REKAPITULASI PASIEN DEPT.

ORTHOPAEDI RSUP HAM

HARI/TGL: Minggu / 15 DESEMBER 2019
No Identitas Tgl Masuk Ruangan Diagnosis Terapi Rencana Keterangan
RB3
Hb/L/Ht/T (12/12/19)
14,3/5.220/42/280.000

PT/APTT
1. Mimi Susanti /F/21yo Poli RB3  Primary Bone Tumor  Core Biopsy 12.4/28.8
O 79.11.29 16/12/19 2.1.1 (R) Proximal Tibia (17/12/19)
Na/K/Cl
140/4.3/106

LED : 4
Hb/L/Ht/T (8/11/19)
14.1/8.740/43/408.000

PT/APTT
12.6/32
 Debridement +
Na/K/Cl
2. Nursiah/F/45yo Poli RB3  Post ORIF + Remove of implant
140/3.9/104
L 78.44.62 16/12/19 2.1.2 Osteomyelitis tibia fibula
(17/12/19)
GDS : 112

Ur/Cr
13/0.68

LED : 10
 Open Fracture (L) Debridement +
3. Feri Firmansyah/M/16yo IGD RB3 Hb/L/Ht/T (12/12/19)
Radius Gustillo Backslab  Post Op Care
U 79.91.54 12/12/19 2.3.2 13,1/10.060/37/330.000
Anderson Type II (12/12/2019)
4. Sihar Welly/M/11yo IGD RB3  Gun Shot Wound o/t  Debridement and  Post Op Care Hb/Ht/Leu/Trom
79.86.38 06/12/19 3.1.1 (R) Thigh Bullet Extraction (13/12/2019)
 Septic Arthritis (5/12/2019) 9.2/27/45.110/472.000
 Redebridement
(13/12/19) Procalcitonin: 3.50
 CRP kuantitatif: 0,7

Urine (11/12/19)
Warna kuning jernih
G/B/K/P/U/N/L/D:
-/-/-/-/-/-/-/-
Berat jenis: 1.005
pH: 8
Eri: 0-1
Leu: 0-1
Epi: 0-1
Cast/Kristal: -/-

Ur/Cr(8/12/19)
15/0.46

Na/K/Cl
133/2.9/101
5. Selamat D/M/76yo IGD RB 3  Open (L) Distal Tibia  Pemasangan Long  Circular Cast Bilirubin
L 76.26.42 1/12/2019 3.3.2 Fibula FractureGustillo Back Slab (17/12/19) total/SGOT/SGPT
Anderson Type II + (10/12/2019)
Closed (L) Talus 0,6/80/80
Fracture Procalcitonin : 64,8
 Pneumonia
 Gangguan Mental Hb/Ht/L/T (8/12/19)
Organik 10.2/29/19500/198000

PTAPTT/INR
12.6/30.9/0.89

GDS :176

PH/PO2/PCO2/HCO3/Sa
O2
7.48/198/22/16.4/100

BUN/Ur/Cr
 27/58/0.89

Na/K/Cl
130/4.1/99

Albumin/Ca (5/12/2019)
3.5/8.20
Hb/L/Ht/T (13/12/19)
11.2/11.180/33/165.000

PT/INR/APTT
15.8/1.14/29.6
 Cervical Spine Injury
 PSF C3, C4, C5-
C6-C7 Flexion GDS: 119
6. Ngatino/M/47yo IGD RB3 T1 +
Distraction type +  Post Op Care
S 79.90.41 10/12/19 3.3.3 Laminectomy
Unilateral Facet BUN/U/C: 22/47/0.79
(13/12/19)
Dislocation
Na/K/Cl: 136/4.1/105
pH/pO/pCO: 7.4/175/27

HCO/BE/TCO: 20.1/-
2.4/20.9
Hb/Ht/Leu/Trom
(12/12/2019)
14,0/39/20850/261.000

PT/INR/APTT:
7. Roby Darwin/M/46yo Poli RB3  Neglected (R) Knee  Arthrodesis  Post Op Care 11.4/0.83/29.4
L 79.51.96 11/12/19 3.4.1 Dislocation (12/12/19)  Elevation Leg
BUN/Ur/Cr: 5/11/0.79

Na/K/Cl: 137/4.1/105

GDS: 82
 Open (R) Shaft Tibia
M. Arifin/M/70yo IGD RB3 fracture GA type IIIA  Debridement Hb/Ht/Leu/Tr (14/12/19)
8.  Post op care
79.93.62 13/12/19 3.4.3  Closed (R) proximal  Backslap 11,6/34/10.940/234.000
fibula fracture
  Soft Tissue Tumor o/t
9. Extensor Zone V – VI  Post Op Tumor
Damianus/M/24 yo POLI RB3  Post Op Care Hb/Ht/Leu/Tr(22/11/19)
O/ Index and middle Excision
70.02.63 15/12/19 3.5.2  Cek Lab Post Op 15.8/46/5.510/284.000
U Finger dd/ GCT (L) (16/12/19)
Hand
Hb/Ht/Leu/Tr(13/12/19)
13/32/19.460/425.000

