List Urologi

Jumat, 21Oktober2016
Irina A Atas
No
1.

Kamar
A8
Bed 2

Identitas
Sulitno Takalumengan/L/
MRS: 27/09/2016
DPJP :dr. Ainun Aschorijanto, SpU

Diagnosis
Hidronefrosis Sinistra ec
Nefrolithiasis Sinistra
TB Paru

2.

A10
Bed 3

Paulus Supit/L/36.14.63
MRS : 13 Oktober 2016
DPJP : dr. Ainun Aschorianjanto,
SpU

Fornier Gangren

3.

A10

John Montolalu/L/49thn/48.30.39

Post PCNL + DJ Stent e.c

Nefrolithiasis bilateral (17/10/2016)

DPJP: dr. Ainun Aschorijanto, SpU

19/10/201
6
Leu 6300
Eri 2.96
Hb 9.2
Ht 25.5
Trom 141
MCH 31.1
MCHC 36.1
MCV 86.1
21/10/201
6
Leu 8100
Eri 3.56
Hb 11.6
Ht 33.6
Tro 350000
MCH 32.6
MCHC 34.5
MCV 94.4
18/10/16
Leu11300
Eri3.97
Hb11.8
Ht 39.1
Trom194

Lab
SGOT 13
SGPT 24
Ur 51
Cr 4.8
GDS 102
Cl 103.0
K 3.70
Na 135

EKG
RBBB
incomplete
(sudah minta
toleransi untuk
RPG)

Terapi
PRO RPG + URS (20/10/2016)
Pasien sudah HD ke-2
Konfirmasi Jadwal RPG

SGOT 31
SGPT 22
Ur 24
Cr 1.1
GDS 98
Alb 2.18
Cl 90
K3
Na 123

13/10/2016
Pt 16.7
APPT 25.5
INR 1.45

Menunggu hasil kultur darah & kultur urin

Rawat luka
Rencana meropenem
Vip Albumin 3x2 sachet
Diet tinggi protein

MCH
29.1
MCHC
30.3
MCV 98.5

Eos 1%
Bas 0%
Net Bat 10%
Net Seg 56%
Lim 26%
Mono 7%

Ceftriaxone 2x1 gr iv
Ranitidin 2x1 gr iv
Ketorolac 3x1 amp iv
Diet bebas

Irina A Bawah
1

B9
Bed 6

Pieter Irfan/L/30thn/48.55.38
MRS : 17/10/2016
DPJP : dr. AlwinMonoarfa, SpU

Post sistostromi (17/10/2016)

Ruptur urethra

21/10/201
6
Leu 9900
Eri 3
Hb 9.2
Ht 25,6
Trom11800
0

MCH
30,7
MCHC
35,9
MCV 85.3
Cl 97.8
K 3,23
Na 134
19/10/2
016
Ur 49
Cr 1.0

IVFD RL 20gtt/m
Ceftriaxone 2x1gr IV
Ketorolac 3x1 amp IV
Ranitidin 2x1 amp IV
Setuju Repair Uretra
Balance urine output
RABER ORTHO

B9
Bed 6

I Wayan Sumerta/L/40thn/46.95.52
MRS : 17/10/2016
DPJP : dr. AinunAschorijanto, SpU

Uretrolithiasis sinistra
Hidronefrosis sinistra

20/10/201
6
Leu 16100
Eri 4.55
Hb 13.7
Ht 40.0 %
Tro 235000

B8
Bed 6

Recky Karuwung
MRS : 17 Oktober 20160
DPJP : dr . Ainun Ascharijanto, SpU

Hidronefrosis

B7
Bed 1

Kewas Wiliam J.
Sampel/L/65thn/40.18.41
MRS: 5/10/16
TTL : 26/07/51
DPJP: dr. Richard Monoarfa, SpU

Founier Gangren
HILS strangulata

15/10/201
6
Leu 18270
Eri 2,61
Hb 8,3
Ht 25,2
SGOT 58
SGPT 14

B7
Bed 4

Bakari Syarifuddin/L/46thn/
46.27.08
TTL: 1/3/70
MRS: 11/10/16
DPJP: Ainun Aschorijanto, SpU

BPH + Hernia Inguinalis lateralis

sinistra reposible

B5
Bed 3

Asman Mandiri/L/86thn/43.53.16
MRS: 13//10/16
DPJP: dr. AinunAschorijanto, SpU

Gross hematuria ec ca prostat

18/10/201
6
Leu 16500
Eri 5.27
Hb 15.2
Ht 42.5
Trom 234
MCH 28.8
15/10/16
Leu 8548
Eri 2.26
Hb 7,2
Ht 20,2
Tro 145
GDS 113

MCH
30.1
MCHC
34.3
MCV 87.9

Tro 376
MCH
32,0
MCHC
33,1
MCV 96,6
GDS 115
Ur/Cr
48/2,2
Na/K/Cl
133/3,27
/103,1
MCHC
35.8
MCV 80.6
Ur 26
Cr 0.9
Cl 103.0
K 3.90
Na 137
MCH
33,8
MCHC
33,5
MCV 89,5
Ur/Cr
45/2,3
Na 132
K 4.12
Cl 103,2

Post URS + Lithotripsy (20/110/2016)

