Jumat, 23

Oktober 2020 BEDAH SARAF RVS/NAL/ONI/MRS/RDT/JAN

PJ Bangsal Bed Nama Usia No RM MRS DIAGNOSA GCS Status DPJP Advis Bangsal Pemeriksaan Penunjang Jaminan
IGD

ROE

Cendana III 14 Surani 57 01516852 Poli Post Craniotomi eksisi tumor ai Meningioma R. FTP (S) DPH E4V5M6 Post Op HS Post Craniotomi 20/10 Hb 11.7 Ht 37 AL 11.8 AT 200 AE 4.50 GDS 150 Ur 16 Cr 0.2 ALB 3.4 Na 136 K BPJS I
19/10 2 20/10 eksisi Tumor 3.6 CL 105 18/10 Goldar AB
Poli Post Kraniotomi eksisi tumor a.i Tumor CPA (D) post VP Post Op 13/10 Hb 15.4 Ht 46 Al 31.6 AT 390 Ae 4.98 GDS 447 Ur 30 Cr 1.2 Alb 3.3 Na 131 K
116 Sutarto Warno 58 01508731 E2V2M4 HS BPJS II
ONI

ICU Mawar 8/10 Shunt DPH 8 13/10 Terapi Lanjut 3.7 Cl 87

IGD Post VP Shunt ai. Hidrosefalus non komunikans ec tumor Post op 19/10 Hb 18.1 Ht 52 Al 18.2 AT 215 GDS 117 Cr 1.0 Ur 63 Na 143 K 4.0 Cl 104
129 Ardian K 23 01517181 E4V5M6 HS Post op VP shunt Hbsag NR BPJS III
19/10 intraventrikel DPH 2 21/10
urgent Rapid test cov-19 NR MRI brain Kontras: massa solid batas cukup tegas,
berlobulisas, di dalam ventrikel lateralis kiri uk. 54x37x54mm suspek
IGD Cephalgia + Vomitus post craniotomy evakuai SDH R FTP (S)
Warso W 69 01516794 EDH R. FTP (S) E4V5M6 Pro Op Cito GEZ Pro craniotomy UMUM III
22/10
evakuasi SDH

18/10 Hb 10.6 Ht 32 AL 13.6 AT 157 AE 3.60 Alb 3.3 Na 145 K 2.7 Cl 10717/10 Hb
IGD Post Kraniotomi Dekompresi a.i. ICH R Frontotemporal (D) Post Op
5 Ny. Harni 62 01517425 E1V1M4 GEZ Koreksi Kalium 12.5 Ht 37 Al 12.7 AT 262 Ae 4.29 PT 13.3 APTT 25.7 INR 0.920 Ur 85 Cr 1.1 GDS BPJS III
Post Trakeostomi DPH 5 18/10
115 Na 132 K 2.8 Ca ion 1.10
HCU 17/10
ONI

Cempaka
IGD Post Op Awasi KS KU TTV Hb 13.9 Ht 42 AL 19.4 AT 306 AE 4.84 PT 13.9 APTT 27.8 INR 0.980 Goldar O GDS
11 Anis Ainul Ghurri 42 01517764 Post Craniotomi evakuasi ICH DPH 2 E4V5M6 HS BPJS III
20/10 20/10 GCS Lateralisasi 128 Ur 59 Cr 1.2 HBsag NR

Co
7 By. Ny. Dwi anita 5 hr 01517403 Hidrosefalus Non Comunicans E4V5M6 Pro konsul GEZ Pro Konsul Hb 17.3 Ht 50 AL 9.7 AT 281 AE 5.12 Ur 5 Cr 0.3 Na 134 K 4.8 CL 97 Ca 0.97 BPJS III
MRS

HCU Neo pediatri

22/10

IGD KU Pro Craniotomi 16/10 HB 14.1 Ht 41 AL 21.8 AT 63.9 AE 4.31 Goldar B PT 11.8 APTT 22.6 INR 0.790
E Kusrin 62 01517296 Penurunan Kesadaran e.c. Susp. Tumor Serebri E2V2M4 GEZ BPJS III
MRS

HCU Ang 2 16/10 WD eksisi tumor Ur 59 Cr 0.7 GDS 87 Na 138 K 4.7 Cl 107 HBsAg NR

Co Neuro 13/10 Hb 16.6 Ht 50 Al 24.2 AT 443 AE 5.54 PT 12.9 APTT 22.9 INR 0.890 GDS 98
HCU Unit E Suparno 59 01517062 SOP Cerebri ec susp Astrcytoma E4V5M6 WD GEZ Konservatif BPJS III
MRS