 Skelatal Traction PT/APTT/INR (12/11/19)

 Neglected (R) Femur (R) Femur 11.4/27.1/0.81
10. Rasidin/M/45 yo Poli RB3
Fracture + Neglected (5/12/19)  Post Op Care
L 78.97.56 4/12/19 3.5.3
(R) Tibia Fracture  ORIF (R) Femur KGD: 136
(13/12/19) Ur/Cr: 13/0.8

Na/K/Cl (12/11/19)
150/4.6/107
 Open Reduction (L)
 Neglected (L) Shoulder + ORIF
11.
Selia Serlina/F/27 Poli RB3 Shoulder Dislocation Greater Tubercle of  Post op care Hb/Ht/L/Tr(15/11/2019)
U
79.34.43 13/12/19 3.6.1  Neglected (R) Hip Humerus 10,1/30/11.580/167.000
L
Dislocation  Skeletal Traction
(14/12/19)
Kolestrol total/HDL/LDL
(13/12/2019)
154/51/60

Penanda Tumor
12. Dahliana/F/63yo IGD RB3  Pathological fracture  Skin Traksi
 Pro Assessment (11/12/19)
O 79.90.54 10/12/19 3.6.2 (L) shaft femur (11/12/19)
CEA: 34.74
CA 125: 70.4
CA 19-9: <2
Cyfra 21-1: >100
CA 15-3: >800
13. Wahyuni. W /F/25 yo Poli RB3  Primary Bone Tumor  Core Biopsy Hb/L/Ht/T (12/12/19)
O 79.66.70 16/12/19 3.6.3 (R) Femur (17/12/19) 13,2/13.220/341/265.000

PT/APTT
14.5/29.1
 Na/K/Cl
139/3.8/105

LED : 34
 Open (L) Pelvic fracture Hb/Ht/Leu/Tr (05/12/19) :
APC type II (Billateral 10.6/30/9.130/440.000
rami pubic superior
inferior fracture). Na/K/Cl (12/12):
 Post Reconstruksi d/t  Debridement +
125/4.0/94
Lacerated wound o/t Pelvic Sling
14.  Post Op Care
labia, vulva, vagina, (26/11/2019)
L Rika Puspitasari/F/37yo IGD RB3 Debridemen dari TS Procalcitonin: 1,45
perineum gr IV.  Rawat bersama
79.75.03 25/12/19 3.7.2 Plastik
 Rupture Spingter Ani Bedah Plastik,
 GV Albumin (7/12) : 2.4
+ Rectal Perforation + Obsgyn dan
Lacerated Wound o/t Digestive
Albumin : 2,4
perianal
 Morel Na/K/Cl (7/12) :
Lavallee Lession 129/3.4/104
RB1
RB2
 Post ORIF Symphisis
Pubis d/t Closed pelvic
fracture Young
Renaldi Burgess type APC I  Pelvic Sling  Post Op Care
15. Poli RB2A Hb/Ht/L/T (10/12/19)
Sihombing/M/18yo  Post laparotomy d/t  ORIF Simphisis  Mobilisasi
L 3/12/19 2.2.3 10.1/31/15.270/693.000
79.72.14 Mesenterial Injury (10/12/19)
(23/11)
 Post repair buli (10/12)
RB 4 Anak
RA 1
RA2
RA3
RA4
RA4BS
RA5
 Hb/Ht/L/Tr (10/12/2019)
7,6/24/7120/471.000

16. Lisnawati/F/33yo
L 79.89.47 11/11/2019
(11/12/2019) :
SGOT/SGPT/total
bilirubin/bilirubin direk
 Septic arthritis (R)
2,7/25/10/0,40/0,20
knee
 Post Chest Tube
Albumin : 2,7
Insertion + WSD d/t
 Debridement + Asam urat : 2,1
Hidropneumothorax
Konsul RA5 Arthrodesis (R) knee
(L) terduga Tumor
1.4.2 (pasien masih AGDA:
Paru kiri T3NxM1A
berunding) pH/pCO2/pO2/HCO3/Sat
(Pleura)
O2
 TB Paru Dalam 7,53/22/189/18,4/100
Pengobatan Kategori 1
Fase Lanjutan Na/K/Cl
123/3,8/94

GDS: 94

BUN/Ur/Cr: 7/15/0,35
PAVILIUN
Hb/Ht/L/Tr (13/12/19)
11.4/34/39.750/153.000
ICU  Implant failure (R)
Nini Sulastri/F/37yo IGD Revisi ORIF jika KU GDS/BUN/Ur/Cr
17. pavilion clavicle post ORIF Arm sling (R) arm
47.76.94 13/12/19 mendukung (15/12/2019)
bed 9  CKD stage V on HD
107/80/171/5,85
Na/K/Cl
136/4,6/103
RA6
HCU
PICU
ICU PASBED
KBE