MAPPING BEDAH UROLOGI

Rabu, 21 Agustus 2019

RAUDHAH 2
5/1 Nurul amalia, pr, 13, 1217489 Lab 17/08/19 Cek DR serial
Dx ruptur ginjal grade III+ Hb/Ht/E/L/T: 11.2/26/3.2/11/160
hemodinamio stabil+CKS Lab 12/08/19
Hb/Ht/E/L/T: 9.8/27/3.4/10.7/149
Lab 12/08/19
Hb/Ht/E/L/T: 8,2/23/2.8/22.3/305
Na/K/CL: 136/3.7/105 Ur/Cr:29/0.6
3/2 Alisya Ramadani, pr, 74, PCNL kmrn
1214754
Dx. Nefrolithiasis dextra

2/1 M. Akbar, lk, 14, 121940 Lab 18/8/19 CT Scan non kontras
Dx. Hematom ec susp trauma Hb/Ht/E/L/T: 13,0/37/4,7/453/14,5 abdomen
ginjal + contusion ginjal dextra

RAUDHAH 4
4/1 Darwin M, lk, 58, 1214893 Lab 10/08/2019 Tunggu acc cek
Dx. Ca Prostat Hb/Ht/E/L/T: 9.8/29/3.5/5.8/349 Albumin: 2,80 testoteron
7/1 Abdul musti, lk 54, 1217545 Lab 14/08/2019 Ro thorax, persiapan
Dx Tumor renal dex Hb/Ht/E/L/T: 14/34/4.1/8.8/257 anes
Albumin: 3.4 ur/cr: 194/3.9 Konsul GEH
Na/K/Cl: 139/5.7/101 Konsul PA
Konsul GH
RAUDHAH 5
ISO 2 M. Aqil, lk, 20, 1190697 Lab 15/08/2019 Persiapan op selasa Ceftriaxone 1gr/12 j
Hidronefrosis sinisitra ec batu Hb/Ht/E/L/T: 14.3/41/5.2/13.4/245 URS sin Paracetamol 1gr/8 j
ureter distal sinistra ur/cr: 25/1.7 Na/K/Cl: 147/4.3/110
7/3 Jailani razali, lk, 48th, 1136024
Dx. Abses ar flank dextra
7/2 Azka rianda, lk, 17th, 0965387
Dx. Post chodectomy +
uretroplasty + bucal graft ai
hipospadia tipe phenoscrotal
6/5 M. Yusuf ramli, lk, 59 th,
1217049
Dx. Post TURBT ec Ca Bulli +
biopsy + CKD stage V
6/2 Junaidi yahya, lk, 37 th,
1199501
Dx. Ca Bulli T4N2Mo + batu
staghorn dextra + riwayat
kemo 6x
6/1 Zainuddin zainun, lk, 59,
0984911
Dx. Ca prostat + hemiplegia
dextra + DM tipe II
4/4 Abdurrahman Az, lk, 69 th,
1213355
Dx. Tumor ginjal dekstra + DM
tipe II + PPOK
2/2 Abdurrahman awaluddin, lk,
51th, 1196929
Dx. Hematoma renal sinistra +
trauma tumpul abdomen
trauma ginjal grade II,III
Lab 18/8/19 Susul hasil CT scan Cefaperazone sulbactam 1gr/12jam
Hb/Ht/E/L/T:8,6/24/3,2/15/377 abdomen PCT 1gr/8jam
CT/BT : 8/3, HbsAg : non reaktif, Alb : 2,30 Omeprazole 40mg/8jam
GDS : 137, Ur/Cr : 82/2,0, Na/K/Cl : 127/4,3/99
Lab 7/8/19 Aff tampon bucal Ceftriaxone 2gr/24jam
Hb/Ht/E/L/T:12,7/38/4,3/188/66 Ketorolac 30mg/8jam
CT/BT : 9/3, HbsAg : non reaktif
GDS : 124, Ur/Cr : 71/3,54, Na/K/Cl : 143/4,6/110
Urinalisis
Darah : (+), leukosit (+), Ca oxalate (+), Bakteri (+)
Lab 18/08/19 Pod 1 Cefoperazone 1gr/12jam
Hb/Ht/E/L/T:11,6/34/4,1/6,2/247 Evaluasi BAK Kalnex 1gr/8jam
Prot total/Alb/Glo : 5,80/2,70/3,10 Paracetamol 1gr/12jam
GDS : 137, Ur/Cr : 78/4,10, Na/K/Cl : 144/4,0/110 lenal ace 16mg/12jam
asam folat 40mg/12jam
Lab 19/08/19 P/ kemoterapi Pradaxa 75mg/24jam
Hb/Ht/E/L/T:9,6/31/3,5/20,9/219 Ranitidine 50 mg/ 12 jam
Bil tot/Bil di/Bil in : 0,57/0,29/0,28 Novalgin 1 amp K/P
SGOT/SGPT/ALP/Alb : 20/15/127/2,12
GDS : 53, Ur/Cr : 40/1,83, Na/K/Cl : 144/3,7/113
Urinalisis
Leukosit (+), protein (+1), darah (+)
Lab 20/08/19 P/ USG urologi Harnal ocas 0,4/24jam
PSA total : 361,80 Cek PSA (+) Levemir
Lab 19/08/19 apidra
Hb/Ht/E/L/T:10/29/3,6/9,1/266 mecobalamin
PT/APTT : 14/36,1 atorvastatin
GDS : 319, Ur/Cr : 108/3,20, Na/K/Cl : 135/4,8/105 Amlodipine
piracetam
Lab 18/08/19 Operasi hari ini Th/
Hb/Ht/E/L/T:9,9/30/3,6/6,6/69 inj. Novalgin 1 gr/ 8 j
Prot tot/Alb/Glo : 5,4/2,8/33 combiven / 8 jam
GDS : 93, Ur/Cr : 35/0,70, Na/K/Cl : 143/4,4/105 Fulmicort / 12 jam
methylprednisolon
Lab 19/08/19 Susul CT-Scan Ceftriaxone 1gr/12jam
Hb/Ht/E/L/T:10,6/31/4,4/9,4/400 abdomen dengan Ketorolac 1amp/8j
Alb : 2,80 kontras Ranitidine 1amp/12j
GDS : 108, Ur/Cr : 30/1, Na/K/Cl : 141/4,1/111 Novalgin 1amp/8j
Citicoline 1gr/12jam
Raudhah 6
4/5 Ti makamhusen, pr, 72, Lab 9/8/19 P/ susul kultur Ketorolac 1 amp/ 8 jam
1216712 Hb/Ht/E/L/T: 12.7/38/4.5/18.3/48 Cek DR, ur/cr, Ranitidine 50 mg/ 12 jam
Dx. Kolik renal ec tumor Lab 03/08/19 elektrolit
ginjalsinistradd/ absesperirenal Hb/Ht/E/L/T: 8,8/26/3,0/16,7/473
Na/K/Cl: 140/3,7/103 Ur/Cr: 28/0,80

