Mapping Jejaring Sabtu, 6 Mei 2023

Dr. Siti Adewiyah SpPD KKV

-
Dr. T. Mamfaluti SpPD
-
dr. Mahriani Sylvawani, SpPD-KR
-
dr. Alfi Syahrin , Sp.PD
-
dr. Sarah Firdausa, Sp.PD
-
dr. Masra Lena, Sp.PD KPTI
-
Prof. Dr. dr. Kurnia F. Jamil, SpPD., KPTI
-
dr. ABDULLAH, Sp.PD-GH
-
Dr. dr. Azhari Gani, Sp.PD-KKV
-
dr. Islamuddin, SpPD
-
dr. Desi Maghfirah, Sp.PD
-
dr. Vera Abdullah SpPD KPsi
-
dr. Cut Mela Yunita, SP.PD KGH
-
dr. Desi Salwani, Sp.PD-KGH
-
dr. M Fuad SpPD KHOM
-
Dr. Eva Musdalita, Sp.PD KR
-
dr. Fauzi Yusuf, SpPD-KGEH
-
dr. Suheir Muzakkir, Sp.PD
-

dr. Azzaki Abu Bakar, Sp.PD KGEH

-
 Mapping Jejaring Sabtu, 6 Mei 2023
DR. Dr. M Diah , Sp.PD- KKV

Mina 2 K6B6 Nabawi K1B4

Dpjp : Dr. dr. M Diah, SpPD KKV Dpjp : Dr. dr. M Diah, SpPD KKV

COW : dr. Akmal COW : dr. Akmal

Ruangan : dr. Dhena Ruangan : dr. Dhena

Nama : Nurul binti mahmud Nama : Siti Mariah

CM : 1337249 CM : 1337267

TL : 1/7/1979(43th) TL : 1/1/1973(50th)

TM : 28/4/23 TM : 28/4/23

Ass/ Ass/

1. Obs jaundice ec dd 1. Ascites Grade III ec dd

- cholelithiasis 1. Related HF

- choledocolithiasis 2. Liver Congestive

- ca caput pankreas 3. Hipoalbuminemia

2. Hipertensi stg I 2. HFrEF NYHA III ec dd

1. HHD

Th/ 2. IHD

Bedrest 3. DCM

Diet hati II 1500kkal/hari 3. Hiponatremia Hipoosmolar

Hilervolemik
Ivfd nacl 0,9% 20gtt/i

Iv omeprazole 40mg/24jam
Th/
Udca 2x250mg
Bedrest
Curcuma 2x1
Diet jantung 1700kkal/hari
Amlodipine 1x10mg
Threeway

Iv furosemide 20mg/12jam
Lab
Spironolactone 2x100mg
Hb/l/t : 12,3/9,37/303
Valsartan 1x40mg
Diftel : 3/0/1/68/20/8
Ramipril 1x1,25mg
Pt/apt : 0,96/0,9
Bisoprolol 1x1,25mg
Bil T/D/I : 22,49/15,39/7,10
Clopidogrel 1x75mg
Sgot/sgpt : 37/34

Gds : 107
Lab 28/4/23
Ur/cr : 24/0,60
Hb/l/t : 15,2/9,29/264
Na/kc/l : 141/5,1/110
 Mapping Jejaring Sabtu, 6 Mei 2023
Diftel : 1/1/0/69/20/9

Hbsag/antihcv : -/-

Bil T/D/I : 2,37/1,06/1,31

Sgot/sgpt : 20/14

Protein total : 6,7

Albumin : 3,5

Globulin : 3,2

Ur/cr : 68/1,4

Na/k/cl : 131/4,4/116

dr. M Riswan, Sp.PD KHOM

Mina 2, K6B3 Mina 2 K6B5 Raudhah 4 Arafah 2 K7C Arafah 2 K7D

DPJP : Dr. dr. M. Riswan, DPJP : dr. M. Riswan, DPJP : dr. M. Riswan, SpPD- DPJP : dr. M. Riswan, SpPD- DPJP : dr. M. Riswan, SpPD-
SpPD-KHOM SpPD-KHOM KHOM KHOM KHOM

COW : dr. Rianda Akmal COW: dr. Rianda Akmal COW: dr. Rianda Akmal COW: dr. Rianda Akmal COW: dr. Rianda Akmal

Ruangan : dr. Jose Ruangan: dr. Jose Ruangan: dr. Jose Asmara Ruangan: dr. Jose Asmara Ruangan: dr. Jose Asmara
Asmara