20/10 SGOT 27 SGPT 84 Ur 72 Cr 1.2 ALB 3.9 Na 138 K 4.7 Ca 1.2

Stroke

Co neuro Pro Op Pro Craniotomi Hb 17.0 Ht 50 AL 17.5 AT 402 AE 6.75 PT 13.2 APTT 26.4 INR 0.910 Ur 54 Cr 0.7 Na
C Marino 50 01517750 ICH IVH E2V3M4 GEZ BPJS III
21/10 22/10 evakuasi 136 K 3.4 Cl 101
`

Neuro Workup
3E Sumini 80 01257304 Multiple SOL e.c Tuberkuloma dd/ Abses Serebri E4V5M6 WD GEZ Metastasis dan 4/10 Hb 12.7 Ht 38 Al 13.9 At 447 Ae 4.06 Gds 125 GOT 13 GPT 14 GOT 14 BPJS III
RDT

Anggrek 2 17/10
Infeksi Rontgen
thorax, USG
RDT

Co. Perbaikan KU
Medulloblastoma post VP Shunt ai Hidrosefalus 16/10 Hb 12.9 Ht 38 AL 11.4 AT 502 AE 4.93 Na134 K 4.7Cl 102 Ca 1.31 MSCT Brain
7C An. M. Fauzan 2 01511986 Pediatri E4V5M6 Work up HS MRI kontras BPJS III
nonkomunikan ec meduloblastoma dengan kontras: Massa intracranial infratentorial batas tegas
16/10 jadwal ulang

Poli Post Op Post laminektomi 10/10 Hb 13.0 Ht 36 Al 9.6 At 277 Ae 4.71 PT 13.1 APTT 30.0 INR 0.910 Goldar B
7B Danang 21 01419141 Post Eksisi cele ai. Myelomeningocele DPH 2 E4V5M6 HS BPJS III
Melati 2 8/10 21/10 + eksisi tumor Gds 92 Ur 34 Cr 0.3 Alb 4.6 Na 139 K 4.1 Cl 102

Co.
Post op Awasi KS KU TTV 19/10 Hb 11.6 Ht 33 AL 11.0 AT 303 GDS 113 Ur 28 Cr 0.3 Na 150 K 3.9 aCa 1.22
11D M abi pratama 2 01402123 Pediatri Hidrosefalus Komunikan post VP Shunt E4V5M6 HS BPJS III
22/10 GCS Lateralisasi Hbsag NR Covid NR PA: Sesuai dengan meningioma
19/10

Co
Hidrosefalus Kommunicans Post VP Shunt Post op
15A Adiska T 12 01515443 pediatri E4V5M6 HS Post VP Shunt Hb 10.3 Ht 29 AL 7.6 AT 225 AE 3.65 Na 133 K 2.2 Ca 1.10 BPJS II
Melati 3 Ensefalitis 21/10
20/10

6E Kasmirah 58 01517730 IGD Paraparese (S) e.c Tumor R . Temporoparietal (D) Susp E4V5M6 WD GEZ MRI Brain 20/10 Hb 13.4 Ht 41 Al 16.4 At 214 Ae 5.60 Goldar A PT 13.7 APTT 25.5 INR 0.960 BPJS III
20/10 Astrositoma Kontras GDS 166 Cr 0.3 Ur 52 Na 139 K 3.9 Cl 101 HBsAg NR Covid 19 NR
20/10 Ro Thoraks tampak gambaran pulmonal metastasis
16/10 MSCT Scan: Intra axia brain tumor oada konveksitas frontalis kanan dd:
Extra axial tumor mengakibatkan midline shift me kiri sejauh 12 mm Dan disertai
erosi os frontalis Kanab; brain edema
 16/10 Hb 12.6 Ht 42 Al 14.7 At 224 Ae 6.52 GDS 79 SGOT 14 SGPT 21 Ur 24 Cr 0.6
Alb 3.9 Na 132 K 3.4 Cl 104 HBsAg NR 15/10 COVID NR
Flamboyan 21/10 MRI Torakal Kontras: Multiple lesi intra dural ekstra medulla mengarah ke
6 Konsul Tim Nyeri
gambaran Spinal Schawanoma. Hambata total aliran liquor serebrospinalis
Poli Pro MRI
13B Ana Munawaroh 25 01514407 Spinal meningioma VTh 12 E4V5M6 Pro Op HS setinggi level Th 2-2 hingga 3-4 BPJS II
15/10 thoracolumbal
15/10 Ro thorax : cor pulmo dbn, lesi blastik pada caput humerus susp mbd dd
kontras 21/10
artefak
23/09 : MRI brain kontras : lesi intradural extra medulls setinggi level VL1
mengarah gambaran spinal meningioma

