The document provides a summary of patients in Kemuning 2 hospital ward on March 19, 2024. It lists 5 patients with information including their attending physician, primary medical issue, related issues or comorbidities, length of stay, and notes. On average patients had a length of stay of 4.187 days. The patients had various conditions including SLE, cancer, diabetes, hypertension, and infections.
Original Description:
Map
Original Title
Mapping RIK 7 Lt 3B (Kemuning 2) - Mapping Baru Selasa, 19 Maret 2024 (1)
The document provides a summary of patients in Kemuning 2 hospital ward on March 19, 2024. It lists 5 patients with information including their attending physician, primary medical issue, related issues or comorbidities, length of stay, and notes. On average patients had a length of stay of 4.187 days. The patients had various conditions including SLE, cancer, diabetes, hypertension, and infections.
The document provides a summary of patients in Kemuning 2 hospital ward on March 19, 2024. It lists 5 patients with information including their attending physician, primary medical issue, related issues or comorbidities, length of stay, and notes. On average patients had a length of stay of 4.187 days. The patients had various conditions including SLE, cancer, diabetes, hypertension, and infections.
RIK 7 Lt 3B BOR Total = 19/24 (64%) Average LOS = 4.187 hari Divisi yang berkaitan masalah lain KSM non IPD yang berkaitan DPJP Asisten DPJP Lama Perawatan (Dx penyerta/tambahan/komorbid) (Dx penyerta/tambahan/komorbid) Bed Nama / Usia / RM – DPJP Utama Masalah utama (Divisi) (Komplikasi/ Severity of Disease) Asal Keterangan – PPDS Mandiri Masalah lain Masalah lain Masalah lain Masalah lain Masalah lain Masalah lain <2 2-5 6-10 11-14 >14 – DPJPK (divisi) – PPDS Magang (divisi) (divisi) (divisi) (KSM) (KSM) (KSM) hari hari hari hari hari – DPJPK (non IPD) Ny. Maftuhah / 64 th / dr. Cahyo Wibisono Nugroho, SLE SLEDAI 8 (Headache) Nausea Vomitus Dehidrasi sedang Pindahan dari 1 dr. Danu / dr. Abdel AIHA (Hb 5.9) 5 hari IGD 13034947 Sp.PD, K-R (Remato) (teratasi) Bed 14 2 DCM (HFimpEF EF Ny. Dewi Eka Noviani/23 dr. Cahyo Wibisono Nugroho, SLE + Hipokalemia (2,3 > 4,1) dr. Katia / dr. Hilya Lupus Nefritis (GH) AIHA (Hb 7,8> 10,5) HT + DMT2 by Teich 56%) 4 hari POLI KRS th/13047265 Sp.PD, K-R (Rhemato) 3 Ny. Zahrah/ 86 th/ Hidronefrosis D/S dr. Amie Vidyani, SpPD-KGEH dr. Wiharjo / dr. Sylvi Pseudomyxema peritonei (GEH) 6 hari POLI KRS 13068582 Ikterus obstruktif (Bil T 30; Bil D 22) Pneumonia + Hipoalbumin 2.06 + Hipokalemia Ny. Suti / 51 thn / Cancer Pain ec Ca caput Acinetobacter 2.2 + Hiponatremia 132 + Anemia 4 dr. Annisa Zahra Mufida, Sp.PD dr. Katia / dr. Zuhda 