Senin, 16 September 2019 BEDAH DIGESTIF DNY/ZIC/DNT/NAL/NSA /KIS/ZAR

Bangsal
FxU BED Nama Usia MRS Diagnosis Status DPJP Plan Pemeriksaan Penunjang
Widodo IGD 15/9 Hb 10.6 Ht 32 AL 6.8 AT 160
B 69 TTA Hemodinamik stabil KU AR Perbaikan KU
NSA 01476424 14/9 14/9 Hb 11.2 Ht 33 AT 189 AL 8.2 PT 13.9 APTT 28.1 HbsAg NR
ROE NAL 14/9 Hb 8.5 Ht 29 AT 141 AL 16.9 Alb 3.1 Na 147 K 2.4
DNY Saryani IGD Post biopsi+bypassgastrojejenustomyai Post op 12/9 Hb 7.1Ht 24 AL 16.6 AT 164 ALB 2.3 Na 140 K 2.0
G 39 AR Perawatan post op
01475520 7/9 Tumor intra abdomen susp GIST 11/9 10/9 Hb 8.2 Ht 27 AL 12.2 AT 266
11/9 MRI Brain : Tak tampak gambaran brain metas, Brain atropy lobus temporoparietalis bilateral
Sutarjiyo IGD Post laparatomi graham patch procedure ai Post op
1 60 AR Perawatan post op 14/9 Hb 12.1 Ht 39 AL 16.4 AT 276 PT 13.9 APTT 28.1 GDS 125 Alb 3.5 Cr 1.6 Ur 50 Na 125 K 3.2 HBsAg NR
00746937 14/9 Peritonitis generalisaata ec perforasi gaster 15/9
13/9 Hb 10.4 Ht 33 AL 6.5 AT 91 Alb 2.0 Cr 0.5 Ur 30 Na 131 K 4.4
Dwi Susanti IGD Post op 13/9 Hb 7.5 Ht 23 AL 9.6 AT 141 PT 15.0 APTT 30.2 Cr 0.7 Ur 34 Na 131 K 3.5
2 31 Post DPL ai TTA hemodinamik stabil AR Perawatan post op
KIS 01476251 14/9 13/9 13/9 Hb 6.3 Ht 19 AL 9.3 AT 120
ICU NAL 13/9 Cairan bilas peritoneal : Hb 0.0 Hct 0.0 WBC 0.0 RBC 0.01 PLT 20
ZIC Post Re laparatomy adhesiolisis ai ileus 10/9 Hb 10.8 Ht 35 AL 1.4 AT 307 GDS 136 Alb 3.3 Na 137 K 3.2
Sungadi IGD Post op
4 56 obstruksi ec adhesi ileoileal post IBB Perawatan post op 9/9 Hb 11.1 Ht 34 AL 4.9 AT 272 PT 12.7 APTT 26.3 Alb 4.0 Cr 1.0 Ur 74 Na 138 K 4.5
01469513 9/9 10/9
laparatomy+ sigmoidostomy 13/9 Abd 3 posisi : Parsial ileus obstruksi letak tinggi, tak tampak gambaran pneumoperitoneum, dilatasi gaster
Post laparatomy explorasi ai laserasi hepar
Nyamin IGD Post op 15/9 Hb 8.8 Ht 28 AL 9.7 AT 193 PT 12.6 APT 26.1
