LIST PASIEN DIVISI UROLOGI

Rabu, 14 OKTOBER 2015

IRINA A ATAS (6 Pasien)
NO

KAMAR

A11
Bed 1

Tn Zendy Y Wantania
L/21thn/034144

IDENTITAS PASIEN

Devi

MRS 11/10/2015
Hari perawatan ke-4

DIAGNOSIS
Post
varicocelectomy

Dr. Ainun Aschorijanto, SpU

2.

A11
Bed 2

Tn. Alfius Tangkilisan

L/63 thn/07.24.84

Chenko

MRS 28/9/2015
Hari Perawatan ke-16

Adenocarsinoma
Pielum sin

Dr. Ainun Aschorijanto, SpU

3.

A9
Bed 5
Chenko

Tn. Ohotan Juandy/L/ 13 th/

42.12.45

Trauma tumpul
ginjal dekstra

General weakness
ec elektrolit
imbalance
Kista R.Deks
Susp sistitis

MRS 12/10/2015
Hari perawatan ke-2
Dr. Ainun Aschorijanto, SpU

4.

A8
Bed 2

Tn. Jan Ramopolii

L/74 thn/45.58.33

Riscky

MRS 29/9/2015
Hari Perawatan ke-16

Dr. Ainun Aschorijanto, SpU

PEMERIKSAAN PENUNJANG
13/10/2015
Leu 11000
Eri 4,85
Hb 14,7
Ht 41,8
Trom 209
MCH 30
MCHC 35
MCV 86
07/10/2015
Leu 10920
Eri 4,22
Hb 12,2
Ht 37,5
Trombo 282
MCH 29
MCHC 33
MCV 89
SGOT 15
SGPT 13
Ur 26
Cr 1,1
GDS 136
K 4,60
Na 133
PT 15,4
INR 1,31
APTT 23,4
12/10/2015
Leu 12630
Eri 6,23
Hb 13,3
Ht 52,7
Tro 457
MCH 21
MCHC 25
MCV 85

10/10/2015
Leu 3214
Eri 3.07
Hb 8.4
Ht 26
Tromb 63
Mch 27
Mchc 32
Mcv 85
Gds 68
Cl 86.5
K 2.83
Na 121
05/10/2015
Leu 4806
Eri 3,13
Hb 8,5
Ht 25,6
Trombo 79
MCH 27
MCHC 33
MCV 82
Ur 14

08/10/2015
Foto thorax :
normal

16/9/2015
Leu 7300
Eri 5,46
Hb 15,9
Ht 48,3
Trombo 290
MCH 29
MCHC 33
MCV 88
GDS 136
Alb 4,23
Cl 101,3
K 4,70
Na 140
PT 12,8
INR 1,02
APTT 28,8

11/10/2015
Leu 21020
Eri 5,06
Hb 14,1
Ht 42,9
Tro 362
MCH 28
MCHC 33
MCV 85
Ur 26
Cr 0,4
GDS 118
Cl 104
K 4,5
Na 137
12/10/2015
Leu 3320
Eri 3,73
Hb 10,1
Ht 32,1
Trombo 70
MCH 27
MCHC 31
MCV 86
Ur 21
Cr 0,8
GDS 91
Cl 95,7
K 2,78
Na 129
PT 16,4
INR 14,20
APPT 42,6
9/10/2015
USG abd : Susp.
Nefritis Cronis
bilateral + kista ren
dextra + susp. cystitis

09/10/2015
Analisis sperma :
oligoteratozoospe
rmia (sampel
belum liquefaksi
sempurna
06/10/2015
Hasil PA :
Adenocarcinoma
pyelum

TERAPI
-

IVFD RL
Ceftriaxone 2x1 iv
Ranitidin 2x1 iv
Ketorolac 3x1 iv
As.Traneksamat 3x1 iv

Harnal tab 0-0-1

Avodart 1-0-0
Lasodex 0-1-0
R/ nefroureterektomi

Ceftriaxone 2x1 iv
Ketorolac 3x1 iv
Ranitidin 2x1 iv
Vit K 1x1 im
Vit C 2x1 iv
As. Traneksamat 3x1 iv

