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KAMAR 2.3
SITI AISYAH/72TH/ 1125310/ AT Lisma bt agus / 41th / 1148488/ Sumini bt supeno / 55th / IS
IS /1137011
MRS 11-11-2019
MRS 11-11-2019 MRS 11-11-2019
Riwayat MAU OPERASI Riwayat Perdarahan dari kemaluan Riwayat Mau operasi
PA PA - PA
13/11/2019 DITUNDA
Rambang 2.2
KAMAR 5
TATIK BT SURYANI/63TH/1119865/RS Nuraini bt jauhari /1117144/ RS Rita lestari/26 th/ 1134363/ IS /
MRS= 5-11-19 Mrs . 11-11-2019 Mrs . 12-11-2019
Dx CA ovarium STD IIIB Dx TTG std I skor figo 2 Dx TTG stadium I Skor FIGO II
PA 3493/A/2019, 11-09-19 PA PA
Adult granulosa cell
tumorpadaovarium I
Lab 28-10-19 Lab 29-10-2019 Lab 29-10-2019
Hb 10,7, WBC 3840, PLT 220rb Hb 11,6 , leukosit 5.56, trombosit Hb 10,6 , leukosit 9.87,
CA 125 111,9, SGOT/PT 30/89 391 trombosit 391
gds ; 99, ureum 13 gds ; 99, ureum 13
6-11-9
WBC 26160
USG USG USG
KAMAR 6
SURMAINI BT. NOOR MALASARI/ 48THN/ 1128122/ IS
MASONANG/ MRS: 10-11-19
39THN/1143293/RS
MRS: 2-11-19
Dx CaOvarium Dx Neoplasmaovariumkistiksuspekgan
Stadium IIIC + as
Post suboptimal (pro laparotomy surgical staging
debulkinghari 12/11/19)
V+
AnemiaSedang
Riwaya Pasien MRS Riwaya Mau operasi
t dengan diagnosis t
NOP Permagna
+ Ascites,
tanggal 6-11-18
pasien di-operasi
laparotomy VC
PA - PA -
PA PA PA Ca squamous moderately
differentiated cnon keratinizing
squamous cell ca
Lab 01-11-19 Lab Hb 9,3 , leukosit 5.87, Lab Post-op (7-11-19)
10.2/8.37/225.000 trombosit 113 11.7/8.85/138.000
Sgot 43, albumin 2,7 ,
kalsium 7,9 , gds ; 207
USG USG USG -
RISMA ANGGRAINI/21TH/1141398/RS
MRS 5-11-19
Dx TUMOR
TROPOBLASGESTATIONAL
STD I SKOR FIGO 5
Riwayat Melanjutkankemoterapi
PA -
Lab 01-11-19
10.2/8.37/325.000
Masalah -
P/ Th r/ transfuse prc sd hb > 10 gr/ P/ Th R/ kemo CIM serike II P/ Th r/ kemo CIM seri II
dL
Th r/ transfusi PRC s.dHb.>10 Th/ R/ wide eksisi di polikulit Th -kultur sputum, ro thorax PA
(keluargasedang donor) R/ kemopaclicarboseri I ulang, Inj. Ceftriaxone 2x1gr
(PDL)
Rambang 2.2
KAMAR 8
Fitri Diana / 46th / 1135656 / IS Murni bt suparno/ 37 th/ 1108779/ IS Hatniya bt hadda / 44th / 1142801 / IS
MRS 11-11-2019 MRS 12-11-2019
Dx Ca cervix std III B +anemia Dx NOP sinistra susp ganas + nok Dx C XERVIX STD Ib2
sedang dextra
PA Seromucnous carcinoma pd
ovarium bilateral
Lab
Hb. 10,8, leukosit 3,99, trombosit
118, ot/pt : 67/81, ureum 15, cea
3,8, ca 125 : 24,4
USG
DPJP : RONTGEN :
KY
DPJP :
HE RONTGEN :
DPJP : RONTGEN :
RS
RESUME PASIEN GINEKOLOGI
TGL 11/11/19 :
FLEK DARI
KEMALUAN
RAWAT
BERSAMA
PDL
ENIM 2
