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Enim 2 ONKO

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

Dx NEOPLASIA OVARIAN Dx Susp ca cervix std II B + Dx Adenomiosis uteri


KISTIK PERMAGNA anemia sedang

Riwayat MAU OPERASI Riwayat Perdarahan dari kemaluan Riwayat Mau operasi

PA PA - PA

Lab 24-10-2019 Lab 11-11-2019 Lab

Hb 11,1, leukosit 5,8, ht 34 Hb. 7,3, leukosit, 4,1 ,


trombosit 231, ureum, 15, ca :
Trombosit 354, C :, 7,9, K : 7,6
3,1 CA 125: 83,1

USG USG USG Tampak massa hiperechoic


batas tegas uku 1,49 x 1,09
pada corpus anterior –
adenomiosis uter

P/ Th R/ laparotomi surgical staging P/ Th Rencana transfusi P/ Th Rencana laparotomi HT

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

Riwayat Mau kemoterapi Riwayat Mau kemoterapi Riwayat Mau kemoterapi

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

P/ Th Kemo BEP seri II (hari ke-8 P/ Th r/ transfuse prc sd hb > 10 gr/ dL P/ Th


tanggal 13/11/19)

Devi susanti bt Abdullah / 30th / AT


Rodiah bt Robawi / 29th/ 1062764 /IS /1106921
MRS 7-11-19 MRS 11-11-2019

Dx Carcinoma ovarium IIIC Dx TTG std I skor FIGO 2

Riwayat Riwayat Mau kemoterapi

PA 5237/A/2018 PA Sisa konsepsi yang terganggu


Disgerminomaovkiri ,
metastasedisgerminomadinding
pelvic, omentum, 7 KGB, cairan
ascites
Lab 4-11-19 Lab 29/10/19
10.3/2.47/160000 Ca125 10,8 Hb 11 , leulosit 5,85, trombosit
 Inj. Leukogen 481, ureum 13
9-11-19
WBC 12.110
Masalah - Masalah

Th Kemo BEP seri IV Th kemoterapi


Rambang 2.2

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 -

Lab 9-11-19 Lab 10-11-19


Hb 8.8/ Hb 13.1, WBC 5830, PLT 327.000,
WBC16.080/ Faalhemostasisdbn, OT/PT 17/12,
PLT 449.000 GDS 92, Ur 28, Cr 0,77, As. Urat
Albumin 2.2 3,6
Masala Anemiasedang USG Bank Pre-op 40
h Hipoalbuminemi
a
Th Transfusi PRC Th Persiapanoperasi (koloncepat)
s.dHb>10 g/dL

SRI HARTATI/ 46THN/ 1141230/ AT


MRS= 8-11-19

Dx CaOvarium Inadequate Staging

Riwaya Mau kemoterapi


t

PA 71/H/RM/19 (RafanMedika Oku Selata,


Muaradua)
K/
I.Germ cell
tumorsesuaidysgerminomapadaovariumsinis
tra
II.Jaringan
uterusovulanaobthypadaendoserviks,
uterus miomatosus
Lab 4-11-19
Hb 12.2/ WBC 3810/ PLT 181.000/ CA125 5.3
 Inj. Leukogen
10-11-19
WBC 16.380
Masala -
h

Th Rencanakemoterai BEP seri III


Rambang 2.2
KAMAR 7
Natem bt Sikun/ 46 th/ 1133612 Rusmiati bt maswing/ 64 YUMWATI BINTI MARZUKI/44TH/
1135470/IS/
/RS th/ 112439/ IS
MRS= 12-11-19 MRS= 12-11-19

Dx Ca cervix std IIIB + Dx Ca ovarium Dx CA CERVIX STADIUM IIB POST


hipoalbuminemia + inadequate staging NAC 3 Seri + Post HT Radikal + Post
Hiperkalemia + anemia sedang Stab Wound drain hr- VI
+ DLI
Riwayat Perbaikan KU Riwayat Mau operasi Riwayat R/ HT radikal 6/11/19
Post NAC 3 seripacli-carbo

