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Culture Documents
LPD PAS Update Oktober Edit
LPD PAS Update Oktober Edit
47 31-Aug-19
Ny Wijiasih P 344184 RSPN
Jl. Sekicau No 3 RT 2 RW
Bt Ureter
11 Pisang Candi Sukun 081280645888 5-Oct-79 39 Prox S
Malang
Batu Ren
Dsn. Krajan RT 01 RW 02 082147350666 22-Apr-68 51 Pole Bawah
Glagah Banyuwangi D
Batu Ren
Dsn Krobyokan RT 2 RW 9 081344267699 6/1/1960 59 Pole Atas
Wagir Malang Bawah D
Batu pyelum
Jalan sangkar mas RT 4 D + Batu
82237627343 11/12/1972 47
RW 11 Alakupang ureter
(retropulsi)
Batu Pielum
Ginjal S +
Noelbaki RT 14 RW 04 081239161051 10/24/1969 Batu Multple
kupang Kaliks Ginjal
S
Bt staghorn D
JL. KH Agus Salim No 31 + Batu
RT 01 RW 04 Kenayan 08113181989 2 Mei 1960 59 multple
Tulungagung calyx inferior
Batu
JL. Sangkar Mas RT 04 RW
Staghorn S +
11 Nunbaun Sabu Alak 082237627343 11/12/1972 46 DJ Stent
Kupang Insitu D
Batu pyelum
S
Jl. Simpang Piranha Atas 81235823983 1/17/1977 42
Batu
Dsn. Pandangan 02/02, Staghorn D +
Pandangan, Ngantru, 82242990838 2/20/1966 53 Batu Ureter
Tulungagung Prox S + HN
D/S
Batu Ren
Pole Bawah S
Dsn. Pandangan 02/02, + Batu Ureter
Pandangan, Ngantru, 82242990838 2/20/1966 53 Prox S + DJ
Tulungagung Stent Insitu
D/S
Batu Pyelum
Jl. Candi II A no 358 D + Batu
85954312877 9/2/1967 51
07/02, Sukun, Malang Multpel Ren
D
Batu Pyelum
Sumbersuko 05/01, 81555836736 7/12/1964 54 D + DJ Stent
Dampit, Malang Insitu D
Batu
Staghorn D +
Puri Kartka Asri Blok I No Batu Multple
27 08/09, Arjowinangun, 8816220272 10/9/1977 41 Pole Bawah
Kedungkandang, Malang Ren D + HN
Gr III D
Batu Pyelum
D + Baatu
Lingkungan Talun 03/02, Pole Bawah
81332350015 2/25/1959 60
Talun, Blitar Ren D + HN
Gr III D + DJ
Stent Insitu S
Batu Pole
Tengah Ren S
Dsn. Toko 09/03, + Batu UPJ S
Sumurdalam, Besuk, 85204214761 9/14/1986 32
+. UPJ
Probolinggo Stenosis D +
HN Gr III D/S
Batu
Perum Taman Indah Staghorn S +
Sukarno Hatta No 16, 081252491616/ 10/7/1962 56 HN Gr III S +
04/18, Lowokwaru, 082330575678 Hydropyonep
Malang hrosis Gr III D
Batu Multple
Jl. Suropat No 24, 03/08, 81325057628 2/15/1968 51 Pole Tengah-
Ngaglik, Batu Bawah S
Batu
Dusun Campur Kuntul Staghorn D/S
81259478784 9/20/1982 36
01/09, Campurdarat + HN Sedang
D/S
Batu
Perum Taman Indah Staghorn S +
Sukarno Hatta No 16, 081252491616/
10/7/1962 56 HN Gr III S +
04/18, Lowokwaru, 082330575678 Hydropyonep
Malang hrosis Gr IV D
Batu
Staghorn S +
Jl. Kasan Keso RT 04 RW Batu Multple
01 Torongrejo Junrejo 085335603675 3/16/1975 44 Pole Tengah-
Batu Bawah S +
HN Berat S
Batu Pole
Dsn. Krajan 07/02, bawah S +
Wonokerto, Bantur 85234407116 5/1/1959 60 Batu Ureter
Malang D
Perum Bumi Ardimulyo O- Batu Multple
5, 12/12 Candi Renggo, 82230807952 4/21/1958 61 Pole Tengah-
Singosari Malang Bawah D
Batu Multple
Luwung, 04/02, Beji, Pole Tengah
89699798355 6/30/1965 54
Pasuruan dan Pyelum S
+ HN Gr II S
Batu
JL. Sangkar Mas RT 04 RW
Staghorn S +
11 Nunbaun Sabu Alak 082237627343 11/12/1972 46 DJ Stent
