Screening Bedah Digestif

Rabu, 09 Januari 2020

No Identitas Tanggal Ruangan Diagnosis DPJP Tanggal GV Rencana Lab

Masuk Operasi Terakhir
1. Erwan 7/01/2020 RB2A Gist + anemia + dr. Safruddin Ct scan besok 08/02/2020
Situmorang 3.5.3 Hiponatremia Nasution Hb/Leu/Ht/T:
/L/32 th/ Sp.B-KBD 4,5/11,280/16/612,000
77.11.35
KGDS: 99
Na/K/Cl: 125/3,3/95

Albumin: 1,0
2. Bachruddin/L/60 09/01/2020 RB3 Wound Dehisence + Dr. Adi 09/01/2020 R/ Gv per hari09/01/2020
th 1.1.2 Post Laparotomy Muradi Puasa Hb/ht/leu/tr:
64.37.28 Explorasi d/t Jejunal muhar Sp.B- Nutrisi 9,1/26/180,000/14,700
Perforation + Post KBD parentral
pemasangan CAPD + (aminofluid) Aumin: 2,7
CKD Stg V BUN/Ur/Cr: 51/109/6,47

3. Mario 09/01/2020 RB2B Partial Mechanical Dr. dr. Asrul, 08/01/2020

L/64 thn 3.5.5 bowel obstruction Sp.B-KBD Hb/Leu/Ht/T:
80.13.74 dd/chronic 11.4/4.980/32/237.000
constipation PT/INR/APTT/TT:
12.6/0.89/29.4/14.0

pH/pCO2/pO2/HCO3/BE:
7.45/40.0/88.0/27.8/3.5
KGDS: 135

BUN/Ur/Cr: 6/13/0.6
 Na/K/Cl: 137/3.6/104

4 Melin 09/01/2020 RB2A Post Open Dr. dr. Asrul, 07/12/2019

P / 42 thn Cholestectomy d/t Sp.B-KBD PT/APTT/INR:
80.04.16 Cholelithiasis 13.2/35.2/0.95

Bil Total/Bil Direct:

1.00/0.40
Albumin: 4.5
KGDS: 103
BUN/Ur/Cr: 7/15/0.81
Na/K/Cl: 136/3.3/105

HbsAg: Non Reactive

Anti-HIV 3 Metode: Rapid 1
Non Reactive
5. Defriana 08/01/2020 RB5 Adeno Ca Recti Dr. Liberti, 08/01/2020
P/ 5.3.2 Sp.B-KBD Hb/Leu/Ht/T:
79.84.14 10.2/6.640/32/253000

6. Sri Aminah 11/01/2020 RB2A adeno ca rectal Dr. Budi 11/01/2020

801680 sigmoid Irwan, sp. b- Hb/ht/L/T:
kbd 7,6/23/28,610/215000

BUN/Ur/Cr: 63/135/2.5
Na/K/Cl: 120/6,5/97