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 -

P/ Th Perbaikan KU P/ Th Laparatomi VC P/ Th Cekresiduurinrencanapulangjika<


100 cc

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 -

Th Kemo MR seri Ihari le-6


Rambang 2.2
KAMAR 8
Nur nilawati / 58th / 1140190 / AT SULHAWATI BINTI HOSIYAH BT
MRS 11-11-19 AHMAD/35THN/10246559/RS GEDONG/61TH/925105/AT
MRS 6-11-19 MRS= 5-11-19

Dx Ca ovarium std IC + Dx CA OVARIUM RESIDIF + Dx CA OVARIUM RESIDIF


hipoalbumin + anemia sedang + ANEMIA BERAT
hiperkalemia
Riwayat Mau kemoterapi Riwayat Mau kemoterapi Riwayat r/ secondary debulk 8/10/19
maukemoterapi

PA Endometrial atrofi PA Endometrioidcafigo grade II PA Metas cap d subkutis abdomen,


Tuba falopii dan ovarium tanpa dg latarbelakang endometriosis metas high grade serous cap d
kelainan nyata. Clear cell pd adnexa kanan, peritoneum dancairan ascites
carcinoma pd ovarium metasendometrioidcapd
Cairan ascites tanpa sel ganas peritoneum
Lab 7-11-2019 Lab 7.3/11.9/186000 alb 3.4 ca 7.7 Lab 4-11-19
Hb 9,3 , leukosit 5.87, trombosit CEA 68.6 AFP 1.22 Ca125 7.8/11.26/614000/ alb 3.2
113 104.9 (baru transfuse 2 kalf, 9-11-9
Sgot 43, albumin 2,7 , kalsium belumcekulang) Hb 13
7,9 , gds ; 207
USG USG USG -

P/ Th r/ transfuse prc sd hb > 10 gr/ P/ Th R/ kemo CIM serike II P/ Th r/ kemo CIM seri II
dL

KURSIA BT WAZIR/ 63THN/ 1146724/ JAUYAH BINTI MATZEN/1145633/AT


AT ASNAWATI BINTI JIMAT/48 MRS 28-10-19
MRS 8-11-19 TH/1121450/ AT

Dx Suspek Ca. Cervix + Dx CA CERVIX Dx Caovarium stadium III C post


AnemiaSedang + DM Tipe II + INADEQUATE surgical staging + Obs. dypneu
Hipertensi TERAPY + ANEMIA
BERAT+SUSP.
ANEMIA HEART
DISEASE + CA SEL
BASAL

Riwayat Perdarahanpervaginam Riwayat Histerektomibulanapril 2019, Riwayat r/ op 6/11/19


DM tipe 2 (Th: Levemir 16 IU/ tidakdatangkemo
24 jam, Novorapid 8 IU/ 8 jam) ECHO EF 65%, MR moderate
Hipertensi Stage II acckemospjp
(Candesartan 1 x 8 mg,
Amlodipin 1 x 10 mg)
PA - PA Adenosquamosa carcinoma PA -
serviks
Lab 29-10-19 Lab Hb: 3,3 Ht: 13 Trombosit: Lab 22-10-19
Hb 8.0/ WBC 5980/ PLT 304rb 3s29, As Urat: 9,3, Cr: 1,23, Hb: 7.5 Leukosit : 5,400 Plt
GDS 296, Ur 24/ Cr 1,53 Ca:7,6 Cl:115 341.000 Ca 125 118
1-11-19
Hb 8.3 10-11-19
9-11-19 Hb 10,7/ WBC 3000/ PLT
Hb 9,1 g/dl 218.000
Masalah anemia Masalah Anemiaringan Masalah Leukopenia
r/ tranfusistokkosong Dyspneukonsulpdlsudahdijawab

