Rabu, 1/12/21

BEDAH SARAF PBP/NSA/RDT/RCO/LEX/YOP/LIS

PJ BANGSAL BED NAMA UMUR MRS DIAGNOSA GCS AWAL GCS SAAT INI STATUS DPJP ADVIS PENUNJANG JAMINAN
29/11 Cr 0.8 Ur 61 Na 136 K 3.9 Cl 119 Ca 1.33 Mg 0.55
28/11 Hb 10.03 Ht 31 AL 8.5 AT 206 AE 3.69 PT 12.5 APTT 0.970
Gito Post craniotomy evakuasi ICH +
Konsulan Awasi 25/11 Hb 10.46 Ht 34 AL 15.0 AT 152 AE 3.83 Albumin 3.3 Na 144
115 Supadmo 67 Dekompresi ai ICH post RTPA E2V2M4 E2V2M4 Post Op GEZ BPJS
Neuro KU/VS/GCS/Lat K 3.8 Cl 104t
01556673 Hematemesis + hematuria
23/11 Hb 12.2 Ht 35 AL 14.7 AT 234 AE 4.19 PT 13.6 APTT 26.9
INR 1.070 Godar O
COB GCS E2V2M3
Fr linier OS temporal (D)
Contusional hemoragik 30/11 Na 138 K 3.6 Cl 1.08
Anang EDH R. Temporalis (D) 29/11 Hb 13.4 Ht 41 AL 33 AT 346 AE 4.47 GDS 208 Alb 4.1 Na
Craniotomi
118 Wahyu 31 IGD 29/11 SDH R. Temporoparietalis (S) E2V2M3 E2V2M3 PreOp HS 137 K 5.6 Cl 106 BPJS
Dekompresi (S)
01557400 SAH di Falk cerebri 28/11/2021 : Hb 15.1 Ht 45 AL 16.5 AT 384 GDS 182 Ur 27 Cr 0.9
Oedem Cerebri PT 12.9 APTT 27.1 INR 1.000 Na 140 K 3.0 Cl 103 HbSAg NR

Raber BTKV
Post
Tejo Wati IGD Penurunan Kesadaran GCS E1V2M3 Craniotomy 25/11 Hb 14.2 Ht 43 AL 16.7 AT 330 AE 4.59 GDS 248 Alb 3.5 Na
120 60 E1V2M3 E1V2M3 Post Op HS BPJS
01557090 25/11 ec ICH R. Parietooccipital Evakuasi ICH + 143 K 3.5 Cl 106 Ca 1.21
NSA

ICU Dekompresi
MAWAR COS GCS E2V3M5
Post
EDH r. Parietal (D)
Craniotomy
Lilik Indra SDH r. Parietal (D) dan falx cerebri 30/11 Hb 11.3 Ht 34 Al 10.9 At 175 Ae 3.77 PT 12.8 APTT 31.4 INR
117 20 IGD 30/11 E2V3M5 Post Op FE Evakuasi EDH + BPJS
01557727 SAH r. Parietal bilateral 0.990 GolDar O GDS 105 Ur 23 Na 138 K 3.7 Cl 109
Dekompresi +
Fraktur segmental R.
Debridement
Parietooccipital
Post craniotomy dekompresi
Post op
Y. Wiwik SDH R. FTP (S)
craniotomi 29/11 Hb 10.3 Ht 31 AL 20.7 AT 183 AE 3.60 Alb 3.1
128 Widodo 59 IGD SAH R. FTP (S) E4V5M6 E4V5M6 Post op GEZ BPJS
evakuasi SDH + 28/11 Hb 12.6 Ht 38 Al 18.7 At 160 Ae 4.34
01425020 Oedem cerebri
dekompresi
Brpn
COB GCS E1V1M1
EDH R. TP (d)
30/11 Hb 9.9 Ht 29 AL 8.7 AT 113 AE 3.32 Na 137 K 4 Cl 116 Ca
ICH R. F (S) VOL 5CC
Cito craniotomi 1.10 Mg 0.59
Supangat SDH R. FTP (S) 0,6CM GCS GCS
129 50 IGD 27/11 Post op HS EDH + 28/111 Hb 8.9 Ht 27 AL 7.4 AT 104 AE 3.09 GDS 137 Na 135 K 4 Ca BPJS
01496885 FR. Liner os parietal E1V1M1 E1V1M1
Dekompresi 1.03 Mg 0.58
Oedema cerebri
26/11 HB 15 HT 44 AL 16 AT 312 AE 5.3
Raber BTKV
30/11 Hb 17.4 Hr 52 AL 17.3 AT 389 AE 6.12 Alb 4.2 Na 138 K 6.2
Damaryant
Post eksisi Cl 105
130 o 50 Poli Astrocytoma gr II Residif E4V5M6 E4V5M6 Post Op GEZ BPJS
tumor 30/11 20/11 HB 16 HT 44 AL 7.0 AT 313 AE 5 PT 12 APTT 28 INR 1.000
01488734
UR 16 CR 1.0 AL 4.1 NA 138 K 4.3 CL 109
RDT