Nama: Eka Ismiati Nama : Jannati binti Nama : Ramli Thaib Nama : Nur Asiah Nama: Salmiati
syamsudiman
CM: 1314285 CM 133 54 31 CM 131 12 77
Cm : 1244122
TL: 22-6-1992 TL; 1/7/1960 TL; 1/3/1972
Tl : 13/7/1989
TM: 29-4-2023 TM 2/5/23 TM 2/5/23

Ass/ Ass/ Ass/ Ass/ Ass/

1. AIHA 1. Anemia Aplastik 1. Cancer pain 1. Febrile neutropenia ec 1. CML

induced by chemotherapy
2. G3P2A0 hamil 10-12 2. Hodgkin limfoma post

minggu
Th/
Bedrest
Diet MB 1700 kkal/hari
IVFD NaCl 0.9% 20 TPM
Transfusi PRC 2 kolf dengan
bloodset leucodepleted
premed iv dexametason 1
ampul.
Lab 3/5/2023
Hb/l/t: 11,8/4.76/126
Mcv/Mch/Mchc : 95/38/40
Diftel: 0/0/0/69/23/8
Lab 29-4-2023
Hb/l/t: 5.5/4.75/106
Mcv/Mch/Mchc : 105/57/54
Diftel: 2/0/0/76/15/7
GDS : 89
Ur/Cr : 37/1.1
Na/k/Cl : 139/3.8/113
Mapping Jejaring Sabtu, 6 Mei 2023
kemoterapi I dengan 2. Ca thyroid metastase
regimen ICE- MESNA tulang post kemoterapi
Th/ siklus ke-2 dengan regimen Th/
Bedrest Doxorubicin + Cisplatin Bedrest
Th Karnofsky 60%
Diet MB 1700 kkal/hari Diet Mb 1700kkal/hari
Bedrest 3. Hiponatremia
IVFD Nacl 0,9% 20 tpm hipoosmolar hipervolemik IVFD NaCl 0,9%20 tpm
Diet Sonde 6x200 via NGT
Iv Methylprednisolon 4. Hipoalbuminemia berat ec Parasetamol 3x500mg
125mg/12 jam IVFD Clinimix 1 fls/hari dd/
Sandimun 2x50mg IV Ceftriaxone 2 gr/24 jam (1) Inflamasi kronis
Lab 3/5/23
IV Lansoprazole (2) Low intake
30mg/24jam Hb/l/t: 7.7/9.93/445
Lab 30/4/23
IV Tramadol50mmg/8jam Mcv/Mch/Mchc : 83/26/31
Hb/L/T : 2,1/6,96/43 Th/
PO Tracetat 1x1 Diftel: 0/0/0/78/20/2
Mcv/mch/mchc : Bedrest
141/96/68 Po Xarelto 1x10 mg
Diet MB 1700kkal/hari
Diftel : 0/0/0/74/19/7 Po KSR 2x600mg
IVFD NaCl 3% 10 tpm
IV Lansoprazole 30mg/24
Lab jam
Lab 2-5-2023 Sc Leucogen 300 mcg/hari
bila ANC <1500
Hb/l/t: 8.3/2.27/198
Mcv/Mch/Mchc : 78/28/36
Lab 2-5-2023
Diftel: 0/0/1/81/4/14
Hb/l/t: 8.3/1.86/366
Albumin: 2,3
Mcv/Mch/Mchc : 78/28/36
GDS : 84
Diftel: 1/1/0/40/27/31
Ur/Cr : 15/0.5
Albumin: 2,3
Na/k/Cl : 129/2.8/106
Ur/Cr : 20/0.50
Na/k/Cl : 123/4.5/99
Safa K2B5
K6B5 Raudah
Nabawi
6 K3B4
K6B2 Arafah 2 K1B

