I R I N A A T E R A T A I

1 Kelas I bed 4a Mayrlana . Supit /P/59th Tumor mamae 1 3 - 1 - 1 8 [+]Thoraks13/01/2018

RM: 52.23.14 dextra et sinistra L e u k o 6 . 2 [- ] Ct scan
MRS: 13 -1-2018 susp.malignancy E r i 3 . 5 6 [-] Echo
DPJP: dr. Marselus H b 1 0 . 4 [-] EKG
Merung, Sp.B (K) Onk H t 3 1 . 7 [+] Biopsi
Keluhan utama: Tr o m b o 3 1 4 [-] FNAB
Benjolan di kedua MCH 29.1 [-] Usg abdomen:
payudara MCHC 32.8
MCV 89.0  Biopsy 18/01/2018
SG O T 3 7 (Incisional biopsy)
S G P T 1 2
U r 1 9
C r 0 . 7
G D S 9 6
CK Total (CKT) 125
CKMB 100
C l 105. 0
K 5 . 6 0
N a 1 3 1
2 Kelas I bed 3 Siwu Renly Irene/P/45 th
Post Skin Graft 09/01/2018 10/01/18 16/01/2018 Modalitas :  Pro skingraft 16/01/2018
RM: 51.49.14 e.c nekrotik Leu 8.6 CK 82 Leu 10 [+] Thoraks  Antibiotic profilaksis
 Analgetik
 MRS:14/01/2018 post MRM Eri 4.5 CKMB 11 Eri 4.7 Sudah
DPJP: Dr. dr. Victor dextra Hb 12.7 Hb 12.8 diekspertisi
Pontoh, Sp. B (K) Onk Ht 39.6 Ht 39.1 08/01/2018;
Keluhan utama: luka Throm 287 Throm 256 kesan normal
kehitaman di dada MCH 28.2 MCH 28.8 [+] EKG
MCHC 32.1 MCHC 32.6 Sudah
MCV 88 MCV 88.1 diekspertisi
SGOT 31 08/01/2018;
SGPT 18 non spesifik
Ur 29 ST- T wave
Cr 0.5 changes ec
GDS 96 anemia DD/
Na 141 electrolyte
K 3.74 DD/ iskemia
Cl 101
PT 11.7
INR 0.84
APPT 28.8

3. Kelas II bed 6 Sandari Daniel/L/41th General 9-1-18 11-1-18 15-1-18  Perbaiki KU

 RM: 45.50.78 weakness ec Leuko 1.9 Leuko 3.5 Leuko 7.6  Pro Kemoterapi 19/1/2018 ( H
MRS: 9-1-2018 liposarkoma on Eri 3.17 Eri 3.37 Eri 4.10 3)
DPJP: dr. Marselus chemo IV Hb 8.6 Hb 9.3 Hb 11.5  Rencana rawat jalan

Merung, Sp.B (K) Onk Ht 25.7 Ht 27.9 Ht 34.9

Keluhan utama: Trombo 53 Trombo 93 Trombo 345
kelemahan tubuh sejak 9 MCH 27 MCH 27.5 MCH 28.1
hari SMRS MCHC 33,3 MCHC 33,2 MCHC 33.0
MCV 81 Eos 0 Eos 0
SGOT 131 Bas 0 Bas 0
SGPT 68 Net Bat 25 Net Bat 18
Ur 22 Net Seg 34 Net Seg 43
Cr 1.0 Lim 21 Lim 15
GDS 212 Mono 20 Mono 24
Cl 97 MCV 85.2
K 2.9 SGOT 71
Na 124 SGPT 77
Ur 8
Cr 0.5
GDS 104
Chorida 84.3
K 2.90
Na 125
4. Kelas II bed 1 Santje Lengkong/P/56 th
Ca Mamae 11-1-18 16-1-18 - -  Pro kemoterapi siklus ke 4
RM: 46.14.26 Dextra Post Leuko 2.2 Leuko 3.2  Inj leukogen
MRS: 15/01/2018 MRM on Eri 3.53 Eri 4.09  Cek DL post inj leukogen

