LIST PASIEN BEDAH ONKOLOGI

Kamis, 18 Mei 2017

IRINA A BAWAH

Kamar Identitas Diagnosis Pemeriksaan Penunjang Terapi

B10 Mantiri Reiny/P/52 thn/ 01- C a M a mma e d e x t ra T4 N 1 M 0 12/5/2017 15/5/2017 CXR : dbn IVFD NaCl 0,9% 20 gtt/m
Bed 1 06-1964/Karegesan o n k e mo te ra p i (s ik lu s 1 ) Le u 1 9 4 0 0 Le u 2 0 2 0 0 EKG : sinus Ceftriaxone 2x1 iv
Kauditan. Eri 4.48 Eri 4.62 takikardi Ranitidin 2x1 iv
Hb 12.3 Hb 12.6
RM : 49.23.11 Ht 37.0 Ht 38,8 Cek ruangan di Delima
MRS : 12 – 05 – 2017 T ro m 4 2 9 T ro m 5 8 6 Pro Kemoterapi 19/5/2017
Cl 100.0 SG O T 2 8 Kultur darah
DPJP: : dr. Marcellus K 4.20 SG P T 4 Human albumin
Merung, SpB(K)-Onk Na 136 Ur 18
Cr 0,8
GDS 60
Alb 2,30
Cl 103.0
K 4.50
Na 137

B10 Suriati Laleno/P/49thn/23-9- N o n H o d g k in Ly mp h o ma PA (26/4/2017) IVFD D5%

Bed 2 1967/gangga dua ling II
RM: 50.03.83
MRS: 16-5-2017
DPJP: dr. Marcellus
Merung, SpB(K)-Onk
E le k t ro lit i mb a la nc e Non Hodgkin Clinimix
Lymphoma Ketorolac 3x1 IV
(susp.diffuse large
B cell lymphoma) Perbaiki KU
Pro kemoterapi I

B10 Kandoli Sulaeda/P/73th/17- Tumor parotis sinistra 11/05/2017 15/05/2017 - Post op parotidektomi
Bed 3 08-1943/ Leu8675 Leu 8630
Eri 5,06 Eri 4,55 Aff drain
RM: 49.73.59 Hb 14,1 Hb 13,2 Aff infus
MRS: 12/05/2017 Ht 45,5 Ht 38,9 Diet TKTP
Trom 237 Trom 180 Cefixime 2x100 mg
DPJP: dr. Nico Lumintang, SGOT 24 Asam mefenamat 3x500mg
SpB (K)KL SGPT 14
Ur 80
Cr 1,3
GDS 100
Na 140
K 4,33
Cl 103

B10 Pongoh Laurina/P/77th/28- C a M a mma e D e x t ra ( 12/5/2017 16/5/2017 Hasil PA IVFD NaCl 0.9% 20 gtt/m
Bed 5 04-1940 T4 N 2 M x ) s t I II C Le u 6 9 2 3 Le u 5 6 2 0 (21/9/2016) Duragesic Patch /3hari
Hb 14,1 Eri 3.16 Invasive ductal Rawat luka
RM : 19.09.47 T ro m 2 0 5 Hb 9.2 carcinoma
MRS 12/05/2017 Ur 41 Ht 29,8 mammae
Cr 1,3 T ro m 1 9 3
DPJP : dr. Marcellus GDS 116 GDS 104
Merung, SpB(K)-Onk Cl 101,5 Cl 107.0
K 3.84 K 3.40
Na 138 Na 139

B9 Supit S Steven/L/40th/16-03- S us p . C a N a s o fa r in g 16/5/2017 IVFD NaCl 0,9%

Bed 7 1988 T u mo r in t ra a b d o me n s u s p Le u 2 7 1 0 0 Asam tranexamat 3x500 mg iv
t u mo r c o lo n k a na n Hb 11,4 Ceftriaxone 2x1 gr iv
RM: 50.08.45 T ro m 2 8 8 Ranitidin 2x1 iv
MRS 17/05/2017 SG O T 1 7 4 Ketorolac 3x1 iv
SG P T 5 6
DPJP: dr. Marcellus Ur 17
Merung, SpB(K)-Onk Cr 0,5
GDS 52
Na 126
K 4,0
Cl 89,0

