Department of Surgery

DAILY CENSUS
February 01, 2020

MSOD ROD
Dr. Guerrero/
Surgery Dr. Rasul ER Dr. Disomangcop/
Dr. Tanog
Dr. Guerrero/
Orthopedics Dr. Orencia Ward OR Dr. Disomangcop/
Dr. Tanog

ENT OPD
Espinoza / Hadji Socor
Ophthalmology Clerk
 Number
Total patients 25
ER 24
OPD
Referrals 1
Admissions 3
Emergency 1
Medico-Legal
Non-Medico-Legal
Non-Emergency (Elective) 2
Non-admissions 21
Emergency 14
Medico-Legal
Non-Medico-Legal
Out-Patient (Non-Emergency) 7
Medico-Legal
Non-Medico-Legal
Referrals 1
Inter-Departmental 1
ER
Ward 1
ICU
NICU
OR
Inter-Hospital
In
Out
ER Minor Procedures 21
Debridement and suturing 10
Disarticulation and suturing
Dressing 11
Local Wound Exploration
Closed Tube Thoracostomy
Suprapubic cystostomy
Tracheostomy
Foreign Body Removal 1
Close Reduction
 Casting
Burr hole Craniectomy
Others: IJ cath insertion
Foley Bag Catheter Insertion
Incision and Drainage
ER Death
DOA
Home against medical advice
Ward
ER
THOC 1
Ward
ER 1
Ward Death
Pre-operative
Post-operative
Absconded
Ward
ER
Operations Done 4
Emergency
Trauma
Major
Medium
Minor
Non-Trauma
Major
Medium
Minor
Elective
Major
Medium
Minor
Operations of the Day
OPD consultations
General Surgery
ENT-HNS
 Orthopedics
Urology
Pediatric Surgery
TCVS
Ophthalmology
OPD minor cases
Debridement
Suture removal
Excision
Epidermal Inclusion Cyst
Fibroadenoma
Granuloma
Lipoma
Tendon Cyst
Suturing
Circumcision
Dressing
Incision and drainage
Core Needle Biopsy
Ungiectomy
Removal of casts
Others:
Morbidity
Mortality

ADMISSIONS: 3

INTRA-OPERATIVE
NAME PRE-OPERATIVE DIAGNOSIS POST-OP DIAGNOSIS PROCEDURE SURGEON PLAN REMARKS
FINDINGS
Villar, Adrian S.
28/M
Fracture, closed, displaced, d/3, oblique, Application of long posterior
02/01/2020 HBG/MF
fibula, right mold
130414 D/NMT
Service
Station 5
Abbas, Hustah M. Acute abdomen secondary to ruptured viscus Generalized peritonitis secondary Exlap, evacuation of abscess, (+) generalized AGR/
11/M to presacral abscess secondary to adhenolysis, procyoscopy purulent, fibrins, HBG/MF
02/01/2020 D/NMT
healed rectal injury secondary to interloop abscess,
130121
Service penetrating adhesions
 PICU
Norhasim, Naim
2/M
02/01/2020 T/C Active Epistaxis Secondary to Nasal Fracture For ENT referral
0130345
Service
ER

REFERRALS: 1

Inter-Departmental
General Data Diagnosis Referring Department Reason for Referral Plan
Amer, Amron
Acute appendicitis Reassessment
29/M IM “E” appendectomy
Complicated UTI TOS
01/31/2020
Station 11

THOC/DOA/ER DEATH: 0

General Data Diagnosis Reason Disposition Remarks

OPERATIONS DONE: 4

NAME PRE-OPERATIVE DIAGNOSIS POST-OP DIAGNOSIS PROCEDURE INTRA-OP FINDINGS SURGEON HISTOPATH PLAN/STATUS
Amer, Ameron
29/M HBG/MFD/
Suppurative appendicitis Gangrenous appendicitis, retrocecal Appendectomy Gangrenous appendix, 8x1cm Waiting
01/31/2020 NMT Daily wound care
Station 11

Ocena, Marjone Rey P.

