Senin, 26 April 2021 BEDAH SARAF YES/MEL/SIW

GCS GCS
PJ Bangsal Bed Nama Usia No RM MRS DIAGNOSA Awal Sekran Status DPJP Advis Bangsal Pemeriksaan Penunjang Jaminan
g
0153552 COR GCS E4V5M6, Edema Cerebri E4V4M E4V4M Konserv
IGD Dwi Pur 41 Igd 25/4 GEZ Konservatif BPJS
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7 CF 1/3 medial tibia, fibula (D) 5 5 atif

0153513 E4V4M E4V4M 20/4 hb 11.4 ht 33 al 16.5 at 215 pt 13.5 aptt 28 gol B Ur 48 cr 0.8 Na
SIW

ROE J Tn. Rustyo 63 Igd 20/4 SCI ec Fr. V.Cervical 3 Frankel C Wx/up GEZ Konsul dr.GEZ BPJS
8 5 5 139 K 4.4
COS GCS E2V2M5, Oedem cerebri
0153522 E2V2M E3V4M konserv Konservatif 21/4 HB 13.2 HT 37 AL 25.2 AT 403 Na 138 K 4 Cl 105 Ca 1.19 hbsag
SIW

ROE C An. Rizky 13 Igd 21/4 Contusional hemoragic, CF 1/3 distal

2 5 5 atif GEZ Inj Totilac/24jam, NR BPJS
Femur (S)
22/4 alb 3, na 142, k 3.1, cl 106, ca 121, mg 0.49
19/4 Hb 11.6, ht 34, ql 18.3 ,at 390, ae 3.733, golda 0, gds 125, ur 22,
Penurunan kesadaran dengan GCS
0153418 IGD E3V5M E3V2M Post Op cr 0.4, qlb 3, na 126, k 3.2, cl 98, pt13.0, aptt 27.6, inr 1.010, HIV NR,
MEL

ICU 126 Sumiyem 86 E3V5M6, Tumor R. Parietooksipital FEY Pindah hcu BPJS
9 11/4 6 5 20/4 HbsAg NR
(D) susp astrocytoma
6/4 CT Scan Kepala Rs. Sarila Husada: Susp massa intracerebri di
lobus temporoparietal (D) dd/ Low grade astrocytoma
Post Craniotomi Evakuasi ICH +
Dekompresi ec ICH R
25/4 Hb 15.7, Ht 43, Al 19.4, At 239, Ae 5.29, Pt 12.3, Aptt 23.7, Inr
0153550 Temporoparietal (D), SDH R E3VAff E3VAff
MEL

ICU 119 M Reza 21 Igd 25/4 Post op GEZ Rawat post op 0.940,, GDS 158, Ur 35, Cr 1.0, Na 128, K 4.5, Cl 1.31, HbsAg NR , umum
5 Tentorium Cerebelum (S), SAH R M5 M5
Covid 19 NR
Temporoparietalis (D), Oedem
Cerebri
COR GCS E3V5M6, V. terhecting R. Co. Plastik , Co.
0153546 Supracillia (S), Susp Fr Maxilla (S) E4V5M E4V5M Konserv Ortho, Co. Mata
SIW

MEL 1 11h Sarminah 54 Igd 23/4 GEZ Umum

0 Susp Fr Corpus (D) Mandibula 6 6 atif Co. Uro, Co. ipd
Fr Distal Radius (D), Susp Fr Genu (D) DIRUANGAN
29 0153529 Poli Post VP shunt ai Hidrocephalus non E4V5M E4V5M Mual, muntah, 22/4 Hb 12.8, ht 37, al 7.2, at 225, pt 13.6, aptt 32.4, inr 1.070, gds
SIW

Mel2 5C Puji lestari Preop HAS Bpjs

th 8 22/421 comunicans 6 6 Th/ ondansetron 143, alb 4.3, ur 13, cr 0.8, na 142, k 3.4, cl 108
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
Post craniotomy debridement ai hbsag NR
Fadhil 0153113 abses epidural ec infected E2V1M E2V1M Post op 8/4 Hb 12.0 Ht 35 AL 18.8 AT 520 AE4.48 SGOT 49 SGPT 42 Ur 28 Cr
SIW