IVFD NaCl 0.9 %
Ceftriaxone 2x1 gr IV
Ketorolac 3x1 amp
Ranitidine 2x1 amp

Echo :
Dimensi
ruang N
Sistol LV N
Disfungsi
diastolic
gangguan
relaksasi
15/10/2016
Kulturdarah :
tidakadabakt
eri
17/10/2016
Kultururin/pu
s:
tidakadabakt
eri
17/10/2016
HbsAg = non
reaktif

R/ RPG
R/ Esplorasi

Rawat Luka dgnhemolog

IVFD NaCl 0,9% -> 20 gtt/menit
Ceftriaxone 2x1
Metronidazole 3x500mg
Kloramfenikolsalepmata (rawatluka)
Menungguhasilapusandarahtepihariini

Post TURP
Harnall 0-0-1
Avodart 1-0-0
X- Foto thorax 21/10/16
Menunggujadwal BNO

TPSA 0.01

IVFD NaCl 0.9% : clinimix 2:1 -> 21gtt/m

Ceftriaxone 2x1 gr iv (H2)
Ranitidininj 2x1 iv
As. Traneksamatinj 3x1 iv
Vit K inj 1x1 iv
Ketorolac 3x1 amp
Spoiling katetersampaijernih
Rencana transfuse smapi Hb 10 (transfui treakhir
16/10/2016 2 bag)
Tunggu hasil ekspertisi Foto thorax
Tunggu hasil EKG dan ekspertisi
Tunggu Hasil lab post transfusi

B8
Bed 3

TangoiSukri/L/39thn/48.55.36
MRS: 16/10/16
DPJP :

Ruptur Uretra
Post sistostomi (17/l10/2016)

19/10/16
Leu 6945
Eri 2.75
Hb 7.6
Ht 27,5
Trom 152

B5
Bed 2

Tatoda Djoi/50 th/ L/458422

MRS : 19/10/2016
DPJP :

Gross Hematuri e.c tumor ginjal

19/10/16
Leu8535
Eri 3.40
Hb8.8
Ht30.2
Trom
184000

MCH 27
MCHC 29
MCV 92,3
Ur 27
Cr 0.9
GDS 111
Alb 3.01
MCH
25.8
MCHC
29.0
MCV 88.9
SGOT 22
SGPT 30

Cl 100.3
K 3.19
Na 134
PT 13,2
APPT 23.6

Tunggu hasil EKG dan ekspertisi

Foto Thorax dan ekspertisi
Menungguhasil PTT, APTT, Ur, Cr

Ur/Cr 24/1.5
GDS 108
Na 134
K 2.37
Cl 95.1

Spooling Kateter

Anggrek 1
1.

B11

Sinyo Muhaimin/L/45 thn

RM:46.06.34
TTL:07/05/1997
MRS:
DPJP:dr. Ainun Aschorijanto,SpU

Nefrolitiasis bilateral
Post
urethronefrolictotomysinistraharike
IV
Hidronefrosis bilateral
Elektrolit imbalance
AKI superimposed CKD

19/10/20
16
Leu 16990
Eri 2.83
Hb 7.0
Ht 23.1
Trom 246
MCH 24.9
MCHC 30.5
MCV 81.7

Ur 86
Cr 5.1
Cl 91.4
K 3.05
Na 125
SGOT 17
SGPT 17

Eos 1%
Bas 0%
Net Bat 2%
Net Seg 75%
Limf 12%
Mono 10%
Fosfor 3.8
Mag 1.41
Cal 7.36

CT SCAN Urologi tanpa kontras

Monitoring balance cairan
Transfusi PRC 1 bag sampaiHb>10
Ketorolac 3x1 amp iv
AFF Kateter

2.

B4

Rorintulus Bernhard Johanes/78 thn

RM 484741
MRS: 06/10/2016
DPJP: dr. AinunAschroijanto, SpU

Gross Hematuria Susp. CaProstat

19/10/20
16
Leu 5300
Eri 3.73
Hb 11.5
Ht 34.2
Trom 306
MCH 30.8
MCHC 33.6
MCV 91.7

Ur 52
Cr 1.4
GDS 126
Cl 108.0
K 3.10
Na 137

19/10/2016
TPSA 100
ng/mL

Harnall 0.4 mg 0-0-1

Avodart 0.5 mg 1-0-0
Carsodex 50 mg 0-1-0
R/ Rawatjalan

NyiurMelambai

1.

Husa M C Deasy/P/39th/48.52.91

Post Nefrostomy Bilateral

PasienKonsulUrologi

14/10//16
Leu 20630
Eri 3,75
Hb 10,8
Ht 29,8
Trom 167
MCH 28,7
MCHC 36,1
MCV 79,6

Eos 0%
Bas 0%
Net Batang 6%
Net Segmen 80%
Limf 11%
Mono 3%
CRP 24,00

Spoiling nefrostomydenganNacl 0,9%

Irina D Atas
1.

Norma Anita Tangahu/P/38 th/

48.50.26
Kamar A1 Bed 1
MRS : 17 Oktober 2016
DPJP : dr. Alwin Monoarfa, SpB, SpU

Post Repair Ruptur Ureter

D/S + Ruptur Buli

18/10/2016
Leu 11830
Eri 3.15
Hb 8.8
Ht 27.5
Tro 231
MCH 27.8
MCHC 31.8
MCV 87.4

SGOT 13
SGPT 9
Ur 23
Cr 0.7
GDS 78
Alb 1.76
Cl 102.5
K 3.95
Na 133

PT 15.8
INR 1.35
APTT 30.1

Pertahankankateterdan drain
Rawat luka
Mobilisasi