B9 Olii Sukiman/L/52th/17-08- G e ne ra l W e a k n e s s 17/5/2017 EKG 17/5/2017 IVFD RL 20gtt

Bed 8 1964 C a M e ta p la s t ik C o li d e x t ra Le u 4 5 0 0 Sinus takikardia Ranitine 2x1 amp iv
T4 N 2 M 1 p o s t k e mo te r a p i o n Hb 9,0 (HR 110x/m) Ketorolac 3x1 amp iv
RM: 44.46.06 ra d io te r a p i T ro m 2 3 8 Durogesic patch
MRS 17/05/2017 E le k t ro lit i mb a la nc e SG O T 1 5
SG P T 8
DPJP: dr. Marcellus Ur 15
Merung, SpB(K)-Onk Cr 0,5
GDS 117
Na 132
K 3,4
Cl 89,0

1
B8 bed4 Sulengena Juliandry/ L/ 18th Sarcoma soft tissue regio cruris 16/05/2017 11/05/2017 EKG (-)  O2 4 lpm
/ 3-7-1998/ uwuran II ling sinistra Leu 20600 Leu 11940  IVFD NaCl 0,9 %
VII Anemia Eri 4,14 Eri 2,10 Hasil PA 20/09-  Ketorolac inj. 3 x 1 amp
Elektrolit imbalance Hb 11,5 Hb 8,0 2016  PCT drips
RM: 48.41.72 Pneumothorax Ht 36,3 Ht 23,4 Undifferentiated  Duragesic patch /3 hari
MRS: 02/05/2017 Trom 299 Trom 198 pleomorpic  Transfusi PRC sampai Hb ≥
SGOT 121 Ur 68 sarcoma with giant 10 g/dL
DPJP: dr. M. Merung, SGPT 36 Cr 1,1 cell
SpB(K)Onk Ur 37 GDS 61 Cek ekspertisi EKG
Cr 0,9 Na 130 USG Abd 11/05
GDS 95 K 2,60 Pengantar sudah Post transfusi 2 bag
Na 131 Cl 93,0 dibuat
K 2,23 PT 12.9
Cl 82,0 INR 1.03
Alb 2,83 APPT 35.9
PT 16.7
INR 1.45
APPT 36.6

CXR 10/5/17:
Curiga mass paru
kanan dd mass pad
pleura.
Pneumothorax kiri.
Efusi pleura kiri.

B7 Longdong Sambiran/L/56th/ - F r . Le f o r t I I Lab 16/05/2017 EKG 15/5: dbn O 2 4 L/ m

Bed 1 - F r . Fr o n t a l Leu 17800 Leu 8880 As e r i n g 5 %
RM: 50.09.25 - P n e u mo t o k e l Hb 13,5 Eri 2,84 Cek ekspertisi C e ft r i a x o ne 2 x 1 IV
MRS: - S u s p . Fr . B a s is c r a n i i Trom 259 Hb 9,2 CXR R a n i t i d i n 2 x1 IV
SGOT 22 Ht 28,3 Cek hasil lab A n t ra i n 2 x 1
DPJP: dr. Nico Lumintaang, SG PT 11 Trom 351 Alat rekon 3D C it i c o l i n 2 x 2 5 0 mg
Sp.B(K)KL Ur/cr 24/1,0 SGOT 19 rusak
GDS 134 SGPT 11
Ur 33
Cr 0,9
GDS 169
Na 139
K 3,8
Cl 102,0
PT 13,5
INR 1.10
APPT 26,4

B4 Femmy Sambouw/P/43th/08- Ca mammae sinistra 10/05/2017 15/05/2017 X-Foto Thorax  NaCl 0,9% 20gtt/menit
Bed 1 01-1974/Waleo jg 2 Leu 8200 Le u 7 1 0 0 14/05  NaCl 3% 8gtt/m
Eri 2,15 Eri 2,42 Sugestif massif  Transfusi PRC sampai HB
RM: 50.09.30 Hb 6,0 Hb 7,1 pleural effusion >>10
MRS: 10/05/2017 Ht 17,7 Ht 21,3 sinistra  Ceftriaxone 2 x 1 g iv
Trom 453 T ro m 4 5 6  Ketorolac 2 x 1 iv
DPJP: Dr. dr. Victor Pontoh, SGOT 34 EKG 11/05  Ranitidin 2 x 1 iv
SpB(K) Onk SGPT 12 Pengantar sudah
Ur 50 dibuat
Cr 1,7
GDS 81 USG Abd 11/05
Na 122 Pengantar sudah
K 4.1 dibuat
Cl 100