10 57 grade II segmen VI ec TTA hemodinamik AR Perawatan post op
01476377 15/9 15/9 14/9 Hb 10.5 Ht 10.5 AL 8.9 AT 256 Alb 3.6 Na 137 K 4.1
stabil
14/9 Hb 8.7 Ht 29 AL 6.1 AT 39 Alb 2.2
Wakiman IGD Post laparatomy eksplorasi + release bend Post op
D 63 IBB Perawatan post op 13/9 Hb 10.1 Ht 31 AL 6.4 AT 29 Alb 1.7 Cr 1.4 Ur 156 Na 157 K 4.0
01475526 8/9 ai ileus obstruksi ec bend ileum 8/9
9/9 Hb 12.4 Ht 39 AL 8.9 AT 51 Na 151 K 3.6
12/9 Ur 118 Cr 1.5
9/9 Hb 11,0 Ht 32 AL 5,7 AT 293 Alb 3,2
Senen IGD Post laparatomy adhesiolisis, graham patch Post op
E 83 IBB Perawatan post op 8/9 Hb 8.6 Ht 27 AL 7.3 Alb 2.3 Na 138 K 5.1
01475547 7/9 procedure 8/9
8/9 Hb 8.1 Ht 26 AL 14.3 AT 389 PT 16.9 APTT 40.3 GDS 88 Alb 2.6 Cr 4.2 Ur 203 Na 135 K 5.4
10/9 PA : Gaster : perforasi
Post laparatomy release volvulus+jahit 7/9 Hb 11,3 Ht 37 AL 9,6 AT 218 Alb 2,5 Cr 0,6 Ur 75
HCU Samijo IGD primer ileum, Post op 4/9 Hb 12.9 Ht 41 Al 3.6 AT 270 Alb 2.7 Na 136 K 4.6
ZAR I
01475030
70
3/9 ileostomyaiileusobstruktifecvolvulus+perfora 4/3
IBB Perawatan post op
3/9 Hb 114.4 Ht 45 AL 6 AT 220 PT 13.6 APTT 28.6 GDS 86 Alb 3.5 Ur 185 Cr 2.3
Cempak NAL si ileum 10/9 Thorax PA : pneumonia, Pneumoperitoneum
a DNT 14/9 Alb 2.6
Hadi Poli Post laparatomydebulkingai tumor colon Post op 13/9 Hb 13.7 Ht 45 AL 20.2 AT 430 Alb 2.6 Na 132 K 4.3
J 54 AR Perawatan post op
01471697 10/9 descenden+omentum 13/9 11/9 Hb 9.5 Ht 32 AT 14.8 AT 484
10/9 Hb 8.8 Ht 27 AL 13.8 AT 538 PT 14.9 APTT 29.8 GDS 115 SGOT 24 SGPT 34 Alb 2.5 Cr 1.1 Ur 26 Na 133 K 3.7
Post LE+sigmoidostomy+biopsi+PA ai ileus 14.4 Na 135 K 3.9
Bambang IGD Post op
L 69 obstruksi letak rendah ec tumor sigmoid AR Perawatan post op 13/9 Hb 14 Ht 44 AL 41.3 AT 699 Cr 0.6 Ur 27
01476219 11/9 12/9
T4N1M1 (hepar) 12/9 Hb 11.6 Ht 37 AL 14.1 AT747 PT 14.9 APTT 29.2 GDS 74 Alb 3.2 Cr 0.7 Ur 28 Na 133 K 3.1

