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  • Mapping 7 AGUSTUS 2015

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    Rhomadhoni Ika Putra
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    1. The document lists patient information from the orthopedic ward including name, age, medical record number, diagnosis, treatment plan, and follow up status for 9 patients. 2. The patients have various orthopedic conditions including fractures, tumors, and injuries which require surgical intervention, chemotherapy, physical therapy, or conservative treatment. 3. Follow up care involves monitoring lab results, administering chemotherapy, wound care, casting, bracing, and rehabilitation exercises.

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    1. The document lists patient information from the orthopedic ward including name, age, medical record number, diagnosis, treatment plan, and follow up status for 9 patients. 2. The patients have various orthopedic conditions including fractures, tumors, and injuries which require surgical intervention, chemotherapy, physical therapy, or conservative treatment. 3. Follow up care involves monitoring lab results, administering chemotherapy, wound care, casting, bracing, and rehabilitation exercises.

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    © All Rights Reserved
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    Download as rtf, pdf, or txt
    19 views1 page

    Mapping 7 AGUSTUS 2015

    Uploaded by

    Rhomadhoni Ika Putra
    1. The document lists patient information from the orthopedic ward including name, age, medical record number, diagnosis, treatment plan, and follow up status for 9 patients. 2. The patients have various orthopedic conditions including fractures, tumors, and injuries which require surgical intervention, chemotherapy, physical therapy, or conservative treatment. 3. Follow up care involves monitoring lab results, administering chemotherapy, wound care, casting, bracing, and rehabilitation exercises.

    Copyright:

    © All Rights Reserved
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    Flag for inappropriate content
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    of 1

    PETA PASIEN ORTHOPAEDI

    Jumat, 7 AGUSTUS 2015


    SOE/FDH/ARV/HDD/CID/DLI/DAK/MAD/ASD/GIT/AIP/GAS/ADY/ADH/VIA/EWI/HAR/DIM/HBO
    NO.
    BGSL

    BED

    RGB

    Dx non orto

    Tgl
    MRS STTS Tindk
    n

    Dx Ortho

    01308356

    malignant soft tissue sarcom


    DD synovial sarcom
    paraplegi inferior ec MBD
    VTh XII

    2/8

    ICD 9
    Tindakan

    PLAN

    Status

    RABER

    LAB yg tdk
    normal

    FOL
    UP

    STAF

    pertahankan TLSO

    kemoterapi

    BPJS
    NPBI
    kls.III

    interna

    25/7 Hb 10 Al
    4,8 At 453

    SOE/
    HDD/
    GIT/
    VIA

    RYN

    Tubi
    (GIT)

    3F

    Maryam
    (GIT)

    64

    01306812

    CF patologis humerus (S)


    post ORIF + wide eksisi ec
    plasmacytoma

    5F

    Heppi
    (GIT)

    27

    01309662

    CF galeazzi (D), transverse


    type, displaced

    6/8

    pre
    op

    10/8

    7G

    Rukani
    (ASD)

    01227105

    union condyle lateral femur


    post ORIF + STSG + stif
    knee
    union olecranon (D) post
    ORIF + STSG + stif elbow

    6/8

    pre
    op

    8/8

    pro ROI (sabtu)

    7H

    Aris
    Siswanto
    (ASD)

    29

    01309187

    lytic lession Prox Humerus


    (D) dengan metastase
    pulmo ec susp. MBD DD
    primary bone tumor

    Bone Survey

    Arm sling
    USG Thyroid +
    Urogenital
    pro radioterapi

    5A

    Deva
    Ustadzil
    (GAS)

    17

    01308800

    Osteosarcoma R. distal
    Femur (S)

    perbaikan KU

    perbaikan KU
    disartikulasi hip??

    Long Leg cast

    perbaikan KU
    pro ORIF elektif join
    BTKV
    BTKV : bronkoskopi

    MLT 2

    ICD
    10

    CM

    3E

    1
    Mwr 2

    NAMA Umur

    MLT 1

    IGD

    44

    42

    Joyo K
    (GAS)

    1E

    Prita
    (GIT)

    23

    01294742

    Hadi M.

    56

    01309733

    73

    01308099

    CF Clavicula (D) 1/3 distal


    comminutuve
    CF acromion scapula (D)
    CF Tibia S 1/3 proksimal
    comminutive
    CF fibula (S) segmental
    susp ligamentous injury
    knee (S)
    CF Shaft metatarsal V pedis
    S
    CF collum femur bilateral +
    CF ramus pubis bilateral ec
    susp. renal osteodystrophy
    DD brown tumor
    general joint laxity
    osteoporotic bone
    scoliosis thoracal
    CF distal Radius (S) Colles
    type minimal displaced
    Frykman IV

    25/7

    1/8

    SAH r. parietal (D)


    edema cerebri GCS
    multiple fr costae +flail
    22/7
    chest
    hematothoraks post
    WSD

    pre
    OP

    CKD stage V

    14/7

    pre
    op

    VA reg. periorbita (D)


    Ruptur ductus
    lakrimalis (D)

    7/8

    pre
    op

    25/7 Hb 10,6 Al
    SOE/
    6,4 At 241Alb
    HDD/
    BPJS PBI interna 3,8 Glob 4,1
    GIT/
    Prot total 7,9 Cr
    VIA
    2,1 Ur 53
    SOE/
    umum
    6/8 Hb 14,1 Al HDD/
    pro ORIF elektif (senin)
    kls III
    14,2 AT 422
    GIT/
    VIA
    tunggu hasil kultur
    kemoterapi
    rawat luka tiap hari

    BPJS PBI

    SOE/
    HDD/
    GIT/
    VIA

    28/7 hb 15,4 AL
    SOE/
    13,7 AT 450
    HDD/
    Umum I
    GDS 88 protein
    GIT/
    total 6,6 alb 4,2
    VIA
    glo 2,4 ALP 719
    SOE/
    3/8 Hb 8.7 AL
    HDD/
    BPJS PBI Pediatri 23 AT 276 ALP
    GIT/
    394 Alb 1.8
    VIA

    BPJS

    B.Saraf 1/8 Hb 9,7 AL


    BTKV
    25,9 AT 626

    DAK/
    ASD/
    ADY
    /EWI

    RYN

    UH

    AP

    RYN

    RYN

    RYN

    INT : HD Rutin (Selasa)

    30/7 Hb 7,9 AL
    perbaikan KU
    5,4 AT 124 Cr ARV/DLI
    BPJS non
    pro Bipolar HA bilateral
    interna 8,8 Ur 152 GDS /MAD/G
    PBI
    muscle strengthening
    92 Alb 3,5
    AS
    23/7 Alp 724

    BJ

    Closed reduction + LAC

    Konservatif
    Plastik : Repair vulnus + BPJS PBI Plastik
    rekanalisasi

    UH

    ARV/DLI
    /MAD/G
    AS

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