Selasa, 29 Januari 2019 BEDAH ANAK ISH/MOW/ZIC/ALF/ZRL/NAL/IHI

BANGSAL BED PJ Nama DPJP Usia Biaya MRS Status Diagnosis Plan Pemeriksaan Penunjang

19/1 Hb 18 ht 50 AL 11,5 AT 321 GDS 147 HbsAg NR biltot 3,72 alb 3,7 cr 0,3 ur 15
ALF By Indah SW 20 hr BPJS 22/1 Konsulan pediatric Atresia yeyunum Masukkan isi stoma
Isolasi 22/1 Na 116 K 4 Cl 76 Ca 1,09
NICU Radiologi : pro embolisasi
18/1 MSCT colli : massa heterodens colli (D) meluas hingga apex hemithorax (D) mengarah
usia 4 minggu
D ALF By Ny Hesti S SW 3 hr BPJS 16/1 Konsulan pediatric Teratoma R colli gambaran teratoma
B.Anak : pro konfrensi ulang
16/1 Hb 10,7 Ht 34 AL 12,1 AT 105 GDS 36 Cr 0.8 ur 13 HBSAg NR
libatkan BTKV
Post duodenoduodenostomy
A ZRL Wildan NS 9 bln BPJS 23/1 Konsulan pediatric ai Stenosis duodenum + Puasa 3 hari 20/1 LED 8 Proteintotal 6,1 alb 4,2 blob 1,9 K 2,9 Na 130 Ca 0,99 Cl 95
malrotasi

Post TAERPT ai Megacolon Pertahankan RT 3 hari

C ALF Nazril ilham NS 1 bln BPJS 24/1 Poli 26/1 Hb 11 AL 7,8 AT 418 PT 12 APTT 31 GDS 79 alb 3,7 cr 0,3 ur 12 Na 133 K 4,7 cl 101
kongenital

Post re laparatomi
PICU An Dionisius +reanastomose E to E colon AI
B ALF SW 10 th BPJS 28/1 IGD Perawatan post op 28/1 Hb 10 ht 31 Al 12 AT 128 PT 18 APTT 31 GDS 97 Cr 0,5 Ur 45 Na 131 K 4 Cl 99
bagus PG ec perforasi ileum
transversum
27/1 Hb 3,9 Ht 12 AL 18,9 AT 345 Alb 2,3
21/1 PTC : Atresia bilier tipe IIB/III
Post Kazai procedure ai Perawatan post op 18/1 Hb 11,9 AL 10,6 AT 235 PT 13 APTT 38 GDS 82 SGOT 333SGPT 170 cr 0,2 ur 17 HBSAG
D ALF Granecia SW 4bln BPJJS 18/1 Poli
Atresia bilier Transfuse PRC 1 kolf NR
31/10 SGOT 402 SGPT 99 GammaGT 1225 Al.fosfatase 156 Biltot 5,59 dildir 4,71 bilindi 0,88
alb 2,6
Megacolon kongenital post
HCU MLT TAERPT + Anemia Lavement dengan Nacl
C ZRL Ajeng SW 13 th BPJS 22/1 Konsulan pediatri 19/1 Hb6,3 ht 20 AL 4,4 AT 312 alb 3,3 cr 0,2 Ur 8 Na 137 K 2,6 Cl 106 HbsAg NR
2 gravis+cardiomiopaty+hepato selama 6 bln
megal

23/1 USG Doppler testis : Massa solid testis bilateral disertai hydrocele
5F ZRL Novi yahya SW 17 th BPJS 26/1 Konsulan pediatric Teratoma testis Pro orchidectomy
21/1 Hb 10,4 ht 30 AL 9,4 AT 189 cr 1,8 Ur 84 gds 83 Alb 3,7 Na 129 K 3,7 cl 107 ca 1,66
MLT 2

5G ZRL Qaisara SW 4 th BPJS 25/1 Konsulan pediatric Nefroblastoma Nefrektomi 24/1 Hb 11,5 Ht 37 AL 11 AT 505 cr 0,2 Ur 13

18/1 Hb 14 Ht 46 AL 7,8 AT 298 Alb 4,9 cr 0,6 ur 19 Na 143 K4 cl 112

Post TAERPT ai Megacolon Tidak boleh jongkok 15/1 USG Abd : uterus atefleksi levo position , susp elongasio cervix uteri, skibala di rectum
910B IHI An Nisya Bella SW 14 th BPJS 16/1 Post op
kongenital short segmen Obs nyeri abdomen dan colon
4/10 Ca 125 33
Wash out 2x/hr
910C IHI M Bastian NS 9 th BPJS 21/1 Poli Hischprung disease BLPL, pro CIL via poli

Konstipasi kronis + riwayat Koreksi elektrolit 28/1 SGOT 35 SGPT 13 ALb 4,8 Na 123 K 2,6 Cl 81
FLB 9 911B IHI Raka NS 3 th BPJS 26/1 IGD
malrotasi Cek lab post koreksi 26/1 Hb 14 AL 7 AT 303 PT 13 APTT 28 GDS 75 Na 124 K 2,7 Cl 75 HbsAg NR

Post rekonstruksi A.extremitas

inf+trombektomy ai rupture
A.femoralis (S)
Post op Post ORIF femur (S) ai closed Perawatan post op 20/1 Hb 12,4 ht 40 AL 8,9 AT 169 PT 16,8 APTT 61,7 INR 1,37
911D IHI An Jawita NS 1 th BPJS 19/1
20/1 epifisiolisis distal et proximal medikasi 21/1 PT 16,1 APTT 22,5 INR 1,31
femur (S)
Post debridement ai laserasi
perineum