MAPPING DIGESTIF (Minggu, 26 November 2018)

Kamar Identitas HR Diagnosis Lab DPJP Planning

IGD
Raziah Tumor 1/3 Recti
Distal

Rusli Susp. Abses Hepar

Raudah 3
Rukiah POD Leakage anastomosis Lab 20/11/18 dr. Ferry E, Rawat luka dan
post laporotomi + Hb/Ht/Tr/L Sp.BKBD
K3B1 M.amin, 8 mobilisasi.
adenosin colostomi 9/25/418/8.2
Pr, 63 th (sigmuid + adhesiolisis Albumin/globulin: 2/2.2
1178969 + debridement intra Ur/Cr: 16/0.75
abdomen Na/K/Cl/Ca: 150/2.2/107/
6.9

Lab 18/11/18
Hb/Ht/E/Tr/L:
11/31/4.5/344/6.7
PT/kontrol: 10.8/10.9
INR: 1
APTT/kontrol: 35.6/34.9
D-dimer: 1205.04
SGOT/SGPT: 15/11
Albumin: 2.23
Na/K/Cl/Ca
146/2/101/7
Ur/Cr:19/042

lab 6/11/2018*
alb : 3.30
ur/cr : 14/ 0.66
na/k/cl : 144/ 3.0/ 120

*lab 2/11/2018*
hb/L/Tr: 13.9/ 7.8/ 334
alb : 2.79
sgot/ sgpt : 17/8
ur/cr : 21/ 0.75
na/k/cl : 143/ 3.8/ 110
K4B3 Siti AD Tumor intra abdomen Lab 22/11/18 *dr. M.Yusuf, Pantau vital sign
(rhabdomio sarcoma) Hb/Ht/E/Tr/L Sp,BKBD*
Fatimah, 19 Paliatif care
9.7/28/3.7/408/12.6
pr, 39 thn, Konsul kerohanian
1158026 Lab 20/11/18
Hb/Ht/E/L/Tr
9.3/25/3.6/10/376

Lab 17/11/2018
Hb/Ht/E/L/T :
10,5/28/4,0/8,1/323
Na/K/Cl : 118/6,0/82
protein total : 6,38
Albumin : 3,44
Globulin : 2,94
Ca : 8,0
Kgds : 88
Lab 14/11/2018*
Hb/ Ht/ E/ L/ Tr :
8,6/25/3,5/10,6/427
Ur/Cr: 82/2,41
Bil T/D/I : 2,31/1,72/0,59
SGOT/SGPT: 279/262

K4B4 Nurmalini Hernia Umbilikal Lab 22/11/2018

Hb/Ht/Er/L/Tr
M Jafar
13,7/38/4,6/8,4/277
Pr, Albumin
4,21
Ur/Cr
20/0/81
Na/K/Cl
144/4,8/105

K6B5 Patimah AD 6 Obs.Jaundice e.c dd: Lab 20/11/18 Dr. Ferry E

-Batu CBD Hb/Ht/E/L/T: SpBKBD
wati,pr, 31
-Massa CBD 11,5/34/4,4/8,2/421
th. Bil.Tot/Bil direct/Bil Indirect
1191635 : 12,96/8,9/4,06
Ur/Cr: 10/0,45
K6B6 Tigade AD 3 ILO Post Appendictomi Dr. Ferry E
SpBKBD
Abu Bakar,
Pr, 58 th,
1190348

K7B1 Hamidar AD 7 Cholelithiasis Lab 20/11/18 Dr. Ferry E MRCP

Hb/Ht/E/Tr/l SpBKBD
Koto, Pr,
11.7/33/5.4/328/12.2
64 th
1190634 Lab 17/11/2018
Hb/Ht/E/L/Tr:
8,1/24/4,1/7,3/326
Bil total: 1,86
Bil direct: 1,06
Bil indirect: 0.8
Ur/Cr: 9/0,54
Na/K/Cl: 147/4/108
GDS: 126
K7B3 Maryam AD 7 Obs jaundice ec Lab 19/11/2018* *dr. M.Yusuf, MRCP
Dd Hb/HT/E/L/T : Sp,BKBD*
Abdullah
Batu CBD 11,3/28/3,5/15,7/329
Pr 57 th Tumor CBD Albumin: 2,65
1191487 Globulin: 2,55
Prot total: 5,20

