LIST UROLOGI kamis 17 Juli 2014

IRINA A BAWAH
NO

1.
B10
Bed
1

2.
B9
Bed
5

IDENTITAS
Yenny
Rumondor/51thn/
41 39 49

DIAGNOSA

Tumor Ginjal

MRS
Dr. Ainun A, SpU

Bernard Maramis/L/34
thn/
41 30 38

10/7/2014
BT 330
CT 7
Tumor testis susp
malinancy

MRS 2/7/2014
Dr. Richard Monoarfa,
SpU

3.
B9
Bed
8

4.
B8
Bed
6

4.

B7
Bed
3

5.
B7

Jahja Payoh/L/67thn
41 67 99

Don Marthen
Budiman/L/57thn/
41 54 64
MRS 5/7/2014
Dr. R. Manoarfa,Sp.U

5/7/2014
Ur 8
Cr 1
Na 136,1
K 3,81
EKG
Kesan : sinus
Rhytm

Vesicolithiasis +
hidronefrosis

Post debridement ec
Fornier gangrene +
DMT2

Alex
Tumimbang/L/62th
41 39 88

Fistula vesico
cutaneous + retensio
urine ecsusp BPH +
anemia

MRS 20/06/2014
Dr. A.
Manoarfa,Sp.B,Sp.U

Post TUR +
fistulektomy (hari ke 2)

Eddy Sambeka/L/62thn
41 10 35
MRS 16//07/2014

Ca. Buli

14/7/14
MCH 31,8
MCHC 35
MCV 90,9
Leu 7400
Eri 3,3
Hb 10,5
Ht 30
15/7/14
MCH 29,4
MCHC 36,4
MCV 80,7
Leu 4400
Eri 4,05
Hb 11,9
Ht 32,7
Trom 233
7/7/2014
Urinalisis:
Epitel 6-8
Eri 8-10
Leu 2-3
Darah +++++

13/7/14
Leu 5200
Eri 4,28
Hb 11.1
Ht 33,2
Trom 429
Na 136
K 3,6
Cl 106

PEMERIKSAAN
15/7/2014
GDS 95
MCH 26,6
Cr 0,7
MCHC 33,9
Ur8
MCV 78,4
SGOT 12
Leu 10600
SGPT 4
Eri 4,40
Na 146
Hb 11,7
K 3,76
Ht 34,5
Cl 108,3
Trombo 443
Trom 385
MCV 90,2
GDS 147
Leu 6600
Cr 1,3
Eri 3,28
Ur 29
Hb 10,3
SGOT 59
Ht 29,6
SGPT 9
Trom 395
Na 144
Albumin 3
K 3,9
EKG
Cl 110,8
Kesan:
15/7/2014
Incomplete RBBB
MCH 31,4
(variasi normal)
MCHC 34,8
GDS 105
Cr 6,5
Ur 160
Na 134
K 4,62
Cl 98,7
14/7/14
Cr 0,9
Ur 22
Na 133
K 4,15
Cl 96,7

EKG :dbn
15/7/2014
Leu 5200
Eri 4,28
Hb 11.1
Ht 33,2
Trom 429
Cr 1,0
Ur 48

TERAPI

Pro nefroktomi
Persiapan operasi

Pro Orchidektomy
Persiapan operasi

Pro Nefrostomi

MCH 31,3
MCHC 34,5 MCV
90,7 Leu 10500
Eri 3,64
Hb 11,4
Ht 33
Trom 324

IVFD RL
Ciprofloxacin 2x1
Metronidazole 3x1
Rawat luka
Tx lanjut sesuai TS
Interna

IVFD RL
Stabixim 2x1
Transamin 3x1
Vit C 3x1
Vit K 3x1
Ranitidin 2x1
Antrain 3x1

MRS untuk
Kemoterapi

6.

Pites Tumonggor/L/47/
40.48.41

B5
Bed
1

MRS 14/06/2014
Dr R. Monoarfa,SpU

Laurens
Wantania/L/70thn
41 33 05

7.

Post uretrolitotomy (D)

(post op hari ke-27)

14/07/2014
MCH 31,4
MCHC 35,3
MCV 88,9
Leu 12900
Eri 2,87
Hb 9
Ht 25,5
Trom 114

GDS 92
Cr 2
Ur 34
Albumin 2,8
SGOT 18
SGPT 17
Na 141
K 2,9
Cl 105,8

15/07/2014
Urinalisis
Kuning muda
Jernih
Epitel 4-6/lpk
Eri 8-10/lpb
Leuko 10-12/lpb
Leuko 100/uL
Protein 75 mg/dl
Eri 25/ul
Widal (-)
Tubex (-)

Retensi urine ec BPH

susp malignancy

IVFD RL
Tx tunggu hasil Lab

Pro Foto BNO-IVP

MRS 16/7/2014
Dr. Ainun A, SpU
IRINA A ATAS
NO

IDENTITAS

1.
A10
Bed
1

2.

