Morning Report Emergency OR

Saturday, February 4th, 2017

dr. Zeta – Manda – Uyun – Defit
ICU : dr. Sisca
HCU : dr. Neil
TMRC : dr. Ronald
IMET : dr. Hendra
ICU IGD : dr. Roy
Resus : dr. Chrysa
APS : dr. Mange - Kadek
PJT : dr. Shendy

• Total Patients : 5 patients .

Thrombocytosis 726000 . leukocyte 32800.5 cc/kg/hour. UO <0.000 IU/24h . Diabetic gangrene of the right foot on heparin 20. CXR: infiltrate on both lung fields .4 g/dl.06 g/dl . Community acquired pneumonia dd/ lung TB (without cough. Temperature 37 C.56 g/dl .5cc/kg/hour . RR 20-22x/min. on meropenem 3x1 gr E2 . M.24. Hipoalbuminemia 3. urine output 0.suspected pneumonia) . DM type 2 (RBG 148 mg/dl on insulin drip 1U/hour) . Anemia Hb 8. lactate 1. on meropenem 3x1gr E2. Without airway difficulty Plan GA – CVC Post Op ICU . AKI dd acute on CKD (ureum 63 g/dl and creatinine 1. Nasal canule on sitting position. SpO2 99% on O2 3 litre/min. Septic (HR 120X/min. PCT 0.1. rales on both lung fields. RR 22- 24x/min. 53 yo Diagnosis Diabetic gangrene of the right foot Procedure Below knee amputation Physical status ASA 3 .6.

Leukocytosis 12900/mm3 Plan GA Post Op Ward .Third day of acute respiratory infection without cough/rales . F.2. 3 yo Diagnosis Corneal rupture of the right eye Procedure Rupture repair Physical status ASA 2 .

Left pneumothorax ( weakened vesicular sound in the left lung.Hypernatremia 156 mEq/L . Subcutis emphysema. M. 16 yo Diagnosis Bilateral vulnus scissum.Without airway difficulty Plan MAC Post Op Ward .3. left pneumothorax Procedure Physical status ASA 3 .Leukocytosis 15600 . CXR: Left pneumothorax ) .

M.Elevated SGOT 124 g/dl. SGPT 89 g/dl . left hand crush injury Procedure Open reduction internal fixation.4.Leukocytosis 15600 . debridement Physical status ASA 2 . closed fracture of distal ulna. K-wire. 33 yo Diagnosis Closed fracture of bilateral humerus.Without airway difficulty Plan GA Post Op Ward .

aVL.5. F.Elevated SGOT 34 g/dl/SGPT 79 g/dl . BP 1498/79 mmHg. 28 yo Diagnosis Left eye endopthalmitis Procedure Evisceration. EKG: inverted T on I. V5-V6 .Without airway difficulty Plan GA Post Op Ward . without therapy.Leukocytosis 25000 . dermal fat graft Physical status ASA 2 .Hypertension.

THANK YOU .