DPJP: dr. Marcelus Prokemoterapi Hb 9.7 Hb 11.2

Merung, Sp. B (K) Onk Ht 30.3 Ht 35.7
Keluhan utama: Trombo 200 Trombo 253
kelemahan badan sejak 1 MCH 27.5 MCH 27.5
minggu SMRS. Riwayat MCHC 32.0 MCHC 31.5
MRM 2 bulan lalu, MCV 85.8 Eusinofil 2
rencana kemoterapi SGOT 18 Basofil 2
siklus ke 4 SGPT 14 Net Batang 5
Ur 17 Net Seg 36
Cr 0,6 Limfosit 37
GDS 155 Monosit 18
Chorida 95.4 MCV 87.3
K 3.05 SGOT 24
Na 137 SGPT 14
Ur 18
Cr 0,8
GDS 87
Chorida 94.4
Alb 3.95
K 3.36
 Na 136
18/1/18
Leu 16.7
Eri 3.77
Hb 10.5
Ht 32.6
Trombo 187
MCH 27.9
MCHC 32.3
Eosinofil 0%
Netrofil batang
20 %
Limfosit 15 %
MCV 86.5

I R I N A A A T A S
1 A3B1 Lawani struma nodusa 09/01/2018 Modalitas: r/ Isthmolobechtomi
Ruthni/P/54th/07-02- non toksis pro Leu 8.1 [+] Thoraks 19/01/2018
1963 eksisi Eri 4.88 Sudah diekspertisi Pre op ( 23/1/18)
RM: 51.89.14 Hb 14.2 09/01/2018; kesan
MRS: 16/01/2018 Ht 43.5 normal
DPJP: dr. Nico Tr 396 [-] Ct scan
 Lumintang, Sp.B (K) MCH 29.1 [-] Echo
KL MCHC 32.6 [+] EKG
Keluhan utama: MCV 89.1 sudah diekspertisi
benjolan di leher sejak 8 SGOT 17 08/01/18; kesan normal
bulan yang lalu SGPT 14 [-] Biopsi
Ur 22 [+] USG tiroid
Cr 0.8 kesan: nodul kistik
GDS82 thyroid sinistra, nodul
Alb 4.76 kistik bersepti dengan
Na 141 komponen padat
K 4.87 didalamnya
Cl 102 [+] FNAB
TSHS 0.667 Nodul kistik, aspirasi
FT4 1.34 cairan kecoklatan,
FT3 4.5 hapusan terdiri dari cyst
PT 12.3 makrofag, limfosit, sel
APPT 32.4 ganas tidak ditemukan
INR 0.89 [+] LAB
2 A6B1 Kaawoan Rosali/P/21- Soft tissue tumor 17/01/2018 Modalitas: Rawat luka
11-1969 (lipoma). Colli Leu 5.3 [+] Thoraks
RM: 51.51.91 dextra Eri 4.08 sudah diekspertisi
MRS: 15/01/2018 Hb 12.7 28/12/17; kesan normal
DPJP: dr. Marselus Ht 37.2 [-] Ct scan
Merung, Sp.B(K)Onk Throm 277 [-] Echo
Keluhan utama: MCH 31.1 [+] EKG
Benjolan di leher MCHC 34.1 sudah diekspertisi
dialami penderita sejak MCV 91.2 17/01/18; kesan sinus
5 tahun yang lalu. Nyeri SGOT 22 rhytm, HR 60x/m,
(-) SGPT 5 Ekstrim aksis ke kanan
Ur 17 [-] Biopsi
Cr 0.6 [-] FNAB
GDS 87 [-] LAB
Alb 3.74
Na 138
K 4.06
Cl 103.7
INR 0.99/1.11
18/1/18
Leu 12.6
Eri 4 2
Hb 12.5
Ht 38.8
Trombo 254
MCH 29.9
MCHC 32.3
 MCV 92.4
3 A6B6 Altji Tumor 13/01/2018 Modalitas:  Pro line biopsi
Rentandatu/P/57thn/05- hemithoraks Leu 8.6 ( 19/1/18)
05-1960 dekstra susp. Eri2.29 [+] Thoraks belum
RM: 52.23.97 Malignany Hb7.2 ekspertisi
MRS: 13-01-2018 Anemia (7.2) Ht22.1 [-] Ct scan
DPJP: Dr. dr. Victor Tromb 143 [-] Echo
Pontoh, Sp.B(K)Onk MCH 31.5 [-] EKG)
Keluhan utama: MCHC 32.6 [-] Biopsi
MCV 96.4 [-] FNAB
kelemahan tubuh SGOT 76 [+] LAB 13/1-2018
SGPT 7
Ur 39
Cr 2.1
GDS 139
Cl 102
K 4.4
Na 131