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

Riwayat Mau kemoterapi Riwayat Mau operasi Riwayat Mau kemoterapi

PA Moderately differentiated non PA PA Moderately differentiated non


keratinizing squamous cel keratinizing squamous cel
carcinoma pd biopsy serviks carcinoma pd biopsy serviks
Lab 6-11-19 Lab Hb 10,3 , leukosit 7.90, trombosit Lab 8-11-19
Hb 9,4. Leukost 6,86, trombosit 113 Hb. 14, 6, leukosit, 4,89,
183, albumin 3,1, globulin 4,0 , ca Sgot 43, albumin 2,7 , kalsium trombosit 97
8,5 7,9 , gds ; 207
USG USG USG

P/ Th kemoterapi P/ Th Laparatomi VC P/ Th Kemoterapi pacli carbo seri II

Zanariah bt m taher / 45 th /1126890 / AT


Mrs 11-11-19

Dx Ca ovarium std III C+ leukopenia

Riwayat Mau kemoterapi

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

P/ Th Kemoterapi pacli carbo seri V


RESUME PASIEN
FERTILITAS & ENDOKRIN REPRODUKSI

BANGSAL KAMAR IDENTITAS DIAGNOSA RIWAYAT HASIL PENUNJANG TERAPI

Enm 2 NAMA : Dysmenorhea ec susp P1A0 LABORATORIUM : R/ LO


Miratania Bt kista endometriosis HB 11 HT 31 14/11/1
Kartoni Inferrtil Sekunder 15 9
TGL LAHIR : tahun USG:massa kistik dg
14-10-1988 echointerna ukuran
1,4x1,5cm~ kista
MR : endometriosis kiri
1147745 PA :
RONTGEN :
DPJP :FU COR DAN PULMO
DBN

Enm 2 NAMA : Dysmenorhea ec susp P1A0 LABORATORIUM : R/ LO


Sahina bt A Salam endometriosis HB 11 HT 31 14/11/1
TGL LAHIR : Infertil Sekunder 4 th 9
14-10-88 USG:Adeno posterior
2,7x2,2cm
MR : Kista endo; kanan
1147726 ukuran 4,1x3,3 dan
kiri 3,4x2,2cm
DPJP :KY Perlekatan genitalia
Interna
PA :
RONTGEN :
COR DAN PULMO
DBN

BANGSAL KAMAR IDENTITA DIAGNOSA RIWAYAT HASIL PENUNJANG TERAPI


S
LEMATANG NAMA : MIOMA UTERI R/IVF 2X LABORATORIUM : HDLO 13/11/19
1.1 ERLIN SUBSEROSUM R/IUI2X
PRIMADO INFERTL
NA PRIMER10TH
USG :
TGL MIOMA
LAHIR : UTERISUBSEROSU
2/4/84 M UK0,9CM DAN
1,1CM
MR : PA :
114580

DPJP : RONTGEN :
KY

ENIM 1 NAMA : PELVIC PAIN EC LABORATORIUM : HDLO 13/11/19


RIKA RECCURENT
HERLINA KISTA
ENDOMETRIOSI
TGL S BILATERAL USG :
LAHIR : KISTA ENDO
16-6-1982 KANAN 9,94X8.15
MR : KISTA ENDO
11454964 KIRI3,41X2,4

DPJP :
HE RONTGEN :

Lakitan 2.2 NAMA : Chronic pelvic pain + LABORATORIUM : HDLO 13/11/19


Darmawan perlekatan
Ardila genitalia interna
Infertile primer 14 th
TGL USG :
LAHIR : Tak tampak
13/6/1982 kelainanorganik
MR : genitalia interna
1122627

DPJP : RONTGEN :
RS
RESUME PASIEN GINEKOLOGI

BANGSAL KMR IDENTITAS DIAGNOSA RIWAYAT HASIL TERAPI


PENUNJANG
ENIM 2 2.4 NAMA : G4P1A2 HAMIL 8 RIWAYAT LABORATORIUM UTEROGESTAN
FETTY MINGGU DG KELUAR : 200 MG /24
KUSUMAWATY ABORTUS DARAH HB 12,8 LEU: 9800 JAM
UMUR : IMINENS DARI . TROMBOSIT
36 TAHUN INTRAUTERINE KEMALUAN ;344
MR :
1022851
DPJP : AW TGL 11/11/19 : USG : rencana
Pasang laminaria kuret 12/11/19

