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NOTES COASS UROLOGI Senin 19 Januari 2015 Irina A Atas – 8Pasien NO KAMAR IDENTITAS DIAGNOSIS LAB TERAPI 1. A11 Bed 1 Datau Ismail /L/55 thn/ 434.3.07/ MRS 7/1/15 dr. Ainun Aschorijanto, SpU post nefrotomi hari V ec.pionefrosis + nefrolitiasis (S) 19-1-15 Leuko 7000 Eritrosit 3,85 Hb 9,9 Ht 32 Trombo 233 Ur 53 Cr 3,2 Na 144 K 3,54 Cl 115,3 Alb 2,7 -IVFD RL - Ceftriaxone 2x1 gr iv -ranitidininj 2x1 amp iv -ketorolac inj 3x1 amp iv -metronidazolinj 3x1 amp -menungguhasil PA - rawat luka bekas OP 2. A11 Bed 2 Kobandaha Abednego/L/74th/ 43.05.63 MRS 12/1/2015 Dr. Richard Monoarfa,SpU Post Turr prostathari II ec.BPH 15-01-2015 Leu 7000 Eri 4,14 Hb 10,9 Ht 32,2 Tro 328 GDS 93 14-01-2015 GDS 148 Cr 1 Ur 30 Alb 3,5 Na 140 K 5,12 Chlo 110,2 -IVFD RL : D5 2:1 20gtt/m -Ceftriaxone 2x1 gr IV -Ranitidin 2x1 amp IV -Ketorolac 3x1 amp IV - Hari ke VI post op. bladder training 3. A1 Bed 2 David Sampul L/27thn/42.02.32 MRS 27/11/14 dr. Ainun Aschorijanto, SpU Post repairlaserasiecfr. Pelvis+ post.orifecfr.pelvis + fistelenterokutan + fistel perianal 19/1/15 Leu 5400 Eri 4,74 Hb 11,3 Trombo 448 5/1/15 GDS 90 Cr 1 Ur 16 Na 136 K 4 Cl 103 Alb 3 SGOT 13 SGPT 17 -IVFD RL -Levofloxacin 2x500 mg -VIP Alb. 3x4 -R/ fistulografi -Rawatluka 2x/hari - Tx lain mengikuti TS Ortopedi dan Digestive 5. A8 Bed 8 Kawung R Hengky/L/ 46 thn/ 43.50.00 MRS 14-1-2015 dr. AlwinMonoarfa, SpB, SpU Post debridement + nekrotomi ec.fournier gangren 19/01/2015 Leu 14700 Eri 4.07 Hb 11.1 Ht 34 Tro 109 GDS 71 Cr 0.7 Ur 23 Alb 1.7 Na/K/Cl 139/2,88/109, 6 14/01/2015 Leu 5400 Eri 3,66 Hb 11 Ht 30,6 Tro 113 13/01/2015 Leu 6700 Eri 4,79 Hb 14 Ht 39,8 Tro 182 IVFD RL Ceftriaxone 2x1gr IV Metronidazole 3x500mg PCT 3x500mg drips IV Ranitidin 2x1 amp IV Ketorolak inj 3x1 amp iv Vip albumin 3x1 caps Rawatluka 2x/hari 6. A7 Bed 5 Herman Denni Gosal L/45 thn/43.19.27 MRS 30/12/14 dr. Ainun A, SpU Post Orchidektomi ec Ca penis + anemia 19-1-15 Leuko 11.900 Hb 7,8 Ht 25 Trombo 569 GDS 77 Cr 1 Ur 14 Na 142 K 3,97 Cl 108,9 Al ph 78 LDH 1.947 -IVFD RL -Patral 3x1 (k/p) (IV) -transfusiprc / harisampaihb> 10 -rencanakemoterapi Bleomisin Etoposidin Cisplatin 7. A7 Bed 8 Saman Akbar/ L/ 20thn/ 41.90.90 MRS 15/01/15 dr. Ainun A, SpU Tumor R umbilicalissusp malignancy + general weakness 19/01/2015 Leu 13200 Eri 2,31 Hb 5,9 Ht 18,4 Tro 453 GDS 72 Urinalisa Epitel 8- 10 Eritrosit 10-20 Leu +++ Protein ++ IVFD RL Ceftriaxone 2x1 gr IV Ranitidin 2x1 amp IV Ketorolac 3x1 amp IV 1