K7B4 Bareng Post Laparotomi Lab 22/11/2018

Hb/Ht/E/Tr/L
Abu Bakar eksplorasi ec
11,8/35/4,1/271/7,6
pr peritonitis SGOT/SGPT
47/15
Na/K/Cl
138/3,6/98
Ur/Cr
98/1,79
 Lab 23/11/2018
Na/K/Cl
142/3,7/99

K7B6 Hajjah M. AD 7 Obs.Jaundice e.c Lab 22/11/18 dr. M.Yusuf,

choledocolithiasis Hb/Ht/E/Tr/L Sp,BKBD
Salleh
11.3/29/3.5/560/10.6
Pr 44 th Na/K/Cl/Ca:
0977191 141/103/0.56/18.8
Ur/Cr: 16/0.56
SGOT/SGPT: 1.8/142
Bil dirc: 13.09
Bil indrc: 4.87

Lab 17/11/2018:
Ur/Cr: 23/0,52

Lab 14/11/2018
Hb/Ht/L/T : 13,3/37/9,5/446
Bil.tot/bil direct: 9,3/6,48
Raudah 4
K1B2 Ibrahim Stutus colostomy ai ca Lab 20/11/18 Dr. Ferry E Rencana Pindah Tursina
recti Hb/Ht/E/Tr/L SpBKBD
Muaddin,
Anemia 9.2/25/3/301/15.9
Lk, 60th hipoalbumenia Albumin: 2,39
1191686 Ur/Cr: 16/0.6
Na/K/Cl: 132/3.9/102
K7B1 Mawardi AD 5 Blund Thoracobdominal Lab 22/11/18 dr. M. Yusuf Rencana PBJ
injury + tensiom Hb/Ht/E/Tr/L SpBKBD
M Minto
pneumothoraks 10.6/31/3.6/364/19.8
lk, 18 th
1191461 Lab 21/11/18
Hb/Ht/E/L/Tr
10.9/29/3.6/18.2/226

Lab 19/11/2018
Hb/ht/E/Tr/L :
11,8/33/4,0/15,6/206
Ca: 7,4
Na/K/Cl: 137/4,2/99

Lab 18/11/18:
Hb/ht/E/Tr/L
10.7/29/3,5/277/27,3
Na/K/Cl/Ca: 140/4.4/101
Ur/Cr: 23/12.3

RAUDAH 5
K2B2 Muhammad POD Tumor intra abdomen + Lab 21/11/18 dr. Ferry
cholesistitis Hb/Ht/E/Tr/L Erdani,
Sabri, Lk, 3
ASBO strangulata 11.1/32/4.6/320/12.4 Sp.B(K)-BD
45 th SGOT/SGPT: 15/14
0880606 Albumin 3.26
Ur/Cr: 5/0.73
Na/K/Cl : 128/3.8/95

K3B2 Suhaimi C. AD4 Obstruksi jaundice ec Lab 21/11/18 dr. Ferry

cholelitiasis multiple + Bil total: 36.03 Erdani,
Pr 67 th
Bil dirc: 25.73 Sp.B(K)-BD
1190367 Bil indrc: 10.30
SGOT/SGPT: 61/26
PT/Kontrol:INR:
13.6/10.9/1.29
APTT/kontrol: 53.9/37.7

Lab 19/11/18
Hb/Ht/E/L/Tr:
8.8/23/2.7/10.1
Albumin: 3.05

Lab : 13/11/2018
 Hb/Ht/E/L/T:
7,6/20/2,6/13,4/100
K5B1 Abdul POD General partial Lab 19/11/18 dr. M. Yusuf PBJ hari ini
peritonitis ec leage Na/K/Cl/Ca: 148/3.8/101 SpBKBD
Munir, Lk, 6
anastomosis ileo ileal ec
56 th total MBO post + Lab 20/11/18
1191357 hemoprapul dgn most Na/K/Cl
graft bilateral post LE + 7.7/149/4.3/105
adhesi intestinum
Lab 18/11/18:
Na/K/Cl/Ca: 141/6.3/99/7.1
Ur/Cr: 59/2.15