Dpjp : dr. Eva

Islamuddin,
Musdalita,
SpPD
SpPD KRDpjp :Dpjp
dr. M
: dr.
Fuad,
EvaSpPD
Musdalita, SpPD
Dpjp
KR: dr. M Fuad, SpPD
KHOM KHOM
COW : dr. Reyza Mapping Jejaring Sabtu, 6 Mei 2023
COW : dr. Reyza
COW : dr. Akmal COW : dr. Akmal
Ruangan : dr. Aufa
Arfah Ruangan : dr. Aufa
Ruangan : dr. Nanta Ruangan : dr. Nanta
Nama: Riki januardi Nama: M. Isa
Nama : rosnawati Nama : Suarni Binti Nyak Nama: Cut Neliariyanti
CM: 1-33-72-24 HasanCM: 1-31-42-91
CM : 0887564 CM:0874530
TL : 01/01/1990 (33th) CM : TL: 06/04/1992 (31 thn)
1318195
TL : 30/12/1978(44th) TL: 14/4/1990
TM : 28/4/23 TM : 28/4/23 th)
TL : 25/01/1973(50
TM : 28/4/23 TM: 3/5/23
TM : 28/9/23
Ass/
Ass/ Ass/ Ass/ Ass/
1.
1. Efusi
Massagenu (s)mediastinum
cystic dd arthritis septik1. Obs1.Edema
vomitusanasarka perbaikan1. Febris H3 ec dd/
ec induced
dd bronchogenic
2. CKD stg V ec dd chometerapy
2.Efusi pleura bilateral -Faringitis Akut
2. Hipertensi
- HN stage I 2. Anemia berat NN ec peny
3.Hipoalbumin ec relate SN -Demam Dengue
kronik
3. Post tiroidektomi
- PNC
3. Post chemoterapy siklus ke -ISK
3. Anemia berat NN ec dd 2 hariTh/
8 dengan regimen 2. Dyspepsia Type Like Ulcer
Th/ gemcitabine dan cisplatin
- PGK Bedrest 3. LBP dd HNP
Bedrest
- Perdarahan Threeway
Diet MB 1700kkal/hari Th/
Diet ginjal 1500 kkal/bbjam Th/
Ivfd nacl 0,9% 20gtt/i Bedrest
Terapi/ IV ceftriaxon 1 gr/12 jam Bedrest Dr. Eva Musdalita, SpPD-KR
Iv lansoprazole 30mg/12jam Diet II 1700kkal/hari
Bedrest IV furosemid 20 mg/12 jam Diet MB 1700 kkal/hari
Amlodipine 1x10mg Ivfd nacl 0,9% 20gtt/i
Diet MB 1700 kkal/hari IV lansoprazole 30mg/24 jam IVFD NaCl 0,9% 20 tpm
N Iv lansoprazole 30mg/12jam
IV asetil sistein40mg/24jam
omeprazol 3x200mg Candesartan 1x800gr IV Ceftriaxone 2 gr/24jam
Levotiroksin 1 x 100 mg Iv ondansentron 4mg/8jam
IV tramadol 50mg/12 jam Metilprednison 3x16 mg IV Lansoprazole 30mg/24jam
Calcitriol 2 x 0.5 Iv paracetamol 1gr/8jam
Bicnat 3x500mg Po Domperidone 3x10mg
Mecobalamin 2 x 500 mg Iv cefepime 1gr/8jam
As.folat 2x0,4 mg Lab 28/4/2023 Po Parasetamol 3x500mg
Iv Vit k 1 amp/8 jam Sc leucogen
Allupurinol 1x100 mg Hb/Ht/L/T: 14,7/40/3,20/166
Tranfusi ffp 600 cc Ksr 3x600mg
Eritrosit: 4,7 Lab 3/5/2023
Lab/ MCV/MCH/MCHC: 84/31/37Hb/l/t: 13.1/7.19/280
P/ cek ulang PT aptt DR Lab 28/4/23
28/04/2023 RDW/MPV/PDW: 11,3/8,6/9,4 Mcv/Mch/Mchc : 80/27/34
(5/5/23) Hb/l/t : 8,1/0,27/4.000
Hb/Ht/L/T: 6,8/21/8,04/182 Diftel:0/0/0/76/14/10 Diftel: 1/0/0/78/10/11
Swab antigen 9/5/23 Mcv/mch/mchc : 75/28/37
MCV/MCH/MCHC: 81/26/32 Biltot/bil.in/bil.dir: 0,03/0,02/0,01
IgG Anti dengue: Positif
Ttna 10/5/23 Diftel : 0/0/0/19/41/40
Diftel:0/0/0/89/6/5 SGOT/SGPT: 53/22 GDS : 90
Albumin : 3,2
Albumin: 3,90 Protein.Tot: 2,90 Ur/Cr : 14/0,70
Lab 28/4/23 Ca : 7,9
Ca: 9,4 Albumin: 1,40 Na/k/Cl : 143/3.9/110
Hb/l/t : 13.2/7.9/276 Gds : 136
GDS: 121 Globulin: 1,50
Mcv/mch/mchc : 84/29/35 Ur/cr : 89/2,4
Ur/Cr: 242/15,00 Ca: 7,1
Ddimer 620 Na/k/cl : 126/2,8/94
Na/K/Cl: 136/4,80/108 GDS: 126
Na/k/cl : 143/3.3/113/8.9

