KORAN BEDAH UROLOGI 31 JULI 2016

PALEM
1.
Pale
m
Bawa
h
B2/2/
Bed
1

Reza
21 th
21-07-1994
764090
Tgl konsul: 1807-16
DPJP: SY

- Abses
psoas
dextra
Spondyliti
s vertebra
T12 L2

Lab:
WBC: 14.4
RBC:4.79
HGB: 11.1
PLT: 770
Ur/Cr:12/0,6

2.
Pale
m
bawa
h
B2/1
3

Hasiruddin
47 th
21-06-1969
751628
Tgl MRS:
28/7/16
DPJP:

- Batu
ginjal
sinistra +
hidronefro
sis sinistra
+
DJ stent
insitu
sinistra

Lab: 19/7/16
WBC: 8,6
RBC:5,14
HGB: 16
PLT: 240
Ur/Cr:120/3,5

-Rawat luka
- IVFD NaCl
0,9% 28
tpm
-Ceftazidim
IV
-Ranitidine
IV
-Ketorolac IV
Metronidazol
e IV

POH-5
Drainase
abses
psoas
dextra

ESWL
senin
1/8/2016
Pro
Replace
DJ Stent
Sinistra
selasa,
2/8/2016

LONTARA 1 INTERNA
3.
L1AB
K2/B
1

Ramang
49 th
13-07-1967
764395
Tgl konsul:
24- 07-16
DPJP: SB

-Tumor
supra renal
bilateral
- tumor
metastase
hepar

4.
L1AD
RPK
Atas
bed 4

Sana Bau
61 th
Tgl konsul :
26-7-2016
DPJP : SB

Batu
pyelum
dextra +
batu 1/3
medial
ureter kiri +
Anemia+
hidronefrosi
s bilateral

Lab: 22/7/16
WBC: 25,6
RBC:4,19
HGB: 11,2
PLT: 206
26/7/2016
Sgot: 113
Sgpt: 32
26/07/2016
WBC: 10,23
RBC: 2,10
HGB: 6
PLT: 17
Ur/Cr: 62/0.90
Albumin : 2,7

Optimalisasi
KU

Pro Biopsi
senin 1/8/
2016

Optimalisasi
KU
Transfusi
PRC 2 Bag

Pro URS
+ DJ
stent
bilateral
+ EKL (S)
senin,
1/8/2016,
09.00

KORAN BEDAH UROLOGI 31 JULI 2016

5.
L1AB
ISO
B1

6.
L1BB
K6/B
6

7.
L1BB
K7/B
5

Saderiah
40 th
29-05-1976
314366
Tgl Konsul:
28/7/16
DPJP: SB
Tamrin
53 th
01-06-1963
755253
Tgl konsul:
27-07-16
DPJP: SB

Suhur
46 th
04-03-1970
765714
Tgl Konsul :
27-07-2016
DPJP: SB

Hidronefrosi
s dextra +
gastropathy
akut

Lab:
WBC: 14,29
RBC: 5,04
HGB: 13,0
PLT: 342
Ur/Cr: 12/0,77

Batu
staghorn
sinistra+
batu pole
atas dextra
+ DJ stent
insitu
bilateral +
Hydronefro
sis dextra+
anemia
Hidronefro
sia
bilateral +
batu ginjal
bilateral+
batu ureter
1/3 diatal
dextra +
vesicolitias
is

Lab: 29/7/16
WBC: 6,1
RBC: 4,68
HGB: 10,7
PLT: 301
Ur/Cr: 23/1,07

Optimalisasi
KU
Siapkan PRC
1 Bag

Lab: 28/7/16
WBC: 76,8
RBC: 4,91
HGB: 13,5
PLT: 620
Ur/Cr:
312/22,4
Kalium : 8,6

Pro URS
+ Dj
stent
dextra
senin,
1/8/2016
Pro
replace
DJ Stent
bilateral
senin,
1/8/2016,
08.00

Pro Urs
+ dj
stant
bilateral

LONTARA 2 UROLOGI
8.
L2BD
K2/B1

9.
L2BD
K2/B4

10.
L2BD

Karim Rumi
52 th
17-11-1963
764277
MRS: 23-7-16
DPJP: KK
Pabo S
59 th
31-12-1956
764410
MRS: 14-7-16
DPJP: KK
Mardiyah
65 th

Hipertroph
y Prostat

Adenocarsi
noma
prostat +
massa
Suprapubi
k on
kemoterap
i
Batu
pyelum kiri

Lab:23/7/16
WBC: 6,2
RBC:5,07
HGB: 15,9
PLT: 218
Ur/Cr:20/1,04
Lab:15/7/16
WBC:7,3
RBC:3,51
HGB: 10
PLT: 401
Ur/Cr:19/1,23

-cefixime tab
-ranitidin tab
as.mefenama
t tab
-laxadyn syr
-Aff infus
-cefazolin
-ranitidin
-ketorolak
as.traneksam
at

POH-4
TUR-P

Lab:
WBC: 9,3

Allopurinol
Laxadyn syr

Tunggu
jadwal

POH-5
Cystosco
py +
biopsy
insisi

KORAN BEDAH UROLOGI 31 JULI 2016

K3/B1

752014
MRS: 25-7-16
DPJP :

11.
L2BD
K3/B3

Ny.Nanro
47 th
751010
MRS: 27-0716
DPJP: KK

13.
L2BD
K11/B
3

14.
L2BD
K11/B
5
15.
L2BD
K12/B
5

+
hiperurise
mia+ DS
stent
sinistra
Batu kaliks
bilateral +
DJ stent in
situ
bilateral