Puji Lestari IGD 14/9 Hb 12.9 Ht 41 AL 10.8 AT 188 PT 13.3 PTT 34.3 HBsAg NR
K 24 TTA hemodinamik stabil KU IBB Konservatif
01476381 13/9 14/9 USG Abdomen : USG Fast Negatif

Konsulan
Rochma
Melati 1 2A
01261412
24 obsgyn Hemmorroid KU IBB Perbaikan KU 15/9 Hb 6.1 Ht 22 AL 3.5 AT 370 GDS 105 Alb 3.3 Cr 0.5 Ur 18 Na 134 K 3.9
15/9

ICU Mel Ali Bisri IGD Post laparatomy adhesiolisis+release band Post op 14/9 Hb 8.1 Ht 26 AL 12 AT 63 Alb 2.3 Na 131 K 3.4
E 72 IBB Perawatan post op
1 01476358 13/9 ai ileus obstruksi ec band sigmoid 14/9 13/9 Hb 9.4 Ht 30 AL 11.7 AT 52 PT 15.8 APTT 25.9 GDS 126 Cr 1.4 Ur 59 Na 132 K 3.3
14/9 Hb 10.5 Ht 33 AL 8.3 AT 128 PT 17.1 APTT 41.8 Na 133 K 2.6
Sri 11/9 Hb 11 Ht 33 AL 7.2 AT 171 Na 134 K 2.4 amilase 17 lipase 28
Poli
6B Lestariningsih 40 Obs jaundice ec batu cholangitis KU AR Perbaikan KU 9/9 Hb 9,9 Ht 29 AL 5,6 AT 154 PT 17,7 APTT 35,5 INR 1.520 SGOT 121 SGPT 33. biltot 31,54 bildir 22,87 bilind 8,67 Alb 2,7 Na 136
5/9
01471965 K2,3 Cl 103 S.typhii -
14/8 MRI Abd : penyempitan lumen pada distal CBD dengan gambaran taperingoff, menyokong gambaran cholangitis
Melati 3 NSA Suyatno Poli
20A 60 Massa rectosigmoid KU AR Perbaikan KU 15/9 Hb 8.9 Ht 29 AL 6.9 AT 171 PT 12.9 APTT 38.7 GDS 102 Alb 4.5 Cr 12.4 Ur 122 Na 138 K 5.4
NAL 01474137 15/9

ZIC
Subandi IGD Post laparatmoy hartmann procedure ai Post op 7/9 Hb 16.4 Ht 50 AL 17.1 AT 178 GDS 150 Alb 2.9 Na 134 K 5.1
20B 72 AR Perawatan post op
01068968 6/9 Ileus obstruksi 7/9 6/9 Abd 3 posisi : ileus obstruksi letak rendah, tak tampak gambaran pneumo peritoneum

Post laparatomy
Sukidi Didik Poli Post op 9/9 Hb 13,8 Ht 41 AL 7,0 AT 171 PT 12,6 APTT 28,6 INR 0,960 GDS 80 Alb 4,3 Cr 1,0 Ur 27 GDS 80 Na 132 K 4,2 ClDS 72 Biltot 1,37
5 59 cystojejunostomy+biopsi+PA ai Kista AR Perawatan post op
01473148 9/9 10/9 Bildir 0,57 bil indirek 0,80
pancreas

Siti Rohaniah Poli

Ang3 32
01448185
60
15/9
Adeno Ca recti metas hepar KU IBB Pro kemoterapi 15/9 Hb 12.5 Ht 39 AL 8.2 AT 389