Lab 17/11/18:
Hb/Ht/E/Tr/L:
13.6/36/4.9/502/18.5
PT/Kontrol: 11.5/10,9
INR: 1,01
APTT/Kontrol: 35,9/34,9
D-Dimer: 6233,52
Albumin: 2.63
Na/K/Cl/Ca: 139/4.3/99
Ur/Cr: 33/0.6

K6B2 Yuswandi

K6B4 M. Yasin, Obs. Jaundice ec 23/11/18 dr. M. Yusuf Ambroxol

choleliatiasis Hb/HT/E/L/T SpBKBD
lk, 59 th
10,7/29/3.6/12,8/189
0920106 Ca; 8,1
Na/K/Cl; 158/3,9/15
K6B5 M. Nur Status ileastomi + AH ec Dr. Ferry E Rawat luka per hari
suspect dehidrasi + SpBKBD
Ishak, Lk, Perbaiki KU
imbalance elektrolit
58 th, Strangulasi ileus
1188938
K6B6 Fakhrizal POD Obstruksi Joundice e.c 21/11/18 Dr. Ferry E PBJ
Choledocolithiasis + Hb/HT/E/L/T SpBKBD
Yusri, Lk, 6
Post laparotomy 7.9/22/3.4/174/5.8
28 Thn, cholesistectomy + Ur/Cr: 24/0.76
1184044 adhesiolisis + biopsi Albumin: 3.12
Bil direct: 1.1
Bil indirct: 0.99

Lab 17/11/2018*
Hb/HT/E/L/T :
10.2/29/4.3/11,1/169
Albumin: 3,2
Ur/Cr: 30/0,71
Na/K/Cl: 134/6,4/89

*Lab 14/11/2018*
Kolestrol
Total/HDL/LDL/trigliserida
: 191/27/117/212
HbA1c : 6,00

*Lab 13/11/2018*
Hb/HT/E/L/T :
10,9/31/4,5/5,6/186
Na/K/Cl : 139/4,9/103
Ur/Cr : 33/0,80
Albumin: 3,26

*Lab 7/11/2018*
Hb/HT/E/L/T : 8,5/24
/3.8/4,7/128
Na/K/Cl : 136/3,4/99
Ur/Cr : 17/0,43
CT/BT : 8/3
SGOT/PT: 44/117
GDS : 221
Bil dirk/indirek: 18,02/4,97
 Bil total: 22,99
K7B1 Zulfikar AD 5 Periapendikular Infiltrat Lab 21/11/18 dr. M. Yusuf, Cek albumin
Hb/Ht/E/Tr/L: Sp.B-KBD
Ridwan lk, Laparatomi eksplorasi
10.1/30/4.1/543/7.4
26 th Albumin/globulin: 5.92/2.89 dengan stoma
1191769 Ur/Cr: 12/0.75
Na/K/Cl: 139/4.3/98
GDS:123

Lab 18/11/2018*
Hb/HT/E/L/T :
9,9/29/4,1/6,5/642
Na/K/Cl : 134/4,0/100
Ur/Cr : 20/0,48
CT/BT : 2/7
SGOT/PT: 24/18
GDS : 102
Alb; 2,37
K7B5 Agusdiar

K7B6 Juliadi POD Status colostomy post Lab 20/11/2018 dr. M. Yusuf,
colostomy closure + Hb/Ht/E/L/Tr: Sp.B-KBD
Emran, Lk, 6 adhesiolisis + 15,5/44/5,3/17,6/316
31 th anatomosis end to side
1174284 Lab 21/9/2018:
Hb/Ht/E/L/Tr:
15.3/45/5.4/7.6/287
Albumin: 4.33
Ur/Cr: 14/4.33
Na/K/Cl: 147/4/109
ISO 1 Amiruddin Ca recti 1/3 proximal + Lab 18/11/2018 dr. M. Yusuf, Kemoterapi
abses Hb/HT/E/L/T : Sp.B-KBD
M yusuf ,
10,5/31/4,0/15,2/311
60 Thn, Alb : 3,21
1108518 Ur/Cr : 16/0,7
Na/K/Cl: 132/4,9/91