IVFD NaCl 20 gtt/m

Ciprofloxacin 2x1
Ranitidin 2x1 amp IV
Terapi lain sesuai TS
interna

29/9/2015
EKG :
Irama sinus
62x/m
Axis normal
29/9/2015
X-foto thorax :
Normal
08/9/2015
EKG :
Suspomianterosep
tal

29/9/2015
Urinalisis
Warna kuning
Keruhan jernih
Berat jenis 1020
pH 6
Leu ++
Nitritpos
Protein +
Glukosa normal
Keton +++
Urobilinogen
normal
Bilirubin negatif
Darah/eritrosit +5
2/10/2015
Ur : 19
Cr : 0,9
GDS : 38
Ca : 7,36
X foto thorax :
dbn

5.

A8
Bed 3

Wantania fanly
L/23thn/ 323112

Inka

MRS 11/10/2015
Hari perawatan ke-4

Susp hematuria ec
trauma tumpul
ginjal

Susp Ca prostat dd
ca buli

Dr. Ainun Aschorijanto, SpU

6.

A7
Bed 5

Tn. Herman Tengker

L/73 thn/45.62.95

Inka

MRS 06/10/2015
Hari perawatan ke-8
Dr. Richard Monoarfa, SpU

Cr 0,6
GDS 74
Cl 80,3
K 2,70
Na 115
11/10/2015
Leu 21200
Eri 5.56
Hb 16
Ht 48.9
Tromb 329
Mch 29
Mchc 33
Mcv 88

06/10/2015
Leu 12880
Eri 4,02
Hb 12,4
Ht 36,3
Trombo 264
MCH 31
MCHC 34
MCV 91

EKG : TF lateral
diseminata

Sgot 42
Sgpt 20
Ur 29
Cr 1.2
Gds 100
Cl 106
K 4.1
Na 139

Ct scan urologi + kontras

terlampir
-

IVFD RL 20gtt/m
Ceftriaxone 2x1 iv
Ranitidine 2x1 amp
Ketorolac 3x1 amp
As.Traneksamat 3x1 iv
Vit K 3x1 i.m

SGOT 18
SGPT 14
Ur 28
Cr 1,2
GDS 151
Cl 97
K 3,8
Na129

06/10/2015
EKG
Dbn

IVFD NaCl 20 gtt/m

Ciprofloxacine 2x400 mg
iv
Ranitidin 2x1 amp IV
Ketorolac 3x1 amp IV (k/p)
Cek PSA dan kultur urine
Tunggu hasil CT-scan
urologi dengan kontras
Bladder training

07/10/2015
Calsium 8,94

IRINA A BAWAH (9 Pasien)

NO
1.

KAMAR
B11
Bed 1
Devi

IDENTITAS PASIEN
Tn. KobandahaAbednego
L/75 thn/43.05.63

MRS 6/10/2015
Hari perawatan ke-8

DIAGNOSIS
Gross hematuria
ec susp ca
prostat dd ca
buli

Dr. Richard Monoarfa, SpU

B11
Bed 2

Kasim Mochammad
L/58 thn/25.88.31

PB

MRS 12/10/2015
Perawatan hari ke-2

PEMERIKSAAN PENUNJANG
07/10/2015
13/10/2015
21/01/2015
Leu 5382
Leu 6208
Hasi PA:
Eri 3,48
Eri 4,58
Banigne
Hb 8,0
Hb 11,1
Prostate
Ht 25,5
Ht 36
Hyperplasia
Trombo 220
Trombo 426
MCH 23
MCH 24
MCHC 31
MCHC 31
MCV 73
MCV 79
SGOT 37
SGOT 12
SGPT 12
SGPT 9
Ur 19
Ur 18
Cr 0,9
Cr 0,9
GDS 116
GDS 89
Ca 8,07
Na 96
Albumin 2,46
K 4,16
PSA 1,86
Cl 131

Retensi urine ec.

