Sabtu 17 April 2021 BEDAH SARAF YES/MEL/SIW

GCS GCSSeka
PJ Bangsal Bed Nama Usia No RM MRS DIAGNOSA Status DPJP Advis Bangsal Pemeriksaan Penunjang Jaminan
Awal arang
11/4 Hb 12 Hct 38 Al 13.2 AT 335 PT 12.7 APTT 24.2 Inr
0.980 Ur 64 Cr 0.4 Na 157 K 4.0 Cl 126 HbsAg NR
Penurunan kesadaran dengan GCS E3V5M6 Preop
6/4 CT Scan Kepala Rs. Sarila Husada: Susp massa
SIW

ROE G Sumiyem 86 01534189 IGD 11/4 Tumor R. Parietooksipital (D) susp E3V5M6 E3V5M6 minggu HAS Preop minggu depan BPJS
intracerebri di lobus temporoparietal (D) dd/ Low grade
astrocytoma depan
astrocytoma

16/4 Hb 13.5 Hct 40.4 AL 12.79 AT 287 GDS 135 PT 11.2

COR GCS E4V5M6, EDH R. Parietal (D) vol 4cc CT Scan Evaluasi jika
APTT 30.5 INR 1,02 Ur 31 Cr 1.30 Sgot 22 Sgpt 13 HbsAg
SIW

ROE Ny. Latifa 70 01534745 IGD 16/4 SAH R. Temporal (S) , Subgaleal hematom R. E4V5M6 E4V5M6 Konservatif FEY GCS turun 1 poin, Inj BPJS
NR Swab Antigen Covid-19 NR
Occipitalis citicholin 2x500mg
14/3 Hb 12.9 HT 38 AL 25.1 AT 191 AE 4.37PT 25.3 APTT
Post craniotomidekompresi ai COB gcs 1x3, E2Vtrace Pindah bangsal,
25.3 GDS 142 Ur 41Cr 1.0 Na 136 K 3.9 Cl 95
SIW

HCU 1 Suhadi 76 01531685 IGD 14/3 EDH R. Parietooccipital, ContusionalHemoragic E2V2M4 ostomi Post Op 14/3 GEZ Awasi patensi BPJS
31/3 Thorax PA pneumonia bilateral
R. Frontalis M4 traceostomi
15/4 Hb 11.2 ht 31 al 15.1 at 106 ae 3.6
Post Craniotomy Dekompresi ai ICH R. Frontal 14/4 Hb 10.1 Ht 29 AL 18.4 AT 126 AE 3.36 Alb 3.1 Na
MEL

ICU 112 Bagas Raharjo 17 01534456 IGD 14/4 E2V2M5 E3V5M6 Post Op FEY pindah hcu Umum
(S) + oedem Cerebri 143 K 5.2 Cl 114

15/4 hb 16 ht 45 al 20 at 279 gds 118 ur 21 at alb 3.8 cr

Co Post Craniotomy eksisi tumor + biopsy ai 0.6 na 133 k 3.8 cl 106
Pindah bangsal
MEL

ICU 115 Sutarno 52 01524981 Neuro Hemiparese (S)+Parese NVII,NIX (S) UMN Type E4V5M6 E4V5M6 Post Op 15/4 FEY 14/4 hb 14.4 ht 40 al 7.9 at 272 pt 13 aptt 27.6 Na 131 BPJS
Perawatan post op
10/4 e.c SOP cerebri susp. GBM K 4.1 Cl 108

15/4 Hb 16 ht 46 al 11.1 At 109 gds 111 alb 3.1 k 137 Na

4.4 Ca 1.08 Mg 0.44
Co 9/4 Hb 16.3 Ht 47 AL 12.5 AT 148 AE 5.06
Post Craniotomi Eksisi Tumor + PA ai Tumor Pindah bangsal
MEL

ICU 119 Sartono 51 01533459 neuro E4V5M6 E4V5M6 Post Op 15/4 FEY 7/4 CT Thorax: massaparu (D) lobus superior BPJS
Cerebri R. Temporoparietal (D) Perawatan post op
7/4 segmenapicoanteriordisertai pneumonic reaction di
sekitarnya. Mengarahgambaran Brain Metastase

11/4 HB 14.1 HT 39 AL 4.9 AT 248 AE 5.07

Post cr4aniotomi eksisi tumor revisi vp shunt
Post Op pindah hcu 11/4 Hb 6.3 Ht 18 AL 3.6 AT 348 AE 2.57
MEL

PICU 143 Kiano Nufail 3 bl 01533555 Poli 5/4 ai Hidrocephalus ec Susp Medulloblastoma, E4V5M6 E3V2M4 GEZ BPJS
13/4 Perawatan post op
malfungsi vp shunt
12/4 Hb 13.8 Ht 38 AL 13.7 AT 184 AE 4.86 Alb 4.1 Na
Post Craniotomy eksisi tumor ai Hidrocephalus
MEL

PICU 142 Nafisah 6 01523258 Poli 6/4 E4V4M6 E4V4M6 Post op GEZ Ro thorax on bed 138 K 3.7 Cl 112 Ca 1.22 BPJS
non communicans, Tu. Cerebellar
15/4 hb 15 ht 43 al 18.9 at 316 alb 3.8 Na 132 K 3.8 Cl
Co Post craniotomy drainage arachnoid cyst ai 105 Ca 1.23
E2VetM pindah hcu BPJS
MEL