B4 Saiya Tamalero /P/ 52th/ 29- Ca mammae sinistra T4N2Mx on 16/05/2017 12/05/2017 CXR (14/5): Soft R/. Core biopsi
Bed2 11-1964/ tuminting kemoterapi (siklus I) Le u 8 8 0 0 Le u 7 7 0 0 tissue maass R/ kemoterapi II 19/5/2017
General weaknes Eri 3.36 Eri 3.51 hemithorax kiri,
RM: 06.92.89 Hb 10.5 Hb 10.9 tidak dekstruksi IVFD NaCl 0,9% : clinimix 2:1 
MRS: 01-05-2017 Keluhan : nyeri pada benjolan di Ht 27.5 Ht 28.7 tulnag sekitar. 20 tpm
payudara kiri dialami penderita sejak 2 T ro m 7 7 3 T ro m 6 8 3 Cardiomegaly, Ondancentron 2x1 iv
DPJP: dr. Marcellus Merung, hari SMRS. Awalnya muncul benjolan SG O T 4 0 Monosit 10% dilatatio aortae. Ranitidin 2 x 1 iv
SpB(K)Onk pada payudara sejak 1 tahun lalu. SG P T 4 2 Peningkatan Ketorolac 3x1 iv
Penderita kemoterapi siklus I ± 1 Ur/Cr 11/0.6 corakan vaskular Durogesic patch /3 hari
minggu lalu. GDS 100 paru kiri susp
Cl 102,0 edema, dd
K 3.12 bronchitis non
Na 139 spesifik dd
lymphagitic
metastase.

EKG (13/05) dbn

B4 Habiba Kasim /P/39th/13-06- Post MRM ec. Ca Mammae (D) 16/5/2017 Echo Hasil PA: Kemoterapi 15/5/2017
Bed 3 1977/Dusun Mawar Kenari Susp. F.V Lumbal V Le u 1 0 0 0 0 Dimensi ruang Invasisve ductal
Lemito Pohu Eri 5.13 jantung normal, carcinoma Paracetamol 3x1000 mg tab
Hb 12.9 LVH (-), fngsi mammae, Neurobion 2x1 tab
RM: 50.03.79 Ht 39 sitolik LV global moderate grade Ondancentron 2x8 mg tab
MRS: 04/05/2017 T ro m 3 1 4 dan segmental malignancy Cefixime 2x100 mg tab
GDS 285 normal, EF 62%, Ranitidine 3x150 mg tab
DPJP : Dr. Dr. Victor Cl 107.0 fungsi diastolic DK(+) Duragesic patch/3 hari
Pontoh, SpB (K)Onk K 4.0 ormal, aorta 3 Lactulose syrup 3 x 1cth
Na 137 cuspis, X-Foto PCT drips bila perlu
TB: 155 cm klasifikas(-), thorax08/05 Bladder training
BB: 52 kg katup jantung Dbn
normal,
kontraktilitas RV USG Abd
normal (17/05/2017)

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 Menunggu hasil
MRI
Tunggu jadwal USG Mammae
dextra et sinistra
(17/5)

Irina A Atas
Kamar Identitas Diagnosis Pemeriksaan Penunjang Terapi

A2 Hj. Rahma M. Kalo  Tumor mammae sinistra susp. 11/05/2017 11/05/2017 Lab Hasil PA O2 2-4 L/m
bed 2 Albugis/P/66th/10-07- Malignancy T4N3Mx Leu 9160 (2) 06/11/2016 IVFD NaCl 0,9%
1950/Bastiong Ternate  Susp. Metastase paru dd Eri 4,82 SGOT 23 Karsinoma duktal Cefriaxone 2x1 gr IV
pneumonia dd TB pru Hb 13,0 SGPT 12 invasive grade 3 Ranitidine 2x1 IV
RM: 50.10.22 Ht 39,3 Ur 23 mammae Duragesic Patch/3 hari
MRS: 11/05/2017 Benjolan di payudara kiri disertai Trom 286 Cr 0,7 Lactulosa
sesak napas ±3 thn yang lalu. SGOT 29 GDS 195 EKG
DPJP: Dr.dr. V. Pontoh, Awalnya sebesar telur burung puyuh. SGPT 11 Na 136 Sinus takikardi HR Cek hasil+ekspertisi x-foto
SpB(K)Onk Lamaa kelamaan membesar. Sesak Ur 22 K 3.20 110x/m, susp thoracolumbal
napas (+) 1 hari yang lalu. Cr 0,6 Cl 100 hipokalemi
GDS 212
CK Tot 51 X-Foto thorax
CKMB 38 Belum diekspertisi
Trop T <50
Na 137
K 3.50
Cl 100