ZAMZAM 3
13 Syamsiah sulfa, pr, 72th, Lab 19/8/19 Cek ulang DR hari ini
1216712 Hb/Ht/E/L/T:10,8/30/3,8/19,3/350
Dx. Abses ar. Flank sinistra Alb : 2,2
Ur/Cr : 36/0,80, Na/K/Cl : 133/5,3/109

AQSHA 1
K10 Zulkifli, lk, 79, 1215054 Lab 05/08/19 Trf prc 1 kolf Ciprofloxacin/12j
Dx. Retensi Urine c Blood Hb/Ht/E/L/T: 9,1/27/3/11,7/144 Cek dr post trf Urinter/12j
Cloth post TURP Lab 05/08/19 Konsul kardio Asam traneksamat/12j
Hb/Ht/E/L/T: 10.4/31/3.5/28.7/93
Na/K/Cl : 129/4.3/98
Ur/cr:31/0.9
AQSHA 2
6/5 Arjuna Abd Kadir, lk, 43th, Lab 19/8/19 Cek pt/apt/inr (+)
1171305 PT/APTT/INR : 13,7/31,6/0,96
Dx. Batu pyelum sinistra Lab 18/8/19
Hb/Ht/E/L/T:11,5/33/4,2/11/360
Ur/Cr : 70/2, Na/K/Cl : 133/4/100
ARAFAH 2