Mel 3 20a 5 IGD 6/3 GEZ Klem evd 1/2 BPJS III
1 wound+bone exposed post 3 3 16/4 0.3 Na 132 K 4.2 Cl 91 Ca 1.13
craniotomy decompresi

Co Daftar mri senin

0153529 E4V5M E3V5M 22/4 Hb 7,9 Ht 24 Al 15 At 493 Gds 95 Ot 11 Pt 19 creatinin 2,9 Ur 89
SIW

Ang 3 3 Samto 39 neuro Tumor idem extend to edem preop GEZ o/neuro, preop Bpjs
3 6 6 Na 131 K 3.3 Ca 1.97 HbsAg NR
23/4 kamis
0153472 Poli E4V5M E3V5M Post op 21/4 hb 13.1 ht 31 al 5.9 at 195 ot 12.7 aptt 27.7 gds 98 cr 0.7 ur 19
SiW

Ang 3 28 Ny. Partini 54 Post Craniotomy eksisi tumor FEY aff drain BPJS
6 21/4 6 6 22/4 na 137 k 3.7 cl 108 hbsag nr
Co 21/4/ Hb 15 Ht 41 Leukosit 18.2 At 273 Psa 1.73 Cea 8.35 Afp 9.9q ur
Paraplegi inferior ec tumor edem to E4V5M E4V5M Laminectomy
SIW

Ang 3 32 Siswanto 53 010020`6 neuro preop HAS 52 Bpjs

idem 6 6 biopsy
23/4 CEA 8,53 Ca 19-9 44
Observai drain, 22/4 hb 12.7, ht 35, al 13.5, at 294, ae 4.18
Titik 0153396 Poli Post Craniotomy eksisi tumor ai E4V5M E4V5M Post op
SIW

Fl 6 2a 47 GEZ drain kemarin 18/4 Hb 13.1, ht 37, al 10.3, at 294, ae 4.31, pt 12.4, apt 27.1, inr Bpjs
kamtini 7 17/4 Meningioma Spenoorbital (D) 6 6 22/4
300cc 0.96, gds 124, ur 23, cr 1.0, na 139, k 3.4, cl 100
Post craniotomy burrhole drainage ai Observai drain, BPJS
E4V5M E3V2M Post Op
SIW

Fl 6 5a Tri Lestari 42 0153530 Igd 22/4 Hemiparese (D) ec SDH R. FTP (D) + GEZ drain kemarin 22/4 hb 11, ht 34, al 16.1, at 277
6 4 22/4
5 Edema cerebri 250cc
0153546 E4V5M E3V2M 24/4 Hb 11.6 Ht 33 AL 4.6 AT 36 AE 4.46 GDS 82 Natrium 126 Kalium BPJS
SIW

Fl 9 13 E Riyo R 12 Igd 25/4 SOL, HC obs post vp shunt, BP Preop GEZ WX DX

3 6 4 4.6
 0153175 Poli E4V5M E4V5M 24/4 HB 11.8 HT 34 AL 7.0 AT 299 PT 13.8 APTT 33.8 INR 1.080 GOL O

MEL
Fl 10 1b Sumarni 56 Fr VCL3,4, hipoestesi extr bawah preop HAS Preop rabu BPJS
3 24/4 6 6 GDS 103 UR 23 CR 0.7 UR 23 Na 134 K 3.2 Cl 102 HBSAG NR

0152424 Poli E4V5M E4V5M 24/4 HB 12.3 HT 35 AL 7.8 AT 373 PT 13.1 APTT 32.3 INR 1.010 GDS
MEL

Fl 10 2a Tn. Kamto 69 Skull defect preop FEY Preop selasa BPJS

0 24/4 6 6 96 UR 24 CR 1.0 HBSAG NR

COR E4V5M6, Commutio Cerebri, acc tindakan ts

0153549 E4V4M E4V4M konserv 25/4/2021 Hb 8.6 Hct 25 AL 6.4 AT 157 AE 3.47 PT 14.5 APTT 33.5 INR
MEL

Fl 10 2b Astri 28 Igd 24/4 Anemia,OF Shaft femur (S) 1/3 GEZ ortho OREF BPJS
5 5 5 atif 1.150 GDS 110 Alb 3.3 Cr 0.6 Ur 29 Na 130 K 3.3 Cl 105 HBsAg NR
media Femur (S)