A11 Warouw Anna Jublie /P/ 60 th/ 23- C a mammae dextra on kemoterpi 07/05/2017 12/5/17 X-Foto thorax  IVFD NaCL 0,9%
bed 1 4-1957/ dendengan dalam ling VII Leu 19840 Leu 24.800 09/05 :Clinimix+clinoleic 1:1 20 tpm
Benjolan di payudara sejak ± 1 tahun Hb 9,9 Hb 10. Cardiomegali  NaCl 3% 200cc/24jam 8gtt/m
RM : 28.77.59 SMRS, membesar. Trom 316 Trom 335 dengan suspek  Ceftriaxone 2x1 IV
MRS : 3-5-17 Pasien sedang kemoterapi kemudian SGOT 61 SGOT 39 pneumonia dan  Ranitidin 2 x 50 mg iv
pasien datang SGPT 35 SGPT 31 efusi pleura  Kapsul garam 3 x 1
DPJP dr Marcellus Merung SpB(K)) Berobat Ur 16 Ur 16 minimal sinnistra  Durogesic patch / 3 hari
Onk Cr 0.4 Cr 0.4
 Human Alb
GDS 88 GDS 12 Echo 11/05
 OBH antitusif
Alb 2.15 Cl 103.8 Pengantar sudah
Cl 106 K 3.80 dibuat
Trasnsfusi PRC
K 4,40 Na 1400
Na 127 Hasil PA
Invasive ductal
carcinoma
mammae (score7
moderatelydifferent
iated)

A9 Juliano Seanputra Manatar / L/ 4 th/ Tumor intaoral 15/05/2017 12/05/2017 MRI Kepala ? R/ insisional Biopsi
bed 4 7-7-2012/ lindongan 1 Leu 11900 Leu 13.87
Brngkak dan nyeri di dagu dialami Eri 3,69 Hb 7.7 CXR 4/5 - IVFD NaCl 0,9% 10tpm
RM: 50.02.53 penderita sejak 7 bulan yll. Awalnya Hb 10,2 Trom 425 Cor. Pulmo t.a.k Aminofluid + D5%
MRS: 2-5-2017 benjolan timbul kecil lalu memesar. Trom 360 SGOT 37 - Ceftriaxone 2 x 500 mg iv
Riw trauma (+) 8 bulan lalu, mual MCH 27,6 SGPT 9 Echo 10/5 - Ranitidin 2 x 25 mg iv
DPJP : dr M. Merung, SpB(K)Onk (+) . MCHC 34,3 Ur 17 Intrakardiak normal - PCT syr 3 x 1 1 / 2 cth po
MCV 80,5 Cr 0.2 tidak ada
Alb 2,46 GDS 93 kontraindikasi Persiapan untuk konsul
Cl 97.9 operasi maupun Anestesi
K 4.14 GA Cek hasil DL
Na 136
PT 13.8
APPT 26.2