RBC: 4,26
HGB: 13,5
PLT: 470
Ur/Cr: 22/0,7
Lab:29/7/16
WBC:3,77
RBC: 3,22
HGB: 8
PLT: 322
Ur/Cr: 29/0,60

- Laxadyn syr
- Ducolax
supp

-Tunggu
jadwal
ESWL
ginjal kiri
senin
21/8/201
6

Pati
38 th
17-07-1978
748553
MRS :26-0716
DPJP: KK

Batu ginjal
dextra +
batu
ureter 1/3
proksimal
dextra

Lab:
WBC: 10,9
RBC:4,17
HGB: 12,5
PLT: 491
Ur/Cr: 19/0,5

-IVFD NaCl
-Cefazolin IV
-Ketorolac IV
-Ranitidin IV

Darnawati
36 th
18-7-1980
764984
MRS: 20-7-16
DPJP: KK
Muh. Armyn
Rauf
33 th
01-12-1982
725306
MRS: 23-0716
DPJP: KK

absess
ginjal
sinistra

Lab:19/7/16
WBC: 22,6
RBC:4,37
HGB: 12,0
PLT: 406
Ur/Cr:9/0,72
Lab:
WBC: 8,4
RBC: 5,09
HGB: 19,8
PLT: 250
Ur/Cr: 40/1,10

Ivfd rl 28 tpm
Cefazoline IV
PCT IV
Ranitidine IV

POH 3
URS +
AFF DJ
Stent +
ESWL
Dextra
Post
ESWL
Ginjal
kanan
POH-11
Drainase
abses.

-Paracetamol
3 x 500 mg
Ceprofloxacin
2x500 mg
-Rnitidine
2x150 mg

POH-3
ESWL +
aff DJ
stent
bilateral

Lab:
25/7/16
WBC: 21.17
RBC:3.67
HGB: 10.5
PLT: 254

Albumin: 2,4Natrium: 136

Kalium: 4,0
Klorida: 106

Operasi
batal

Batu
pyelum
dextra +
batu koliks
sinistra +
DJ stent in
situ
bilateral

URS +
Aff DJ
Stent

LONTARA 2 DIGESTIVE
16.
L2AD
K2/B4

Nur. Safariah
zirun
23 th
28-08-1992
764241
Tgl konsul:19-

-Adenoca
kolon
descenden
post
colostomy
pro

KORAN BEDAH UROLOGI 31 JULI 2016

7-16
DPJP: SS

17.
L2AD
K12/B
6

Rezky Putra Ramadhan

13 th
596196
Tgl konsul:
27-07-2016
DPJP :

kemoterapi
- hipo
albuminemia
-Anemia
-Hipo
kalimea
Post
Duhamel
Procedure +
colostomy
divided +
fistel
rectovesica

Ur/Cr:12/0.
61

29/7/2016
Lab:
WBC: 16,36
RBC: 4,71
HGB: 12,7
PLT: 197
Ur/Cr:14/0.
4

PoH-3
pull
through
+
cystosco
py

LONTARA 4 ANAK
18.
L4AD
K3/B
1

Fadil
5 th
14-022011
764298
Tgl konsul:
22-7-16
DPJP: SS

Batu pyelum
dextra +
hidronephoros
is dextra +
AKI +
Thrombositop
enia

Lab:28/7/1
6
WBC:
17,20
RBC: 4,94
HGB: 12,7
PLT: 550
UR/CR:
56/0.92

POH 10
extended
pyelolithoto
mi dextra

LONTARA 4 GINEKOLOGI
19.
L4BD
K1/B
5

Muhani
52 th
30-051964
765412
Tgl konsul:
25-7-16
DPJP: KK

NOK suspek
malignancy

Lab:
WBC: 9,6
RBC: 5.53
HGB: 14.6
PLT: 233
UR/CR:19/0.
97

Sesuai Ts
Obgyn

POH-3 URS
+ Pasang
DJ stent
bilateral

KORAN BEDAH UROLOGI 31 JULI 2016

INFECTION CENTER (IC)

21.
IC
Lt2/K
5

Nurdin
39 th
22-12-1976
765127
Tgl konsul:
23- 07-16
DPJP: SB

CKD Stg V
+
Hidronefro
sis
Bilateral

28/7/2016
Lab:
WBC: 16,4
RBC: 3,52
HGB: 10,1
PLT: 246
Ur/Cr: 154/4,0
Asam urat :
407
( urinalisis
29/07/2016)

PRIVATE CARE CENTER (PCC)

22.
PCC
Lt3/3
04

Sitti Rapiah
56 th
Tgl konsul:
26-7-16
DPJP: SY

Batu URJ
sinistra +
Hidronefrosis
sinistra +
DM tipe II +
Asma
bronkial

Lab:
WBC: 7,2
RBC: 4,84
HGB: 15,2
PLT: 400
UR/CR:23/0.
62

POH-3
pyelolithoto
my sinistra

23.
PCC
Lt2/2
10

Rini
36 th
764882
Tgl konsul:
26-07-16
DPJP: SY

Batu 1/3
medial
ureter
sinistra +
hidronefrosis
sinistra

Lab:
WBC: 10,8
RBC: 4,32
HGB: 12,8
PLT: 497
Ur/Cr:
34/0,70

POH-3 URS