List Pasien NS di Ruangan Juni 2021 -Ryan, Dicky, Edward- 2 Juni 2021

No - IDENTITAS DIAGNOSIS Laboratorium - Radiologi Rencana Ket

DPJP
1. Mandagie Rolly, L, 38 Post VP Shunt ec Hidrocephalus Thoraks 28.5.21 : Lab 28.5.21 : Buat pengantar CT scan Diges : minta CT
A atas th Communicans ec Tumor cerebellum Pneumonia Dextra Leu : 13.7 abdomen + Kontras scan abdomen
8.4 741518 Ulkus Dekubitus gr II-III (MHO) Hb : 10.8 kontras
FT Susp Tumor Intraabdomen (BS) CT Scan Kepala tanpa Trom : 421 Sudah raber Gizi
MRS 28/5/21 kontras (21.5.21) Ot/Pt : 6/10 klinik & rehab
Massa fossa Ur/Cr : 10/0.2 medik
posterior dextra GDS : 96
(meningioma) + HbsAg/HCV/HIV : NR
Hidrocephalus PT 19.2/15.5
INR 1.46/1.16
APTT 40.3/36.1

2. Darise Randy, L, 16 EDH Temporal Basal Sinistra + fr 30/05/2021 NS : Konservatif

A atas th terbuka Le Fort III Post Hb 9.9
8.8 debridement + repair palpebra Leu 6.2 Plastik :
74.15.39 superior (29/05/2021) Trombo 148.000 rekonstruksi
NS : GDS 58 maxilofacial
MO MRS 28/05/2021 elektif
31/05/2021
Plastik : Rujukan : RSU Hb 11.4
MHO Bethesda Leu 7.2
Trombo 192.000
3. Andre Pontoh, L, 18 th Post Craniectomy Decompresi + Lab 25.5.21 : Ct scan 11 mei 2021 :
A bawah 740573 Debridement ec Traumatic ICH + Leu : 13.7 - Kesan Intracerebral
3.1 Depressed Fracture Hb : 9.5 hemorrahge (ICH) pada
FT MRS 11/5/21 Trom : 442 daerah parietal kanan
Na/K/Cl : - Susp. Subarachnoid
Op 12/5/21 133/4.0/95.1 Hemorrahge ( SAH)
Ur/Cr : 36/0.7 pada daerah Fissure
Ot/Pt : 118/149 interhemisfere
posterior
- Fraktur impresi pada
daerah Parietal kanan

4. Norang Fito, L, 20 th Oedem Cerebri Lab 29.5.21 : CT Scan 29.5.21

A bawah Fr Linear Os Frantalis Leu : 7.4 - Fraktur linier os
8.1 741541 Fr Zygoma Pars Temporalis Dextra Hb : 10.3 frontal kanan -
MO Trom : 178 Diastasis sutura
MRS 29/5/21 Na/K/Cl : zygomaticotemporal
134/3.48/98.8 kanan - Subgaleal
Ot/Pt : 25/9 hematoma regio
Ur/Cr : 14/0.7 frontal kanan
GDS : 120

5. Benny Manoreh, L, 64 Post Craniectomy Cranioplasty

A bawah th Tumor Removal due to Susp High
1.1 Grade Glioma
FT 738402

MRS 1/6/2021
6. Renny Pai, L, 65 th SDH Frontotemporoparietal Dextra Lab 1.6.21, 15:29 : Cardio : raber dr Pro Craniectomi
ICU Bed CKD V on HD Leu 12.9 jeneline tengor spJP dekompresi Cito
18 741127 Anemia Renal Hb 8.6 jika Hb diatas 9
FT Trom 146 RM : konsul √
MRS 23/5/21 Ur/Cr : 102/6.9 Cek DL, PT APTT
GDS : 21 Neuro : dr. Gilbert INR, Elektrolit
Na/K/Cl : Tangkudung SpS pasca tranfusi
138/3.29/95.4
HbsAg/HCV/HIV : NR Interna (Capt) : dr.
PT : 16.2/13.8 Antonius Wirawan
INR : 1.22/1.02 SpPD
APTT : 98.7/33.4
Rapid Antigen
31.5.21 : Negatif
7. Sanggelorang Deibbie, Post craniectomy Dekompresi ec Lab 1.6.21 :
ICU Bed P, 53 th SDH + ICH Leu : 15.2
11 Hb : 10.5
FT 741554 Trom : 189
Ur/Cr : 13/0.6
MRS 29/5/21 GDS : 166
Na/K/Cl :
Op 30/5/21 143/3.13/103.6
8. Jefri Legi/L/67 Post kraniektomi dekompresi ec 31/05/2021 1/06/2021 Gizi : blm ad jwbn Interna : dr Efata
ICU tahun/74.10.93 SDH Subakut Swab PCR negatif Hb 5.4 Polii SpPD
MRS : 22/05/2021 Frontotemporoparietal sinistra Leu 14.9 Rencana perbaikan KU
NS : FT (25/05/2021) 01/06/2021 Trombo 78 Neuro : dr Melke
Hb 8.8 SpS
Leu 10.1
Trombo 182.000
Na/K/Cl
145/3.25/107.2
Ur/Cr 28/0.5
SGOT/PT 164/94
Albumin 2.64
GDS 107

8. Kimbal Clay Morgan Post Craniectomy dekompresi ec 30/05/2021 UR/CR 29/1.0 Trf PRC dan TC Interna : dr
ICU Bed /L/17tahun/741538 ICH+SDH frontotemporal sinistra Hb 8.9 Na/K/Cl 142/4.76/104.1 NE 0.17 Fitzgerald SpPD
20 MRS :28/05/2021 + oedema cerebri + anemia + leu 14.5 Gds 131 On sedasi
Trombo 106
NS : trombositopenia Ur/Cr 29/1.2 RM : dr Isye Mogi
MO Rujukan RS GMIM (29/05/2021) Na/K/Cl 1/06/2021 SpKFR
Kalooran Amurang 144/4.59/106.7 Hb 5.4
Gds : 107 Leu 14.9 Neuro : dr Sekli
Trombo 78
31/05/2021 Na/K/Cl 144/4.28/105.9
Sekeon SpS
Hb 6.6 Ur 30 Cr 0.9
Leu 17.6
Trombo 86
SGOT/PT 82/30