Urolithiasis

TERAPI
Ciprofloxacin 2x400 mg
As traneksamat 3x1 amp IV
Vit K 3x1 IM
Vit C 3x1 IV
Harnat tab 0-0-1
Avodart 1-0-0
Lasodex 0-1-0
Sitologi dan kultur urine :
tunggu hasil
Transfusi darah hingga Hb 10
mg/dl
CT scan urologi dengan
kontras

Ciprofloxacin 2x1
Kaltrofen supp 1x2
Tunggu hasil lab

Rencana PCNL 15/10//2015

Dewa
3.

B2
Bed 2

Jefry

Dr. Ainun Aschorijanto, SpU

Ny. Aneke Sumendap
P/42 thn/45.59.20
MRS 17/9/2015
Perawatan hari ke-25
Dr. Ainun Aschorijanto, SpU

Nefrolitiasis
dextra
Post nefrostomi
dextra ec
hidronefrosis
dekstra

12/10/2015
Leu 8400
Eri 3,54
Hb 11,0
Ht 31,7
Trombo 362
MCH 31,1
MCHC 34,7
MCV 89,5
Ur 49
Cr 5,7
Cl 95,6
K 3,66
Na 134

27/9/2015
Leu 7201
Eri 3,63
Hb 10,8
Ht 32,4
Trombo 247
MCH 30
MCHC 33
MCV 89
Ur 91
Cr 6,9
Na 141
K 3,6
Cl 107,0

3/10/2015
Leu 5914
Eri 3,18
Hb 9,7
Ht 28,6
Trombo 198
MCH 30
MCHC 34
MCV 90
Ur 80
Cr 7,7
Cl 110,5
K 3,46
Na 138

Hemostasis
PT
@detik 12,4
@INR 0,98
APTT 26,7
EKG
Dbn
X-foto thorax
Dbn

4.

7.

B4
Bed 4

Tn. Dones Komalis

L/19 thn/45.29.54

Post laparatomi
eksplorasi +
repair buli ec
perforasi ec
rupture buli

Jefry

MRS 9/10/2015
Hari perawatan ke-4

B9
Bed 4

Albert Pindanger
L/71 thn/ 17.16.09

Reza

MRS 11/10/2015
Perawatan hari ke-3

Susp. Ca Prostat
Aritmia Minor
(multiple PVC)
Hpt St I
Hipo K (3,2)

B8
Bed 3

Tn. Mararoating Laurents

L/40 thn/44.69.45

Ros

Post TUR buli ec

ca buli

MRS 2/10/2015
Perawatan hari ke-12

11/10/2015
Leu 14670
Eri 4.67
Hb 10.9
Ht 35.6
Trombo 227
MCH 23
MCHC 31
MCV 76
SGOT 14
SGPT 15
Ur 24
Cr 10.7
GDS 77
Cl 106
K4
Na 135

(12/10/15)
Urinalisis
Mikroskopis
Eri 10-20
Leu 6-8
Epitel 6-8

Dr. Richard Monoarfa, SpU

Kimia
Leu +++
Prot ++
Eri/darah ++++
+

8.

B8
Bed 2

Tn. Jantje Siwu

L/72 thn/17.07.04

Cindy

MRS 9/10/2015
Perawatan hari ke-4
Dr. Ainun Aschorijanto, SpU

Ca prostat

12/10/15
Leu 9100
Eri 3,17
Hb 9,3
Ht 5,7
Trombo 348
MCH 29,3
MCHC 36,2
MCV 81,1
SGOT 37
SGPT 10
Ur 23

29/9/2015
Leu 12770
Eri 3,78
Hb 11,3
Ht 34,1
Tormbo 212
MCH 30
MCHC 33
MCV 90
Ur 71
Cr 6,2
Na 141
K 3,9
Cl 108,0
9/10/2015
Leu 7000
Eri 7,03
Hb 16,5
Ht 51
Trombo 502
MCH 24
MCHC 32
MCV 73
SGOT 56
SGPT 31
Ur 39
Cr 1,3
GDS 155
Cl 105,0
K 4,80
Na 137

