ONKOLOGI FLAMBOYAN 6

18 DESEMBER 2020

Kamar DPJP NAMA KUVS DX MASUK DX SEKARANG PEMERIKSAAN PENUNJANG TERAPI

KU :baik, CM Lab 17/12/20

TD 110/80 HR 80 RR 21 T 36.8 Hb 10/3 ht 30 al 3.6 at 235 ae 3.50 mcc
Ca cervix IIIB pasca RTL 86 mch 29.5 mchc 34.3 eso 0.30 baso
Ny Kadni 49 th
606A Dr TP Ca cervix IIIB pasca TC IV partial respon 0.30 netro 74.90 limfo 12.80 mono Pro kemo TAP V
(01486258)
pasca TAP IV 11.70
Lab 16/12/20
Hb 8,3 al 4,4 al 289 cr 0,6 ur 28 alb 4,2
606B Dr. TP Ny Sugiyarmi 58 th KU :baik, CM Ca endometrium Ca endometrium + AKIN III LAB 16/12/20 - Tx lain ~ TS interna, urologi
(01508243) TD 110/80 HR 80 RR 21 T 36.8 Hb 12,1 al 11,2 at 484 cr 2,6 ur 80 pt
12.9 aptt 26.5 inr 0.890 gds 90 ot 8 pt 8
na 137 k 4.5 cl 106
Lab 1/12/20
Hb 7.6 ht 25 al 13.4 at 534 ae 2.81 cr 2.9
ur 67
606C Dr TP Ny giyem 70 th KU :baik, CM Ca ovarii IIIC Ca ovarii IIIC post CSS post Lab 17/12/20 - Perbaikan KU (transfusi 2 kolf)
(01511063) TD 110/80 HR 80 RR 21 T 36.8 TC I + anemia (8.9) Hb 8.9 ht 29 al 5.7 at 253 ae 3.39 gds 82 - Cek DR3 post transfusi
ot 23 pt 14 alb 3.5 cr 0.7 ur 36 na 137 k - Pro kemoterapi jika layak
4 cl 105 anti sars-cov-2 -
606E Dr HU Ny Sinto 50 th KU :baik, CM Ca ovarii susp Ca ovarii susp malignancy+ Lab 16/12/20 - Pro uso FZ jumat
(01520143) TD 110/80 HR 80 RR 21 T 36.8 malignancy anemia 7,8 + hipoalbumin Hb 7,5 al 10,7 at 289 ot 52 pt 20 alb 3,1 - Vip albumin 3x2
3,1 cr 0,9 ur 30
606D Dr. HU Ny Sri Mulyaningsih 62 KU :baik, CM Ca ovarii IIIC Ca ovarii IIIC post Lab 17/12/20 - Perbaikan KU (transfusi PRC 2
th (01505869) TD 110/80 HR 80 RR 21 T 36.8 suboptimal debulking + Hb 8,2 ht 26 al 6.7 at 74 ae 2.93 gds 108 kolf)
adhesi post kemo TC III + ot 20 pt 13 alb 3.1 cr 1.3 ur 32 na 141 k - Cek DR3 post transfusi
anemia (8,2) 4 cl 110 - Pro kemoterapi jika layak

PA 7/9/20
Adenocarcinoma musinosum
608A Dr TP Ny sukiyem 64 th KU :baik, CM Ca cervix IIB Ca cervix IIB pasca TC III Lab 17/12/20 - Inj ampisilin 1 g/8 j
(01441337) TD 110/80 HR 80 RR 21 T 36.8 pasca RTL pasca SVH Hb 8.3 ht 28 al 14.6 at 386 ae 3.19 - Inj metronidazole 500/8 jam
recurrent hernia pasca - VIP albumin 3x 2 caps
herniorafi +melena, infeksi GDT 16/12/20 - Kultur pus tunggu hasil
luka dd metastasis Anemia hipokromik mikrositik dengan - Medikasi luka tiap pagi
neutrofilia absolut dan trombositosis - Transfusi PRC 2 kolf  premed
suspek ec defisiensi besi dd proses inj dexametason 1 amp sebelum
kronis akibat infeksi 1 kolf

Lab 16/12/20
Hb 9,5 al 13,1 at 530 albumin 2,8 cr 0,4
ur 65
608B Dr. AF Ny Wakilah 60 th KU :baik, CM TPO susp malignancy Pasca TAH BSO adhesiolisis Lab 14/12/20 - Inf paracetamol 1g/8jam
(01513697) TD 135/70 HR 80 RR 20 T 36.5 a.i mioma uteri subserosa Hb 10.9 ht 35 al 6.7 at 276 ae 4.23 golda - Virt C 2x1
deg kistik + aduksi DPH I B+ pt 13.3 aptt 29.1 inr 0.980 gds 83 ot - Mobilisasi bertahap
19 pt 14 alb 4.0 cr 0.7 ur 17 ldh 418 na
136 k 3.8 cl 100 hbsag – afp 1.56
608D Dr. TP Ny Siti Barokah 46 th KU :baik, CM Kista ovarii Kista ovarii susp malignancy Lab 17/12/20 - USO + FZ (18/12/20)
(01470617) TD 120/80 HR 80 RR 20 T 36.5 + Riwayat histerektomi 9th + Hb 10.9 ht 33 al 8.4 at 114 ae 3.95 - Menunggu hasil swab
riw SC 9 th + riw ide eksisi ec
liposarcoma femur sinistra + Lab 14/12/20
HbsAg (+) Antisarscov2 –