30/M Distended gallbladder, (+) 2 stone MNC/HBG/MFD/
Chronic calculous cholecystitis Chronic calculous cholecystitis Open cholecystectomy
01/30/2020 ~1.5 cm, CBD not dilated NMT Waiting Daily wound care
121713

Abbas, Hustah M. Generalized peritonitis secondary to (+) generalized purulent, fibrins,

Acute abdomen secondary to ruptured Exlap, evacuation of abscess, AGR/HBG/MFD/
11/M presacral abscess secondary to healed Daily wound care
viscus adhenolysis, procyoscopy interloop abscess, adhesions NMT
02/01/2020 rectal injury secondary to penetrating

zGuro, Johaina Ruptured appendicitis with localized Ruptured appendix, proximal third,
14/F Acute appendicitis, ruptured Appendectomy KPD/SK/RLC Waiting Daily wound care
peritonitis with localized peritonitis
01/31/2020

OR FOR THE DAY: 0

 OR PAY /
WARD TIME NAME AGE SEX DIAGNOSIS PROCEDURE SURGEON
THEATER SERVICE

Admission: 7 Referral: 3 Total patient:

Name Pre-Operative Diagnosis Post-Op Diagnosis Procedure Intra-Op Findings Surgeon Diagnostics PLAN/STATUS
Labs
Station 2
Gansan, severina
Diabetic foot, Left, Wagner Class IV; Diabetic foot, Left, Wagner Class
62/F Disarticulation and debridement For BKA
ESRD sec. to Diabetic nephropathy; IV; ESRD sec. to Diabetic RFC/SSL/AMS/GP
1/12/20 45h – 5th metatarsal (1/16/2020, Gangrenous tissues For 4th and 5th digit ray amputation Maximize medical
S/P CVD (2017); S/P AKA, 2016 nephropathy; S/P CVD (2017); A
63917 APMC) management
(APMC) S/P AKA, 2016 (APMC)
Service
Sangcopan, Alim Sangcopan, Alim
3/M MGC/ 3/M
Mild TBI sec to Fall; GCS 15;
1/31/20 KPD/SAK/ For neuro observation 1/31/20
PCAP-LR
130300 RLC 130300
Service Service
Batugan, Habib 8/M Batugan, Habib 8/M
VO/
1/31/20 Fracture,Open, Complete, M/3rd, 5th 1/31/20
KPD/SAK/ For “E” debridement and wound exploration
130360 Metatarsal, Left foot 130360
RLC
Service Service
Murillo, Wilfredo Murillo, Wilfredo
61/M MGC/ 61/M
1/31/20 Pancreatic Pseudocyst KPD/SAK/ For removal of cyst 1/31/20
130179 RLC 130179
Service Service
***Lucman, M. ***Lucman, M.
Abdulmanan Abdulmanan
Mild TBI; T/C Fracture, Complete, AGG/
24/M 24/M
Close, Displaces, midclabicular, sec to KPD/SAK/ For neuro-observation for 24 hours
1/31/20 1/31/20
VA (passenger, 2W, non-collisional) RLC
130375 130375
Pay Pay
S/P Disarticulation, 4th and 5th
digit, right hand; debridement:
Camaloden, Marjan Fasciotomy right hand
11/M Electrical burn,50% TBSA involving Electrical burn,50% TBSA (01/14/2020, APMC)
OSL/AGG/KPD/S Daily wound care
1/12/20 PoEn: right hand, PoEx: involving PoEn: right hand, PoEx:
AK/RLC For possible redebridement
127349 gastrocnemius, right and left gastrocnemius, right and left S/P Disarticulation, 3rd digit, right
Service hand; Repeat Debridement, right
hand
(1/19/20, APMC)
Ambor, Asnawi 27/M 1. Sigmoid mass, prob malignant, MRB/KPD/RLC/S WA CTscan: intraabdominal mass, tc FF UP BIOPSY RESULT
01/18/2020 2. hypoalbuminemia AK mesenteric origin, cant ro lymphoma,
Service 3. mild hypokalemic retroperitoneal lyp[hadeonpathies,
 circumferential bowel wall thickening, desc
colon, inflammatory vs neoplastic
CEA 0.51
CBC 01/27/20 WBC 7.5, HGB 10.5, PC 389,
0128352 HCT 0.3
ELEC 01/25/20 Na 143, K 3.3, CREA ? Alb 2.8
low, amylase 37, alk pho 3.3,
APTT 30.8 (01/18/20 ) Hbsag -, UA wbc 2-5