0148429 Poli E4V5M E4V5M 24/4 HB 12.2 HT 36 AL 8.6 AT 335 PT 12.2 APTT 29.0 INR 0.930 GDS
MEL

Fl 10 2c Suratni 49 Skull defect preop FEY Preop kamis BPJS

0 24/4 6 6 97 UR 22 CR 0.6 Na 130 K 4.0 Cl 101 HBsAg NR

Lamine 16/4 lumbosakral: spondilolistesis corpus VL 5 thd V.S 1 kearah ant

0153431 Poli Spondilolistesis L5-S1 grd 1+ Stenosis E4V5M E4V5M ctomy + disertai penyempotan DIV L3-3,L3-4, L4-5, spindiloiss lumbal
MEL

Fl 10 5b Sutarmi 60 HAS Pro op selasa BPJS

5 17/4 kanalis lumbalis L1-S1 6 6 fusi 18/4 Hb 12.4, ht 36 al 10.3, at 398, ae 4.82, golda b, Na 134 K 3.9, Cl
VL2-5 107, HbsAg NR

Hc nc, massa V.3, susp. Flexus

0153504 Poli E4V5M E4V5M 24/4 HB15.8 HT 45 AL 9.6 AT 273 PT 12.7 APTT 29.3 INR 0.980 GOL B
MEL

Fl 10 6d Riki setyo 22 choroideus papiloma pro preop Gez Preop Jumat BPJS
5 24/4 6 6 GDS 128 UR 21 CR 1.1 Na 131 K 3.6 Cl 97 HbsAg NR
Endoscopi biopsy pro revisi shunt
COR GCS E4V5M6
MRI selasa
0153522 CF Costae 6, 7, 8 Posterior (D) E4V4M E4V4M 21/4 hb 8.8 ht 25 al 7.1 at 154 pt 13.6 aptt 24.5 gds 113 cr 1.0 ur 47
MEL

Fl 10 7c Maryono 55 Igd 21/4 Wx dx GEZ cervicothoracal BPJS

4 Paraplegia Inferior ec SCI Complete 5 5 Na 133 K 3.8 Cl 101 hbsag nr
dengan kontras
Type Frankel A
Bpjs
0153236 Poli Tumor cerebri R.Clinoid (D) susp E4V5M E4V5M Craniotomy eksisi 24/4 HB 12.3 HT 36 AL 6.9 AT 255 PT 15.0 APTT 31.4 INR 1.200 GOL O
MEL

Fl 10 7d Purnawati 37 Op FEY
9 24/4 meningioma 6 6 tumor GDS 101 UR 44 CR 0.5 Na 130 K 3.5 Cl 104 HBSAG NR

0153550 COR GCS E4V5M6, Oedem cerebri, E4V5M E4V5M Konserv 25/4 hb 15 ht 42 al 14 at 197 gds 136 cr 1.1 ur 32 Na 132 K 4 Cl 103
MEL

Fl 10 8C Rimang 18 Igd 25/4 GEZ Awasi ku vs gcs bpjs

8 V.R maxilofacial 6 6 atif hbsag nr

19/4 Hb 17.7, Ht 51, Al 10.4, At 262, Ae 5.84, Gol dar A, GDS 109, Ur
18, cr 0.7, Na 142, K 3.3, Cl 105, Swab antigen negatif
Penurunan kesadaran post
0140981 E2Vaff E2Vaff Pro eksisi tumor 21/4 mri brain: lesi mixsolid,kistik,perdarahan,kalsifikasi
MEL

Fl 10 8d Arif Budi 43 Igd 19/4 Craniotomy Eksisi Tumor ai Diffuse preop FEY Bpjs
3 M5 M5 rabu supratentorial dikorteks, sub korteks, whitematter lobus
Astrocytoma
frontoparietalis (s),corpus callosum corona radiata (s) thalamus
(s),meningeal metas, HC non communicans