RESUME PASIEN
OBSTETRI
OBF
(-)
OBP
BANGSA KAMAR IDENTITAS DIAGNOSA RIWAYAT HASIL TERAPI
L PENUNJ
ANG
ENIM 2 ISOLASI NAMA : G1P0A0 HAMIL HB 10,8; OBS TVI,HIS,DJJ
BED 1 MALA JURIAH HAMIL 25 KURANG WBC IVFD RL GTT XX/M
MINGGU BULAN 17.480; NIPEDIPIN 10 MG/6
TGL LAHIR : DENGAN DEANGAN JAM PO
PLT
11 JUNI 1994 PARTUS PERUT MULES CEFTRIAXONE
341.000; 1GR/12 JAM IV
PRMATURUS
MR : IMMINENS + HT:32 ANTASIDA SIRUP
1147999 INFEKSI 3X 5ML PO
SIFILIS JTH RENCANA PULANG
DPJP : PRESKEP
DR.H.ABARHAM
MARTADIANSYAH,
SPOG (K)
ENIM 2 2.4 BED 2 NAMA : G1P0A0 HAMIL HB 8.6; OBS TVI,HIS,DJJ
SRI HAMIL 33 KURANG WBC IVFD RL GTT XX/M
WAHYUNINGSIH MINGGU BULAN 10.970; NIPEDIPIN 10 MG/6
DENGAN DENGAN PERUT JAM PO
PLT
TGL LAHIR : PARTUS MULES TRANSFUSI PRC 1
382.000; KANTONG
35 TH PRMATURUS
MR : IMMINENS + HT: 28
1147928 JTH PRESKEP
DPJP :
DR. H. ISKANDAR
ZULQARNAIN,
SPOG (K)
ENIM 2 22 BED 3 NAMA : P1A0 POST HABIS OBS TTV,
SEFTYANA EKSTRAKSI MELAHIRKA LABORA KONTRAKSI,PERDA
GRISDAYANI VAKUM AI N DENGAN TORIUM RAHAN
MALPOSISI + EKSTRAKSI : POST IVFD RL GTT XX/M
TGL LAHIR : POST VAKUM DAN PERINE KATETER MENETAP
08/09/1990 PERINEORAP LUKA ORAPHY HINGGA 24 JAM
HY ROBEK HB 8,6 POST OP
MR : PERINEUM HT 25% INJ. CEFTRIAXON
1125533 PLT 1GR/12 JAM
295.000 INJ METRONIDAZOL
DPJP : 500MG/6JAM
DR. H. ISKANDAR INJ. ASAM
TRANEXAMAT
ZULQARNAIN,
500MG/8JAM
SPOG(K)
INJ KETORO;AC 30
MG/8JAM
R/ CEK LAB DARAH
6 JAM POST
TRANFUSI
ENIM 2 25 BED 6 NAMA : G5P4A0 HAMIL OBS TTV,
EMELIA BT JASURI HAMIL 28 KURANG LABORA KONTRAKSI,PERDA
MINGGU BULAN TORIUM RAHAN
TGL LAHIR : JANIN : IVFD RL GTT XX/M
03/04/1977 TUNGGAL R/ USG KONFIRMASI
HIDUP
MR : PRESKEP DGN
148627 HIDROPS
FETALIS
DPJP :
DR. H. ISKANDAR
ZULQARNAIN,
SPOG(K)
GESTOSIS
ENIM 1 10C SRI P3A0 POST MRS 8/11/19 LABOR POST R/ PULANG
HANDINI/ PARTUM RENCANA PARTUM:
38THN/ SPONTAN TOKOLITIK
1011698/ PRETERM TIDAK HB 10,7; WBC
16.270; PLT CEFADROXIL
AB + PEB BERHASIL
LAHIR 289.000;
PARACETAMOL
PRETERM SGOT/PT 16/10;
ALBUMIN 3,2; NEURODEX
PUKUL 06.05 TGL LDH 209;UR 13/
9-11-19 LAHIR CR 0,57, AU 3,8; METILDOPA
NEONATUS CA 7,6/ NA 144/
HIDUP LAKI- MG 3,10/ K 3,3/
LAKI, BB 1700 CL 113
G, PB 30CM,
A/S 8/9
POST OP
ENIM 2 KAMAR LISDA BT P1A0 POST SSTP PADA TANGGAL HB 11.5, WBC IVFD RL + OXITOSIN
ISOLASI ROMLI/ 24 TH/ A.I INFEKSI 12-11-19 PUKUL 17.54, PLT 20 IU GTT XX/ M S/D
1147571/ OSP/ SIFILIS 12.55 LAHIR NEO 306.000, HT 33, 24 JAM
HD HIDUP, ALBUMIN 3.1,
KATETER 24 JAM
LAKI-LAKI, BB ( R/ AFF CATETER)
2900 G, PB 50 CM,
A/S 8/9, FT AGA MOBILISASI BERTAHAP
KETOROLAC 30 MG/ 8
JAM IV
INJ.