A8 Billy Losu/L/34th/22-7-1982 Ca lidah Pro kemoterapi

Bed 3 (resep sudah di pasien)
RM: 49.54.92
MRS: 15-5-2017

DPJP: dr. M. Merung, SpB(K) Onk

A8 Tumboimbela Merry/ P/ 30th/ 02-05- Tumor mammae sinistra T4N3M1 17/05/2017 IVFD NaCl 0.9% : clinimix
bed 4 1986 Leu 8.900 PA: Ca duktal Echo 4/5/2017 Aminofusin 1:1:1 20tpm
Post Biopsi (28/4/2017) Hb 10,1 invasif grade I Very poor echo Ceftriaxone 2x1 iv
RM: 41.83.45 Trom 543 (diferensiasi window, fungsi Ranitidine 2x1 iv
MRS: 27-4-17 GDS 100 baik) sistolik LV global Kapsul garam 3x1
Na 137 dan segmental Durogesic patch
DPJP : dr. M. Merung, SpB(K) Onk K 3,71 EKG 02/5 normal, EF 80% MST 3 x 1
Cl 105,3 dbn (SL), katup-katup Ketorolaac 3x1 IV (k/p)
sulit dievaluasi, Alprazolam 0-0-0,5 mg
CXR (19/4) kontraktilitas RV
Efusi pleura kiri normal, IVC sulit Rawat luka / hari dengan
dievaluasi metronidazole

3
 USG abd Radiologi 19/04 Hasil Core Biopsi 12/05/2017
(8/5/2017) Tumor paru kiri ? +
Susp. efusi pleura kiri
Metastasis
glandula
adrenalis
sinistra dan
metastasis sub-
pleural bilateral
dengan ascites
minimal.

A8 bed 5 Kuhu Oktaviian/L/20th/29/10/1996 Fr. Maxilla lefort II + comotio 15/05/2017 EKG 17/5/2017
cerebri Leu 33000 dbn
RM: 50.12.57 Eri 14.53
MRS: 15/05/2017 Hb 14.3
Ht 39.4
DPJP: dr. Nico L, SpB(K)KL Trom 397
GDS 91
Cl 106.0
K 3.53
Na 146

A8 Randi Sukarame/L/27th/14-2-1990 Fr. Zygoma dextra 14/05/2017 IVFD NaCl 0,9% 20 gtt
Bed 7 Leu 20500 Ranitidine 2x1 amp iv
RM: 50.12.26 Hb 15,6 Ketorolac 3x1 amp iv
MRS: 15/5/2017 Trom 273 Ceftriaxone 2x1 gr iv
SGOT 23
DPJP: dr. Nico L, SpB(K)KL SGPT 16 Persiapan ORIF Elektif
Ur 25
Cr 1,0
Na 143
K 3,4
Cl 108

A7 Ronny Ngangi/ L/ 55th/ 23-7-1961/ Tumor collii sinistra ec susp ca 09/05/2017 14/5/17 EKG Post Insisional biopsi 08/05
Bed 7 Treman jg X nasofaring Leu 17500 Leu 21.700
Leukositosis Eri 3,71 Hb 9.8 Echo 05/05 : - IVFD NaCl 0.9% 30 tpm
RM : 50.01.56 Hiponatremia Hb 9,8 Trom 562 Wida Kn2  20 gtt
MRS: 1-5-17 Ht 29,7 Na 30 FNAB : - KSR 3x1 tab
Benjolan dileher kiri disertai badan Trom 714 K 4.2 Raber interna
DPJP dr. M. Merung, SpB(K)Onk lemas dialami penderita ±13 tahun SGOT 85 Cl 97.0 CXR : Ceftriaxone 2 x 1 gr iv
MRS, awalnya benjolan kecil lama- SGPT 73 Cardiomegali Kapsul garam 3 x 1
kelamaan membesar. Riwayat keluar Ur 14 PA (8-3-2017) dilatasi aorta soft PCT 3 x 1 tab
TB: 170 cm darah dari hidung (+), suara parau Cr 1,1 Metastasis Ca tissue mass regio
BB: 65 kg (+). GDS 78 Anaplastik colli memasuki
Na 128 apertura thorachic
K 3,10 superior
Cl 97,0

A6 Bolang Frida/P/44th/19-02- Ca Mammae dextra T4N1M0 26/04/2017 12/5/17 X-Foto Thorax IVFD NaCl 0,9% 18gtt/m
bed 1 1973/Ranowulu Post MRM (12/5/2017) Leu 5992 Leu 13.800 27/04 Ceftriaxone 2x1 IV
Eri 4,16 Hb 12 Dbn Ketorolac 3x1 IV
RM: 49.97.31 Hb 12,8 Trom 201 Ranitidin 2x1 IV
MRS: 09/05/2017 Ht 38,6 SGOT 200 EKG 26/04
Trom 218 SGPT 11 Normal sinus rhtym
DPJP: Dr. dr. Victor Pontoh, SGOT 14 Ur 18
SpB(K) ONK SGPT 10 Cr 0.7 USG abd 03/05
Ur 13 GDS 99 Tak tampak
Cr 0,6 Alb 3.39 metastase di hati
GDS 87 ataupun di KGB
Na 140 para-aorta
K 4,10
Cl 102,2 Hasil PA 04/04
PT 13,9 Invasive ductal
INR 1,14 carcinoma
APPT 30,5 mammae score
7n(moderatelly
differentiated)

