SENSUS CVCU – 9 November 2018

No Nama (umur) RM Diagnosis DPJP HR

CAD1VD PPCI 1 DES di RCA, STEMI Inferior et dextra onset 7 jam Killip I TR 3/14 GS 92, HT terkontrol, Riw CAD non signifikan a/i STEMI inf lateral (jan 2018), ROSC
301 (VIP 1) Martono (51) 01.83.70.83 IA 2
post cardiac arrest VT/VF
UAP subtype angina progresif Killip I TR 4/7 GS 83, HT uncontrolled, DM2O, Riw ACS ( sept 2018), HHD, dyslipidemia (AKI dd acute on CRF) pro coro standby PCI
302 (VIP 2) Qomaruddin (67) 01.30.67.23 NT 2
Jumat (9/11/2018)
303 (VIP 3) Djuwadi (63) 01.41.81.62 CAD 2 VD post PPCI 2 DES di osteal LAD ( overlapped) a/i STEMI anteroseptal onset 6 jam killip I TR 2/14 GS 107, HT st I, DM2NO IA 2
LTMV on TT, ROSC Post cardiac arrest (bradi PEA), Gagal nafas on ventilator, STEMI inferior et dextra onset 15 jam Killip 1 TR 5/14 GS 164, Stroke infarc luas (korteks
cerebri capsula interna), HHD, AKI dd acute on CRF, PPOK stabil, HT terkontrol, Ginggivitis ec calculus dan gigi tiruan (post aff gigi tiruan dan pencabutan gigi Hari ke
304 Supardi (73) 01.86.60.93 BYS/HM 24
2) Problem: ulkus traumatik e.c gigi tiruan pada mucosa buccal rahang atas, gross Hematuria membaik, Anemia normositik normokromik membaik, Oliguria
membaik, hematochezia membaik
305 Herdina Diah (27) 01.86.84.96 CAD non signifikan, STEMI anterior ekstensif onset 6 jam Killip I TR 1/14 GS 70 post succesfull fibrinolysis, asma intermiten IA 2
306 Sukro H (69) 01.86.84.80 CAD3VD PPCI 1 DES di RCA, STEMI inferior onset >24 jam killip 1 TR 4/14 GS 117, AF NVR new onset,High degree AV Block-> AV block grade 1 , LKD 3
307 Saryono (47) 01.24.47.05 CAD3VD CTO di RCA, non revask post angiografi emergency a/i STEMI inferior et dextra onset 12 jam Killip I TR 4/14 GS 159, Hipertensi, HHD HM 1
UAP subtype angina progresif Killip I TR 2/7 GS 62, Bradikardi (sinus) asimptomatik, CAD 3VD kalsifikasi LCx CTO a/i APS CCS ( mei 2018), Riw ACS (2007, des2017)
308 Sudiyono (64) 00.57.74.37 FH 2
non revask, Hipertensi
CAD3VD LM disease (medina 1-1-1) post PPCI 1 DES di RCA a/i Reinfark (TAVB  Ventricular standstill on TPM) pada STEMI inferior et Posterior onset >24 jam
309 Agus Suharko (55) 01.86.82.87 ABH 1(3)
Killip I TR 2/14 GS 101, Hipertensi, Riw somnolen cum lateralisasi dextra ec SNH (problem : AKI dd acute on CRF)
CAD3VD PPCI 1 DES di LCx dan 1 DES di LAD, failed PCI di RCA a/i STEMI inferior onset 6 jam Killip II->I TR 7/14 GS 137, Riw Undoc SVT tak stabil post kardioversi,
310 Walkudi (63) 01.86.87.32 HM 1
Doc AFRVR (new onset)  NSR ec related iskemi ,Hipertensi, HHD, (problem : gross hematuria)
311 M. Badrun (60) 01.86.84.94 NSTEMI Killip I TR 1/7 GS 98 pro Coro standby PCI Jumat ( 9/11/18) LKD 2
312 Anggraini Dian (34) 01.86.72.25 PH crisis membaik, ASD II HFHR L to R Shunt, PH moderate, Hipertensi, P1A0 post partus spontan H-14 (Problem : hipokalemia ringan,Susp. ISK) LKD 3
NSTEMI Killip I TR 4/7 GS 120, CKD st V on HD rutin, CAD 2 VD PCI di LAD dan RCA ( 2009 dan 2011)a/i APS CCS, 2017 stent patent a/i APS CCS, Riw NSTEMI Killip I
313 Soesanto (63) 01.82.83.36 HM 2
(oktober 2018) non revask ec GI bleeding, Riw Hematokezia (okt 2018) membaik ec susp hemorhoid eksterna
ALI Rutherford IIa ekstremitas inferior sinistra (Trombus A. Poplitea, A. Tibialis Anterior, A. Tibialis Posterior Sinistra) post partial successful PIAT, DM2NO, AKI dd
314 (ISO 1) Ruslan (50) 01.86.79.89 BYS/AHN 8
acute on CRF membaik dyslipidemia (Problem: hypokalemia, hiponatremia hipoosmolar membaik) pro POBA Jumat (9/11/18)
315 (ISO 2) Khonipah (32) 01.83.72.51 Post ASD closure by surgery a/I ASD II HFLR L to R dengan residual ASD, TR mild, MR mild, low probability of PH FH 2 (7)
SENSUS HCU PJT – 9 November 2018
No Nama (umur) RM Diagnosis DPJP HR
713A Papiek Sriyono (65) 01.86.84.51 DVT vena Femoralis Sn , HT stage I , AKI dd Acute on CRF AHN 1
post Sternotomy pericardiectomy, pericardial window a/i Efusi pericard masif dengan gambaran loculated tanpa tanda tamponade post failed pericardiosentesis, Doc
713B Fransisca Caecilia (60) 01.84.08.12 Junctional rhytm  Sinus bradikardia, pericarditis TB dd Autoimun, TB Ekstraparu on OAT bulan ke 6, efusi pleura bilateral, Obs Dizziness ec related drug induced, Riw ABH 2(7)
Neurogenic Syok. Problem : hipoalbumin membaik,
ALI Rutherford IIB extremitas inferior dextra, HT stage 1,DM2NO, Ca paru (SCLC stadium II), AKI dd acute on CRF, Problem : hipoalbuminemia, peningkatn enzyme
714A Rumiah (70) 01.86.81.81 ABH 5
transaminase ec curiga hepatal metastase dd chemotherapy induced
714B
SENSUS HCU IGD – 9 November 2018
No Nama (umur) RM Diagnosis DPJP HR
Obs Penkes cum lateralisasi sinistra ec susp stroke rekuren dd epilepsi post stroke, CAD3VD riw PCI 2 BMS RCA 1 BMS LCx & 2 DES di LAD (overlap) a/i UAP subtype
1 Setyantono (56) 01.24.77.40 HH 28
angina progresif (2015), riwayat STEMI anterior post trombolisis (2006)
Suspek sindrom encephalopathy uremikum, edema pulmonum ec related CKD, CKD st V dengan problem : hiperkalemia, hipoalbuminemia, hipoglikemia, asidosis
2 Istami (67) 01.59.84.91 UPD/IA 8
metabolic berat, sepsis, CAP CR III, HHD, HT uncontrolled