BIOPSY: 1.Hyperplastic polyp = cecal

2. tubulovillous adenoma w high grade
dysplasia = descending colon polyp
3. tubular adenoma = sigmoid mucosa
4: nonspecific colitis = sigmoid mass mucosa
5: hyperplastic polyp = sigmoid mass polyp
1.sigmoid mass probably malignant,
DACO, SIMBAIYAN
Stage IIIA (cT4aN1M0), CTSCAN: Sigmoid mass with surrounding fat
66/F
2. Colonic polyps stranding, tc malignant; atherosclerosis,
Station 10 MRB/KPD/RLC/S
3. Intestinal amebiasis abdominal aorta EXPIRED
01/13/2020 AK
4.internal hemorrhoids, grade 1
5. anemia, moderate – corrected, sp CEA: 1.76, A-HCV negative, Hbsag negative
BT 2 CBC 01/22/20 WBC 13, HGB 10.6, PC 256, HCT
6. hypokalemia, moderate-corrected 0.3
ELEC 01/24/20 Na 143, k 3.3,
Se ALBUMIN 2 low (01/27/20)
CREA 0.56 (01/13/20), BUN 8, SGPT 20, Uric
6.4
PT 43.8, % ACT 99, INR 1.02, APTT 30.8
WA CTscan: cecal mass prob malignant
CEA 148.16 high
Lidangan, Ferdaus CBC 01/25/20 WBC 11, HGB 10., PC 516, HCT
45/M 1. Cecal mass prob malignant 0.3, FF UP BIOPSY RESULT
MRB/KPD/RLC/S
Service 2. Internal hemorrhoids, grade 1 CREA 0.8, Albumin 3 low. T protein 5.7 low, K OUT ON PASS, TCB ON
AK
01/21/2020 4, Na 130, SGPT 11 MONDAY
0102800 UA -, Fecalysis -, hbsag -,
Fbs 65, Chole 88, tri 166, HDL 22 low, LDL 32

Batalo, sittienor Rectal adenocarcinoma, 7cm FAV, St WA CTSCAN (03/11/2019) : short segment Ffup WA CTSCAN w triple
31/F IV, w/ liver metastasis RUB/MRB/KPD/S circumferential wall thickening and contrast result
Service S/P EGD 01/25/2020 APMC AK/RLC enhancement at Proximal rectum – Plan: Neoadjuvant
129142 adenocarcinoma; subcentimeter pararectal chemotherapy
01/25/2020 and superior rectal lymph nodes for wc mets Possible APR/Transverse
cant be excluded; subcentemeter colon colostomy,
nonenhancing focus in the periphery of
segment IV-A of the liver wc maybe
artifactual; subcentimeter calcified
mesenteric lymph nodes wc maybe
Postinflammatory; subsegmental atelectasis
or minimal fibrosis, right lower lobe

CEA: 18.4 high, a-HCV negative, HBsag

negative
CBC (01/23/20) WBC 5.9, Hgb 12, PC 271, HCT
0.3
CREA 0.53,ALBUMIN 3.9, BUN 9, Na 144, K
 3.8, SGPT 16, SGOT 27, Alk phos 52 low, t
protein 7.3 low, Globulin 3.4

Anganak, Saidi MGC/

45/M KPD/SAK/
Partial intestinal obstruction sec to
1/31/20 RLC For colonoscopy
colonic mass
127884
Service
Somaguina, Hemoperitoneum sec to Grade 3 (+) hemoperitoneum;
CTT, left; Exlap; Evacuation of
Sarokota diaphragmatic injury, left and (+) splenic injury, Grade
Acute abdomen sec to impaled hemoperitoneum; Removal of MGC/
62/M Grade II splenic injury sec to II; (+) diaphragmatic
foreigh body, left flank area sec to impaled foreign body; KPD/SAK/ For “E” Exlap
1/31/20 impaled foreign body, left flank, injury, left, Grade III
fall, with pneumothorax, left Splenorrhaphy; Phrenicorrhaphy, RLC
130370 sec to fall; with pneumothorax,
left; Lavage; Debridement
Service left
H. Fahad, Farhan MGC/
19/M KPD/SAK/
1/31/20 Acute Appendicitis, Suppirative RLC For “E” Appendectomy
130390
Service
Ombawa, Racman
Inguinal Strangulation; S/P Exlap, Inguinal Strangulation; S/P Exlap,
27/M
Ileostomy, Right, Inguinal exploration, Ileostomy, Right, Inguinal NSC/KPD/SAK/
1/28/20 Closure of ileostomy Started Kabiven
Right hemorrhage (11/22.2019, exploration, Right hemorrhage RLC
120716
APMC) (11/22.2019, APMC)
Service
Garok, Mariam
Partial Intestinal Obstruction
72/F
secondary to post-operative
01/29/2020
adhesions;
094025 HBG/MFD/NMT Poss D/C tomorrow
s/p ExLap appendectomy (December
Service
2019, APMC)
Station 2