14/9 Alb 2.3

Rusmini IGD Post laparatomy explorasi+biopsi+PAai Post op
14 51 AR Perawatan post op 12/9 Hb11.5 Ht 37 AL 7.4 AT 308 Cr 1.6 Ur 59 Na 130 K 4.2
01476060 11/9 Ileus obstruksi susp TB usus 11/9
11/9 Hb 10.8 Ht 35 AL 4.5 AT 339 PT 14.0 APTT 27.4 GDS 86 Ur 1.8 Ur 59 Na 129 K 4.4
 Sri
IGD Post spincterectomy ai stenosis ani
602B Wulanningsih 32 WD IBB Pro work up diagnosis 13/9 Hb 8.1 Ht 29 AL 8.6 AT 280 PT 17.5 APTT 26.5 Alb 3.9 Cr 0.5 Ur 22 Na 136 K 3.9
13/9 Hemmorroid
01476346
Ngadiyanto Poli
605A 65 Ca recti KU AR Perbaikan KU 13/9 Hb 8.2 Ht 26 AL 5.4 AT 247 SGOT 37 SGPT 16 Cr 0.4 Ur 13
01455191 13/9
Toto Sugiarto IGD
605D 62 Adeno Ca rectosigmoid+fistel KU IBB Perbaikan KU 10/9 Hb 11.2 Ht 33 AL 25.4 AT 459 SGOT 38 SGPT 17 Cr 1.7 Ur 45 CEA >200.00
01144567 13/9
10/9 Hb 11.4 Ht 38 AL 10.6 AT 460 PT 12.8 APTT 30.8 GDS105 SGOT 17 SGPT 18 Alb 3.8 Cr 0.7 Ur 30 Na 134 K 3.6 HbsAg NR
Misni Poli 5/9 CEA 1.03
608C 51 Tumor intra abdomen Pre op AR Pro laparatomy biopsi
01475083 10/9 2/8 CT Scan abd : massa solid intra cavum abd menempel pada dinding anterior dinding abdomen, nodul hipodense single pada segmen
8 lobus kanan hepar susp metas
10/9 LED 1 81 LED 2 97 Alb 2.7
5/9 Hb 11.3 Ht 37 AL 14.8 AT 298 Na 129 K 3.5
3/9 Hb 8.5 Ht 27 AL 20.8 AT 319 PT 13.5 APTT 29.0 GDS 183 Alb 2.5 Cr 0.4 Ur 12 Na 125 K 3.2
13/9 MRI thoracolumbal kontras : tak terdeteksi gambaran spondilitis, bulging disc central dan paracentral bilateral, hambatan parsial
Ninik IGD
610B 51 Abses regio flank (D) Pre op AR Pro drainage abses aliran LCS setinggi L4-5, Lesi di musculus psoas mayor kanan paravertebra setinggi L2 hingga cavum pelvis kanan yang meluas ke
01475045 3/9
dinding abdomen dan menginfiltrasi m. rectospina kanan setinggi L4-5 menyhokong gambaran abses intramuscular
10/9 Thorax : tak tampak jelas gambaran abses, unstable lumbosakral, spondylosis lumbalis
ZAR 6/9 MSCT Abd : lesi semisolid di m. Psoas mayor kanan meluas ke dinding abdomen posterior kanan serta mendesak ren kanan ke
FL6
NAL superior menyokong gambaran abses muskulis psoas mayor kanan
Post laparatomy adhesiolisis+release band
DNY 613A
Sri Mulyani
49
IGD
ai ileus obstruktif ai band ileum+adhesi
Post op
IBB Perawatan post op 13/9 Hb 13.9 Ht 44 AL 2.4 AT 240 PT 12.8 APTT 24.3 Alb 4.1 Ur 53 Cr 0.9 Na 136 K 3.2
01476951 13/9 14/9
ovarium ileum
13/9 Na 137 K 3.1 CEA 40.04
Sugimah Poli Adeno Ca Colon
613B 65 KU IBB Perbaikan KU 10/9 Hb 15.8 Ht 48 AL 6.5 AT 358 PT 12.2 APTT 26.8 GDS 66 SGOT 66 SGPT 13 Alb 4.6 Cr 1.6 Ur 89 Na 132 K 3.5
01384434 10/9 Dehidrasi
4/9 PA : Colon ascendens : adenoCadiferensiaisedang
Post hemicolectomy 14/9 Alb 2.7
Parjo IGD Post op
