Professional Documents
Culture Documents
Rabu, 1/3/2023
BED IDENTITAS MRS DIAGNOSIS PPDS / CHIEF DPJP DPJP-K RABER ASAL KET
Dr. dr. Artaria
Tn. Martinus Suprapto Melena ec Gastropati NSAID Teratasi + Peritonitis ec Infected CAPD + ESRD on CAPD + DMT2 dr. M. Noor Diansyah.,
A1 23/2 Henry / Rheza Tjempakasari, Sp.PD, IGD
/ 66th / 12880255 normoglikemi+ OA Genu + Hipokalemia membaik (2.6->3.2) + Hipoalbumin membaik(2.35->2.49) SpPD K-HOM
K-GH
dr. Pradana Zaky
Tn. Cornelius Yuni An ESRD HD Reguler Rabu-Sabtu + s. DVT dd selulitis femoralis D + DMT2 + HT st II INASH 2021 + Kahdina /
A2 21/2 Romadhon, Sp.PD, K- Buffer
Anif / 41 th / 12916542 Anemia Normokrom Normositer (7,8>9.9>10.6) terkoreksi + Hipoalbumin (3,18>3,53>3.04) Ammar
HOM
dr. Pradana Zaky
Tn. Sujiyan / 67 th / dr. Ulfa Kholili, Sp.PD,
A3 26/02 SH child C hep B related + Post ligasi VE grade III (9/1) pro EGD (2/3) + DM tipe 2 Kim / Handoko Romadhon, Sp.PD, K- Mata Buffer
12906635 K-GEH
HOM
Hepatoma BCLC-B Hep-C related riwayat TACE 1x (10/10/22) + Hipoalbumin on koreksi (2.26 ->
Tn Hendrianus 2.6 -> 2.18) + ADHF Wet and Warm membaik + DCM (HFrEF EF 25%) + Sepsis ec CAP Membaik Paru,
dr. M. Noor Diansyah, Sp.
A4 Suryanto / 64th / 23/2 + Peningkatan Transminase non spesifik Membaik (OT 254 -> 241 -> 236 -> 165, PT 188 -> 194 -> Miftakul / Aaron Kardio, IGD
PD, K-HOM
12935532 200 -> 156 ) + DMT2 + Depresi sedang tanpa gejala somatik Psikiatri
susp DSS + Anemia Normokromik Normositer (2,9 > 6,2> 9,2) + Trombositopenia (59.000 >
Tn. Afit Fudin / 19 th / 97.000 > 82.000) + Hipoalbumin (2,05 > 2,52) + Hipokalemia on Koreksi (2,9 > 3,4) + Hiponatremia dr. Wita Kartika Nurani,
EB/A5 26/2 Nabila / Rheza Buffer
12991592 Hipotonik Hipovelemik Membaik (127 > 130) + Post Melena Pro Evaluasi + Post Syok Hipovolemik SpPD K-AI
+ Post Penurunan Kesadaran
B1
Tn Prajitno Tjondro / Post Hematemesis Melena susp non Variceal Bleeding+Anemia (Hb 6)+Hipernatremia (149) dr. Wita Kartika, Sp.PD,
B2 2/3 Kim / Handoko Buffer
81thn / 12992675 +Peningkatan transaminase (SGOT 103)+DMT2 teregulasi K-AI
B3
B4
CAP (PSI score 134 risk class V) + HT emergency + ALO + ACKD (BUN 76.3; SK 12.1 eGFR
Tn. Suwadji / 55 Th / dr. Dana Pramudya, Sp.
B5 1/3 3ml/min) + Asidosis metabolik (def bicarb 254 meq) + Efusi Pleura Kiri + Riwayat DMT2 + Gaduh Kartika / Ammar IGD
12992467 PD
gelisah e.c curiga gangguan psikis dd: ensefalopati uremikum
B6
Dr. Artaria
Post Melena ec Susp. Ruptur VE +Ensefalopati sepsis+ SH Child Pugh B Hep B Related+ Anemia dr. Pradana Zaky Tjempakasari, dr., Sp.
Tn. Parsin / 66 th /
B7 21/2 Normokromik Normositer + Hipoalbumin + Cholestatic jaundice + Cholelithiasis+ DMT2+ ESRD HD Kim / Handoko Romadhon, Sp.PD, K- PD, K-GH IGD
12915146
Reguler (Selasa-Jumat) HOM dr. Ulfa Kholili, Sp.PD,
K-GEH
B8
Tn. M Muqorrobin / 33 dr. Novira Widajanti, Sp.