Masacal, Jalal M.
31/M
01/29/2020 Acute appendicitis, suppurative Acute appendicitis, suppurative
“E” appendectomy HBG/MFD/NMT MGH
130098
Service
Station
Mayandog, Bala
59/M
0130088
Acute appendicitis, ruptured Acute appendicitis, ruptured
Service “E” exlap appendectomy HBG/MFD/NMT Poss D/C tomorrow
Station

Omar, Muhaimen
47/F
Ruptured appendicitis with Appendectomy
1/19/2020 Acute Suppurative Appendicitis ALA/SSL/AMS/GPA Daily wound care
localized peritonitis (1/22/2020, APMC)
120383
Service
Muthos, Azes
73/M
1/23/2020
129058
Service
 Abu, Abu Ali M.
51/M
01/29/2020 Excision of mass on Friday
Soft tissue mass, multiple
0128692 SSL/AMS/GPA (1/31/2020)
Service
Station 2

Bansil, Bato
45/M
Marjolin’s ulcer, antero-medial RFC/HBG/MFD/N
0128051 Hgb5 TOS to GS1
aspect, right thigh and proximal leg MT
01/16/2020
Service
Amer, Amron IM
Acute appendicitis
29/M Reassessment “E” appendectomy
Complicated UTI HBG/MFD/NMT
01/31/2020 TO S
Station 11

STATION 3

STATION 4
STATION 5
Bagul, Jamal
11/M
D5 Clindamycin
01/24/20 Cystic hygroma Cystic hygroma
ff-uo CTscan
129564
AGR/KPD/SAK/RLC
Batugan, Habib 8/M
1/31/20 MGC/ For Wound debridement
Fracture,Open, Complete, M/3rd,
130360 VO/KPD/SAK/R and immobilization of lrft
5th Metatarsal, Left foot
Service LC foot

Amer, Abdulmalik
45/M Non-healing wound, Wagner IV, For wound debridement
Diabetic foot, Wagner Debridement, ray amputation, AGG/HBG/MFD/
01/15/20 dorsum, foot, left; and disarticulation REFUSED
classification IV, Left 1st digit, Left foot NMT
0127829 DM, type 2 MGH tomorrow
Service
Angod, Sittie Aisah
18/F
01/29/2020
Acute appendicitis, suppurative Acute appendicitis, suppurative ~2x4 cm suppurative Daily wound care and
0129554 Exlap appendectomy HBG/MFD/NMT
appendix management
Service
Station

***Sarip, Asmar
28/M
01/29/2020
Malunited distal femur fracture, left AGG/ ) ORIF plating
0130075
HBG/MFD/NMT on Friday (1/31/2020
Service
Station

Mintong, Naida Mild Traumatic Brain Injury HBG/MFD/ For observation

 20/F
01/30/20 secondary to Vehicular Accident
NMT
0130191 (2W vs pedestrian)
Service
Oceňa, Marjone Rey
30/M Chronic Cholecystitis secondary
HBG/MFD/ For Elective Open
01/30/20 to Cholecystolithiasis;
NMT Cholecystectomy today
0121713 HPN Stage II, controlled
Service
Villar, Adrian S.
28/M
Fracture, closed, displaced, d/3, Application of long posterior
02/01/2020 HBG/MFD/NM
oblique, fibula, right mold
130414 T
Service
Station 5
Malado, Salima R.
Gastric Adenocarcinoma, Poorly
49/F
Differentiated Stage IIA (cT2N1M0) RUB/SSL/AMS/G For distal gastrectomy on
01/15/2020
S/P EGD Punch Biopsy (1/7/2020, PA 1/22/2020
116103
APMC)
Station 5
STATION 7
Baraocor, Yasser Ileus sec to Spontaneous Bacterial
13/M, Peritonitis sec to Ascitis sec to Liver
MGC/KPD/SAK/
01/31/2020 Parenchymal Disease
RLC
MGC/KPD/SAK/RLC
Yasin, Ghamdi
3/M
Subglottic stenosis;
1/30/20 SSL/AMS /GPA Refer to ENT
PCAP-MR
111596
Pay