PICU 137 Rafasya 2 01452322 Pediatri Arachnoid cyst, Post VP shunt a.i E2V2M4 Post op 15/4 GEZ 1/4 Hb 13.7 Ht 40 AL 7.9 AT 113 AE 4.97 Alb 2.4 Na 126
1 Perawatan post op
6/4 hydrocephalus ec ependymoma K 3.3 Cl 97 Ca 1.15

16/4 hb 10.5 ht 30 al 22.3 at 518 alb 3.8 Na 134 K 3.4 Cl

91 ca 1.07 hbsag NR
Post craniotomy debridement ai abses
Fadhil 8/4 Hb 12.0 Ht 35 AL 18.8 AT 520 AE4.48 SGOT 49 SGPT
MEL

PICU ? 5 01531131 IGD 6/3 epidural ec infected wound+bone exposed E2V1M3 E2V1M3 Post op 16/4 GEZ Perawatan post op BPJS III
42 Ur 28 Cr 0.3 Na 132 K 4.2 Cl 91 Ca 1.13
post craniotomy decompresi
SIW

Melati 2 2G Darmadi 34 1404409 POLI 8/4 Astrositoma residif post craniotomi eksisi E4v5m6 E4v5m6 Post Op HAS R/ Glaucon 3x250mg, 13/4 Hb 14.8 Ht 41 AL 16.5 AT 286 AE 4.92 GDS 188 Alb BPJS
tumor usul blpl 4.0 Ur 10 Cr 0.8 Na 140 K4.2 Cl 115 Ca 1.22 Mg 0.45
 8/4 Hb 15.2 Ht 44 AL 10.7 AT 253 AE 5.41 PT 13 APTT
27.2 INR 1.010 Gds 136 Cr 0.9 Ur 11 Na 143 K 3.7 Cl 113

16/4 Hb 15 ht 43 al 4.8 at 319 PT 13.3 APTT 30.2 INR

Pre op
Poli 0.980 GDS 81 Cr 0.8 Ur 30 Na 138 K 4.2 Cl 110 HbsAg NR
SIW

MEL 2 6D Aris Munandar 01533280 HNP VTh 9,10, L4,5 E4V5M6 E4V5M6 minggu HAS Lapor hasil Ct Scan BPJS
15/4 15/4 Swab antigen NR
depan

Co Paraparese inferior ec MBD VTh 1-3, Canalis

SIW

Melati 3 11B Sunarso 63 01533907 E4V5M6 E4V5M6 Wx Dx HAS Lapor DPJP BPJS
Neuro stenosis VTh 1,2,3,4 VL3,4,5 VS1
Poli 13/4 hb 13.7 ht 39 al 12.5 at 270 gds 101 cr 0.6 ur 54 Na
9B Post Fusi vertebra c ai Tetraparese, myelopati Usul jika siang baik,
SIW

Flamboyan 6 Siti Aminah 56 01533351 Cend E4V5M6 E4V5M6 Post Op HAS 136 K 3.8 Cl 103 GBSAG NR BPJS
servikal, Spondilolistesis servikal dan lumbal blpl
12/4
Co Hidrocephalus Communicans + Tromboemboli Pre op 7/4 MRI Brain Contrast ;Kesimpulan; Lesiintraaxial
10E Zahra BPJS
MEL

Flamboyan 9 6 01279604 pediatri FTP (D) + brain atrofi r.hemisfare (S) E4V5M6 E4V5M6 minggu GEZ pro EDAS supratentorial di
Nurfaizah lobusfrontotemporoparietaliskanandengankomponenp
7/4 depan
Co Post vp shunt ai Hidrocephalus non erdarahanmengarahgambaran
16/4 hb 14.4 ht 41 al 14.2 at 290 chronic
13B
MEL

Flamboyan 9 Novandra 14 01534180 pediatri komunikans ec craniopharingioma dd E4V5M6 E4V5M6 Post Op 16/4 HAS Perawatan post op 11/4 HB 15.1 HT 43 AK 15.8 AT 298 AE 4.81 NA 141 K BPJS
11/4 macroadenoma 4.5 CL 110 CA 1.36
Malfungsi vp shunt post vp shunt ai 15/4 hb 14 ht 41 al 8.1 at 428 ae 5.84 gds 90 ur 20 cr 0.6
13D Co
MEL

Flamboyan 9 An. Mardiatun 14 01325261 Hidrocefalus communicant, Epilepsi umum E4V5M6 E4V5M6 Pre op Lapor DPJP na 134 k 3.9 cl 105 ca 1.30 hbsag NR antigen sarscov 2 BPJS
pediatri Negatif
simtomatik
Pre op 8/4 Hb 12.1 ht 34 AL 8.9 AT 347 AE 3.95 PT 11.4 APTT
Flamboyan 5C pro craniotomy
MEL

Sinem 62 01522271 POLI 8/4 Tumor cerebri r. Petro clival (D) E4V5M6 E4V5M6 minggu HAS 29 INR 0.860 GDS 142 Cr 0.7 Ur 17 Na 135 K 4.4 Cl 105 BPJS
10 eksisitumor
depan