REKAP PASIEN RS USU TANGGAL 29 NOVEMBER 2018

No Ruangan Pasien Diagnosis Tindakan Hasil Lab

1. Lantai 2 Lubes Helson/43 thn/L/ Post debridement d/t Konsul pain 25/11/2018
Mahoni 2 bed 5 068357/ Wound Dehiscence o/t management Hb/Ht/L/P: 9.9/29.80/14.51/676
15-11-2018/ Abdomen(H+11) Diet M2
dr. Edwin Saleh, SpB;KBD 16/11/2018
R/ Susul hasil Hb/Ht/L/P : 10/30,7/11,64/553
Gastroskopi PT/APTT: 14/26,7
KGDs: 161
Ur/Kr: 68,8
Na/K/Cl: 135/4,34/94
2. Lantai 2 Sutrisno/ 44 th/ L/ Adenocarcinoma colon R/koreksiHbdanNat 27/11/2018
Mahoni 2 bed 6 069024/23/11/2018/ rium, Ur/Cr: 124,5/9,9
dr. Adi Muradi, Sp. B-KBD Rencanaoperasibila AsamUrat: 9,7
HbdanNatriumsuda
hdikoreksi 26/11/2018
Hb/Leu/Plt/Ht: 7,5/12.090/330.000/22,8
Na/K/Cl: 141/3,47/106
PT/APTT: 19,3/36,4
Albumin: 2,7
KGDs: 85
Ur/Cr: 111,5/7,7
pH/pCO2/pO2/HCO3/TCO2/BE/SaO2
7,37/31/74/18/18,9/-6,7/93,8
3. Lantai 2 Jamin AKI+ hiponatremi+ R/ susul hasil 27/11/2018
Mahoni 2 silaen/L/53thn/069036/ susp. tumor intra kolonoskopi Ur/Cr: 175.2/2.5
24/11/2018/ dr. Adi Muradi, abdomen
Sp.B-KBD 25/11/2018
pH/PCO2/pO2/HCO3/TCO2/BE/SaO2:
7.37/31/141/20.1/18.9/-7.4/99

24/11/2018
Hb/Ht/leu/t: 13.1/36/13.250/122.000
 KGDs: 70
Na/K/Cl: 131/4.64/97
4. Lantai 2 Silvia/P/28th/066658 Post eksisi Brachial R/Pantau KU post 26/11/2018
Mahoni dr. Cysto/t (L) Colli op Hb/Ht/Leu/Plt: 10,7/33,7/9,96/513
PT/APTT/INR: 12,5/34,4/0,85
Ur/Cr: 16,3/0,6
Na/K/Cl: 140/3,75/102
5. Lantai 2 Agung Islami Abses perianal + fistula R/Operasi
Mahoni 2 bed 1 /L/18th/066780/28/11/18 debridement dengan
dr. Adi Muradi, Sp. B-KBD fistulectomy kamis
29/11/18 jam 12.00
6. Lantai 2 Zaitun /P/70 Gastric Outlet R/ Foto abdomen, 28/11/18
Mahoni tahun/069448/28/11/18 Obstruction IV Contrast Hb/Ht/L/P: 10.7/31.2/9480/229000
dr. Adi Muradi, Sp. B-KBD KGDs: 77
Albumin : 2,8
Ur/Cr: 32.6/0,8
Na/K/Cl: 135/3.67/102
pt/apt/tt : 19,4/34.4/23.2
7. Lantai 2 Amran Sitompul/L/54 Giant bullae o/t dextra SusulHasil Gene 22/11/2018
Meranti 4 bed 1 tahun/06.88.99/dr. Maulidya lung Xpert dan Sputum Hb/Ht/L/P: 15.3/42.9/6.82/4.76
Ayudhika, Sp.BTKV PT+INR/APTT: 13.1/30.4
Hasil Gene Xpert: Albumin: 4.3
MTB (-) KGDs: 207
Menunggu Ur/Cr: 14.50/0.6
Assessment Na/K/cl: 135/4.20/94
HBsAg: non reaktif
Anti HCV: Reaktif
Anti HIV: Non reaktif
8. Lantai 2 Mhd. Arifin Ginting/58 Susp. Tumor Intra R/ Susul Hasil CT 25/11/2018
Meranti5 bed 5 thn/L/069025/ Abdomen Scan Oral Anal Hb/Ht/L/P: 9.6/27.10/11.22/320
23/11/18/ dr. Adi Muradi,
Sp. B-KBD
9. Lantai 2 Chairul Anwar Nst obs jaundice+colangitis R/ CT Scan 26/11/2018
Meranti 5 bed 1 /L/68/069200 / dr. Adi abdomen upper IV Hb/Ht/L/P : 9,2/24,4/11.3/338k
 Muradi, Sp.B-KBD contrast Bil.total/direk : 22,64/18,18
Transfusi WRC 1 SGOT/SGPT : 56/36
bag GDS : 98
Ur/Cr : 24,4/0,7
Na/K/Cl : 129/2,79/93