4 A6B7 Kasim Salma/P/35thn/3- Post 09/01/2018 18/01/2018 19-1-18 Modalitas:  IVFD NaCl 0.9 %
6-1982 isthmolobectomy Leu 6.0 Na 110 Leuko 15.1 [+] Thoraks 20 gtt/m
RM:34.71.32 ec struma Eri 4.52 K 3.70 Eri 4.52 sudah diekspertisi  Ceftriaxone 1 gr /

MRS: 15/01/2018 multinodosa Hb 13.3 Cl 134 Hb 13.5 09/12/207, kesan normal 12 jam IV
 Ranitidin 50 mg /
DPJP: dr. Victor Pontoh, nontoxic dekstra Ht 40 Ht 39.5 [-] Ct scan
12 jam IV
SpB(K) Onk Tr 351 Trombo 349 [-] Echo  Ketorolac 30 mg /
Keluhan utama: MCH 29.3 MCH 29.9 [+] EKG toleransi ekg 8jam IV
Benjolan dileher dialami MCHC 33.2 MCHC 34.2 (saran perbaikan kalium)  Rawat luka dengan
 penderita sejak 5 tahun MCV88.5 Eusinofil 0 Kesan sinus rhytm NaCl 0.9%
 Ganti drain
yang lalu. SGOT 16 Basofil 0 dengan left anterior
 Saran : Aff ETT
SGPT 13 Net Batang 3 hemiblock
Ur 14 Net Seg 86 [+] USG Thyroid
Cr 0.7 Limfosit 10 sudah diekspertisi
GDS 102 Monosit 1 19/12/207, struma
Alb 4.25 MCV 87.4 nodusa thyroid dextra,
Na 137 SGOT 23 cyst thyroid sinistra
K 3.15 SGPT 13 [-] Biopsi
CL 99 Ur 14 [+] FNAB
TSHS 1.12 Cr 0,6 Neoplasma tiroid dengan
FT4 1.58 GDS 166 degenerasi kistik
FT3 4.75 Chorida 108 [-] LAB
PT 12.9 Alb 3.85
APPT 30.1 K 3.70
INR 0.94 Na 137
5 A7 B5 Kandowangko Jufry Tumor lidah 04/01/2018 15/02/2018 Modalitas:  Perbaiki KU
Alfrets/L/33th susp. Leu 18.6 Leu 4.4 [ ] EKG : 4/1/18
RM : 50.79.53 Malignancy Eri 3.79 Eri 34.8 Dalam batas normal
MRS : 04/01/2018 Hb 10,9 Hb 9.9 [ ] Biopsi
DPJP : dr. Victor Ht 32.5 Ht 28.5 [+] FNAB 29/12
Pontoh, SpB(K) Onk Trombo 386 Trom 266 Tumor metastasis ke
Keluhan utama : MCH 28.6 MCH 28.4 hepar
 benjolan leher, tinnitus MCHC 33.4 MCHC 34.7 Sludge buli-buli
(+), kelemahan badan MCV 85.7 MCV 81.9 [+] LAB 6/1-2018
sejak 2 SMRS. telah dx SGOT 15 SGOT 12 [+] Thoraks 4/1/18 belum
Ca lidah 1 bulan SMRS SGPT 11 SGPT 6 Diekspertisi
Ur 37 Ur 32 [ +] Ct scan
Cr 1 Cr 0.7 tidak tampak tanda-tanda
GDS 79 GDS 94 metastase pada organ-
Cl 100 Alb 2.89 organ intra abdominal
K 2.70 Na 139 saat ini
Na 134 K 2.13 [ ] Echo
Cl 95.1
6 A7 B7 Michael Marcelino Tumor colii 15/01/2018  Pro CT Scan leher
Salomonsz/L/33th/27- region colii Leu 23  Antibiotik
 Perbaiki KU
04-1984 dextra + sinistra Eri 4.55
RM: 52.09.94 susp. malignancy Hb 12.7
MRS: 15/01/2018 Ht 37.9
DPJP: dr. Marselus Tr 298
Merung, Sp.B (K) Onk MCH 28
Keluhan utama: sulit MCHC 33.5
menelan sejak 2 hari MCV 83.5
SMRS, sejak 7 bulan SGOT 31
yang lalu muncul SGPT 18
benjolan sebesar telur Ur 34
 ayam semakin Cr 0.6
membesar, sesak nafas Na 134
(+), suara serak (+) K 3.4
Cl 99
7 A8 bed 3 KalaloMartje/P/50th/28- Ca. Tiroid 15/01/2018 17/01/2018 19/01/2018 Modalitas:  Perbaiki KU
08-1967 Leu 7 Leu 8 Leu 7.3 [+] Foto Thoraks (21-11-
RM: 51.63.11 Eri 4.9 Eri 4.89 Eri 4.70 2017)
MRS: 14-01-2018 Hb 13.5 Hb 14.2 Hb 13.66 Susp. Pneumonia
DPJP: dr. Nico Ht 41.3 Ht 41.0 Ht 39.2 bilateral
Lumintang, Sp.B(K)KL Trombo 240 Trombo 262 Trombo 245 [+] Ct scan Leher (07-12-
Keluhan utama: MCH 27.6 MCH 29.0 MCH 28.9 2017)
Benjolan di leher MCHC 32.6 MCHC 34.6 MCHC 34.67 Struma Multinodosa yg
dialami 12 tahun MCV 84.3 MCV 83.8 MCV 83.4 memasuki
SMRS. Awalnya SGOT 74 SGOT 13 Ur 29 Apertura Thorasic
benjolan dari kecil SGPT 60 SGPT 8 Cr 1.5 superior disertai
hingga besar. Ur 126 Ur 35 CK 43 penyempitan airway dan
Cr 1.9 Cr 1.8 CKMB 11 limfadenopaty
GDS 93 GDS 97 paratiroid dextra.
Alb 2.99 Alb 4.14 [-] Echo
PT 14.9 PT 13.2 [+] EKG (19-01-2018)
INR 1.25 INR 0.97 Sinus ritme + AV block
APPT 48.5 APPT 33.7 derajat I, toleransi
operasi : acc operasi bila
 bagian bedah dan
anestesi acc operasi.
[-] Biopsi
[-] FNAB (13-11-2017)
Neoplasma thyroidea
cenderung
Papiler.
[-] LAB