A6 bed Sumual deyne/P/49th/1-12- Ca mammae dextra 09/05/2017 16/05/2017 X-Foto thorax NaCl 0,9 % 20tpm
4 67/palamba Leu6200 Leu 3700 16/5/2017 NaCl 3% 200cc/24jam
Eri 3,39 Hb 9,0 foto thorax 8gtt/m
RM:46.75.12 Hb 10 Trom 103 normal Duragesec patch/3 hari
Ht 29,1 SGOT 74
MRS:10-5-17 Trom 132 SGPT 17
SGOT 87 Ur 15 PA (24-2-2016)
DPJP: dr. M.Merung, SGPT 20 Cr 0,6 Invasive lobular
SpB(K)Onk Ur 19 GDS 83 ca mammae
Cr 0,6 PT 15,5
GDS 91 INR 1,32 EKG (17/5/2017)
Na 120 APPT 34,7 T inverted
K 4,2 Na 135 inferoanteroseptal
Cl 98 K 3,7 ec susp electrolit
PT 13,3 Cl 102 imbalance dd
INR 1,07 anemia dd iskemia
APPT 27,2
Poor R progression
V1-V3 ec OMI
anteroseptal

4
 Anjuran: Cek DL,
elektrolit, enzim
jantung,
Echocardiography

A3 Awondatu Henny/ P/ 56th/ 17-4- Ca Mammae Dextra T4N2M0 on 12/5/17 16/5/2017 CXR: dbn IVFD NaCl 0.9% : RL: D5%
bed 1 1961/ Perum Villa Pinokalan Indah Kemoterapi Leu 20.400 Leu 7.400 2 : 1 : 1 20tpm
L1 Post MRM (12/5/2017) Hb 10.5Trom Hb 10,4 PA: Raniitidin 2x1 iv
372 Trom 424 Invasive clear cell Leukogen 1x1 sc
RM : 49.08.54 Ur 20 Na 139 carcinoma (susp PCT drips
MRS: 1-5-17 Cr 0.6 K 4,3 asal mieloepitel)
GDS 123 Cl 102
DPJP dr. M. Merung, SpB(K)Onk Alb 3.57 GDS 86
Alb 3,76

A3 Femy Yanti /P/ 38th/ 29-6-1978/ - Tumor mammae sinistra susp 02//05/2017 15/5/2017 CXR belum Core Biopsi 08/05
Bed 3 pinokalan ling 1 kec ranowulu malignancy + metastase paru dan Leu 19750 Leu 6000 diekspertisi IVFD NaCL 0,9 % : clinimix :
tulang belakang Hb 9,1 Hb 10,4 tutofusi 1:1:1 30 tpm
RM: 50.02.83 -Anemia Ht 26,4 Trom 164 USG Abdomen Ceftriaxone 2 x 1 gr iv
MRS: 3-5-2017 -CKD Trom 279 Na 137 Hasil terlampir Ranitidin 2 x 1 amp iv
-Hiponatremia SGOT 173 K 3,65 Durogesic patch / 3 hari\kapsul
DPJP : dr. M. Merunng, SGPT 43 Cl 104,3 FNAB: malignant garam 3x1
SpB(K)Onk Benjolan di payudara kiri dialami Ur 180 ephiteleal tumor/Ca KSR 3x1
pasien sejak ± 2 tahun. Benjolan Cr 3,0 sulit ditentukan Zinc 1x1
lama kelamaan membesar dan teraba GDS 128
nyeri. Penurunan nafsu makan (+), Cl 99 Tranfusi PRC sampai Hb ≥ 10
penurunan BB (+), riw. Menyusui (- K 3,4 g/dL
). Riw KB menggunakan pil Na 123 Perbaiki KU
PT 16,4 Raber Interna
APPT 21,5