Kusman Wagino/L/72
41.29.27
MRS 2/7/2014
dr. R. Monoarfa, SpU

Arifin Pitola/L/36 thn

41.63.70

A8
Bed
1

MRS 15/7/2014
dr. Ainun A, SpU

DIAGNOSA
Post Nefrostomi S ec
hidronefrosis bilateral +
anemia + nefropaty
obstruksi + Hipoalbumin
(Post op hari ke-14)

V. ictum regio lumbalis

posterior D

Lomban
Arni/P/35 thn/
41.62.07

3.
A6
Bed
6

Susp Nefrolitiasis D
MRS 11/7/2014
dr. R Monoarfa, SpU

14/7/2014
MCH 32,6
MCHC 36,4
MCV 89,6
Leu 8000
Eri 2,88
Hb 9,4
Ht 25,8
Trombo 396
14/7/2014
Leu 20200
Eri 3,68
Hb 10,6
Ht 29,6
Trom 302
Cr 1,1
Ur 34
16/7/2014
MCH 29,9
MCHC 36,1
MCV 82,8
Leu 9500
Eri 4,31
Hb 12,9
Ht 35,7
Trom 282

PEMERIKSAAN
GDS 288
Cr 5
Ur 133
SGOT 13
SGPT 19
Na 132
K 4,39
Cl 100,4
SGOT 27
SGPT 12
14/7/2014
Urinalisis
Kuning muda,
jernih
14/7/2014
Bil. Total 0,55
Bil direct 0,17
GDS 64
Cr 0,8
Ur 14
Alkalinfosfatase
117

TERAPI
12/7/2014
Chol tot 153
HDL 31
LDL 99
Trigl 113
Ca 7,53
Fosfr 3,73
Mg 1,69

Epitel 8-10/lpk
Eri 10-15/lpb
Protein ++
Bilirubin +
Eri +++++
SGOT 28
SGPT 40
Gamma GT 212
Na 143
K 3,22
Cl 104,9

IVFD NacL
Cipro 2x400 mg
Ranitidin 2x1
Vip albumin 3x4
Sangobion 1x1
APG tgl 18/7/2014

IVFD RL
Ceftriaxone 2x1
Ranitidin 2x1
Bed rest total

X-foto BNO IVP

Raber digestive
ACC OP

IRINA D
NO
1.
A4
Bed
1

IDENTITAS
Ruskila
Kakundimanyeng/P/52
thn
41 53 47
MRS 10/7/2014
dr. Ainun A. SpU

DIAGNOSA

Ca Cervix + Post
Nefrostomi

14/7/2014
Leu 6.700
Eri 3,51
Hb 9,9
Ht 27,6
Trom 188

PEMERIKSAAN

TERAPI

GDS 105
Cr 7,6
Ur 166
Na 134
K 4,44
Cl105,1

Terapi lanjut sesuai TS

Obsgyn
Takar produksi
nefrostomi
Rawat luka

2.

Sindy Poluakan/P/16
41 55 00

A2
Bed
4

MRS 10/7/2014
dr.Ainun A. SpU

Anuria
ecsuspobstruksitraktusuri
nariusec tumor
padatovarium +
hidronefrosis bilateral

11/7/2014
GDS 114
Cr 8,1
Ur 64
SGOT 20
SGPT 12
Na 138
K 3,4
Cl 105

12/7/2014
Cr 9,7
Ur 81
Na 137
K 3,4
Cl 103

USG urologi cito

R/ nefrotomi jika hasil usg
sdh ada dan keluarga
setuju

ANGGREK II
NO

1.

K
117

2.

K
109

IDENTITAS
Manuel Walukow/L/
69thn
16 05 68

DIAGNOSA

Retensi urine ec
BPH + Orchitis

MRS /7/2014
dr. Ainun A.

Paiman
Hutagaol/L/77thn
01.04.27
MRS 13/07/2014
dr. Ainun A, SpU

BPH

PEMERIKSAAN
14/7/2014
MCH 32,9
MCHC 36,5
MCV 90,0
Leu 6300
Eri 4,41
Hb 14,5
Ht 39,7
Trombo269
12/07/2014
GDP 90
Protein total
7,3
Cr 1,8
Ur 32
Asamurat
5,1
Albumin 3,3
Globulin 4
SGOT 24
SGPT 17

TERAPI

GDS 158
Cr 1,2
Ur 28
SGOT 24
SGPT
Na 140
K 3,07
Cl 106,6

PSA Total 0,377

MCH 35,6
MCHC 38,2
MCV 93,4
Leu 6300
Eri 3,03
Hb 10,8
Ht 28,3
Tromb 257
Na 122
K 4,86
Cl 85,5

Cholesterol Total 163

HDL 63
LDL 87
Trigliserid 67
LED 66
Eosinofil 0
Basofil 0
Netrofilbatang 8
Netrofilsegmen 60
Limfosit 17
Monosit 15

IVFD RL:NaCl = 2:1 8

gtt/m
Ciprofloxacin 2x1
Antrain 3x1
Harnal tab 1x1 malam
Avodart 1x1 pagi
Konsul bedah digestiv

USG urologi
PSA
BNO
Tx lanjut sesuai TS interna