REKAP PASIEN BEDAH ORTHO 20 MEI 2015

No.

Identitas

No.
1

Identitas
Ramzi/ 18/ 1052234

No.
1 Iskandar

Identitas

Ruangan

Ruangan
B3

DPJP

DPJP
ZUL

Ruangan DPJP
1-2
ZUL

IGD dan IW
Diagnosa

Planing

HCU
Diagnosa
Planing
Close Fr. Femur dex + Close Fr. Tibia fibula
ORIF elektif jika KU membaik
sin + CKS+ open Pneumothoraks dex
JEUMPA 1
Diagnosa
Post debridement + ORIF

Planing
konsul rm, obat oral ( ), gv ( )
konsul anes ( ),hari ini debridement

Khairul Fajar

6-4

SAF

Post ext fixasi a/i open fracture

Mahibuddin

6-2

SAF

Post reivisi THR a/i negleted dilatasi hip joint konsul anes ( ), aff infus, ganti obat oral ( ), gv ( )

Ansari

7-1

ARM

Close fr ulna d segmental

Syamsudin

7-2

ZUL

7
8
9

Bakhtiar Amin
M Hazrami
Mawardi Amin

7-6
4-1
3-2

ZUL
ARM
SAF

10 Rajiun/ 28/ 1050180

7-5

SAF

11 Nasrudin Usman

4-3

ARM

12 Riswandi

5-3

ZUL

6-6
5-1
ISO 2

ZUL
AZH
AZH

13 Mundasir
14 Suherman/ 55/ 1048443
15 Zulkhairi

OP hari ini, sio ( ), pre op

rencana amputasi, konsul kardio (+) anestesi
Electrical burn
()
Implant failure
konsul RM ( ), tongkat
Post orif fr femur
aff infus (+), GV ( ), obat oral (+), tongkat ( )
Post debridemant close fr tibia
konsul anestesi ( )
konsul anestesi ( ), konsul RM ( ), kamis
Post debridement a.i. open fr tibia dex 1/3 distal
OP, GV per hari
Post debridemant + orif open fr cruris segmental
PBJ
D ()
Aff infus (+), drain ( ), gv ( ), obat oral ( ),
Post debridemant + orif open fr tibia bilateral
konsul RM ( )
Post orif fr femur
PBJ ( )
Trauma lumal frackle C
close fr cavicula 1/2 tengah dex

16
17
18
10
20
21

Amri
M Rizal
Djalaludin/ 65/ 1041040
Ali Matanoga/33/ 1044089
Hafizil/ 14/ 1052248
Sagi/ 10453

No.
Identitas
1 Fatimah Ali/ 35/ 1051404
2 Maryami/ 58/ 1043859
3 Yusmiati/ 56/ 1040883

6-1
2-1
3-1
4-2
2-2
5-2

Ruangan

AZH
ZUL
SAF
Nadu
ZUL
AZH

5-4
2-1

DPJP
ZUL
ARM
ZUL

5-3

ZUL

Aisyah/ 2/ 1052188

Maulidia/ 8/ 1051144

ISO1

ZUL

Samsuar/ 16/ 1052126

7-5

ZUL

No.

Identitas

Ruangan

DPJP

Sulastri/ 53/ 1048437

4-1

SAF

2
3
4

M Yusuf/ 66/ 1051183

Nurjannah/ 50/ 1052213
Sudirran/ 22/ 1050939

1-2
6-5
7-5

ARM
ZUL
ARM

M Iqbal/ 21/ 1052406

7-2

AZH

No.
Identitas
1 Darmawati

Ruangan DPJP
5-3
ARM

close fr distal radius dex

close fr 1/3 tenah dex
Diabetic foot dex POD I
Osteomielitis
OF cruris sin
dislokasi elbow joiny sin
JEUMPA 2
Diagnosa
Post OP OA Ank sin + Fr. Maleolus lat sin
OA post tkr
Malunion Tibia Fibula/ H37
Malunion cruris dex et sin + malunion
clavicula dex
Fr. Supra condiler
Close fr. Cruris dex 1/3tengah+fr. Zygoma
dex +fr. Mandibula dex

Planing
Konfirmasi kursi roda atau walker (?)
Raber plastik
Konsul anestesi (+)
Post OP
Konsul anestesi (-) dan plastik (+)

JEUMPA 3
Diagnosa

Planing
transfusi hingga Hb>10, konsul kardio ( ),
Ulkus diabetic a/r pedis dex
konsul anestesi ( ), GV ( )
CKR + V.laseratum+compresi VL2-4 POD VIIambil hasil MRI ( )
Multiple Fr post debridement H2
belum ada tindakan
Open fr. Ankp sin + fr cruris sin
Fisioterapi (+)
Open fraktur tibia+fibula distal sin grade II
POD II
JEUMPA 4
Diagnosa
fr kompresi vt12-vl1 frankle D

Planing
konsul anes ( ), ambil hasil MRI ( )

Bismi

2-2

spondilitis tb

konsul anes ( )

Ruangan DPJP
08
SAF
11
ZUL
18
AD

GRUTEE
Diagnosa
Post op intertrochanter
compresi VL3 + fr. Metacarpal manus 1 dex
Post op stenosis spinal l2-3

pbj ( )
MRI ( )
pbj ( )

No.
Identitas
1 Nurlela / 50th/
2 Zaharian

Ruangan DPJP
2-3
ARM
6-5
ZUL

GEULIMA 1
Diagnosa
fr. Intracondiler dex + stroke iskemik
Paraprase ec trauma

Planing
Jadwal ulang untuk OP
MRI

No.
Identitas
1 Nasruddin/ 50
2 Asri/ 42/ 1051123

Ruangan DPJP
4-3
ARM
7-2
NAN

SERUNE 2
Diagnosa
implan failure ar femur dex
union fr dex POD I

Ruangan DPJP
6-c
Zul

SERUNE 3
Diagnosa
Fr. Neck femur dex

No.
Identitas
1 Maahyudin
2 Yudhi
3 Samidun Polem

No.
1 Rusnah

Identitas

AZH

Planing

Planing
Pbj (-)

Planing
Post OP H2

tongkat ( )