Kupang Insitu D
Batu Pyelum
Jl Basuki Rahmat VI RT 8 S + Batu ren
081555836736 11/13/1942 77
RW 9 Malang multple pole
bawah S
Batu
JL. A Yani Gg Cempaka No Staghorn S +
14 B RT 19/RW06, 081259322442 3/21/1954 65 Batu Multple
Trenggalek Pole Bawah S
Batu
Staghorn D +
JL Yos Sudarso I/63 Dringu 82227153680 6/23/1981 38 Batu Multple
Probolinggo Pole Bawah
Ren D
Multple
calyx
3 no Stentng 91.6
inferior
Stone
Open Surgery
Retrorenal no Failed
1 Colon identfying 74 kg
kidney
URS +
2 No Stentng 71.2 kg
(pyonefrosis)
2 No 58,1 kg
Nefrostomy
4 no 63
D
1 no 69
4 no PCNL S 82
1 no no 68 kg
Batu
3 yes CKD st III 72
Staghorn S
2 No DM tpe II 65
Batu Eksisi
staghorn S eureterocele
No no 91
+ DS +
Uretrocele lithotripsi D
1 yes AKI 70
Eksisi
3 Ureterocele yes no eureterocele 91
D/S DS + PCNL S
URS D +
4 DJ Stent D No Insersi DJ 43
stent D
3 PCNL S 70
3 DM no DM tpe II PCNL S 65
3 HT No PCNL D 69
PCNL D +
yes Insersi DJ 70
stent D
Batu pole
3 atas tengah yes 65
bawah S
Batu
staghorn D Insersi DJ
1 yes 86.5
+ DJ Stent Stent D/S
insitu D/S
URS D +
DJ Stent
3 no Insersi DJ 60
insitu D/S Stent D/S
Striktur
4 uretera pars no 50
penile
3 no 48.8
Batu ren
2 pole bawah no 52.5
S
1 No ESWL 78
Batu
2 yes 52.5
staghorn S
PCNL D +
DJ Stent
1 no Insersi DJ 86.5
insitu D/S Stent D/S
UPJ
Stenosis + Insersi DJ
2 yes 93.9
DJ Stent Stent D/S
insitu D/S
Batu ureter
2 no 75.6
D
Batu
Staghorn S
2 + Batu ren yes 79.2
multple
D/S
2 no CKD St III
Batu ren
4 pole bawah no DM type 2 75.2
S
Batu ureter
3 D + Batu yes 66.9
ren D
3 no 66.6
1 no 69.4
Batu ren
3 pole bawah yes RIRS D 55
D
2 yes DM tpe II 68
PCNL D +
2 yes DM tpe II Insersi DJ 68
Stent D
3 DM no DM tpe II 97
URS + Insersi
3 no 59
DJ Stent D
3 no 61
URS S +
Asma Asma
3 yes Insers DJ 62
Bronkial Bronkial
Stent S
PCNL D +
UPJ
3 yes Insersi DJ 40
Stenosis D Stent D
PCNL S +
DJ Stent
3 no Insersi DJ 63
Insitu S Stent S
HT + DM
2 no 64
Type 2
Riw PVC +
2 yes 90
Obesitas
3 no 63
4 no 82
Batu Ureter
2 yes 65
D
PCNL S +
Batu
3 yes Insersi DJ 65
Staghorn S Stent D/S
PCNL S +
2 no Insersi DJ 71
Stent S
PCNL D +
1 yes Insersi DJ 70
stent D
1 HT No ESWL 70
URS S +
3 Sepsis yes DM type 2, CKInsers DJ 72
Stent S
1 no 81
1 No - - 70
0 HT no HT 54
Bt ureter S URS + DJ
2 yes 63
distal stent DS
open batu
1 Yes - ren D 10 thn 78
yg lalu
Malrotasi
1 No HT URS DJ stet D 85
Ginjal S
Hydropyone Hydropyonep
4 phrosis + No hrosis + HT + 96
HT obesitas
Hondsfield
TB BMI Diagnostk Ukuran Batu HB pre op
Unit
3x3 cm + multple
163 NCCT 13:09
inferior stones
NCCT 10.5
NCCT 8.9
IVU 13.5
NCCT 9.1
NCCT 8.8
Batu Staghorn D uk
2,94 x 1,68.Batu
Ureter S uk 0,93 x
170 NCCT 14.2
0,73cm + Batu Pole
bawah Ren S uk 0,53 x
0,93 cm
Batu Staghorn D uk
2,94 x 1,68.Batu
Ureter S uk 0,93 x
170 NCCT 12.7
0,73cm + Batu Pole
bawah Ren S uk 0,53 x
0,93 cm
Batu Staghorn D uk
165 IVU 16.7
2,8 x 1,6 cm
Batu Pyelum D 2,8 x
158 NCCT 1,9 + Batu Pole bawah 12.1
D 1,4 x 1,08 cm
Batu Staghorn S
170 NCCT 12,6
55x47
Batu Staghorn S
168 NCCT 11.7