I R I N A A B A W A H
1 B4B1 Emitje Lawendatu/P/62th/13-05- 13-01-2017 18-01-2017 Modalitas: Perbaiki KU
Ca mamae sinistra
1955 Leu 15.5 Leu 18.4 [+] Thoraks 13/1
RM: 50.34.08 T4N3Mx Eri 2.8 Eri 2.83 belum diekspertisi
MRS: 13-01-2018 Hb 7.9 Hb 8.3 [+] Ct scan
DPJP: dr. Marselus Merung,
+general weakness Ht 24 Ht 24.9 [+] Echo
Sp.B(K)Onk Tromb 257 Tromb 280 Poor Echo Window
Keluhan utama: Kelemahan MCH 28.3 MCH 29.2 Due to limited exam
badan disertai benjolan MCHC 33.1 MCHC 33.2 field
MCV 85.5 MCV 88.0 Dimensi ruang
SGOT 100 SGOT 162 jantung kesan normal
SGPT 46 SGPT 71 Fungsi sistolik LV
Ur 81 Ur 49 global & segmental
Cr 2.7 Cr 1.3 normal, EF 77%
GDS 86 Cl 107 Fungsi diastolik sulit
Cl 104 K 4.40 dievaluasi
K 4.8 Na 128 Katup-katup kesan
Na 124 normal
PT16.4 Kontraktilitas RV
INR 1.42 kesan
APPT 28.4 IVC 1.3 cm,
kolapsibilitas > 50%
[+] EKG
[+] USG Abdomen
atas.
Multiple
nodul/tumor
metastasis ke hepar .
Lymphadenopaty
paraaorta
abdominalis. Ascites
(minimal).
[-] Biopsi
[+] FNAB
 Karsinoma duktal
invasif yang sudah
sampai dermis
dengan proses
infllamasi
[+] LAB 13/1-2018