HCU 29/11 Hb 13.5 Ht 40 AL 17.1 AT 284 AE 4.71 GDS 140 Alb 3.5 Na
Awasi
Cempaka Defiyanti Post craniotomy eksisi tumor 137 K 3.7 Cl 112 Ca 1.35
2 32 Poli 26/11 E4V5M6 E4V5M6 Pre op GEZ KU/VS/GCS/Lat BPJS
01552316 Meningioma petrocliva (D) 26/11 HB 16 HT 50 AL 14 AT 330 AE 5.5 PT 12.4 APTT 28.5 INR
0.890 GOLDA A UR 109 CR 0.5
COR GCS E4V5M6 Awasi
Edi 29/11/2021 Hb 12.1 Ht 35 AL 8.1 AT 146 PT 13.4 APTT 29.5 INR
Oedem Cerebri GCS GCS Konserv KU/VS/GCS/Lat
3 Purwanto 37 IGD 29/11 GEZ 1.00 GDS 114 Cr 0.9 Ur 33 Na 131 K 3.8 Cl 99 HbsAg NR Covid 19 BPJS
E4V5M6 E4V5M6 atif Acc Tindakan
01557422 antigen NR
Raber Ortho TS ortho
4 Suripti 50 IGD Penurunan Kesadaran GCS E3V.afasi E3V.afasia Konserv HS MRS HCU 28/11 Hb 9.9 Ht 30 AL 13.4 AT 373 AE 4.56 PT 13.4 APTT 25.9 INR UMUM
01557376 29/11 E3VafasiaM5 aM5 M5 atif Konservatif 1.050 Goldar O GDS 135 SGOT 18 SGPT 13 Ur 25 Cr 0.5 Na 134 K
ICH R. Temporalis (S) ec Stroke PRC 1 kolf 3.1 Cl 99 HBsAg NR
Hemoragik Awasi KU, VS,
Oedema Cerebri GCS,
Pneumonia unilateral kiri Lateralisasi
 Anemia
30/11 MRI brain kontras:
1. Multiple lesi intraxial supratentorial di korteks dan white BPJS
matter lobus frontotemporoparietooccipitalis bilateral, ganglia
basalis bilateral, globus palidus kanan, bentuk lobulated batas
tegas tepi ireguler yang pada T1WI tampak hypointense, T2WI
tampak hyperintense membentuk gambaran concentric target
MRI BRAIN sign, T2 FLAIR tampak hyperintense disertai vasogenic edema
Penurunan kesadaran GCS E2V2M5 KONTRAS hari yang luas di sekitarnya, DWI tampak restricted diffusion area
Hestina GCS GCS
5 49 IGD 27/11 ec SOL susp tumor cerebri R. TPO Wdx HS ini pada area perifer, pada pemberian contrast tampak rim contrast
01557362 E2V2M5 E2V2M5
(S) Awasi enhancement membentuk gambaran eccentric target sign, pada
KU/VS/GCS/Lat spectroscopy tampak peningkatan lipid lactat ratio, mengarah
gambaran Toxoplasmosis cerebri
disertai Meningoencephalitis
2. Rhinosinusitis maksilaris kiri
3. Deviasi septum nasi ke kanan grade 1
27/11 HB 12 HT 37 AL 18.9 AT 171 AE 4.32 PT 13.1 APPT 29.8 GDS
104 UR 90 CR 1.3 NA 132 K 4.1 CL 109 HBSAG NR
COR GCS E4V5M6 dengan
penurunan kesadaran progresif GCS
E2V2M5
Wakiman Subdural hygroma R.FTP (S) GCS GCS Awasi 28/11 Hb 12.9 Ht 40 AL 14.4 AT 195 AE 4.53 Ur 83 Cr 1
7 81 IGD 27/11 KU HS BPJS
01557316 Infark cerebri ec SNH R.TP(s) E2V2M5 E2V2M5 KU/VS/GCS/Lat 26/11 HB 8.2 HT 24 AL 8.0 AT 151 AE 2.81 UR 152 CR 2.0
Brain atrofi