Lab 15/11/2018*
Hb/HT/E/L/T :
11,0/32/4,2/19,2/376
Na/K/Cl : 131/4,5/100
Ur/Cr : 24/0,71
Albumin/globulin : 6,67/2,67
SGOT/SGPT: 16/12

Lab 12/11/18*
Hb/Ht/E/L/T:
5,9/18/2,4/22,9/616
GDS: 160
Ur/Cr: 28/0,87
Na/K/Cl: 133/5,0/98

Raudah 6
K2B4 Eliva M. AD4 Multiple cholelithiasis + Lab 19/11/2018* dr. Ferry E, MRCP
DM tipe 2 Hb/HT/E/L/T : Sp.BKBD
Husni, pr,
9,3/27/3,6/6,1/294
36 th Na/K/Cl : 142/4,2/100
1184632 Ur/Cr : 15/0,88
Gds ; 58
Bil.tot : 0,30
Bil.Direct: 0,15
SGOT/SGPT: 12/14
K3B2 Djauhari AD3 Susp. Massa Lab 22/11/2018* dr. Ferry E, Ct Scan non kontras
Intraabdomen dd tumor Hb/HT/E/L/T : Sp.BKBD
Sakmah, pr,
caecum 11,3/31/3,7/6,1/430
72 th Na/K/Cl : 140/3,6/97
1191871 Ur/Cr : 13/0,38
Gds ; 91
Alb; 2,98
 HbsAg; negative
HCU Medical
Bed 12 Jumali Obstruksi jaundiece ec : Lab 18/11/18* dr. M. Yusuf,
1. Choledocolitiasis Hb/Ht/E/L/T: Sp.B-KBD
Maeran,
2. tumor intrabdomen 9,2/25/3,2/19,5/73
Lk, 54 Thn, Ur/Cr: 22/0,58
1190612 Na/K/Cl: 134/3,0/104
Albumin/globulim/protein
total:2,59/2,18/4,77

Lab 15/11/18*
Hb/Ht/E/L/T:
9,4/26/3,3/24,7/108
Ur/Cr: 20/0,91
Na/K/Cl: 152/4,4/96
Albumin/globulim/protein
total:2,4/2,07/4,47

Lab 13/11/18*
Hb/Ht/E/L/T:
10,2/29/3,6/14,0/227
Ur/Cr: 13/0,56
Na/K/Cl: 137/3,3/102
Albumin : 2,01
CA 19-9 : 500,00

Lab 10/11/2018*
Hb/Ht/E/L/T :
9,9/27/3,5/19,4/187
CT/BT : 8/3
HbsAg : Negatif
Bil total : 20,7
Bil direct/indirect : 15,7/5
SGOT/SGPT : 113/101
GDS : 178
ur/Cr : 20/0,55
Na/K/Cl: 131/2,9/90
HCU Surgical
BED Mariana Susp abses dinding LAB 22/11/18 dr. Ferry E, USG abdomen
abdomen Hb/Ht/E/L/TR Sp.BKBD
Abubakar, Transfusi PRC hb 10
7,6/23/3,1/24,2/244
Pr, 64 th Albumin/Globulin gram/dl
1187178 1,72/3,28 Cek DR, PT, APTT
Lab 21/11/18
Hb/Ht/E/Tr/L
5.8
17/349/30.2
Na/K/Cl: 133/5/105
Ur/Cr: 98/1.26
Kgds: 96
ICU D
BED Adnan
Kecat
BED Rasman Obstruksi bilier ec susp Lab 17/11/18 dr. M. Yusuf Perbaikan KU
choledocolitiasis Hb/Ht/E/Tr/L SpBKBD
Ibrahim, Jadwalkan untuk MRCP
Cholelitiasis 11.3/32/4/110/2.7
Lk, 47 th Anemia PTKontrol: 11.6/10.9
0953394 Skizofrenia INR: 1.08
APTT/Kontrol:40.4/34.9
Ur/Cr: 17/0.8
/K/Cl: 3.7/102