20/10 Hb 11.1 Ht 33 AL 15.7 AT 273 AE 3.79 Alb 3.5 Na 126 K 3.1 Cl 99 16/10 Hb
13.2 Ht 40 Al 13.7 At 306 Ae 4.51 PT 11.6 APTT 27.6 INR 0.820 Gds 75 SGOT 57
Poli Post craniotomy eksisi tumor ai Meningioma parasagittal Post Op
13C Santoso 46 01513869 E4V5M6 FEY BLPL Hari ini SGPT 223 Ur 28 Cr 0.8 Alb 4.0 Na 130 K 3.9 Cl 102 BPJS II
15/10 sinistra DPH 4 19/10
18/9 MRI brain kontras : multiple lesi extra axial supra tentoria mengarah
gambaran meningiomatosis

Hb 12.5 Ht 39 Al 9.9 AT 456 AE 4.71 PT 12.3 APTT 27.9 INR 0.880 GDS 90 Ur 16 Cr
9A Poli
Sri Lestari 48 01490063 Wound dehiscene+Bone exposed E4V5M6 Pro Op GEZ Pro Debridement 0.6 Na 136 K 2.8 Cl 1.22 Hbsag NR Cov NR BPJS II
21/10
Flamboyan
9 Hb 13.2 Ht 42 AL 12.1 AT 306 AE 5.15 GOLDAR AB GDS 102 Ur 22 Cr 0.2 Na 130 K
11A Poli
Irsyad 1 01474550 Meningencephalocele E4V5M6 Pre Op GEZ Pro eksisi tumor 5.0 Ca 0.80 Hbsag NR COV NR BPJS II
21/10
Hb 13.5 Ht 40 AL 6.9 AT 263 AE 4.44 PT 12.1 APTT 28.4 INR 0.870 Goldar O GDS
2A Poli
Lasih 57 01390916 Meningioma Konveksitas E4V5M6 Pre Op GEZ Tunggu Jadwal 121 Ur 32 Cr 0.9 NA 141 K K 4.0 Ca ion 1.12 UMUM
21/10
Awasi produk
IGD Post Kraniotomi Evakuasi SDH + Dekompresi a.i SDH R. 16/10 Hb 13,1 Ht 39 Al 20,7 Ae 4,67 GDS 126 PT 12.6 APTT 29.0 INR 0.860 Ur 25
4A Post Op drain, KU/
Abdul Aziz 27 01517354 Temporoparietal (S) + ICH R. temporoparietal (S) + SAH R. E4V5M6 GEZ Cr 0,9 Na 133 K 3,7 Cl 102 BPJS III
16/10 VS/GCS/Lateralis
16/10 Temporal (D/S) +Oedema cerebri + COS GCS E3V2M4 DPH 4
asi
20/10 Hb 12.4 Ht 38 AL 17.2 AT 503 AE 4.27 GDS 130 Cr 0.5 Ur 10 Goldar B Na 135
4B Poli
Pono 45 01513893 Tumor cerebri R temporoparietal (S) E4V5M6 KU GEZ Konservatif K 3.6 Cl 1.10 Cov NR Hbsag NR BPJS III
20/10
19/10 Hb 13.9 Ht 44 AL 8.1 AT 329 AE 5.46 Goldar A PT 13.6 APTT 29.2 INR 1.010
6A Poli Tumor CPA Residif+Hidrosefalus non komunikans e.c Pro Op Post Revisi VP
Sarjiyem 41 01439146 E4V5M6 HS GDS 95 Albumin 4.3 Ur 21 Cr 0.6 Na 132 K 3.4 Cl 21 BPJS III
Flamboyan 19/10 malfungsi VP Shunt 20/10 Shunt
10
16/10 Hb 15.3 Ht 43 AL 8.8 AT 291 AE 4.99 PT 11.8 APTT 26.9 INR 0.840 GDS 210
Alb 4.1 Cr 0.6 Na 133 K 3.6 Cl 103
Pro Laminoplasti 15/10 SARS –COV-2 : NR
7C Poli Pro Op Eksisi Tumor 15/10 Ro thorax : Cor an pulmo dbn
Dalono 48 01478797 Syringiomielia cervicalis E4V5M6 HS BPJS III
15/10 21/10 MRI kepala 21/11/19 MRI brain kontras : lesi intramedular setinggi level V C2 s/d C5
Kontras 21/10 mengarah gambaran demyelinating disease DD multiple sclerosis ADEM.
Syringiomyecia setinggi VC6 s/d V T1

17/10 Hb 11.8 Ht 34 AL 7.9 AT 314 AE4.24 PT 14.3 APTT 28.5 INR 1.010 GDS 116 Ur
Pro DSA
8A Poli Pro DSA 19 Cr 0.3 Albumin 3.5Na 125 K 4.0 Cl 90 Cek Lab Pre Op
Paniyem 54 01516434 AVM R. Orbita (S) E4V5M6 GEZ Penjadwalan BPJS III
17/10 20/10 13/10 COVID 19 NR Hbsag NR
ulang