Ur/cr : 11/0.9
Ur/Cr: 144/4,30
PT/aptt : 0.94/1.03
Na/K/Cl: 118/3,70/100
 Mapping Jejaring Sabtu, 6 Mei 2023

Dr. Cut Mela Yunita SpPD-KGH

Mina 2, K5B1

DPJP : Dr. Cut Mela Yunita SpPD-KGH

COW : dr. Rianda Akmal
Ruangan : Satria
Nama : Rohaya
Usia 62 tahun
Alih trawat dari neurologi

Ass/
1. Penurunan kesadaran ec dd/
(1) stroke iskemik
(2) sepsis
(3) uremic encefalopaty
2. Stroke iskemik dengan hemiparase sinistra
3. Sepsis ec dd/
(1) pneumonia
(2) iro sepsis
4. DM tipe 2 NW dgn critical ill
5. CKD stage V ec dd/
(1) DN
(2) urat Nefropati
6. Anemia sedang NN related penyakit kronik
7. Dislipidemia
8. Hiperuricemia

Th/
Bedrest
Diet sonde 6x200cc
IVFD NaCL 0.9% 20 TPM
Iv. Ceftriaxone 2g/24j (29/4)
Iv. Citicolin 500mg/12j
Iv. Omeprazole 40mg/12j
Drip Insulin 50 unit + 50cc NaCl 0.9% kec.
2cc/jam
Po. Klindamisin 3x300mg
Po. Amlodipin 1x10mg
Po. Clopidogrel 1x75mg
Po. Bicnat 3x500mg
Po. Lenal ace 2x169mg
 Mapping Jejaring Sabtu, 6 Mei 2023
Po. Asam folat 2x0.4mg
Po. Paracetamol 3x500mg
Po. Allupurinol 1x100mg

Lab 27/04/2023
SGOT/SGPT : 51/11
Albumin : 3.0
Ur/Cr : 184/5.5

Lab 26/04/2023
Hb/ht/L/T : 8.8/14.6/336
Mcv/mch/mchc : 85/28/33
Diftel : 1/0/0/75/18/6/1.0
MDT : anemia NN
PT/APTT : 0.9/0.8
HbA1c : 6.6
Anti HCV/HBsAg : neg/neg
Kolesterol total : 222
HDL/LDL : 33/133
Trigliserida : 289
GDP : 173
Asam urat : 15.5

Urinalisa 26/04/2023
Ph 8.0
Leukosit (+)
Protein (+2)
Glukosa (+1)
Keton (+)
Leukosit 5-10 LPB
Epitel 1-3 LPK

CT scan kepala 25/04/2023

Infark pada corona radiata kanan kiri, crus
posterior capsula interna kanan-kiri, nucleus
caudatus kiri, dan nucleus lentiformis kiri

Dr. Masra lena siregar, SpPD-KPTI

Safa K3B1 Nabawi K3B1 Safa, K4B5 Raudah 6 k6b2
Dpjp : dr. Masra Lena, Sp.PD-KPTI DPJP: dr. Masralena Siregar, DPJP : dr. Masra Lena Siregar, DPJP : dr. Masra Lena
Sp.PD-KPTI SpPD-KPTI
COW : dr. Reyza Siregar, SpPD-KPTI
COW : dr. Reyza COW : dr. Reyza
Ruangan : dr. Aufa COW : dr. Reyza
Ruangan : dr. Aufa Irsyada Ruangan : dr. Aufa
Ruangan : dr. Aufa
Tn. Ahmad Sarif, 54 tahun Nama : Maksah bin suid Nama: Hasballah Bin Ibrahim Abdurrahman Puteh, 72
Cm : 1337382 CM: 1337414 tahun, LK

Tl : 11/3/1961 TL: 1-7-1958

TM: 2/5/2023

Ass/ Ass/ Ass/ Diagnosis:

1. Obs Febris EC dd 1. Massa a/r Colli dextra ec dd 1. Anemia berat HM ec dd

- Demam Thypoid 1. Limfoma Maligna (1)Penyakit kronik (infeksi parasit)

1. Cancer Pain
- ISK 2. Parotitis (2)Def fe
2. Susp Pancoast Tumor
- Demam Dengue 2. Hipoalbuminemia sedang (3)Malignancy hematologi
3. Hipoalbumin sedang ec
2. Hepatitis B kronis
dd