613C 47 (S)+hartmanpreocedure ec Tumor colon AR Perawatan post op 12/9 Hb 13.8 Ht 45 AL 12.3 AT 445 Alb 2.5 Na 133 K 5.4
01475759 9/9 11/9
descenden 9/9 Hb 13.4 HT 41 AL 5.9 AT 434 PT 13.3 APTT 31.8 SGOT 15 SGPT 16 Alb 2.6 Na 132 K 4.1
Konsulan
Winarsih
FL8 812E
01461937
44 interna Susp peritonitis WD AR Work up diagnostik 13/9 Hb 9.2 Ht 30 AL 16.4 AT 592 PT 13.3 APTT 26 GDS 108 SGOT 18 SGPT 17 Alb 2.6 Cr 7.1 Ur 39 Na 131 K 2.6 HBsAg NR
13/9
14/9 Alb 2.6
Sumarni Poli Post Hemicolectomy (D) ai Tumor colon Post op
904C 57 AR Perawatan post op 11/9 Hb 11.2 Ht 38 al 22.3 AT 300 GDS 155 Alb 2.2 Cr 0.8 Ur 29Na 135 K 4.3
01473626 9/9 ascenden 11/9
9/9 Hb 8,7 Ht 29 AL 23,1 AT 440 PT 15,6 APTT 29,2 INR 1290 GDS 106 Alb 2,6 Cr 1,3 Ur 30 Na 132 K 4,3 Cl 102 Hbsag NR
Suparmi Poli Wound dehisense post biliodigest ai Ca
904E 65 KU AR Perbaikan KU 14/9 Hb 10.7 Ht 35 AL 8.6 AT 366 PT 14.5 APTT 28.8 GDS 92 SGOT 32 SGPT 9 Alb 3.0 Ur 9 Cr 0.5 Na 137 K 3.6
01455445 13/9 pancreas
Joko Sriyanto Poli
905A 39 Massa intra abdomen Pre op IBB Pro laparatomy biopsi 11/9 Hb 11.3 HT 33 AL 8.4 AT 234 PT 13 APTT 30 GDS 115 SGOT 20 SGPT 20 Alb 4 Cr 0.5 Ur 19 Na 130
01474994 11/9
Ikhsan Yuliana IGD Adeno Ca Recti infiltrasi buli-buli post miles
905C 30 KU AR Perbaikan KU 15/9 Hb 4.0 Ht 12 AL 15.2 SGOT 64 SGPT 29 Cr 1.5 Ur 53 HbsAg NR
01372522 15/9 procedur on kemo
13/9 Hb 6.3 Ht 22 AL 12.4 AT 426 GDS 125 Alb 2.9 Cr 1.1 Ur 51 Na 132 K 4.2
Suyati Poli 26/8 MSCT Abdomen kontras : dilatasi berat gaster, massa solid lobulated di paraaorta hingga parailliaca, hepatosplenomegali disertai
905D 56 Multiple limfadenopati paraaorta Pre op AR Pro laparatomy biopsi
KIS 01463555 14/9 dilatasi vena porta dan vena lienalis
FL.9 NAL 21/8 USG Abd : massa solid heterochoic pada regio paraumbilikal (D), Slight splenomegali
Samron Poli 12/9 Hb 12.1 Ht 36 AL 5.9 AT 247 PT 12.5 APTT 26.6 GDS 154 SGOT 24 SGPT 11 Alb 3.9 Cr 1.2 Ur 39 Na 136 K 3.8
DNT 905E
01475006
67
11/9
HIL (D) Reponible Pre op IBB Pro herniorepair
12/9 Thorax : Cardiomegaly dengan aortosklerosis, TB paru aktif lesi luas

Karsi Poli Post reanastomose ileoileal (tutup stoma) ai Post op 13/9 Hb 9.6 Ht 31 AL 10.9 AT 163 Alb 3.3 Na 136 K 4.2
906C 56 AR Perawatan post op
01411678 8/9 post laparatomy ilostomyai ileus obstruksi 13/9 11/9 Hb 10.8 Ht 32 AL 4.9 AT 182 PT 11.9 APTT 29.2 GDS 129 SGOT 16 SGPT 12 Alb 3.5 Cr 1.6 Ur 43 Na 138 K 4.3

Post laparatomy explorasi+hartman

Wakiyem Poli Post op
FL.10 1009B
01474401
67
13/9
procedure ai ileus obstruktif ec tumor
14/9
AR Perawatan post op 12/9 Hb 13.9 Ht 43 AL 7.9 AT 444 SGOT 21 SGPT 12 Cr 1.3 Ur 77 PT 12.6 APTT 29.0 Na 133 K 3.1
sigmoid susp maligna

IGD