
MRS : 27/10/2017 Ht 25,6
Ht 26,3
Trom 181
Trom 181 Cl 95,3
DPJP : dr. Toar Mambu SpB-K Ur 4 K 6,18
BD Cr 0,9 Na 135
Cl 108,0
K 2,40
Na 145
2 K6 Helena Salmon/P/61thn Susp tumor gaster 2/11/2017 7/11/2017 Perbaiki KU sesuai TS interna
Leu 4600 Leu 6167 Rencana gastrektomi
RM : 50.86.91 Eri 4,05 Eri 3.65
MRS : 25/10/2017 Hb 11,8 Hb 10.2
Ht 34,1 Ht 29.4
DPJP : dr. Ferdinand Tjandra S Trom 216 Trom 286
pB-KBD SGOT 10
EKG 7/11/2017 SGPT 8
Cek DL, Na, K, Cl Ur 15
, Ca, Mg Cr 0.5
GDS 102
Cl 103,0
K 1.90
Na 130

IRINA D

1 B1 Assa Janti Joice/P/36thn Hematochezia ec GIT bleeding ec susp 6/11/2017 Pasien direncanakan kolonoskopi terlebih dahulu
tumor colon sigmoid Leu 18810 sebelum tindakan operatif
RM : 51.54.43 Endometriosis uteri Eri 3,07 Rencana kolonoskopi 13/11/2017
MRS : 8/11/2017 Hb 6,9 Perbaiki KU
Ht 22,6 Setuju rawat bersama alih kapten bedah
DPJP : dr. Toar Mambu SpB-KBD Trom 761