Th/
Bedrest
Diet MB 1700 kkal/hari
IVFD NaCL 0,9% 20 gtt/I
IV. Ceftriaxon 1 gr/12 jam
IV. Lansoprazole 30 mg/24 jam
Paracetamol 3 x 500 mg (k/p)
N. Acetil Sistein 3 x 200 mg
Curcuma 3 x 1 tab
Lab 28/04/23
HBsAg : Non reaktif
Ur/Cr : 30/1, 2
Lab 28/04/2023
Hb/L/T: 17,3/14,80/136
MCV/MCH/MCHC: 82/28/34
Diftel: 0/1/0/69/26/4
Anti Dengue IgM: Negatif
Anti Dengue IgG: Negatif
SgOT/SgPT : 107/155
Mapping Jejaring Sabtu, 6 Mei 2023
Th/
Bedrest
Diet MB 1700 kkal/hari
Ivfd Nacl 0,9% 20 tpm
Iv Lansoprazole 30mg/24 jam
Paracetamol 3x500mg
Lab 30/4/2023
Hb/L/T : 12,1/12,03/296
Mcv/mch/mchc : 74/25/33
Diftel : 5/1/0/55/26/13
Albumin 2,70
Gds : 86
Ur/Cr : 26/0,80
N/K/Cl : 134/4,10/104
1. Hiperkatabolisme
Th/
2. Low intake
Bedrest
O2 2-4 Lpm via NK
Th/
Diet Hati 1700 kkal/hari
Bedrest
IVFD NaCl 0.9% 20 tpm
Iv. Lansoprazole 30mg/12j
Diet MB 1700 kkal/hari diet
tinggi protein
Po. Domperidone 3x10mg
IV. Tramadol /12 jam
Po. Sucralfat Syr 3xCll
IV. Lansoprazole 30 mg/12
jam
Lab 1-5-2023
Hb/l/t: 3.8/5.5/287
Mcv/Mch/Mchc : 56/15/27
Lab: 04/05/23
Diftel: 9/0/0/62/19/10 Hb/L/T : 9,5/11,03/274
HbsAg / HCV : (+) /(-) MCV/MCH/
SGOT/SGPT : 22/16
MCHC :80/26/32
Bil total/direct/indirect : Diftel : 2/0/0/81/11/6
0.35/0.11/0.24
Albumin : 2,8
Alb : 3.6
GdS : 101
GDS : 90
Ur/Cr : 33/1, 00
Ur/Cr : 25/1.0
Na/k/Cl : 142/4.2/111 Na/K/Cl : 134/4, 20/114
 Mapping Jejaring Sabtu, 6 Mei 2023
Dr. Siti Adewiah, SpPD-KKV
Raudah 6 K4B2 Mina 2 K6B2 Mina 2 K6B1 Nabawi, K5B4

DPJP : dr. Siti Adewiah, SpPD-KKV DPJP : dr. Siti Adewiyah, Sp.PD-KKV DPJP : dr. Siti Adewiyah, Sp.PD-KKV DPJP : dr. Siti Adewiyah, SpPD-KKV

Cow : dr. Akmal COW : dr. Akmal COW : dr. Akmal COW : dr. Akmal

Ruangan : dr. Dhena Ruangan : dr. Dhena Ruangan : dr. Dhena Ruangan : dr. Dhena

Nama : Rosa Silfia Nama : nurlaili Nama : nurliana Nama: Eva Susanti

Cm : 1292803 CM : 0975143 CM: 0972856 CM: 1337419

Tl : 20/8/2003 TL : 14/12/1965 TL: 03 04 1970 53 thn TL: 06-09-191

TM : 30/4/2023 TM : 30/04/23 TM: 2-5-2023

Ass/ Ass/ Ass Ass/

1. Epigastric pain ec dd 1.Epigastric Pain ec dd 1. Bisitopenia ec dd 1. Dyspepsia tipe mixed

1. Post prandial syndrom 1. Gastritis - Anemia aplastik 2. Hematoschezia ec dd:

2. Syndroma dyspepsia 2. Ulkus gaster -MDS (1) Hemoroid interna

2. Hipokalemia ringan 3. Ulkus deudenum -ITP (2) IBD

Th/ 4. Dispesia tipe mixed 2. Dispepsia tipe like ulcer dd tipe 3. Gangguan psikosis akut
mixed.
Bedrest 5. UAP
3. Hipokalemia
Diet MB 1700 kkal/hari 2.Hipertensi stage ll Th/