Raber BTKV, Neuro, Interna

E2V2M5 E2V2M5 30/11 Hb 10.6 HT 30 AL 17.7 AT 67 AE 3.62 PT 31.7 APTT 52.8 INR
Fettra Ditta Penurunan kesadaran GCS E2V2M5 Wdx MRI brain
12 43 IGD 27/11 GEZ 3.060 BPJS
01557371 ec susp brain metastase KU kontras tunda
28/11 Hb 12.5 Ht 36 Al 18.6 AT 111 AE 4.09
COR GCS E4V5M6
Awasi 30/11 Hb 8.8 Ht 27 AL 13.8 AT 113 AE 3.31
Oedem Cerebri
Suranto GCS GCS Konserv KU/VS/GCS/Lat 28/11 Hb 10.6 Ht 33 AL 20.2 AT 157 GDS 163 Ur 46 Cr 1.2 PT 16.3
14 46 IGD 29/11 Fr. Costae 2,3,4,5,6 HS BPJS
01557401 E4V5M6 E4V5M6 atif Acc Tindakan Aptt 24.6 INR 1.330 Na 134 K 3.4 Cl 105 HbSAg NR Antigen covid
TS ortho 19 NR
Raber Ortho
17 Julung 30/11 Hb 10.5 Ht 32 AL 9.4 AT 164 AE 3.58 BPJS
COR GCS E4V5M6 29/11 Tho on bed: 1. Tak tampak fraktur maupun dislokasi, 2.
Awasi
SAH R. FTP (S) Pneumonia bilateral, 3. Cardiomegaly
Hardiyono Konserv KU/VS/GCS/lat
Melati 1 9C 44 IGD Edema cerebri E4V5M6 E4V5M6 GEZ 23/11 Hb 11.8 Ht 37 AL 11.4 AT 200 AE 4.19 Procalcitonin 0.04 BPJS
01556535 atif Swab evaluasi
20/11 Hb 8.7 Ht 24 AL 11.3 AT 137 AE 2.85 PT 13.7 APTT 21.7 INR
2/12/2021
Raber Ortho 1.080 Goldar AB GDS 97 Ur 25 Cr 0.9 HbsAg NR
DSA kp
Satria COR GCS E4V5M6
GCS GCS Konserv embolisasi 27/11 Hb 13.7 HT 40 AL 11.7 AT 363 Ae 4.84 PT 12.7 APRR 25.2 BPJS
4A Pardan 12 IGD 27/11 ICH ganglia basalis (D) GEZ
E4V5M6 E4V5M6 atif Awasi INR 0.980 Goldar A GDS 92 Ur 20 Cr 0.6 Na 137 K 4.3 Cl 104
01557357 Edema cerebri
KU/VS/GCS/Lat
Post Craniotomy ecvakuasi EDH a.i
Sabelatul GCS 29/11 Hb 12.4 Ht 36 AL 15.9 AT 246 AE 4.20 Alb 4.3 Cr 0.4 Ur 35
COR GCS E4V5M6 GCS
YOPYOP