Enim 2 2.2 NAMA : G2P1A0 hamil 11 RIWAYAT LABORATORIUM Cygest 400


Siti faulia minggu dengan KELUAR : mgpervaginam
UMUR : abortus iminens DARAH HB 12,3 LEU: 9400 Ceftriaxone 1 gr /
22 TAHUN DARI . TROMBOSIT 12 jam
MR : KEMALUAN ;34\0
832245
DPJP : IZ

RAWAS 5 NAMA : G7P4A2 HAMIL 12 RIWAYAT LABORATORIUM CYGEST 2X1


1.1 RINI MINGGU KELUAR : TAB
MAHARANI INTRAUTERINE DARAH HB 9,4 ASAM FOLAT
UMUR : DENGAN AB DARI 1X1 TAB
34 TAHUN IMMINENS + KEMALUAN NEURODEX 1X1
MR : SNNT + RIWAYAT USG : HAMIL 12 TAB
1129436 HIPERTIRODISME SIRKLASE MINGGU
DPJP : IS + SUSPEK APS TGL INTRAUTERINE
+ SLE 10/10/2019 PANJANG
CERVIX 2,2 CM

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

BANGSAL KAMAR IDENTITAS DIAGNOSA RIWAYAT HASIL TERAPI


PENUNJANG

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

BANGSAL KAMAR IDENTITAS DIAGNOSA RIWAYAT HASIL TERAPI


PENUNJANG
ENIM 1 KAMAR RIRIN P4A1 POST SSTP ai 5-11-19/ 7.20: LHR HB 14.3, WBC Inj
8A WIDIASTUTI/ IMPENDING NEO HIDUP, 21.950, PLT CEFTRIAXONE 1g/12j IV
1147635/ 6-2-83/ EKLMPSIA + PR, 1900G, 44 65.000, SGOT 199, Inj AS. TRANEXAMAT
CM, A/S 5/7
36 thn/ HE FETAL SGPT 115, 500mg/8j IV
(ITW-SAR)
DISTRESS + ALBUMIN 3.0, Inj KETOROLAC amp/8j
COMPLETE LDH 1488, GDS IV
HELLP 111, KREATININ METILDOPA 500mg/8Jpo
SYNDROME + 2.24,UR 58, Inj DEXAMETASONE
AEDV + PJT + AS.URAT 10.2, 10mg/12jam IV
POST CA 7.6, MGSO4
TUBEKTOMI 5.4, NA 136, 5.6 SARAN NEURO:
POMEROY + CT-SCAN KEPALA NON-
AKI STAGE I KONTRAS POST PARTUM
DX NEURO:
CEPALGIA
SEKUNDER ec
SUSP
ENCEPALOPA
TI
HIPERTENSI
DD/ CVD
HEMORAGIK,
CVD NON
HEMORAGIK
ENIM 2 KAMAR DESMIKA P2A0 POST SSTP 9-11-19/ 11.40: LHR HB 12.4, WBC Inj
2.5 RUSLAN/32ND/ A.I GAWAT NEO HIDUP, PR, 25.38, PLT CEFTRIAXONE 1g/8j IV
765001/ FU JANIN + PEB + 2400gr, 47CM, A/S 472.000, SGOT 21, METRONIDAZOLE
3/1/0 (ITW- ADL)
R/ BEKAS SC SGPT 12, 500MG/12 JAM I.V
1X + R/ PECAH ( 11.50 BAYI ALBUMIN 3.4, AS. TRANEXAMAT
KETUBAN MENINGGAL, LDH 318, 500mg/8j IV
3JAM STELAH KREATININ Inj KETOROLAC amp/8j
DILAKUKAN 0.71,UR IV
RESUSITASI) 11,AS.URAT10.2, METILDOPA 500mg/8Jpo
CA 7.6, CRP Inj
KUALITATIF
REAKTIF, CRP Saran : CEK LAB SETELH
KUANTITATIF UP INFUS
34