2 B4B2 Asile Ramna/P/35th/16-07-1982 Rawat jalan

Ca lidah
RM: 50.99.67
MRS: 16-01-2018 on Kemoterapi
DPJP: dr. Marselus Merung, Sp.
B (K) Onk
Keluhan utama: benjolan di lidah
kurang lebih dua minggu yang
lalu, awalnya kecil lama
kelamaan membesar
4 B10B2 Sukarti/P/56thn/28-04-1961 Post MRM ec Ca 08-01-2018 15-01-2018 16-01-2018 Perbaiki KU
RM:52.14.67 mammae sinistra Leu 8.3 Na 138 Leu 16.4 Mobilisasi
MRS: 14-01-2018 Eri 4.69 K4 Eri3.5 Rawat luka
DPJP: Hb 13.4 Cl 104 Hb10.1
dr. Marselus Merung, Ht 40.7 Ht 30.6
Sp.B(K)Onk Tr 226 Tr 223
Keluhan utama: MCH 28.6 MCH 28.8
 Benjolan di payudara kanan MCHC 32.9 MCHC 32.9
MCV 86.8 MCV 87.4
SGOT 35 SGOT 21
SGPT 41 SGPT16
Ur 12 Ur 13
Cr 0.7 Cr 0.6
GDS 90 Albumin 2.83
Alb 4.2 Na 140
Cl 83.3 K 4.8
K 3.37 Cl 106
Na 125
PT 10.3(12.2)
INR 0.76(0.88)
APTT 27.3(36.9)
5 B10 B3 Makaemping Buleng/P/70th Tumor 6-1-2018 11-1-18 17-01-2018 Modalitas: Perbaiki KU
RM : 52.16.75 supraclavicular Leuko 11.8 Leu 6.8 Ur 42 [+]Thoraks: 6/1/2018
MRS : 6/1/2018 sinistra susp Hb 11.8 Eri 3.40 Cr 1.1 Belum di ekspertisi
DPJP : dr. Marselus Merung, metastasis limb Trombo 287 Hb 10.4 Na 141 [+] Ct scan sudah
Sp.B(K)Onk edema SGOT 38 Ht 30.8 Cl 106 diekspertisi 18/01/18
Keluhan Utama : benjolan di SGPT 34 Trom 421 K 3.94 kesan suspek
dada kanan Ur 85 MCH 30.6 pneumonia dengan
dialami sejak 1 bulan SMRS. Cr 3 MCHC 33.8 efusi pleura dekstra,
Bengkak di Na 134 MCV 90.6 pembesaran KGB
 tangan kanan dialami sejak 5 K 3.48 supraklavikula
bulan. Cl 93.7 dekstra, Spondilosis
GDS 100 thoracolumbalis
PT 13.6 ( 13.3) [ ] Echo
APTT 31.6 (31.7) [+] EKG : 6/1/2018
Dalam batas normal
8-1-18 [ +] Biopsi: 13/10/17
CK Tot. 63 Histopatologis sesuai
CKMB 18 anak sebar karsinoma
Trop. T <50 diferensiasi baik/
tidak
berdiferemsiasi a/r
supraclavicular
[ ] FNAB
[+] LAB 6 /1-2018
Menunggu USG
Abdomen
6 B10B4 Wahe Hasni/P/52thn/24-04-1965 Ca Mammae 17/01/2018 19/01/2018 [+] Thoraks sudah Pro MRM jika
RM: 51.56.91 sinistra post kemo Leu 4.4 Leu 4.4 diekspertisi 17/01/18 KU cukup
MRS:15-01-2016 neo adjuvant Eri 2.78 Eri 3.13 kesan normal
DPJP: dr. Marselus Merung Hb 8.6 Hb 9.5 [+] EKG sudah