4C Jannah 11 IGD 29/11 E2VettM2 Post Op HS Post op Na 139 K 4.4 Cl 111 Ca 1.27 BPJS
Oedem Cerebri E4V5M6
01557424 (DPO) 28/11 Hb 13.1 Ht 39 Al 20.6 At 282 Ae 4.63
Melati 2 EDH R. Temporoparietal (S)
Awasi
Post craniotomi evakuasi SDH + KU/VS/GCS/Lat
Dekompresi ai SDH R tempral (D), Tapering off
Sri Hartatik 19/11 Hb 12.7 Ht 34 AL 22.2 AT 234 AE 3.70 PT 13.9 APTT 25.6
9B 37 IGD COS GCS E3V3M5 E3V3M5 E3VettM5 Post Op GEZ mannitol BPJS
01556405 INR 1.100 GDS 128 Ur 17 Cr 0.6 Na 138 K 3.3 Cl 105
100cc/12j
Raber ortho Latihan terapi
oral
30/11 MRI brain tanpa kontras:
1. Tak tampak perdarahan, infark, SOL, kalsifikasi abnormal dan
Pro CT scan
Nayla anomali kongenital di brain paranchym
dengan
Melati 3 16C Dzakira 1 Poli 29/11 Susp. Meningochele E4V5M6 E4V5M6 Wdx GEZ 2. Soft tissue mass aspek anterior regio nasal yang menempel BPJS
pendampiunga
01556940 pada os nasal, dinding anterior sinus ethmoidalis bilateral
n
3. Microcephaly
Antigen Sars Cov (-)
 YOP
Slamet Post 24/11 Hb 12.7 Ht 37 AL 11.5 AT 441 AE 4.10 PT 13.1 APTT 26.7
Anggrek Konsul
3A harsono 70 Tumor metastasis parietal sinistra E4V5M6 E4V5M6 Post Op GEZ craniotomy INR 1.020 Goldar AB GDS 145 SGOT 49 SGPT 61 Albumin 3.3 Ur BPJS
2` neuro
01545351 eksisi tumor 30 Cr 0.6 Na 136 K 3.6 Ca 1.28

SOP cerebri supracella susp 30/11 Hb 14.8 Ht 43 AL 12 AT 314 AE 5.14

HCU Ang Putiatun GCS GCS Post VP shunt
6L 49 Co Neuro meningioma Post op GEZ 21/11 HB 14 HT 41 AL 15 AT 323 AE 4.92 UR 30 CR 0.7 AL 4.1 NA BPJS
2 01303026 E4V5M6 E4V5M6 urgent 30/11
RDT

Hidrochepalus non communicans 140 K 3.2 Ca 1.25

HCU Ang Jahuri Post craniotomi ec multiple ICH dan Evaluasi CT 18/11 Hb 11.1 Ht 33 AL 17.1 AT 250 AE 3.33 GDS 114 Ur 163 Cr
L 57 IGD E2V3M4 E1VettM2 Post Op GEZ BPJS
2 01552670 SDH frontoparietalis (D) scan 1.0 Na 160 K 3.9 Cl 132 HBsAg NR

27/11 Hb 12.6 Ht 36 AL 11 AT 239 AE 3.94 PT 11.3 APTT 26.1 INR

Kristiani Pro craniotomy 0.850 GDS 150 SGOT 34 SGPT 34 Ur 36 Cr 0.4 Na 136 K 3.6 Cl 105
Hemiparese D ec susp. Tumor
FL 6 5A Susanti 55 IGD E4V5M6 E4V5M6 WdX GEZ excise tumor HbsAg NR BPJS
metastase cerebral
01519500 Rabu 18/11 Hb12.1 Ht 33 ALL 6.3 AT 215 AE 3.49 PT 13.4 APTT 31.0
Goldar O GDS 108 Ur 13 Cr 0.6 Na 137 K 3.9 Cl 108
Ct scan brain
ulang
29/11 Hb 12.9 Ht 37 AL 11.2 AT 418 AE 4.80 PT 13.9 APTT 35.9
Falsya Alfi 10 Hidrocephalus Communican MRS igd pro
5C Poli 29/11 E4V5M6 E4V5M6 Wdx GEZ INR 1.090 Goldar O GDS 95 Ur 24 Cr 0.2 Na 135 K 4.9 Cl 103 Ca BPJS
01556451 bln Post VP shunt revisi shunt
1.32HBsAg NR
Raber pediatri
Cek TORCH
HCU Hydrocephalus non communican
Farel 29/11Hb 12.7 Ht 37 Al 12.2 At 224 Ae 4.75 Goldar AB GDS 84 Ur
Anak 12 IGD Massa Intracerebral susp E2V3M4 E2V3M4 Pre Op FEY Usul VP Shunt BPJS
FL 9 01557577 15 Cr 0.4 Na 128 K 2.7 Cl 95 Ca 1.29 HbsAg NR
9A Ependymoma DD Astrocytoma
Konsul
RCO/LEX