5 hari IGD 13054504 pancreas baumanni, hipokromik mikrositer (Hb 9.6) + carbapenem resistant Hiponatremia hipotonik hipovolemik (Na 132, Osm 280) 5 Oculi dextra Sinistra diabetic macular Ny Umi Usman / 63 th / Riwayat Occult GI Bleeding DMT2 Normoglikemik on oedema + Oculi Anemia Normokrom Normositer (Hb Pindahan dari dr. Annisa Zahra SpPD dr. Katia / dr. Hamrinah HT Stage 1 Terkontrol 4 hari POLI 13012657 (GEH) Insulin dextra Sinistra 7,1 - 6.6 - 10) bed 5 poliferatif diabetic retinopaty Trombositopenia (Plt 26000 ; Ny. Ulfatu Na’imah / 35 th dr. M. Noor Diansyah, Sp.PD, Anemia gravis (Hb 3.4 ; 8.4; 10) 22000) susp AML 6 dr. Wiharjo / dr. Sylvi 10 hari IGD / 13069572 K-HOM (HOM) + Hipokalemia (3.4 ; 2.7 ; 2.5 ; 3.9) + Hipoalbuminemia (2.97) Bisitopenia ec Ny. Supadmi / 69 tahun / Polyposis colorectal pro Kolelitiasis multiple anemia aplastik (Hb Bisitopenia ec anemia aplastik (Hb 7 dr. Annisa Zahra Mufida, Sp.PD dr. Danu / dr. Siti Kolesistitis (GEH) HHD DMT2 HT 0 hari IGD 13065135 polipektomi 20/03 (GEH) (GEH) 11.4 PLT 28.000 11.4 PLT 28.000 WBC 1140) WBC 1140) Dyspepsia Dengan Alarm Hipoalbumin (Albumin 1.52>2.76) + Ny. Sulimah / 64 th / 8 dr. Annisa Zahra Mufida Sp.PD dr. Wiharjo / dr. Raphael Symptom ( Penurunan BB, Anemia Normokromik Normositik 5 hari IGD 13070263 Muntah Persisten ) (hb 8,6> 10.2) Hepatoma BCLC B Hep B related Ny. Sumiati/ 57 th/ dr. Ummi Maimunah, Sp.PD, K- 9 dr. Danu / dr. Tata pro TACE 1 hari Poli GEH 13067544 GEH (GEH) Hipoalbuminemia (Alb 2.49 > 2.54) S. CAP PSI Score 72 ACKD (BUN 44.9 > Overload syndrome s.Dekompensasi Ny. Sariyati/ 52 tahun/ + Anemia normokromik normositik 10 Dr. Dr. Yuliasih, Sp.PD, K-R dr. Danu / dr. Tata SLE flare up (SLEDAI-2k = 14) Lupus Nefritis Risk Class III dd 44.2; SK 3.6 > 2.9) (membaik) kordis pro evaluasi Hipertensi St 1 5 hari IGD 12638074 (Hb 9.9 > 9.6 MCV 83.3 > 83.1) + Interstitial Lung Disease (Nefro) susp HHD Dislipidemia Ny. Marbu'ati/ 68 th/ Multiple nodul di paraaorta pro Multiple nodul di liver Nausea vomitting dehidrasi ringan Poli 11 dr. Annisa Zahra Mufida Sp.PD dr. Wiharjo / dr. Raphael 1 hari 13070912 evaluasi (GEH) susp metastase (GEH) + Low Intake POSA Tn. Bayinul / 48 th / SH Hep B Related Child pugh 12 Ulfa Kholili, dr., SpPD,KGEH dr. Wiharjo / dr. Ichlas Riwayat HM ec suspek ruptur VE 2 hari IGD 13064629 skor 7 class B Pansitopenia ec susp Anemia Gum bleeding + hiponatremua Tn. Abdul Qodir / 22 dr. M. Noor Diansyah, Sp.PD, 13 dr. Danu / dr. Tata aplastik dd Sindroma Evans hipotonik hipovolemik (Na 126 1 hari IGD tahun/ 13070880 K-HOM (HOM) mOsm 262) Multiple myeloma post Tn. Jimmy Rianto / 45 th / dr. M. Noor Diansyah, Sp.PD, Bortezomibe 8 siklus (terakhir Anemia Normokrom Normositer (Hb Poli 14 dr. Wiharjo / dr. Sylvi CKD st. IIIB (Nefro) 1 hari 12949558 K-HOM 14/7/23), progressive disease. 7,6) POSA (HOM) Anemia Hipokrom mikrositer (Hb Tn. Andriansyah Catur Cholelithiasis disertai 8.4) + Hiponatreamia Hipotonik 15 dr. Annisa Zahra Sp.PD dr. Katia/ dr. Hilya Susp. Pankreatitis akut (GEH) CAP 0 hari IGD Putra/ 41 th/ 13070914 cholesistitis Hipovolemia (Na 124)