9/10/2015
Leu 6881
Eri 3,59
Hb 9,8
Ht 32,2
Trombo 284
MCH 27
MCHC 31
MCV 90
Ur 37
GDS 84
Cr 4,7

IVFD RL 20 gtt/m
Cefoperazone 2x1 IV
Metronidazole 3x1 IV
Ranitidin 3x1
Pct drips 3x1
Rawat luka

Ciprofloxacin 2x1 iv
Ranitidin 2x1 iv
Ketorolac 3x1 iv

2/10/2015
Leu 16600
Eri 3,47
Hb 9,7
Ht 28,8
Trombo 468
Ur 32
Cr 2,6
GDS 86
Cl 102
K 4,4
Na 134

IVFD NaCl 0,9% 20 gtt/m

Ciprofloxacine 2x1 IV
Ketorolac inj 3x1 amp
Ranitidin inj 2x1 amp
As tranexamat 3x1 iv

Prot tot 7,16

GDS 116
Alb 3,13
Glo 4,03
Cl 85,4
K 3,01
Na 125

Ciprofloxacine 2x1
Ranitidin 2x1
Ketorolac 3x1
Tunggu hasil PSA
Testosterone

Cr 1,1
9.

B7
Bed 1

Tn. Mulyono Sumario

L/61 thn/36.79.99

Hardy

MRS 27/9/2015
Perawatan hari ke-8

Dr. Richard Monoarfa, SpU

Ca buli dd ca
prostat
Post sitostomi ec
susp striktur
uretra dd
bladder neck
kontraktur

12/10/15
Leu 7700
Eri 3,72
Hb 10,7
Ht 29,4
Trom 201
MCH 28,8
MCHC 36,4
MCV 79
Ur 160
Cr 7,0
Serum iron 79
TIBC 197
Fosfor 6,3
Mg 2,17
Alb 3,67
Cl 101,5
K 5,22
Na 134
Ca 8,48

27/9/2015
Leu 8554
Eri 3,7
Hb 10,1
Ht 35,08
Trombo 274
MCH 71
MCHC 33
MCV 83
SGOT 19
SGPT 11
Ur 109
Cr 0,8
Alb 105,0
Cl 97,2
K 5,4

07/10/2015
Leu 7439
Eri 3,50
Hb 9,8
Ht 29,1
Trombo 140
MCH 28
MCHC 34
MCV 83
SGOT 15
SGPT 6
Ur 100
Cr 6,0
Urid acid 8,9
Fosfor 5,2
Mg 2,14
Alb 3,03
Cl 103
K 4,88
Na 133
GDS 80

06/10/15
USG :
Urolithiasis (d) +
kista soliver dd
nephrolitiasis +
Lokal
calyectasisicystitis

30/9/2015
EKG :
Dbn

05/9/2015
Leu 6817
Eri 3,71
Hb 10,1
Ht 29,3
Trombo 174
MCH 27
MCHC 35
MCV 79
SGOT 7
SGPT 6
Ur 91
Cr 5,2
Uric acid 9,0
Fosfor 4,2
Mg 1,74
Alb 3,03
Cl 106,5
K 4,86
Na 138
Ca 8,23

Ciprofloxacine 2x1 tab

As mefenamat tab 3x1
R/ bipolar voiding

Anggrek 2 (3 pasien)
NO
1.
Atas

KAMAR
212

IDENTITAS PASIEN
Tn. Kawalur fredy
L/45 thn/35.97.35

DIAGNOSIS
Nefrolitiasis Sinistra
Post URS
Ureterilitiasis

MRS 22/9/2015
Perawatan hari ke-21
Dr. Ainun A, SpU

2.
Atas

204

Tn. Wilson Augustinus

Sinadia
L/66 thn/42.07.90

Susp Fistule
Uretrokutan

9/10/2015
Leu7624
Eri 3.26
Hb 9.3
Ht 27.5
Tromb 221
Mch 28
Mchc 34
Mcv 84
Sgot 15
Sgpt 9
Ur 28
Cr 1.9
Gds 72
Cl 106
K 3.5
Na 138
Pt 14.2
Inr 1.22
Appt 33.2