A3 Tumbol Rita/P/60thn/18-3- General weakness ec susp tumor 13//05/2017 CXR 15/5/2017 IVFD NaCl 0,9 %
1956/Winenet satu ling 2 intraabomen Leu 10100 Menunggu Ceftriaxone 2x1 IV
Eri 3.52 ekspertisi Ranitidin 2x1 IV
RM: 49.96.20 Hb 8.9 Ketorolac 3x1 IV
MRS: 15-52017 Ht 27.8 Transfusi PRC hingga HB>10
Trom 324
DPJP : dr. M. Merunng, SGOT 15
SpB(K)Onk SGPT 7
Ur 14
Cr 0.9
GDS 105
Cl 99.0
K 4.4
Na 131

A3 Letungbulang Hosiana/P/57th/19-12- Ca Thyroid CXR 16/5/2017 Pro total tiroidectomy

1959/ jl.maesa 6 ling I ranomuut Menunggu
ekspertisi
RM: 49.80.31
MRS: 16/05/2017

DPJP: DPJP : dr. M. Merunng,

SpB(K)Onk

Teratai
Kamar Identitas Diagnosis Pemeriksaan Penunjang Terapi

R1 Rintjap Pangelita/P/26th/20-02- Fibroadenoma Mammae dextra 05/05/2017 16/5/2017 As. Mafenamat 3x1
Bed 2 1991/Woloan Leu 1601 Leu 18.100 Ranitidin 2x1
Eri 4.74 Hb 13,1
RM: 50.05.32 Hb 14.3 Trom 275
MRS: 11/05/2017 Ht 4.28
Trom 325
DPJP: dr. M. Merung SpB (K) SGOT 14
Onk SGPT 7
Ur 15
Cr 0.6
GDS 72
Cl 103.0
K 4.1
Na 139
PT 12.9
APTT 42.2
INR 1.03

R1 Najoan Merry Vilija / P /40thn / Radicular Cyst 20/04/2017 17/5/2017

Bed 5 30.8.76 / Walanda maramis Leu 5782 Leu 12.670
Eri 4.78 Hb 11,9
RM : 49.81.20 Hb 13.2 Trom 239
DPJP: dr. Nico Lumintang, Ht 41.2 Na 139

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 SpB(K) KL Trom 294 K3,55
SGOT 19 Cl 104
SGPT 14
Ur 27
Cr 0.7
GDS 88
Cl 101.2
K 3.80
Na 139
PT 12.7
APTT 33.9
INR 1.01

R1 Madunde Yatny/P/40thn/5-6- Ca Mammae on kemoterapi 14/5/17 16/5/17 IVFD NaCl 0.9% 18gtt
bed 7 1976/Tumumpa Leu 500 Leu 1800 Inj Leucogen 1x1
Hb 8,6 Hb 7,4 Inj Ampicilin Sulbactam 3x1
RM36.14.04 Trom 13000 Trom 21 Inj Ranitidin 2x1 amp
MRS: 11 Mei 2017 Na 134 Inj Ketorolac 3x1
K 1,87
DPJP: dr. M. Merung, Cl 97,0
Sp B(K)O nk Diff count
Eos 0%
Baso 0%
N. btg 12%
Limf 24%
Mono 8%
Alb 2,05

R1 Pangau Anthoneta/P/63th/16-8- Susp Metastase adenocharsinoma 15/05/2017 16/05/2017 IVFD NaCl 0.9% 14gtt/m + KCL
Bed 8 1953/Bahu Os ileum sinistra Leu 5310 Leu 4770 25mEq
Eri 3.75 Hb 11,4 Pro Transfusi PRC 1 bag
RM: 37.19.14 Hb 11.5 Trom 221
MRS: 12/05/2017 Ht 33.6
DPJP: dr. M. Merung SpB (K) Trom 231
Onk Alb 3.10
Cl 97.0
K 3.30
Na 134