STATION
STATION 8
CBC 01/27/20 WBC 13, HGB 13, HCT
Hassanor, Naifah 0.4, PC 518
Casan Hbsag and hcv negative
D6 Ampicillin, Amikacin
1mo/F Biliary atresia SGPT 189 high, SGOT 237 high, T.
01/27/20 Bilirubin 24 high, B1 ind19.8 high, B2 Dir
AGR/SSL 5, Alk phos 518 high
Alb 3.4, glo 2.8, Na 142, K 4.7, Cl 110
STATION 10
Panimba, Anisa
59/F
01/30/20
Acute Appendicitis, Suppurative “E” Appendectomy SSL/AMS /GPA Waiting Daily Wound Care
0130184
Service
Station 10
STATION 11
Marohombsar, Basher t/c Bladder Mass
 62/M Complicated UTI secondary to DM
Station 11 Type II with complication
Dadayan, Asrin A.
25/ M
Acute abdomen secondary to
01/30/2020       HBG/MFD/NMT Abdominal monitoring
perforated typhoid ileitis
96012
HBG/MFD/NMT
STATION 12
STATION 13

ICU
(+) massive
hemoperitoneum
(+) Grade III liver injury
(segment 6,8, and
caudate line)
(+) Grade III gastric injury
(antral area)
Hypovolemic shock, Class III sec to CTT, right; Exlap; Evacuation of (+) Grade III gallbladder
Hypovolemic shock, Class III sec
Multiple GSW with Hemothorax, hemoperitoneum; injury (infundibu-cystic
to Grade III liver injury, segment
Arang, Sapay right; Hepatorrhaphy; area)
6,8, and caudate, Grade III
19/M POEn1, 3rd ICS, posterior axillary line, Phrenicorrhaphy, right; (+) Grade III jejunal MGC/
bladder injury(infundibusystic
1/31/20 right, with no POEx; Cholecystectomy; injury (2-point KPD/SAK/ For “E” Exlap
area), Grade III jejunal, ileal &
130334 POEn2, 5th ICS, mid-axillary line, right Gastrorrhaphy; Barrel perforation) RLC
transverse colon injuries, Grade
Service with POEx, left gluteal area; ileostomy; Lavage; Drain; (+) Grade III ileal injury
III diaphragmatic injury sec to
POEn3, right inguinal area with Debridement of GSW injuries 94-point perforation)
Multpile GSW, with hemothorax
POEx,P/3rd, posterolateral thigh, right (1/31/20) (+) Grade III transverse
colon injury (2-point
perforation)
(+) Grade III
diaphragmatic injury,
right (2-point
perforation, dome,
costophrenic angle
PICU
Rugasa, Najeb
Dengue Severe
13/M
R/O Acute Abdomen secondary to KPD/RLC/SAK For UTZ-WA
PICU
Dengue Severe vs Typhoid Ileitis
Service
Abbas, Hustah M. Generalized peritonitis
11/M (+) generalized purulent,
Acute abdomen secondary to ruptured secondary to presacral abscess Exlap, evacuation of abscess, AGR/
02/01/2020 fibrins, interloop abscess,
viscus secondary to healed rectal injury adhenolysis, procyoscopy HBG/MFD/NMT
130121 adhesions
secondary to penetrating
Service
PICU
NICU
Gamboa, Baby Girl
NB/F t/c Neuropraxia Pedia KPD/RLC/SAK
NICU
Ampaso, Baby Boy Term, 39 weeks by BS, male neonate, Monitor abdominal girth
3d/M delivered via NSD, AS 8,9, BW 3.6 kg, daily
 NICU
AGA
Service
ASU

ER
Solaiman, Najer Acute Cholecystitis Evaluation of cholecystitis
31/F Ovarian new growth probably on
01/18/2020 complication
126697
OBGYNE ER
Fahad, Mohammad Rafie Urolithiasis, right; For KUB UTZ
9/M Urinary Tract Infection
Pedia ER
Sangcopan, Alim
3/M
1/31/20
130300 Mild TBI sec to Fall; GCS 15; MGC/KPD/SAK
For neuro observation
Service PCAP-LR /RLC
MGC/
KPD/SAK/
RLC
Norhasim, Naim
2/M
T/C Active Epistaxis Secondary to
02/01/2020 For ENT referral
Nasal Fracture
0130345
Service
ER