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NOTES COASS UROLOGISenin 19 Januari 2015

Irina A Atas 8Pasien

NO KAMAR IDENTITAS DIAGNOSIS LAB TERAPI

1.A11Bed 1Datau Ismail /L/55 thn/ 434.3.07/MRS 7/1/15

dr. Ainun Aschorijanto, SpUpost nefrotomi hari V ec.pionefrosis + nefrolitiasis (S)

19-1-15Leuko 7000Eritrosit 3,85Hb 9,9Ht 32Trombo 233Ur 53Cr 3,2

Na 144K 3,54Cl 115,3Alb 2,7-IVFD RL- Ceftriaxone 2x1 gr iv-ranitidininj 2x1 amp iv-ketorolac inj 3x1 amp iv-metronidazolinj 3x1 amp -menungguhasil PA- rawat luka bekas OP

2. A11 Bed 2Kobandaha Abednego/L/74th/43.05.63MRS 12/1/2015

Dr. Richard Monoarfa,SpUPost Turr prostathari II ec.BPH15-01-2015Leu 7000Eri 4,14Hb 10,9Ht 32,2Tro 328GDS 93

14-01-2015GDS 148Cr 1Ur 30Alb 3,5Na 140K 5,12Chlo 110,2-IVFD RL : D5 2:1 20gtt/m-Ceftriaxone 2x1 gr IV-Ranitidin 2x1 amp IV-Ketorolac 3x1 amp IV- Hari ke VI post op. bladder training

3.A1Bed 2

David SampulL/27thn/42.02.32MRS 27/11/14

dr. Ainun Aschorijanto, SpUPost repairlaserasiecfr. Pelvis+ post.orifecfr.pelvis + fistelenterokutan + fistel perianal

19/1/15Leu 5400Eri 4,74Hb 11,3Trombo 4485/1/15GDS 90Cr 1Ur 16Na 136K 4Cl 103Alb 3SGOT 13 SGPT 17-IVFD RL-Levofloxacin 2x500 mg-VIP Alb. 3x4-R/ fistulografi-Rawatluka 2x/hari- Tx lain mengikuti TS Ortopedi dan Digestive

5.A8Bed 8Kawung R Hengky/L/ 46 thn/ 43.50.00

MRS 14-1-2015

dr. AlwinMonoarfa, SpB, SpUPost debridement + nekrotomi ec.fournier gangren19/01/2015Leu 14700Eri 4.07Hb 11.1Ht 34Tro 109GDS 71Cr 0.7Ur 23Alb 1.7Na/K/Cl139/2,88/109,6

14/01/2015Leu 5400Eri 3,66Hb 11Ht 30,6Tro 11313/01/2015Leu 6700Eri 4,79Hb 14Ht 39,8Tro 182IVFD RL Ceftriaxone 2x1gr IVMetronidazole 3x500mgPCT 3x500mg drips IVRanitidin 2x1 amp IVKetorolak inj 3x1 amp ivVip albumin 3x1 capsRawatluka 2x/hari

6.A7Bed 5Herman Denni GosalL/45 thn/43.19.27MRS 30/12/14

dr. Ainun A, SpUPost Orchidektomi ec Ca penis + anemia

19-1-15Leuko 11.900Hb 7,8Ht 25Trombo 569GDS 77Cr 1Ur 14Na 142K 3,97Cl 108,9Al ph 78LDH 1.947

-IVFD RL-Patral 3x1 (k/p) (IV)-transfusiprc / harisampaihb> 10-rencanakemoterapiBleomisinEtoposidinCisplatin

7.A7Bed 8Saman Akbar/ L/ 20thn/ 41.90.90MRS 15/01/15

dr. Ainun A, SpUTumor R umbilicalissusp malignancy + general weakness19/01/2015Leu 13200Eri 2,31Hb 5,9Ht 18,4Tro 453GDS 72Cr 6,6Ur 125Na 138K 3,78Cl 119,15/1/15AU 7SGOT 11SGPT 10UrinalisaEpitel 8-10Eritrosit 10-20Leu +++Protein ++++Darah ++++IVFD RL Ceftriaxone 2x1 gr IVRanitidin 2x1 amp IVKetorolac 3x1 amp IVRawatluka