55x47
Pseudomonas
10.91 1,41 25.5 8.8 aeruginosa MDRO
Pseudomonas
8.9 2.08 25.02 aeruginosa
Klebsiella
12 4,87 7,9
Pneumonia (ESBL)
Pseudomonas
11,3 1,82 aeruginosa
(Ciprofloxacin)
10:06 0.88 8
7,0 2,74 50
10:06 0.88 8
ph
9:08 5:04 106 6:05 7/1.005/28/> ESBL
50
5/1.010/ERI
16:06 2.8 70 11:02 5-7/LEU 30-
35
Eri penuh ;
12,69 0,82 11 leu penuh
4.7 0.87 15.6
4.7 1.25
6,5/1.025/28
0.65 13 6/>100
6.7 32
7,0/2.010/++
5.9 1.38 40
++/+++
9.3 0.69
6.1
2.3
1.2
1.45 7.8
0.88
7500 1.27 28
5,5/1,020/eri
5100 0.89 4.4 18-20/leu 1-
2
7,0/1,010/5,
9100 1.83 37.4
2/308
9500 1.11 41
6,5/1,025/eri
7440 0.7 7.7 286/leu 100
23800 1.11 41
5900 1.17 39
8300 1.79 9.9
Pseudomonas
21400 1.18 43 5.8 aeruginosa
6900 0.82 31
Staphylococcus
15300 1.6 33.5 koagulase negatf
4600 0.68 24
5700 0.84 28
5,5/1,030/eri
10210 1 16 7.5 :161,0/leko:6 steril
9,6
upper and
26-Aug-19 Supine 2 SMS normal
lower
upper and
31-Aug-19 Prone 2 2 2 Normal
middle
1 upper and
31-Aug-19 Supine 3 2 normal + mini
lower
9-Sep-19 Supine 1 1 1 lower calyx Normal
upper,
9/27/2019 supine 3 1 1 middle, lower Normal
calyx
middle &
27/9/19 supine 2 1 1 normal
upper
upper,
9/19/2019 supine 3 3 1 middle, lower Normal
calyx
1 pole atas +
4/5/2019 supine 1 1 Normal
pole bawah
1 upper &
8/6/2019 Supine 2 2 Normal
lower pole
8/7/2019 Supine 2 2 1 Upper Lower Normal
upper,
9/19/2019 supine 3 3 1 middle, lower Normal
calyx
upper,
10/7/2019 supine 3 2 1 middle, lower Normal
calyx
upper,
10/21/2019 supine 3 3 1 middle, lower Normal
calyx
Foley Cath
yes Yes string 11 mnt + URS 27 3
#20FR
Foley Cath
no yes string 5 29 2
#20FR
Foley Cath
no no 4 36 2
#20FR
Foley Cath 20
yes yes 5 15
Fr
Foley Cath 20
yes yes 5 30
Fr
Foley Cath 20
yes Yes 5 20
Fr
Foley Cath 20
yes yes 4 30
Fr
Foley Cath
no yes 4 36 2 12.6
#20FR
foley cath 20
no yes 4 33 2 12
fr
foley cath 20
yes yes 4 24 3 14.1
fr
Foley Cath
yes Yes 5 20 3 10.6
#20FR
Foley Cath
yes YES string 4 24 3
#20FR
Foley Cath
yes no 4 23 2
#20FR
Foley Cath
yes yes 15 (URS) 130 13.9
#20FR
Foley Cath
yes yes string 5 37
#20FR
Foley Cath
No yes 5 46 11.5
#20FR
yes No NGT 12 Fr 5 27
foley cath 20
no yes 6 70 9.4
Fr
Foley Cath 20
yes yes string 4 34
Fr
Foley Cath 20 6
yes no 10
Fr
Foley Cath
Yes No #20FR + NG 4 26
Tube`
Foley Cath
yes yes string 4 28 2
#20FR
Foley cath 16
no yes 1 40 2
fr
Foley cath 20
yes yes 1 30 2
fr
Foley cath 20
yes yes 0 20 2
fr
Foley cath 20
yes yes 0 35 3
fr
Foley cath 20
no yes 1 0 3 9.7
fr
Foley cath 20
yes yes 1 5 2
fr
Foley cath 20
yes yes 0 35 2
fr
Foley cath 20
yes yes 0 35 2 12
fr
Foley cath 20
yes yes 0 30 3
fr
Foley cath 20
yes yes 1 0 3
fr
Foley cath 20
yes yes 1 35 2
fr
Foley cath 20
yes yes 1 0 2
fr
Foley cath 20
yes yes 0 25 2
fr
Foley cath 20
yes no 0 25 3 10.1
fr
yes no NGT 0 40 3
Foley cath 20
yes yes 1 10 3 12.7
fr
Foley Cath 20
yes yes 1 30 3
Fr
Foley Cath 20
yes yes 1 0 2
Fr
yes yes no 1 0 2
Foley Cath 20
yes 30 2
Fr
Foley Cath 20
yes yes 1 10 2
Fr
Foley Cath 20
yes yes 1 0 2
Fr
Foley Cath 20
yes yes 1 0 3
