PASIEN IRDA BEDAH

No
CM
Nama
Ny Indah S
Nn Reni
Tn Ibrahim
Ny. Parsimah

Umur/
JK
48 th/ P
19 th/ P
27 th/ L
45 th/ P

5 C395222

Ny Ilena Palupi

38 th/ P

6 C395096

Tn Kodarudin

17 th/ L

7 C395213

Tn Hanan M

16 th/ L

1
2
3
4

C395065
C395079
C395244
C395175

8 C3955231 Tn Suwito

75 th/ L

9 C395240
10 C395190

Tn Adnin Nurul
Tn Ahmad M

23 th/ L
25 th/ L

11 C395226

By Ny Tri Puji

3 hr/L

HARI/TGL : Senin, 7/1/2013

Diagnosa utama

Dr. Jaga: WWJ/RP/DE/AMA/SOR/ RYD/ NSR/ ANT

Tindakan
Sub Bag

VE
VE
VE
Space Occupying Lesion regio parietooccipital dextra
curiga Abses cerebri DD Glioma GCS E4M6V5=15
SDH regio frontotemporoparietal dextra, ICH regio
frontotemporoparietal dextra, midline shift > 5 mm,Vulnus
laceratum regio temporooccipital sinistra, GCS E2M5V2= 9
Fr basis metatarsal III pedis sinistra undisp comm ttp nk,
Fr. basis metatarsal IV pedis sinistra undispl obliq ttp nk : 1
psn
Fr Femur Sin 1/3 tgh comm ttp nk, VE regio maleolus
lateralis dextra
Fr Tibia dextra 1/3 tengah comm. tbk gr II, Fr Fibula dextra
1/3 tengah comm. tbk gr II, EDH regio temporal dextra
(minimal), SDH regio temporal sinistra, Fr Linier Regio
temporal dextra. GCS E4M6V4=14, Vulnus laceratum regio
temporal dekstra dan cruris dekstra
Fr. Femur Sinistra 1/3 tengah obliq ttp nk
Meatal bleeding ec laserasi meatus orificium externus ec
trauma tumpul
Malformasi anorektal letak tinggi tanpa fistula, masa
intraabdomen dan regio sacrum curiga teratoma, soft tissue
tumor regio anal curiga papiloma, dekstrocardia,
hepatomegali, undensensus testiculorum bilateral, curiga
ambigous genetalia, hipoglikemi, hiperbilirubinemia,
hipoalbuminemia, asidosis metabolik tak terkompensasi

Ruang

WT + AG
WT + AG
WT + AG

B. Plastik
B. Plastik
B. Plastik
B. Saraf

Plg
Plg
Plg
A1

Craniectomy

B. Saraf

A1

pemasangan elastic bandage +

AG

B. Orthopedi

Plg

pasang spalk

B. Orthopedi

CDR

debridement+back slab

B. Orthopedi

A1

Spalk
pasang kateter urethra

B. Orthopedi
B. Urologi

A3
Plg

Laparatomi
sigmoidostomi+Biopsi

B Anak

A2