CKD stage 3b (BUN
14,5, SK 1,7 > 1,8 Suspek massa paru Tn. Suis Muji Siswoyo / dr. M. Noor Diansyah Sp.PD, K- Bisitopenia (HB 6,4, WBC 4440) Severe Compression Poli 16 dr. Katia / dr. Hilya eGFR 41.9-50.8 proevaluasi 0 hari 56 tahun / 1306442 HOM ec Multiple Myeloma (HOM) fracture corpus VTh 12 POSA mL/min/1.73 m²) (Nefro) Hipokalemia (3.8> 3,1> 3,4> 4,5 )+ Hiponatremia hipoosmolar Hematemesis melena ec Ulkus Striktur pylorus hipervolemik (Na 121 Osm 150 > Tn. Dedy / 36th / 17 dr. Annisa Zahra Mufida, Sp.PD dr. Danu / dr. Siti antrum gaster Forest Class II-C kompleks ec peptic 129 > 128 > 129 )+ 6 hari IGD 13069863 (GEH) ulcer related (GEH) Hipoalbuminemia (Alb 2,05> 2,15> 2,41> 1,95)+ Anemia hipokromik mikrositik (Hb9 > 6,8> 8,8> 8,6> 9,1) 18 Striktur CBD distal post Tn. Achmad Yuslam/ 22 dr. Ummi Maimunah, SpPD- Riwayat kolangitis akut 19 dr. Danu / dr. Siti pemasangan stent pro ERCP Vomiting tanpa tanda dehidrasi 4 hari POLI th/ 13020551 KGEH (GEH) evaluasi (GEH) Asites permagna + Hiponatremia hipovolemik (Na 125 osm 150> 129) Tn. Samsul Arifin / 42 Hematemesis ec susp SRMD dd Asites ec Susp. 20 dr. Annisa Zahra SpPD dr. Wiharjo / dr. Ichlas Efusi pleura D + Hipoalbuminemia (2.05> 2,15) + 9 hari IGD tahun / 13069643 gastritis erosiva Malignancy Anemia hipokromik mikrositik (Hb 9 > 6,8> 8,8) Pansitopenia (Hb 8.7, WBC 3060, Plt 63.000) Tn. Sobirin/ 66 th/ dr. M. Noor Diansyah Sp.PD, K- Syok sepsis membaik DM tipe 2 dd steroid Stroke infark onset 21 dr. Katia / dr. Hilya ec susp MDS dd/ AML MI type II (Kardio) 4 hari HCU 10745414 HOM + Sepsis ec susp CAUTI induced hiperglikemia H-11 (Neuro) (Blast perifer 10%) (HOM) Ny. Junarsih / 52 tahun / dr. Amie Vidyani Sp.PD K-GEH, Hematoschezia ec chrohns Hidronefrosis gr IV Hipoalbumin 1.52 + Anemia Hb 8.5 22 dr. Katia / dr. Zuhda 14 hari IGD 13068470 dr. Cahyo Wibisono Sp.PD, K-R disease (GEH) dextra + Trombositopenia 55.000 23 Anemia Normokromik Normositik (Hb 6.5) DM type 2 Ny. Muhajati / 63 th / dr. Satriyo Dwi Suryantoro, Sp. ADKD (BUN 46, SK CAP PSI score 143 risk + Asidosis metabolik terkompensasi 24 dr. Danu / dr. Abdel ADHF wet warm (Nefro) normoglikemia HT st 2 (Nefro) 1 hari IGD 13070891 PD, K-GH 2.1) (Nefro) class V (Tropik) sebagian (pH 7.31, PCO2 36, HCO3 (Endokrin) 18.1, Bicarbonat defisit 141) + Hiperkalemia (K 5.8)