Fr
Foley Cath 20
no yes 2 0 4
Fr
yes yes 30 3
Foley Cath 20
yes yes 1 3
Fr
Foley Cath 20
no yes 1 40 5 7.9
Fr
2 Foley Cath
no yes 2 0 3
20 Fr
Foley Cath 20
yes yes 1 10 2
Fr
Foley Cath 20
yes no 30 2
Fr
Foley Cath 20
no yes 1 30 2
Fr
Foley Cath
no yes 5 48
#20FR
Foley Cath 20
Yes Yes string 7 36 3
Fr
Foley Cath 20
Yes Yes string 2 70
Fr
Foley Cath
yes no 14 48 2
#20FR
Foley Cath
No Yes 4 38
#20FR
Foley Cath
Yes Yes 8 30 3
#20FR
Foley cath
Yes Yes 5 40 4
20Fr
Leukosit post Kreatnin Analisa Batu Komplikasi/Clav Aff Stent Tindakan Lanjutan
op Post op ien Dindo score
11.7 1.79
11.6 1.67
13.1 3.53
D
3.8 2.13
no
13.5
Endopyelotomy S
9.7
PCNL S
Af stent D perpoli
Lanjut
Endopyelotomy D
bleeding
intraoperatve
600cc/II
Aff DJ Stent
Perpoliklinis
PCNL S
bleeding
intraoperatve
8800 PCNL S
1000cc/II-->
rawat ICU
PCNL S
RIRS S
ESWL
Aff DJ Stent
yes Perpoliklinis
Limited
nephroscope
mobility due
to positon
2019
5 5 5
4 4 5
Nama No Tanggal MRS Jenis Kelamin Med Record Hospital
DJ Stent
Batu ren multpel pole atas dan bawah S 1 no
insitu S
Batu pyelum
Batu ren pole bawah D 2 yes
S
DJ Stent
Batu ren S 3 no
Insitu D
Batu ureter
tegah D +
Batu multpel pole bawah ren S 1 yes
Abses
pararenal
UPJ Stenosis
Batu Pole Tengah S 3 S + Batu Buli no
Buli
DJ Stent
Batu Pole Tengah S 2 no
Insitu S
Batu UPJ D 1 - - -
Batu UPJ D 1
Riwayat tndakan/ operasi BB TB BMI Diagnostk Ukuran Batu
55 NCCT
9.7 2.16 69
13.4 1.1 4
6,5/1,020/eri
970 12.8 5950 1.18 44.3 33,1/leu 52,4
- 12.4 5500
65 2
70 3 12.7 9.7
25 2
120 2
60 2
45 2
35 2
78 1 16.6 10.9
Tindakan
Lanjutan
PCNL S
Aff Dj Stent
perpoli
Endopyeloto
my +
Vesicolithotri
psy --> Aff DJ
Stent perpoli
Age at time Current
RM No. Name Date of Birth
of surgery smoker
2019
1 Tn. Henky
2 Tn. Sutrisno
Chewing Diabetes
Past Smoker DM Hgb AIC EHS IIEF
tobacco treatment
Not sexual
4 actve
Not sexual
2 actve
Previos Type of
Main Stricture Lichen
ESR CRP Radiation instrumentati
Symptoms etiology Sclerosus
Treatment on
14 panurethral partal no 0 0
Suprapubc
Number of graft length
catheter at time of Type of surgery Skin Graft Oral graft
urethroplasties (cm)
surgery
0 4 Non Transectng
0 Perineostomy
length of
catheterizatio
Date of FOLLOW UP Pre operative
n post Follow up 1 bulan 2 bulan
surgery (weeks) Qmax
operatively
(weeks)
10/21/2019 4
10/26/2019 4
Action for
3 bulan 6 bulan 9 bulan 12 bulan Success Komplikasi
complicaton
Hematoma
Hematoma evacuaton
Date of redo Redo - Date of redo UROFLOWM Max Flow
Redo-surgery Tanggal
surgery Surgery surgery ETRI Rate
average flow voided Time To max
Flow Time Voiding time Acceleration Hesistency
rate volume Flow
Max Flow average flow voided Time To max
tanggal Flow Time Voiding time
Rate rate volume Flow
Max Flow average flow voided
Acceleration Hesistency tanggal Flow Time
Rate rate volume
Time To max Max Flow average flow
Voiding time Acceleration Hesistency tanggal
Flow Rate rate
voided Time To max
Flow Time Voiding time Acceleration Hesistency
volume Flow