RII Muhamad Gio Fani Impe / L/ Limfoma Maligna 12/5/17 17/05/2017 Hasil PA (20/4) IVFD NaCl 0.9% 28gtt/m
bed 1 35th/17-071981/Darussalam Melena Leu 4400 Leu 794 Non Hodgkin’s Omeprazole 2x40 mg
Motoboi Anemia (9.9) Hb 8.5 Hb 10,9 Lymphoma Sucralfat 4xII C
General weakness Trom 247 Trom 360 Susp. Small Pro kemoterapi
RM : 49.73.92 GDS 181 Diff count: lymphocystic
MRS : 04-05-2017 Alb 2.58 Eos 4% lymphoma Konsul Interna
DPJP : dr. Marcellus Merung, Baso 0% : jawaban terlampir
SpB (K)Onk 15/05/2017 N. btg 2%
Leu 2400 N. seg 10%
Eri 3.76 Limf 57%
Hb 11.0 Mono 27%
Ht 31.5 SGOT 7
Trom 379 SGPT 14
GDS 133 Ur 21
Alb 0.85 Cr 0,6
GDS 120
Alb 2,99
Na 137
K 3,31
Cl 100,5

RII Elisabeth Luas/P/61th/06-03- Ca Mammae Sinistra on kemoterapi 17/5/2017 IVFD NaCl 0,9% : D5% 20gtt
Bed 7 1966 Leukopeno Le u 2 7 0 0 Ranitidine 2x1 amp iv
Trombositopenia Hb 11,7 Konsul interna
RM: 48.48.02 Elektrolit imbalance T ro m 1 5 2 Leukogen inj SC
MRS 17/5/2017 D i ff c o u n t :
Eo s 1 %
DPJP: dr. M. Merung SpB (K) Ba s 0 %
Onk N e ut B t g 2 %
N e ut Se g 5 0 %
Li m fo s i t 1 0 %
M o no s i t 1 0 %
Na 137
K 3,94
Cl 104
SG O T 4 9
SG P T 3 7
GDS 103
Alb 3,60

RII Kereh Maria Dafrosa/P/47th/30- Fibroadenoma Mammae Sinistra

Bed 8 05-1969 DM tipe 2
Hipertensi
RM: 49.90.79
MRS 17/05/2017

DPJP: dr. M. Merung SpB (K)

Onk

6
ANGGREK 2
Kamar Identitas Diagnosis Pemeriksaan Penunjang Terapi

102 Selfie pontolondo/P/51/3-2- Ca Mammae 8-5-17 15/05/2017 Pasien kemo senin

66/kurik Leu 7549 Leu 4900 Pro trf prc
Eri 2,94 Eri 4.08 IVFD NS 18 tpm
RM:48.02.02 Hb 9,3 Hb 12.7 Ranitidine 2x1 iv
MRS:9-5-2017 Ht 28,7 Ht 37.3 n-asetylsistein 3x1
Trom 240 Trom 232
DPJP : dr. Marcellus Merung, SGOT 26
SpB (K)Onk SGPT 20
Ur/Cr 24/1,1
Na 130
K 4,22
Cl 91,7
PT 12,4
INR 0,98
APPT 32,5
LED 85

108 Martha Sumale/P/ Ca mamae sinistra post MRM post 15/05/2017

56th/30/03/1961 chemotherapy siklus ke 6 Leu 5990
Eri 4.49
RM: 19.44.66 Hb 11.2
MRS: 16/05/2017 Ht 35.8
Trom 429
DPJP : dr. Marcellus Merung, SGOT 16
SpB (K)Onk SGPT 12
Ur 28
Cr 1.0
GDS 94
Cl 105.0
K 3.90
Na 139

IMC NEURO
Kamar Identitas Diagnosis Pemeriksaan Penunjang Terapi

Bed 2 Olvie Longkutoy/ P/ 45th/ 7-10- Post Trakeostomi ec Ancaman Gagal 27/4/2017 GDS 131 SGOT 29 Rawat luka/hari
1971 Nafas Leu 13300 Alb 3.51 SGPT 52 Suction lender/5jam
Eri 4.25 Na 135 Ur/Cr 82/0,7 Nebulizer/ 6jam
49.86.23 Hb12.5 K 4.33 GDS 113
Ht 4.7 Cl 87.3 Cl 94,1 Tx lain sesuai TS Anestesi,
DPJP dr. Nico Lumintang, Trom 452 K 4,14 Interna, Neurologi
SpB-KL SGOT 37 2/5/17 Na 136
SGPT 14 Leu 11360 Anti HCV non
Ur/Cr 93/0.9 Eri 4,10
Hb 12,0 Eos 0%
Ht 38,7 Bas 1%
Trom 438 n. batang 12%
reaktif n. segmen 64%
HbsAg Elisa non limfo 19%
reaktif mono 4%