B9 28/02 Hematochezia + Anemia + Trombositopenia + Hipoalbuminemia Nabila / Rheza ICU
th / 12991514 PD, K-Ger
Tn. Sumarjo / 56 th / Ulkus Diabetic Wagner 2 Pedis Dextra + Susp CVA Infark + DMT2 Hiperglikemia + HT st II INASH dr. M. Noor Diansyah, Sp.
B10 12991948 27/2 Nabila / Rheza Buffer
2021 PD, K-HOM
Post penurunan kesadaran ec syok sepsis + Sarkoma dinding dada + Paraparese inferior ec susp.
collaps berat corpus vertebra Th12 dan L4 (metastase proses) + ISK ec Escherichia Coli: ESBL +
Tn. Mujiono / 52 thn / dr. Jusri Ichwani, Sp.PD, dr. M. Noor Diansyah, Orthopedi,
14/2 Anemia normokrom normositik (Hb 10,4 - 9,0 - 8,1) + Asidosis metabolik terkoreksi + AKI (BUN Fata / Aaron Buffer KRS
12989427 K-Ger Sp.PD, K-HOM Urologi
29,1 - 33; SK 1,9 - 2,0) + Hipoalbumin (1,91 - 1,95 - 2,05 - 2,32) + Hydronephrosis grade III kanan
kiri + Nefrolithiasis mid pole kanan dan Nefrocalcinosis upper pole kiri
Suspek Ca colorectal + Suspek metastasis hepar dd hepatoma + AKI pre renal (BUN 36,4 > 23,9
Tn. Mochammad SK 0,8 > 0,6) + Hiponatremia hipotonik hipovolemik (Na 125 > 131; osm 267) + Anemia
dr. Novira Widajanti, Bedah
C16 Suyanto / L / 60 thn / 24/2 normokromik-normositer (7,8 > 9,8) + Hipoalbuminemia (2,32 > 2,5 > 2,35) + Hiperbilirubinemia (Bil Miftakul / Aaron IGD
SpPD K-Ger Umum
12991584 T 3,3 > 3,8 Bil D 2,5 > 2,6) + Peningkatan transaminase pro evaluasi (OT 157 > 103,9 PT 33 > 25)
+ Hemorroid Interna gr IV
ACKD post HD cito 1x (21/2/23) + sepsis ec CAP et ISK + gagal napas tipe 1 membaik menolak
Tn. Sumarno / 69thn / ventilator + asidosis metabolik terkoreksi + anemia normokromik normositer (7 -> 8,7 -> 7,8) + s. dr. M. Noor Diansyah, Sp.
C17 27/2 Henry / Rheza HCU Pindahan B5
12990853 kolelithiasis + hiperkalemia terkoreksi + hipoalbumin (2,67 -> 2,38 -> 2,78) + DMT2 + HT stage 1 + PD, K-HOM
s. BPH + pemanjangan APTT pro evaluasi
Post Melena ec gastropathy NSAID + Sequelae of cerebrovascular disease ec post stroke Infark
2nd attack (3/2/2023)
Tn. Solekhan / 55 th / dr. Jusri Ichwani, Sp.PD,
C18 26/2 + Post anemia normokrom normositik ( Hb 9,9) + Hiponatremia hipovolemik (Na 131, osm 271) Fidi / Ammar IGD
12369230 K-Ger
Bisitopenia ec s. AML Post BMA Rabu 1/3/2023 + Anemia normokromik normositik membaik (Hb
dr. Pradana Zaky
Tn. Marali / 69 th / 4.9 → 11.1) + Trombositopenia (PLT 19rb) + Hiponatremia hipotonik hipovolemik terkoreksi (Na
C19 21/2 Haris / Aaron Romadhon, Sp.PD, K- POSA
12989439 130 → 133 → 137) + Hipokalemia terkoreksi (3.0 → 3.8) + Hiperurisemia terkoreksi (8.2 → 5.6) +
HOM
Hipoalbuminemia (2.77)
Tn. Mochamad Ilham / Sindrom Neuroleptic malignant + Skizofrenia katatonik + Retardasi mental ringan + Dermatitis ec dr. Dana Pramudya,
C20 28/2 Fata / Aaron Sejahtera Pindahan B2
18 th / 10628278 insect bite SpPD
Tn. Andy Setiawan / SH Child Pugh B Hep C related + Anemia hipokromik mikrositer (5,2) et causa Post hematemesis dr. Novira Widajanti, Sp.
C21 28/2 Dani / Ammar IGD Pindahan B1
55th / 12992236 melena + Trombositopenia (PLT 69000) + Hipokalemia (3,4) + Hipoalbuminemia (2,72) PD, K-Ger