SpB(K) Onk Ht 24.5 Ht 28.4 diekspertisi 17/01/18
Keluhan utama: Tr 102 Tr 162 kesan sinus ritme +
 Kelemahan umum sejak MCH 30.9 MCH 30.2 LAHB
kemoterapu 10 hari SMRS, mual MCHC 35 MCHC 33.3
(+), muntah (-) MCV 88 MCV 90.6
SGOT 19 SGOT 21
SGPT 27 SGPT 21
Ur 10 Ur 8
Cr 0.9 Cr 0.7
Alb 3.8 Na 133
Na 125 K 2.80
K 2.45 Cl 99.0
Cl 82
PT 12.9
APPT 34.3
INR 0.95
7 B10B5 Takasihaeng Olga/P/50th/19-05- Ca mamae dextra 17-01-2018 13-08-2018 07-01-2018 Modalitas: Perbaiki KU
1967 on kemo neo Ur 35 Leu 8.4 Leu 8.1 [+]Thoraks:
RM: 49.08.44 adjuvant Cr 1.3 Eri 3.87 Eri 3.65 Belum di ekspertisi
MRS: 28/12/2017 14-01-2018 Hb 10.8 Hb 9.8 [ ] Ct scan
DPJP: dr. Marselus Merung Ur 38 Ht 32.1 Ht 30.1 [ +] Echo: Ekspertisi
SpB(K) Onk Cr 1.8 Tr 300 Tr272 sudah 11/01/18
Keluhan utama: MCH 27.9 MCH26.8 [+] EKG : belum
Benjolan disertai nyeri pada MCHC 33.6 MCHC 32.4 diekpertisi
selangkangan kanan sejak 2 MCV 82.9 MCV 82.6 [ +] Biopsi
 bulan SMRS. Benjolan pada SGOT 24 [ ] FNAB
payudara kanan 2,5 tahun lalu Histopatologi: SGPT 25 [+] LAB 14 /1-2018
Karsinoma ductal Ur 58
invasive Cr 2.8
diferensiasi baik GDS 100
score 4 Albumin 3.13
Na139
K 3.5
Cl 109
8 B10B8 Lantong Wartini / P / 48 th Tumor colli dextra 27/12/2017 12 / 01 /2018 15/01/2018 Modalitas: Pro insisional
RM : 51.97.46 susp. Malignany Leu 12.7 Leu 13.10 Leu 7.5 [+] Thoraks sudah biopsi
MRS : 13/1/2018 Eri 4.67 Eri 4.93 Eri 3.8 diekspertisi 16/01/18
DPJP: dr. Nico Lumintang, Hb 14.5 Hb 14.6 Hb 11.5 kesan cord an
Sp.B(K)KL Ht 40.7 Ht 42.6 Ht 32.9 pulmonal tidak
Keluhan utama: Trombo 315 Trom 418 Tr 240 terdapat tanda-tanda
Benjolan pada leher kanan MCH 31.0 MCH 29.6 MCH 30.3 metastasis pada
MCHC 35.6 MCHC 34.3 MCHC 35 kedua paru.
MCV 87.2 MCV 86.4 MCV 86.6 [ ] Ct scan
SGOT 33 SGOT 36 SGOT 25 [ ] Echo
SGPT 18 SGPT 14 SGPT 8 [+] EKG 12/1/18
GDS : 124 Ureum 33 Ur 15 Sinus takikardi
Cl 96.2 crea 0.6 Cr 0.5 [ ] Biopsi
K 2.90 GDS 104 GDS 86 [+] FNAB 16/1/2018
 Na 137 Chlo 91.0 Ca 8.35 Tumor maligna
K 2.80 Na132 cenderung limfoma
Na 128 K2.4 malign add
CL 103 karsinoma anaplastik
PT 14.3 [+] LAB 12/1-2018
APPT 30.7
INR 1.18