28/11/2018
Hb/ht/leu/t: 10.3/26.90/11.230/314000
10. Lantai 2 Syahrudi Syahputra / Post Fistulotomy d/t 27/11/2018
Meranti 5 L/43/066470/ dr. Adi sitelperianal (H+2) KGDs: 158
Muradi, Sp.B-KBD
26/11/2018
Hb/Ht/L/P : 15,8/45,7/11.04/269.000
Pt/inr/aptt : 12,1(15) / 0,8 / 28,8(29,9)
Ur/Cr : 11 / 0,8
Na/K/Cl : 140/4,03/100
11. Lantai 2 Julfian CKD stg V r/ AV shunt 28-11-
Meranti 4 Tarigan/L/54th/064062/dr. 2018
Maulidya Ayudika,
Sp,BTKV
12. Lantai 2 Antun Thyroid Neoplasma R/ Operasi 28/11/18
Meranti 2 bed 3 Sitorus/P/26th/0667817/28/ Ismubectomy Kamis Hb/Ht/L/P: 10.3/33.2/6090/369000
11/18 29/11/30 jam 08.00 KGDs: 95
dr. Emir, Sp.B(Onk) Ur/Cr: 12/0,6
Na/K/Cl: 141/4.29/106
pt/apt : 16/33.4
T3/T4 : 2,5/9.49
13. Lantai 2 Sabari/L/31th/069310/ Fistula R/ cek lab 27/11/2018
Isolasi dr. Bronkopleura+TBparu CT Scan toraks Hb/Ht/L/P:11,4/36,10/8690/359000
(dekatMeranti) BremaSurantaPasaribu,Sp. PT/INR/APTT:12,3/0,83/32,4
BTKV KGDS:98
Ur/Cr:14,90/0,5
Na/K/Cl:145/3,98/106
14. Lantai 2 Agustim/L/51tahun/069449/ Hernia Inguinalis (L) R/Herniotomi
 Zaitun 5 28/11/18 (28/11/18)
dr. Adi Muradi, Sp.B-KBD
15. Lantai4 ResiUlinabrSembiring/P/17t Post Laparoscopyc R/ susul hasil cek 27/11/2018
Cemara h/068141 appendectomy (H+1) lab post op Hb/ht/leu/t: 13.1/38/769.000/347.000
GDS: 94
Ur/Cr: 16.5/0.5
Na/K/Cl: 141/4.13/103
PT/APTT: 14/30.4
16. Lantai 4 Gibran Al Fatih//11 Post Colostomy Closure GV/ per 2 hari 15/11/2018
Cemara 1Bed 1 bulan/L/03.86.94/ a/iatresiaani+hepatosple Hb/Ht/Leu/Plt: 10/30,5/22/134
7-11-2018 nomegali (H+26) Na/K/Cl : 136/4,13/102
dr.Erjan Fikri, SpBA
Hasil Echo :
Pricardial Effusion
TR Trivial
17. Lantai 4 Muhammad Hischprung’s disease Hasil barium retensi
Kenari 2 bed 2 Aditya/2tahun/L/00.83.71/ Kesimpulan:
dr. ErjanFikri, Sp.BA(K) sesuaigambaranHirs
chprungdisease
18. Lantai 4 Nauza/ 3 PostPyloromyotomy R/ diet bertahap 26/11/2018
Kenari 2 bed bulan/L/06.83.56/ dr. a/iHypertropic pyloric stenosis Hb/Ht/Leu/Plt:
5 ErjanFikri, Sp.BA(K) (H+3) 11,7/36,2/14,9/371.000
Alb/KGDs: 2,9/78
Ur/Cr: 14,1/0,2
Na/K/Cl: 141/4,29/105