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

ASAM TRANEXAMAT 500


MG/8 JAM IV

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

ENIM 1 KAMAR MULYANA BT POST LABORATORIU CAN


2B MARZUKI/ 64 HISTERESKOP M: R/ PULANG HARI INI
th/ 1136776/ 12- I DnCai HB 11.1, HT 34,
10-55/ RS SUSPEK Ca WBC 7200, PLT
ENDOMETRIU 371000
M + POST
EKSTRAKSI
IUD
RONTGEN :
CARDIOMEGAL
I+
HIPERAERASI
THORAX
KANAN DAN
KIRI

LAKITAN SRI HARTINI/ ENDOMETRIOSIS P1AO/ LABORATORIU INJ.CEFRTIAXONE / 12


2.2 45 thn/ 1135576/ ASRM GRADE MENOPAUSE M: JAM
RS-UEL IV + POST HB 9.5, HT 28, INJ. ASAM TRANEXAMAT
HISTEREKTO WBC 9480, PLT 500 MG/ 8 JAM
MI TOTALIS 388000, ALB 2.5 INJ. KETOROLAC 30 MG/8
SALFINGOOF JAM
OREKTOMI AFF KATETER
UNILATERAL
+
PERITONEAL
ASPIRASI
SITOLOGI +
POST
ADHESIOLISIS
+ STAB
WOUND
DRAIN
ENIM 2 KAMAR2. INDAH P3A3 POST SSTP R/ ABORTUS 3X , L INJ.CEFRTIAXONE / 12
4 UTAMI/27 THN/ AI BEKAS SC TIDAK LAB 11/11/19 JAM
1147827/FB 2X + POST DIKURET INJ. ASAM TRANEXAMAT
INSERSI IUD HB 11.5 WBC 500 MG/ 8 JAM
HARI KE 2 26.44 RBC INJ. KETOROLAC 30 MG/8
3.94 PLT 269 JAM
ALBUMIN 3.3 METRONIDAZOLE FLS
500MG/8 JAM
AFF KATETER
RESUME PASIEN
UROGINEKOLOGI

BANGSAL KAMAR IDENTITAS DIAGNOSA RIWAYAT HASIL TERAPI


PENUNJANG
ENIM 2 2.3.1 NAMA : PROLAP LABORATORIUM POST TVH HARI II
SUMINAH UTERI GR : R/ PLG
III TERAPI CAN
TGL
LAHIR :
59 TH USG :

MR : PA :

DPJP : RONTGEN :
AF

ENIM 2 2.3.5 NAMA : KISTA LABORATORIUM POST EKSISI


EVIS GARTNER : HARI KE II
R/ PLG
TGL TERAPI CAN +
LAHIR : METILPREDNISOLON
37 TH USG : KISTA 3X4 MG
GARTNER 2X2
MR : CM

PA :
DPJP :
AF
RONTGEN :

ENIM 2 2.3.6 NAMA : PROLAPS LABORATORIUM POST TVH + KOLPORAFI


EMI YANI UTERI GR : + SSF HR KE II
IV TERAPI CAN
TGL SISTOKEL R/ PLG
LAHIR : GR IV
57 TH REKTOKEL USG :
GR IV
MR : PA :

DPJP : RONTGEN :
RK

BANGSAL KAMAR IDENTITAS DIAGNOSA RIWAYAT HASIL TERAPI


PENUNJANG
RAWAS 1 2.4 NAMA : INVERSIO CVD NON LABORATORIUM POST TVH +
ZUHRIAH UTERI HEMORAGIK : SSF HARI
MIOMA KE II
TGL GEBURT R/ AFF
LAHIR : PA : INFUS.
47 TH AFF
KATETER
MR : AFF
TAMPON
TERAPI
DPJP : ORAL
AF

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