8A7Bed 4Gilon AdriL/35 thnMasuk ICU 15/01/15

dr. Ainun A. SpUPost lap.exp anastomase ureter D + repair buli + sistostomi ec.ruptur ureter D + ruptur buli latrogenik

16-1-15Leu 10.500Eri 2.87Hb 7.9Ht 24.6Tr 334GDS 132Alb 2

17-1-15Cr 4,27Ur 96,3

TX lanjut sesuai TS digestive R/sistografi 2 minggu depan 30/01/2015

9A6Sintje Rasu/P/64 thn45.75.26MRS 19/01/2015

dr. Richard M. SpUKista renal dextra et sinistra + kista hepatic lobus kemndum kiri16/01/2015leu 7200Eri 3,53Hb 9,7Ht 29,6Trombo 30907/01/2015Bil ot 0,39Bil dir 0,1Gds 96Cr 1,3Ur 40Alb 4,4gammaGT 14na 135k 4,42cl 103,8

10A3Bed 3

FalilaSarfa/P/41thn43.44.47MRS 12/01/2015

dr. Richard M. SpUTumor intra abdominaldd/ tumor ginjal (S) + Hpt gr.II19/1/2015Leuko 6000Eri 4,4Hb 11,7HCT 367Trombo 170GDS 222Cr 0,9Ur 27SGOT 15SGPT 12Na 145K 3,57Clo 114,4IVFD RLPatral tab 3x1Menunggu hasil PA biopsy insisi

NO KAMAR IDENTITAS DIAGNOSIS LAB TERAPI

1.B2Bed 1Aisyah SuratnoP/22thn/42.99.24MRS 21/11/14

dr. Richard Monoarfa,SpU-Post Repair ruptureparsial ureter + post repair laserasi vagina + ulkus decubitusregio lumbosacral gluteus

17-1-15Leu13500Eri 3.38Hb 9,6Ht 28,8Trom739Alb 2,4

Na 141Ur 17Cr 0,4K 4,02Cl 109,9GDS 90-Pertahankan kateter-VIP Albumin sachet3x1-rencanasistokopibila KU sdh optimal-Terapi lain sesuai TS bedah plastik

2.B8Bed 3

PASBARGaring Melkson/L/22thn/43.53.57MRS 17/01/2015

dr. Alwin Monoarfa,SpUTrauma tumpul abd + ruptur ginjal S gr.IV + susp rupture spleen gr.II19/01/15Leu 4600Eri 3,47Hb 10,2Ht 30,1Tro 186Urinalisis 16/01/15-Warna kuning tua-Kejernihan keruh-Sel epitel positif (+)-Leukosit: 0-2 /LPB-Eritrosit >50/LPB

IVFD RLCeftriaxone 2x1gr ivRanitidine 2x1 ampKetorolac 3x1 iv

3.B8Bed 4AbednejoDarungo/ L/32thn/43.45.75/MRS 10/01/2015

dr. Richard Monoarfa,SpUSusp. Urolithiasis + ISK + nefropathyobstruktif

19/1/2015Leu:17.700Eri 4,21Hb 12Ht 36,1Tr 336Gds 90Cr 2,4Ur 64Alb 4,9Na 139Ka 4,21Cl 110As urat 8,2Urinalisis9/1/2015Warnakuningmuda.

Kejernihaagakkeruh.-selepitel (+)-bakteri (+)-eritrosit 8-10/LPB-leukosit 11-20/LPB- Patral 3x1- R/ urs hari jumat- Urin tamping - ekspertisi EKG dan Foto thoraks

4.B5Bed 4SulamingMaswara/ L/ 79thn/ 43.41.02

MRS 15/01/2015

dr. Ainun A. SpUPost TUR ec BPH19/01/2015Leu 13000Eri 3,16Hb 10Ht 29,1Tro 197GDS 168Cr 1,1Ur 29Na 138K 3,6Cl 104

Irina A Bawah 4Pasien

ICU NO KAMAR IDENTITAS DIAGNOSIS LAB TERAPI

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