Afifah Pro VP Shunt 24/11 Hb 11.8 Ht 34 AL 9.2 AT 275 AE 4.00 GDS 104 Na 135 K 4.6
14A 2 pediatri Hidrocephalus non communicans E4V5M6 E4V5M6 Pre Op GEZ BPJS
01434509 Kamis Cl 108 Ca 1.31
25/11
Tetraparase 26/11 Hb 11.6 Ht 34 AL 22.8 AT 236 AE 3.91
Sulinem IGD Massa intracerebral di R. parietalis Pro MRI 21/1 Hb 8.5 Ht 24 AL 27.6 AT 384 AE 2.61 PT 17.2 APTT 31.3 INR
6D 61 E4V5M6 E4V5M6 Wdx GEZ BPJS
01556579 21/11 (D) cervical hari ini 1.420 Goldar A GDS 124 Ur 37 Cr 0.4 Na 135 K 3.8Cl 107 HBsAg
Ulcus decubitus R. Sacrum NR
Massa R. Temporoparietal (S) dd/ MRI Brain 24/11/21 Hb 13.4 Ht 37 AL 11.3 AT 359 AE 4.04 Gol darah O GDS
Darmi IGD
6E 50 High Grade Astrocytoma E4V5M6 E4V5M6 Wdx GEZ kontras 101 PT 13.6 APTT 28.7 INR 1.060 Ur 13 Cr 0.7 Na 138 K 3.6 Cl 110 BPJS
01556892 24/11
Hemiparese (D) navigasi HbsAg non reaktif
Penurunan kesadaran GCS E3V4M6 28/11 Hb 11.5 Ht 36 AL 8.7 AT 227 AE 4.97
Sri Widya
8C 45 Igd 20/11 Meningioma R.FTP (D) residif on E3V5M6 E3V5M6 Wdx GEZ Pro op Jumat 20/11 HB 10 HT 30 AL 16 AT 273 AE 4.21 UR 17 Bpjs
01356117
radioterapi CR 17 NA 132 K 4.3 CL 98
28/11 Hb 11.5 Ht 33 AL 21.5 AT 549 AE 4.74
Pro craniotomy
Kusni 19.9 hB 10.5 Ht 36 AL 16.6 AT 352 AE 4.76 PT 13.7 APTT 26.5 INR
8D 62 Poli Tumor cerebri dd Metastase E4V5M6 E4V5M6 Pre Op HS excise tumor BPJS
01556329 1.020 Goldar A GDS 105 GOT 26 SGPT 11 Ur 22Cr 0.7 Albumin 3.3
Kamis
Na 134 K 3.4Cl 101 HBsAg NR
Awasi 30/11 Hb 9.5 Ht 29 AL 9.1 AT 135 AE 3.35 GDS 120 Na 137 K .25 Cl
Cephalgia KU/VS/GCS/Lat 99
Sri Suyani IGD
9B 52 Post excisi meningioma R. E4V5M6 E4V5M6 Post op HS Share hasil 26/11 Hb 13.0 Ht 38 AL 12.4 AT 389 AE 4.48 PT 12.6 APTT 24.4 BPJS
01552628 26/11
Temporal (S) Abdomen 3 INR 0.970 Goldar B GDS 217 SGOT 21 SGPT 31 Ur 45 Cr 1.8 Na 132
posisi K 3.0 Cl 91 HBsAg NR
LI ROE
S