Professional Documents
Culture Documents
DIAGNOSA
Ca mama dextra residif post mastektomi
Post laparotomy appendectomy ec diffuse peritonitis ec appendicitis perforasi POD 2
NHL ar colli dextra post kemoterapi
Post eksisi biopsi Tumor mamma sinistra residif POD 1
Post wide eksisi phyloides tumor sinitra POD 1
post biopsi Tumor mamma sinistra POD 0
Rhabdomiosarkoma
Ca mamae dextra + post WSD a/i efusi pleura ec keganasan POD VII + anemia
Post eksisi STT ar thorax posterior POD IX + tetanus POD X
Ca nasofaring + anemia
Post debridement vulnus laceratum + open fraktur 1/3 tengah tibia dextra POD II
Post debridement abses perianal POD II
NHL + DM tipe II
Post debridement vulnus punctum + abses pedis sinistra POD II
Abses ar gluteus post eksisi drainase abses ar gluteus POD 0
Post Remove Of Implant a/r Union fraktur distal radius ulna dextra POD 0
post op Herniorapy ec HIL Inkarserata POD 0
Selulitis ar pedis sinistra + sepsis
Post eksisi kista gangllion ar wrist joint dextra POD 1
Post open biopsi Ca mamma sinistra T4cN1Mx POD 1
Post laparotomy appendectomy a/i peritonitis diffuse ec appendicitis perforasi POD II
Multiple vulnus excoriasi a/r facialis + frakture mandibula
Vulnus laceratum ar antebrachii dextra
Post debridement ulkus diabeticum ar pedis dextra et sinistra + post amputed digiti II pedis sinistra POD IV
PLANNING DPJP
Observasi KU, susul rontgen thorax senin kemoterapi senin ( 27/12/2021) SYT
Observasi KU, rencana pbj besok ( 25/12/2021) SYF
Perbaiki KU, Cek lab ulang SYT
Observasi KU, PBJ besok ( 25/12/2021) ADI
Observasi KU, mobilisasi ADI
Observasi KU SYT
perbaiki KU, konsul obgyn MUF
Observasi KU, pantau produksi WSD, diet susu 6x100 cc ADI
Pantau TTV, terapi tetanus, GV/H, diet susu 6x200 cc SYF
Observasi KU, susul cek lab, kemoterapi ADI
Transfusi 2 kolf, observasi KU SYF
GV/H SYT
Observasi KU SYT
GV/H ADI
GV/H, tampon kasa betadin AND
awasi tanda perdarahan AND
awasi tanda hematome SYT
debridemen senin ( 27/12/2021), gv,cek kgd SYT
besok PBJ AND
Awasi tanda perdarahan, diet MB, transfusi 4 kolf, GV/H ADI
Observasi KU, diet Susu 6x200 cc SYF
debridement senin ( 27/12/2021), susul hasil rontgen SYT
GV/H, debridement senin (27/12/2021), susul hasil rontgen SYT
GV/H, besok PBJ ( 25/12/2021) SYT