Ivfd Nacl 0,9% 20 tpm Bedrest

Iv Metoclopramide amp/8 jam Th Diet Dll 1700 kkal/hari

Iv Lansoprazole 30mg/24 jam
Iv Novalgin 1 gr/12 jam ( K/P)
Ksr 1x600mg
Lab 30/4/2023
Hb/L/T : 11/10,46/252
Mcv/mch/mchc : 85/29/34
Bedrest
Diet MB 1.700kkal/hari
IVFD RL 20tpm
Iv lansoprazole 30mg/24jam
IV ondancetron 4mg/8jam
PO amlodipin 5mg/24jam
PO sucralfat syr 3xCII
Th
IVFD RL 20 TPM
IV lansoprazole 30 mg/24 jam
Iv. Lansoprazole 30mg/24j
IV asam traneksamat 500 mg/8 jam
Po. Antasida 3x1 tab
Transfusi PRC sampai hb 10
Po. Domperidone 3x10mg
Transfusi TC sampai
Po. Alprazolam 1x10mg
Trombosit 10.000 tanpa
perdarahan atau 20.000 dgn
perdarahan Lab 1-5-2023

Diftel : 1/0/0/72/21/6 Hb/l/t: 13.0/8.3/328

Pt/aptt : 0,97/0,91 Lab 30/04/2023 30/04 Mcv/Mch/Mchc : 85/30/35

Anti HCV : negatif Hb/L/T : 11,9/10,57/391 Hb/L/T: 7.8/7.63/5 Diftel: 0/0/0/79/15/6

HbsAg : non reaktif Mcv/mch/mchc : 82/27/33 MCV/MCH/MCHC: 97/33/35

Sgot/sgpt : 13/19 Diftel : 2/0/0/71/22/5 Diftel: 1/0/0/70/25/4

Albumin : 3,70 GDS : 126 Pt/aptt : 0.99/1.04

Ca : 9,5 Ur/Cr : 24/0,7 Ur/Cr : 17/0.8

 Mapping Jejaring Sabtu, 6 Mei 2023
Gds : 102 Na/K/Cl : 139/3,7/109 Na/K/Cl : 144/2.9/115

Ur/cr : 15/0,60 SGOT/SGPT : 19/22 Gds :83

N/K/Cl : 145/3,50/111 CK-MB: 17

Bmp 22 des 2020 : Gambaran

relatif normal

P/

USG

Urinalisa

Dr. Desi Salwani, SpPD-KGH

Raudah 1 K2B2

DPJP : dr. Desi Salwani, SpPD-KGH

Cow : dr. Reyza

Ruangan : dr. Anisa

Nama : Marjan Hanafi Lubis

Cm : 1337396

Tl : 16/4/1970

Ass/

1. Selulitis ar Cruris sinistra dd DVT

Th/

Bedrest

Diet MB 1700 kkal/hari

 Mapping Jejaring Sabtu, 6 Mei 2023
IVFD Nacl 0,9% 20 tpm

IV Ampicilin Sulbactam 1,5gr/8 jam

Iv lansoprazole 30mg/24 jam

Sc Heparin 2500 unit/12 jam

Lab 30/4/2023

Hb/L/T : 13,3/7,11/244

Mcv/mch/mchc : 87/30/35

Diftel : 3/0/1/68/20/8

Pt/aptt : 0,89/0,83

Ddimer : 450,00

Albumin : 3,70

Gds : 159

Ur/Cr : 20/0,90

N/K/Cl : 144/3,70/107

Dr. dr. Azhari Gani, Sp.PD-KKV

Nabawi K5b4
 Mapping Jejaring Sabtu, 6 Mei 2023
DPJP: Dr. dr. Azhari Gani, SpPD-KKV

COW: dr. Akmal

Ruang: dr. Kurniawan

Nama : Salmiah Binti Muid

CM : 1184054

TL : 18/8/1982

TM : 01/5/2023

Diagnosa:

1. Dispepsia tipe Dismotility dd

Gastropati Diabetik

2. Pneumonia HAP dd Infeksi Paru

Spesifik

3. DM tipe 2

4. Hipoalbuminemia Berat ec dd

1. Low Intake

2. Renal Loss

5. Hipertensi Stage II

6. LBP dd HNP

7. Aki Stage I Pre Renal ec dd

1. Infeksi

2. Dehidrasi

Th:

