Professional Documents
Culture Documents
DIAGNOSA
Repair Laparostomi a/I Asites + ILO post laparatomy POD 0
Ca mammae dextra T4bN1M1 (metastasis vertebra)
Post WSD a/i efusi pleura dextra POD III + Ca mammae dextra grade II metastasis vertebrae
Post mastektomi ec Ca mammae sinistra post kemoterapi POD II
Post eksisi Fibroadenoma Mammae (FAM) sinistra POD 0
Ca Mammae Sinistra
Post Open BiopsiTumor mammae dextra (klinis ganas) POD 0
Post Wide EksisiTumor mammae sinistra POD 0
Post WSD ec efusi pleura sinistra POD III + post radikal mastektomi ai Ca mammae sinistra
MALT Lymphoma caecum on chemotherapy
Post laparatomy eksplorasi ec app perforasi
Post hernioraphy ec Hernia inguinalis sinistra inkarserata POD III
Appendicitis kronik eksaserbasi akut
Trauma tumpul adomen dengan hemodinamik stabil
VL ar capitis + CKR E4M6V5
Anemia ec rectal bleeding ec susp hemoroid internal grade II
Multiple trauma+ VL ar capitis + VE ar humerus sinistra + VE ar antebrachii + VE thorax posterior + VE flanks
Post laparotomy a/i peritonitis ec leakage anastomosis jejenum + sepsis + adhesi berat POD I
Post debridement ec abses ar ankle dextra POD I + DM tipe 2
Selulitis ar cruris et pedis sinistra
Post debridement vulnus sclopetorum ar manus sinistra POD I
Post debridement ec ulcus diabeticum ar genu sinistra POD II+ DM tipe 2 + COPD
Post mastektomi radikal ec CA Mammae sinistra POD III
Post mastektomi CA mammae sinistra
Post irigasi chest tube a/i efusi pleura dextra ec susp Ca paru metastasis Ca mamae + CHF + DM Tipe 2, Asites POD VI
Post eksisi ec SCC scalp POD II
PLANNING DPJP
Awasi Produksi Laparostomi ADI
Transfusi 2 bag, kemoterapi MUF
Kosongkan drain, pantau vital sign dan saturasi, evaluasi produksi WSD, GV/H HND
Vacum drain ulang MUF
Observasi KU ADI
GV/H MUF
GV/H, Observasi KU MUF
GV/H, Observasi KU ADI
GV, Rotgen Thorax Ulang Post WSD AND
Susul hasil CT scan kepala, rencana kemoterapi HND
Evaluasi KU, dan susul hasil rontgen, diet bebas HND
Aff kateter dan NGT, diet susu 4x50 cc, diet ubur, GV, rencana PBJ besok HND
Appendectomy Jum'at, 10/12/21 AND
USG FAST AND
Scan kepala, USG abdomen AND
Colonoscopy Jum'at, 10/12/210. transfusi PRC, diet MB SYT
Rontgen thorax, tutup luka dengan kassa lembab, GV/2H AND
GV drain, cek darah rutin SYT
GV/H, Rencana PBJ besok MUF
Debridement Jum'at, 10/12/21 MUF
PBJ besok MUF
GV/H, rencana PBJ besok MUF
GV/H, rencana PBJ besok MUF
Transfusi PRC 3 kolf MUF
Susul hasil rontgen thorax, rencana PBJ setelah hasil rontgen keluar MUF
GV/H, rencana PBJ besok ADI