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  • Koran 18-10-15

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    Ilham Syahid
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    Most authors feel that total resection of the bullae is of major importance since the risk of development of bronchogenic carcinoma is a lot higher in patients with GBE [18]. Venuta and Goldstein respectively reported an incidence of primary lung cancer associated with bulla as 4.2% and 3.8% [18, 19]. The relative risk of lung cancer adjoining a pulmonary bulla is much higher, therefore requiring a strict follow-up. Differentiating malignancy in emphysematous lungs is a difficult diagnosis with HRCT, so low threshold towards biopsy or resection of growing low-density mass can be defended.

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    KORAN 18-10-15

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    Most authors feel that total resection of the bullae is of major importance since the risk of development of bronchogenic carcinoma is a lot higher in patients with GBE [18]. Venuta and Goldstein respectively reported an incidence of primary lung cancer associated with bulla as 4.2% and 3.8% [18, 19]. The relative risk of lung cancer adjoining a pulmonary bulla is much higher, therefore requiring a strict follow-up. Differentiating malignancy in emphysematous lungs is a difficult diagnosis with HRCT, so low threshold towards biopsy or resection of growing low-density mass can be defended.

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    11 views3 pages

    Koran 18-10-15

    Uploaded by

    Ilham Syahid
    Most authors feel that total resection of the bullae is of major importance since the risk of development of bronchogenic carcinoma is a lot higher in patients with GBE [18]. Venuta and Goldstein respectively reported an incidence of primary lung cancer associated with bulla as 4.2% and 3.8% [18, 19]. The relative risk of lung cancer adjoining a pulmonary bulla is much higher, therefore requiring a strict follow-up. Differentiating malignancy in emphysematous lungs is a difficult diagnosis with HRCT, so low threshold towards biopsy or resection of growing low-density mass can be defended.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    of 3

    PALEM ATAS

    Hj, Rusni
    21-12-1964
    729284
    MRS
    14/10/2015
    DPJP : dr.
    Ibrahim
    Pindah ke
    ICU
    (ICU)

    Ileus
    Obstruksi

    B1/6
    Paonganana
    m
    16-01-1966
    RM :727739
    MRS:
    DPJP : dr.
    ikhwan

    POH III
    eksplorasi
    batu CBD

    B2/4 bed2
    Hasnah
    29-11-62
    705562
    MRS : 28-915
    705562
    DPJP : dr
    Ikhwan
    Kusuma

    Post
    colonstomye
    c
    adenocarcino
    ma colon
    POH VI tutup
    colostomy

    RL:DS:Clinimix
    Sharox 750 mg/12
    jam/ intravena
    Ketorolac 30
    mg/8jam.intravena
    Rantidin 50
    mg/8j/iv
    Metronidazole 500
    mg/8j
    Paracetamol drip
    k/p
    PRC 2 bag
    Foto Thorax AP/PA
    CITO
    Cefadoroxil 2 x1
    tab
    As. Mefenamat 3 x
    500 mg
    Ranitidin 2x150
    mg
    Metronidazole 500
    mg/8j
    Diet biasa
    Pertahankan T
    tube.
    Boleh rawat jalan

    Infuse RL:DS:
    Clinimix
    500:500:1000
    Sharox 750mg/12j
    Ranitidine 50 mg/8
    j
    Metronidazole 500
    mg/8j
    Minum 5 sdk/jam

    17/10/15
    WBC 19.400
    Hgb: 8,6
    HCT 25
    PLT 43.000
    GDS 22
    Albumin 2,4
    Na/K/Cl 143/2,4/104
    Foto thorax 18/10/15
    Cardiomegaly dengan
    edema paru
    Efusi pleura dextra
    Elevasi diafragma dextra
    (proses intrahepatik?
    14/10/2015
    WBC 9000
    HGB 13,1
    HCT 39
    PLT 75.000
    01/10/201
    PT : 11,6Aptt 31,3
    Ur/cr : 23/1,1
    Biliirubin total : 0,8
    Bilirubin direct; 0,37
    GOT/GPT 77/147
    Albumin 4,1
    Na/K/Cl : 144/4,7/106
    MSCT whole abd Non
    Kontras
    02/10/15
    Cholecystolith dan
    choledocolith
    Lab 16/10/15
    GDS 128
    15/10/15
    WBC 8800
    HGB 10
    HCT 30
    PLT 179.000
    Alb 2,7
    Na/k/Cl 139/3,5/105

    Loposkopi: Dalam Batas


    Normal

    K2/B6 bed1
    Hanasia
    31-12-58
    724664
    MRS: 4-92015
    DPJP: dr.
    Warsinggih

    POH 42
    laparotomi
    eksplorasi ec
    tumor colon
    sigmoid

    Infuse RL:DS:
    Clinimix
    500:500:1000
    Sharox 750mg/12j
    Ranitidine 50 mg/8
    j
    VipAlbumin 3 x
    2tab

    Colonoskopi 5/10/2015
    IBD (proktitis) drajat
    ringan
    Lab (14/10/15)
    WBC 6600
    HGB 12,5
    HCT 37 %
    PLT 135.000
    Foto thorax AP/PA
    07/07/2015
    Pneumoniae dextra
    Dilatatio Aortae
    Elevasi Diafragma Dextra
    (pross intrahepatic?)
    Terpasang CVC
    PA (9/9/15):
    Adenocarcinoma sigmoid
    differensiasisedangdenga
    nbatasreseksibebas
    tumor

    B2/8 bed2
    Amir
    2/03/1965
    3681137
    MRS :
    DPJP : dr.
    samuel

    Aneurysma
    Aorta
    Abdominal

    Operasi graft
    aneyrysma hari
    kamis

    GDS 314 mg/dl

    B2/13 bed2
    Sriyani dargo
    3-3-1965
    MRS 24-9-15
    723379
    DPJP : dr

    POH X
    Laparotomy
    explorasi +
    Biopsi Tumor
    pancreas

    Sharox 750 mg/12


    j/iv
    Ketorolac 30 mg/8j
    Ranitidine 50mg/8j
    Vipalbumin 3 x 1

    12/10/2015

    12/10/2015
    WBC 5100
    HGB 9,4
    HCT 28
    PLT 464.000
    Pt/apt 11/21,5
    Ur/cr 40/0,62
    SGOT 17
    SGPT 15
    Albumin 3,2

    WBC : 16.500
    Hb : 9,7
    Ht : 30
    PLT : 387.000

    Ibrahim

    tab
    Neurobion 1
    amp/24 j

    Alb : 2,3
    Na/K/Cl 139/4,3/108
    Foto Thorax AP/PA
    11/10/2015
    Efusi Pleura Sinistra
    Pneumonia Dextra
    Chest Tube terpasang
    pada hemithorax dextra
    dengan tip tidak
    tervisualisasi.

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