Bedrest

Diet DM 1700 kkal/hari

IVFD Nacl 0,9 % 10 tpm

Iv. Ceftriaxone 2 g/24 jam

Iv lansoprazole 30 mg/24 jam

Drip Albumin 20% 1 fls /hari

Domperidone 3x10 mg

Paracetamol 3x500 mg

SC lantus 0-0-0-20

SC apidra 12-12-12

Amlodipin 1x10 mg

Valsartan 1x80 mg
Nabawi K2B1

DPJP: dr. Azzaki Abubakar, SpPD-KGEH

COW : dr. Akmal Mapping Jejaring Sabtu, 6 Mei 2023

Ruangan : dr. Sergio
Lab 01/5/2023
Nama : Alvi Syahrin
Hb/l/Tr
CM : 10,4/17,33/394
: 1239268

TLDiftel : 0/1/0/77/13/9
: 20/07/2023
Albumin
TM : 2,3
: 01/05/2023
Kgds : diagnosa
dengan 195 :

1.Ur/cr : 32/1,7 ec dd
Hematemesis
Na/k/cl
- Ulcus : 130/4,3/102
gaster

- Ulcus duodenum

- Gastritis erossiva

2. Acute fever ilness ec dd

- Demam typoid

- ISK

- Pneumonia

3. Hipokalemia sedang e.c dd :

1. GI loss

2. Renal loss
dr. Azzaki Abubakar, Sp. PD-KGEH
4. Anemia sedang NN e.c dd :

1. Penyakit kronis

2. Perdaragan

5. AKI st. II pre renal e.c dd :

1. Dehidrasi

2. Infeksi

6. elevated liver enzym

Th :

Bedrest

Diet MB 1700 kkal/hari

IVFD Nacl 0,9 % 20 ypm

Iv omeprazole 40 mg /12 jam

Iv metoclorpamide 10 mg/8 jam

Drip KCL 50 meq dalam 500cc Nacl 0,9 %

Transfusi PRC 1 kolf

Cek elektrolit dan DR post transfusi dan

koreksi hipokalemia
 Mapping Jejaring Sabtu, 6 Mei 2023

Dr. dr. Fauzi Yusuf SpPD KGEH

Raudah 5, K7B2 Mina 2 k7b4 RAUDAH 5 K6B3

DPJP : Dr. dr. Fauzi Yusuf, DPJP : Dr. dr. Fauzi Yusuf, DPJP : Dr. dr. Fauzi Yusuf,
SpPD-KGEH SpPD-KGEH
COW : dr. Reyza COW : dr. Reyza
SpPD-KGEH
Ruangan : dr. Mirza Ruangan : dr. Mirza COW : dr. Reyza
Ruangan : dr. Mirza
Nama: Muhammad Nasir Anizar,(67th) Pr NAMA: Momon Raswadi
CM: 1337433
TL: 1-7-1956
CM : 1.21.84.34
TM: 2/5/2023 TL : 06.05.1983
Diagnosis: Ass/ Ass/
1. Diare kronis ec dd/ 1. Dyssepsia tipe dismotility dd
(1) Kolitis infeksi tipe mixed
1. RUQ Pain + Jaundice ec
(2) IBD 2. DM tipe 2 dd
(3) Malignancy 3. Hipertensi stage 2 1.1 Cholelitiasi
1.2 choledocolitiasis
Th/ Therapi:
Bedrest Bedrest
2. Sirosis Hepatis St DC CTP
Diet MB rendah serat 1700 Diet DM 1700kkal/hr C Releated Hep B Kronis,
kkal/hari Ivfd nacl 0.9% 20 tpm Berdegenerasi Malignancy
IVFD NaCl 0.9% 20 tpm Iv lansoprazole 30mg/12 jam 3. Asites Gr I minimal
Iv. Lansoprazole 30mg/24j Valsartan 1x160mg
Po. Attapulgite 2 tab tiap BAB Amlodipin 1x10mg 4. Varises Esofagus +
cair Fundus dan Gastropaty
Planing: Hipertensi Porta
Planing: EGD+Colon 5. Hipokalemia Ringan
Colonoskopi Transfusi PRC s/d Hb 10