Lab 5/11/20
Hb 10.9 ht 32 al 8.0 ae 112 at 3.87

USG Abdomen 3/12/20

- Multiple lesi kistik bersepta dnegan
komponen solid tidak tegas tepi
ireguler uk terbesar 6.2 cm di
ovarium kanan yang dalam CDFI
tampak vaskularisasi pada kompnen
solid mengarah pada gambaran
probably malignant (GIRADS IV)
- Hepar/GB/lien/pakreas/VU/tak
tampak kelainan

Thorax PA 3/12/20
Tak tampak gambaran pulmo metas

Histo PA 15/7/20 (RSUD Dolopo)

Regio femur sinistra, op: spindle
liposarcoma
 ONKOLOGI FLAMBOYAN 7

18 DESEMBER 2020

Kamar DPJP NAMA KUVS DX MASUK DX SEKARANG PEMERIKSAAN PENUNJANG TERAPI

Ny Sumisri 45 th KU :baik, CM Ca cervix IIIB post RTL

701A Dr. TP TD 110/70 HR 80 RR 20 T 36.5 Ca cervix IIIB BLPL
(01506733) progresif disease post TC II
705B Dr. TP Ny Putri Arum R 27 th KU :baik, CM PTG high risk PTG high risk post EMACO II Lab 15/12/20 Pro kemo EMACO III hari ke 3
(01516363) TD 110/70 HR 80 RR 20 T 36.5 Hb 9.9 ht 31 al 14.3 at 355 ae 3.91 Setelah kemo ke 3 stop evaluasi di
bHCG <2 poli

Lab 8/12/20
Hb 8.3 ht 26 al 25.4 at 966 ae 3.18 gds
110 ot 13 pt 17 alb 3.4 cr 0.7 ur 21 na
138 k 4.4 cl 100 B-hCG 5 antisarscov2 –

Thorax PA 14/11/20
Cor dan pulmo tak tampak kelainan
707B Dr. TP Ny Ikartiyem 54 th KU :sedang, CM Ca endometrium std Ca endometrium std II post Lab 17/12/20 BLPL
(01510082) TD 110/80 HR 75 RR 18 T 36.3 II AP V Hb 10 ht 29 al 7.3 at 336 ae 3.44
706A Dr. TP Ny sukamti 53 th KU :sedang, CM Ca cervix IIIB Ca cervix IIIB pasca RTL BLPL
(01502309) TD 110/80 HR 75 RR 18 T 36.3 pasca TC V
710C Dr. TP Ny Wasiyem 52 th KU :sedang, CM Ca ovarii advance Ca ovarii advance stage post Lab 16/12/20 Pro TC I
(01523893) TD 110/70 HR 75 RR 18 T 36.3 stage laparotomi biopsy pro TC I Hb 9.9 ht 31 al 8.9 at 426 ae 4.22 goldar
O+ gds 121 ot 31 pt 30 alb 4.0 cr 0.7 ur
17 hbsag NR ca-125 >600 anri sars-cov-
2-
713C Dr TP Ny. Partinah KU :sedang, CM Ca ovarii std IV Ca ovarii std IV post kemo TC Hb 8,7 al 7,3 at 481 cr 0,5 ur 13 Pro TC III
(01509455) TD 110/70 HR 75 RR 18 T 36.3 II
713D Dr. TP Ny Supartin 46 th KU :sedang, CM Ca cervix IIIB Ca cervix IIIB post RTL post Lab 16/12/20 BLPL
(01505240) TD 110/70 HR 75 RR 18 T 36.3 TC V Hb 10.7 ht 30 al 7 at 112 ae 3.67
 ONKOLOGI FLAMBOYAN 9

18 DESEMBER 2020

Kamar DPJP NAMA KUVS DX MASUK DX SEKARANG PEMERIKSAAN PENUNJANG TERAPI

KU :baik, CM Cancer pain, ca ovarii IIIC Tx paliatif

TD 110/70 HR 80 RR 20 T 36.5
post CSS post TC XII, residif, Tx lain~ TS bedah dan interna
metastase hepar, metastase Perbaikan KU ~ TS interna
paru + insuf renal (Cr 4,1 Ur (4 PRC  1 kolf/hari)
143) + bisitopenia (Hb 7,8 at Inj metamizole 1 gr/8jam
34) + leukositosis (20) Inj MP 62.5 mg/12jam

Dx nefro Tx nefro
AKI dd Acute on CKD Inj renxan 1 gr/24jam
Ny Indri 48 th
905C Dr. TP Ca ovarii IIIC NAC 1 tab/8jam
(01503827)
Dx HOM
Bisitopenia dengan Tx HOM
leukositpsis ec infeksi dd Transfuse PRC 1 kolf
keganasan Transfuse TC 4 kolf

Dx. B. digest Tx B. digest

Cancer pain + ca ovarii post Inj metamizole 1 gr/8jam
laparotomi adhesiolosis + Inj ranitidine 50mg/12jam
ileostomy Lain-lain tunggu advis DPJP