24/11/2018
Hb/Ht/L/P:13.3/40.50/8.77/409
23/11/2018
Hb/Ht/L/P: 9.7/30.80/14.33/277
15/11/2018
Hb/Ht/L/P: 12.3/37.10/12.88/477
Na/K/Cl: 134/3.20/92
Albumin: 4,3
19. Lantai 5 Rodiah/59 thn/P/059310/ Post Reanostomosis Ileum 22/11/2018
Cendana 2 dr. Adi Muradi, Sp. B- Colon(H+7) Hb/Ht/L/P: 11.9/35.60/16.70/405
bed 2 KBD KGDs: 115
Ur/Cr: 40.50/1.0
Na/K/Cl: 148/3.79/111
20. Lantai 5 Dhana HIL kanan reponible R/ operasi Hernioraphy 28/11/18
Cendana 4 Balen/L/63tahun/28/11/2 kamis 29/11/18 jam Hb/Ht/L/P: 13,9/38.9/7890/189000
018 10.00 KGDs: 125
dr. Adi Muradi, Sp. B- Ur/Cr: 43.9/1.4
KBD Na/K/Cl: 142/4.11/103
pt/apt : 24.8/25.6
21. Lantai 5 Mudatsir/L/30/069196/ Obs Febris Susp. Dengue Fever R/ interna -> tubex 26/11/2018
Cendana 8 dr. Rizki Arini, Sp.PD R/ THT ->CT scan SPN Hb/Ht/L/P : 16,6/48,4/10220/250k
GDS : 123
Jawaban konsul tht:
rinosinusitis kronik Dengue NS 1 Ag: NEGATIF
ACC raber
22. Lantai 5 Wong Halim/89 Tumor Colon + Peritoneal 26/11/2018
Cendana 10 th/L/069028/23/11/2018/ Carcinomatosis + Hipertensi + Hb/Ht/L/P: 8,4/25/11,44/322
bed 2 /dr. Adi Muradi, Sp.B- Anemia KGDs: 140
KBD Ur/Cr: 73.2/1.4
Na/K/Cl: 131/4/96

23. Lantai 5 Santi Siregar/P/37 Cholelithiasis R/operasi lap 28/11/18

Cendana 12 tahun/28/11/18 cholesistectomy kamis Hb/Ht/L/P: 13,4/38.7/9970/290000
dr. Adi Muradi, Sp.B- 29/11/18 jam 08.00 KGDs: 172
KBD Ur/Cr: 18,7/0,5
Na/K/Cl: 142/4.17/104
pt/apt : 12,4/31.9

24. Lantai 5 Normawaty/P/62/ Post Hemicolectomy (R) R/ lanjut terapi 26/11/2018

Cendana 15 068785/ +Ileostomy d/t tumor ileum (H- Hb/Ht/Leu/Plt: 10/29,7/8,56/303
bed 2 dr. Adi Muradi, Sp.B- +7) KGDs: 182
KBD Na/K/Cl: 133/3,45/95

22/11/2018
Hb/Ht/L/P: 12.1/35.90/14.27/303
KGDs: 265
Ur/Cr: 36.60/0.8
Na/K/cl:140/4.28/105
25. Lantai 5 Lia Safitri/P/39/ 065406/ Post Tyroidectomy Completion R/ susulhasil PA 27/11/2018
Cendana 16 Total (H+2) Hb/Ht/Leu/T:
13/37.4/21.580/366.000
Ca:9.5
GDS: 180
Ur/Cr: 12.2/0.5
Na/K/Cl: 139/3.42/101
 26/11/2018
Hb/Ht/Leu/Plt: 12,6/36,7/12,79/399
PT/APTT/INR: 12,2/27,4/0,83
KGDs: 120
Ur/Cr: 12/0,6
Na/K/Cl: 141/4,09/102
26. NICU By. ZahwaAqilah/P/ 2 Atresiaani+petenturachus+ambi R/ susulhasilinvertogram 26/11/2018
hari/069207 guousgenitalia+multiple Hb/Ht/Leu/Plt:
dr. ErjanFikri, Sp.BA(K) congenital abnormality 19,5/55/12.430/281.000
KGDs: 60
Ur/Cr: 17,6/0,6
Na/K/Cl: 142/4,07/120