Lab 1-5-2023 04/05/2023 Th/

Hb/l/t: 13.1/12.6/408 H/L/T:11/7.17/159 Bedrest
 Mapping Jejaring Sabtu, 6 Mei 2023
Mcv/Mch/Mchc : 80/26/33 Mcv/mchc/mchc:84/29/34 Diet Hati 1700kkal/hari
Diftel: 4/0/0/74/15/7 Diftell:1/0/0/75/21/3
HCV : (-) LED:117
Threway
PT/APTT : 0.9/0.9 GDP:105 Ivfd Aminofusin hepar I
Albumin : 3.5 Ca:8.7 flsh/hr
GDS : 123 Ur/Cr:43/1.52 Iv cefoferazon 1gr/12 jam
Ur/Cr : 23/1.1 Na/K/Cl:142/3.20/115
Na/k/Cl : 145/3.7/105 Iv omeperazol 20mg/12 jam
Lab:04/05/2023 Iv Vit K 1amp /8jam
Urinalisa: Iv asam tranexamat 1
Glukosa(+) amp/12jam
Lekosit(+)
Protein(+2) Iv furosemid 20mg/12 jam
Leukosit:150-200 Spironolacton 2x100mg
Eritrosit:2-5 Propanolol 2x10mg
N Asetil Sistein 3x200mg
Lab:02/05/2023
H/L/T:8.1/6.45/134 UDCA 2x250mg
Mcv/mch/mchc:84/28/34 Fossen enema (extra)
Diftell:2/0/0/70/22/6 Drip albumin 1 flsh/hari
PT/APTT:0.88/1.03
HCV(-), HBsAg:Non Reaktif
SGOT/SGPT:34/22 Planing:
Albumin:2.50 EGD Evaluasi
GDS:291
Ct Scan Abdomen 3 fase
Ur/Cr:47/1.70
Na/K/Cl:152/3.5/115
USG:04/05/23
Hepatomegali,
Splenomegali dengan Asites
Minimalis

Lab:02/04/23
H/L/T:13.6/3.59/78
Mcv/mch/mchc:87/31/35
Diftell:10/1/0/56/25/8
ALP:140
SGOT/SGPT:154/53
Albumin:2.59

Lab:30/04/23
H/L/T:13.9/3.14/76
Mcv/mch/mchc:87/31/36
Diftell:10/0/0/49/29/12
PT/APTT:1.9/1.1
HBsAg: Reaktif
Bil T/D/I:7.05/4/3.05
SGOT/SGPT:211/83
Albumin:2.60
GDS:129
Ur/Cr:
Na/K/Cl:
 Mapping Jejaring Sabtu, 6 Mei 2023

dr. suheir muzakkir SpPD

Nabawi k6b5

Dpjp dr suheir muzakkir, sp. Pd

Cow dr rianda
Ruangan dr alisa
Nama : Firzia Senjana Z
CM : 1175215
TL : 04/06/1991
TM : 02/05/2023

Diagnosa

1. Hipertensi stage 2
2. CAP
3. ISK
4. Hipokalemia ringan

Th:
Bedrest
Diet Rendah garam 1700 kkal/hari
Drup Levofloxaci 750 mg/24 jam
Iv omeprazole 40 mg/24 jam
Paracetamol 500 mg k/p
N. Acetil sistein 3x200 mg
Candesartan 1x8 mg

Urinalisa 3/5/2023
Ph : 7
Keruh
Lekosit : positif
Leukosit : 80-100
Darah : positif
Eritrosit : 5-10
 Mapping Jejaring Sabtu, 6 Mei 2023
Elektrolit urin
Cl : 720
K:6
Na : 660

Rontgen Thorak :
Pneumonia

Lab 2/5/2023
Hb/l/Tr : 16,4/11,8/195
Diftel : 0/0/0/70/17/13
Kgds : 95
Ur/cr ; 18/1,2

Dr. Desi Mghfirah SpPD

Nabawi K6B1
DPJP : dr. Desi Maghfirah, SpPD
COW : dr. Reyza
Ruangan : dr. Nori
Nama: Adnan Bin Aswah
CM: 1318778
TL: 4-12-1978
TM: 1-5-2023
Ass/
1. Lower abdominal pain ec dd
(1) cystitis
(2) vesicolithiasis
2. Dispepsia tipe mixed
3. Hipokalemia ringan

Th/
Bedrest
Diet MB 1700 kkal/hari
IVFD RL 20 TPM
Iv. Lansoprazole 30mg/24j
Iv. Buscopan 1 amp (k/p)
Po. Paracetamol 3x500mg
Po. Domperidone 3x10mg
Po. Curcuma 3x1tab
Po. KSR 2x600mg

Lab 1-5-2023
Hb/l/t: 12.6/5.2/247
Mcv/Mch/Mchc : 83/30/36
Diftel: 1/0/1/46/45/7
 Mapping Jejaring Sabtu, 6 Mei 2023
GDS : 79
Ur/Cr : 16/0.9
Na/k/Cl : 144/3.0/106