PASIEN PROF SY

MINA 1

KAMAR IDENTITAS DIAGNOSA TERAPI LAB

Mahmuddin Bin alil, Paresis N III, IV, VI dextra IV. Metilprednisolon 125/8jam 16/8/2022:
Lk, 52 Thn sentral, Paresis N VII sinistra Hb:11,0
IV. Omeprazole 40mg/12jam
sentral ec SOL Intracranial HT: 32
IV. Mecobalamin 500mcg/12jam Leu: 18,46
Trombo: 516
IV. Ceftriaxone 1g/12jam
Konsul THT PT: 14,30
Tgl MRS 16/08/2022 Drip. Paracetamol 1g/8jam APTT: 25,80
K7B6 Dari bagian THT :
INR: 1,00
Susp. Nasopharing carcinoma GDP: 106
DPJP MRI Kepala + Nasofaring Ur/Cr : 25/0,80
Prof SY (15/9/2022) Na/K/Cl:
CT Scan Nasofaring 136/4,20/102
(9/9/2022)
Muammar, Cedera kepala sedang (oedem IV Dexametasone 10mg/6jam 16-08-2022
lk, serebri) IV Omeprazole 40mg.12jam Hb 12,8
19 th IV Mecobalamine 500mcg/12jam Ht 36
Susp lesi N Radialis sinistra IV Ceftriaxone 1g/12jam Leu 12,72
Trom 223
Tgl MRS : PT 14,30
16-08-2022 Konsul B. Vaskular : APTT 28,40
Kesan : Neurofraksia post INR 1,01
K6B2
trauma HBsAg Non
reaktif
(tidak acc raber)
GDS 108
Ur 27
PPDS : dr. Risya Cr 0,80
MRI Bahu Na 135
K 4,00
Cl 109
K5B4 Hamdani, Lk,60 thn Aphasia Global + lateralisasi IV Piracetam 12 g/12 jam 19/8/2022:
dextra + Paresis N.VII dextra Hb: 15,9
DripParacetamol 1 gr/ 8jam
sentral ec stroke iskemik tipe HT: 48
emboli transformasi PO Atorvastatin 1x40mg
Leu: 12,02
Tgl MRS : perdarahan
IV Ceftriaxone 1gr/12 jam Trombo: 385
19/08/2022
IV Omeprazole 40mg/12 jam Kgds: 200
DM Tipe II
Ur/Cr: 88/1,90
PO Bicnat 2x500mg
AKI Stage 1 Na/K/Cl:
DPJP : PO N. Acetylsistein 1x200mg 151/4,60/123
dr.ND
CHF Fc NyHA II-III ec CAD PO Bisoprolol 1x1,25mg
Raber: PO Ramipril 1x2,5mg
IPD, Neuro CVD, Hipernatremi
Kardio
Hipertensi terkontrol pada
 PPDS: HHD
Dr. Ifanda
MINA 2

KAMAR IDENTITAS DIAGNOSA TERAPI LAB

Dian muthia faradilla, LBP dengan radicular pain ec IV. Parasetamol 1g/8 jam 11/08/2022
Pr, 27 thn foraminal stenosis IV. Mecobalamine 500mg/12 j Hb 11,5
IV. Metyl Prednisolone 125 Ht 36
Tgl MRS : mg/12 jam Leu 6,81
11/08/2022 IV. Omeprazole 40 mg/ 12 jam Trom 338
IV. Ceftriaxone 1g/12 jam GDS 121
K6B4
DPJP : Rencana : IPM PO. Gabapentin 2x300mg Ur/Cr : 24/0,60
Prof SY Na/K /Cl:
143/4,00/110
PPDS:
dr. T. Ona

ZAMZAM 1

KAMAR IDENTITAS DIAGNOSA TERAPI LAB

K19 M. Amin Karim - Hemiplegi sinitra + IV Citicoline 500mg/12jam 14/08/2022

paresis nervus VII, XII IV Mecobalamine 500mcg/12jam Hb 13,8
Tgl MRS : sinistra sentral ec IV Omeprazole 40mg/12jam Ht 42
14/08/2022 recurrent stroke iskemik PO Amlodipine 1x10mg Leu 10,43
- NPH PO Valsartan 1x160mg Trom 313
PPDS - Hipertensi stage II PO N Asetilsistein 3x200mg GDS 1098
Dr. Ifanda Salap Gentamisin Ur 23
SC Lantus 0-0-0-10 UI Cr 1,40
PO Atorvastatin 1x20mg Na 143
PO HCT 1x25mg K 3,90
Cl 107

16-08-2022
PT 14,80
INR 1,04
APTT 25,10
D dimer 350,00
HbA1c 8,80
K Total 160
HDL 40
LDL 100
Trig 138
 GDP 171
Ur 25
Cr 1,35
A Urat 3,5

ZAMZAM 2

KAMAR IDENTITAS DIAGNOSA TERAPI LAB

Yusriah, Pr, 64th - Hemiparesis sinistra + -IV citicolin 500mg/12jam Laboratorium:

-IV mecobalamin 500mcg/12jam Hb: 12,5
hemihipoestesi sinistra ec
Tgl MRS : -IV Omeprazole 40mg/12jam Ht: 37
18-08-2022 Stroke Iskemik -PO Amlodipin 1 x 10 mg Leu: 6,50
-PO Betahistin 6 mg/8jam Trom: 261
- Hipertensi stage II
DPJP : -Sc. Lovenox 0,4cc/12jam GDS: 121
K5 dr. MF - Riwayat ca Mammae - PO Atorvastatin 1x20mg Ur: 24
Cr: 0,70
Na: 142
Raber : K: 4,30
Prof Sy Cl: 112

APTT 32,40
K total 176
PPDS : D dimer 3410
dr. Dara GDP 102
HbA1c 6,00
HDL 32
LDL 118
INR 1,02
PT 14,40
Trig 102
A Urat 3,8