10/10/2015
Leu 9129
Eri 3.5
Hb 10.7

PEMERIKSAAN PENUNJANG
02/10/2015
Urinalisis
Leu 6900
Kuning jernih
Eri 5,43
BJ 1015
Hb 15,5
Leukosit (-)
Ht 45,5
Nitrit (-)
Trombo 255
pH 6
MCH 28,5
protein
MCHC 34,1
glukosa ++
MCV 83,8
darah +++++
SGOT 14
bilirubin
SGPT 13
Ur 39
USG abdomen
Cr 2,1
Cholecystolithiasis
As. Urat 9,5
, caelyectasis
Prot tot 7,17
ringan ren dekstra,
GDS 78
nefrolithiasis
Cl 101,1
dekstra
K 3,88
Na 140
5/10/2015
PT 12,8
Hasil echo
INR 1,02
Dbn
APTT 24,5
8/10/2015
8/10/2015
Leu 11410
Urinalisis
Eri 3,23
Kuning keruh
Hb 10,6
Mikroskopis :

TERAPI
IVFD RL 20 gtt/m
Ketorolac inj 3x1 IV
Ranitidin 2x1 IV
Pro explorasi ginjal

IVFD RL 18 gtt
Ceftriaxone 2 x 1
Ranitidin 2x1
Ketorolac 3x1

Perawatan hari ke-5

Ht 33
Tromb 101
Mch 31
Mchc 32
Mcv 94
Psa 31.72

Dr.Ainun A, SpU

Ht 30
Trombo 9600
MCH 33
MCHC 35
MCV 93
SGOT 27
SGPT 34
Ur 93
Cr 3,5
GDS 89
Cl 97
K 4,2
Na 123

11/10/2015
Leu 8599
Eri 3.66
Hb 11
Ht 34.8
Tromb 128
Mch 30
Mchc 32
Mcv 95
3
bawa
h

118

Tn. None Olden Liong

L/44thn/45.16.26

Berat jenis 1,01

pH 6
leuko +++
Nitrit Protein +
Glukosa normal
Keton negatif
Bilirubin negatif
Urobilinogen
normal
8/10/2015
EKG
Sinus takikardi
(HR=122x) dengan
suspek LAH

Multiple Batu Ginjal

Kanan

MRS 15/10/2015
Perawatan hari ke-1
Dr.Ainun A, SpU

CVBC
NO
1.

KAMAR
1

IDENTITAS PASIEN
Tn. Mantis Anwar
L/64 thn/35.97.35
MRS 22/9/2015
Perawatan hari ke-20
Dr. Ainun A, SpU

DIAGNOSIS
Susp. BPH dd/ ca
prostat + DM tp 2
+ CAD + CKD

09/10/2015
Leu 7639
Eri 3,05
Hb 8.6
Ht 27.1
Trombo 90
MCH 28
MCHC 32
MCV 89
Ur 102
Cr 3,7
Mg 1.34
Cl 95.8
K 3,34
Na 133
Ca6.78

PEMERIKSAAN PENUNJANG
TERAPI
12/10/2015
Mg 1.54
- Hernal tab 0-0-1
- Avodart 1-0-0
Leu 10200
Alb 1,8
- Kasodex 0-1-0
Eri 3,59
Glob 3,1
Hb 10,5
Cl 93,6
Ht 31,1
K 4,38
Trombo 97
Na 130
MCH 29,2
Ca 7,33
MCHC 33,8
Psa 0.456
MCV 86,6
SGOT 38
Foto pelvis : dbn
SGPT 21
BNO :
Bil Tot 0,42
nefrolitiasis dextra
Bil Direk 0,09
Ur 94
Cr 3,4
Pro tot 4,9