16/01/2018
Na 132
K 2.3
Cl 91.3

20/01/2018
Na 137
K 2.01
Cl 93.3
9 B2B1 Mandagi Yona / P / 21 th
RM : 44.37.85
MRS : 18/1/2018
DPJP:
Keluhan utama:
A N G G R E K 2
1 102 Manoppo Berlian/P/ 04/01/18 12/01/18 R/ MRM tgl [ + ] T h o r a k = Cefixime 200 mg/12 jam (po)
RM : 275903 Leu 8.6 Leu 13.6 11/02/2018 d b n Ranitidin 150 mg/12 jam (po)
DPJP : dr. Marselus Merung, SpB(K) Eri 4.33 Eri 3.67 [- ] Ct scan Asam mefenamat 500 mg/8 jam (po)
Onk Hb 12.5 Hb 11.0 [-] Echo Rawat luka dengan
Ht 38.8 Ht 33.5 [+] EKG = dbn N a C l 0 . 9 %
Keluhan utama : P o s t M R M Trom 333 Trom 252 [-] Biopsi Kosongkan drain
Benjolan dipayudara kiri. Nyeri luka SGOT 15 MCH 30.0 [-] FNAB D i e t b i a s a
operasi. SGPT 14 MCHC 32.9 [-] Usg abdomen:
Ur 25 MCV 91.3 [+] Lab lengkap
Cr 0.7 NYI4/1/18

N Y I U R
1 K4 Femy Tumengkol/P/61 th tumor mammae sinistra susp malignancy Modalitas: Terapi lanjut
RM : 52.27.17 tetraparesis UMN
[+]Thoraks:
DPJP : dr. Marselus Merung, SpB(K)
Onk Belum di ekspertisi
[ ] Ct scan
Keluhan utama :
luka di payudara kiri sejak 1 tahun [ ] Echo
 yang lalu [+] EKG sudah
diekspertisi 17/01/18
kesan dalam batas normal
[ ] Biopsi
[ ] FNAB
[ ] LAB

2 Ervina Pandoh/P/32 thn Ca mamae 19-01-2018 Balance cairan perbaiki

RM: sinustra on hypokalemia
Leu 13.6
DPJP: dr. Marselus Merung, kemoterapi Antibiotik
SpB(K)Onk Eri 4.20 Analgetik
Keluhan utama Cegah mula muntah
Hb 11.7
Benjolan di payudara kiri disertai R/ incisional biopsy
kelemahan badan 1 tahun SMRS Ht 36 Rawat luka tiap hari
dengan NaCl 0.9 %
Tr 517
MCH 27.8
MCHC 32.5
MCV 85.7
SGOT 17
SGPT 5
Ur 16
Cr 0.5
GDS 219
Na137
K 3.0
Cl 102