CEFTRIAXONE1GR/12
JAM IV
RAMBAN KAMAR 8 SOLMAH BT POST UKAS KAK DAN LABORATORIU Inj
G 2.2 BED 9 SYAFEE/ HISTEREKTO M: CEFTRIAXONE 1g/12j IV
MI TOTAL + 7-11-19 Inj AS. TRANEXAMAT
SALFINGEKT HB 11.5, HT 39, 500mg/8j IV
OMI WBC 19.130, PLT Inj KETOROLAC amp/8j
BILATERAL ai 422.000 IV
MULTIPEL KONSUL ULANG BEDAH
MIOMA UTERI URINALISA URO UNTUK URS
INTRAMURAL PROTEIN +,
+ RETENSIO KETON +++,
URIN DARAH +++,
LEA +++,
LEUKOSIT 200-
224, ERITROSIT
100-111,
BAKTERI +
ENIM 2 KAMAR DINA TIRTA P3A4 POST SSTP P3A4 LLABOR 8-11-19 INJ.CEFTRI 1G/12JAM
2.5 SASRI/ 01-03- (A.I GAWAT HIPERTENSI HB 12.3; WBC (IV)
BED 8 1979/ 1026057/ JANIN + AREDV) + PULMONAL 14350; PLT INJ. OMEPRAZOLE
40 THN/ AB RIW. KPD 2 HARI 333RB; MCV- LAXADINE SYRP 1
+ HIPERTENSI ECHO POST OP MCH-MCH 79.2- C/8JAM
PULMONAL (3-11-19) 25-32; DC BISOPROLOL 2,5 MG/24
RV/RA 0/0/88/6/3/3.79; FE JAM
HR-8 DILATASI, 66-TIBC 403- PARACETAMOL 500MG/ 8
EF 72%, TR FERITIN 33; UR JAM
MODERTE, 131-CR 0,80;NA RB PDL
PH 9.6-K4.0-NA 145- DIET SESUAI GIZI
MODERATE CL 102; AFF INFUS (+), AFF
K/ PH KATETER (+)
MODERATE KULTUR RESIS R/ PULANG JIKA PDL
SPUTUM- SETUJU BELUM
CANDIDA SETUJU, R/ ECHO
ALBICANS (3-11- DULU DI JAM KERJA
19)
ACINETOBACTE
R BAUMANNII
(5-11-19)
FAAL TIROID
NOMAL
ENIM 2 KAMAR SANTRI P2A1 POST SSTP LABOR 09-11-2019 CAN
2.5 ULYATAMA/08- A.I BEKAS SC 1X + HB : 8,5, WBC : RENCANA TRANSFUSI 1
BED 4 10-1983/947655/ ANHIDRAMNION 12.170, PLT : KOLF
36 TH/ KY + ANEMIA 244.000
SEDANG
ENIM 2 KAMAR ERLINA P1A0 POST SSTP HASIL LAB 8-11- CAN
2.5 YULIANA / AI VARISES 19: AFF INFUS
BED 3 1148182 / 1-6- VAGINA HB : 10.5 WBC : AFF KATETER
1996 / 23 TH / 20220 MOBILISASI PENUH
AB TROMBOSIT :
350.000
ALBUIN 3,5
ENIM 2 KAMAR IDA LAILA / P5A0 POST SSTP BAYI LAKI LAKI HASIL LAB 08-11- GV
2.4 1146153 / 04-04- AI HAP EC PPT BB 1850 19: BOLEH PULANG
BED 8 1990 / 29 TH / + DIRAWAT HB : 10,1 WBC :
AB PERDARAHAN DINICU 11.000
BERUALANG +
BEKAS SC 1x
MR : PA :
DPJP : RONTGEN :
AF
PA :
DPJP :
AF
RONTGEN :
DPJP : RONTGEN :
RK