ASSALAMUALAIKUM WAROHMATULLAHI WABAROKATUH

SELAMAT PAGI PAK/BU.

MOHON IZIN MENYAMPAIKAN RESUME JAGA IGD

KAMIS, 11 NOVEMBER 2021

1. TN. JUMAIN/L/75TH/11521978

DX : PERITONITIS GENERALISATA DT SUSP PERFORASI GASTER + AKI + HT ST II + AF NVR

TX : PRO EXPLORASI LAPAROTOMY + REPAIR GASTER

JD : 12.00

BD, CARDIO

WAN, SASMOJO

CISADANE

PPDS : NAY

RUJUKAN RS PANTI NIRMALA

REMAINING OPERATIONS

2. NY. SULIS/P/45TH/11519208

DX : GENERAL WEAKNESS + VOMITING + CA MAMMA S T4BN1M1 (PARU, LIVER, PELVIS) + ON

KEMOTERAPI PALIATIF TP 1X + ZOMETA 1X + HIPOKALEMIA + ANEMIA

TX : PERBAIKAN KU

JD : 13.00

BO

HRY

IGD P2

PPDS : NAY

WORK UP POLI ONKOLOGI

3. NY. NUR RAHMANINGSIH/P/31TH/10706687

DX : CKR 456 TANPA PERDARAHAN INTRAKRANIAL + EDEMA CEREBRI + OPEN WOUND FRONTAL D +
OPEN WOUND LABIA ORIS INFERIOR

TX :
BS : DEBRIDEMENT + PRIMARY HECTING GA

BP : DEBRIDEMENT + PRIMARY HECTING GA

JD : 15.30

BS, BP

FAR, ARV

CISADANE

PPDS : NAY

DATANG SENDIRI

4. TN. PURWANTO BIN M/L/41TH/11521952

DX : CEPHALGIA + PONTINE HEMORRAGE VOLUME 5CC + HYPERTENSI ST II

TX : NON OPERATIVE MANAGEMENT, ALIH RAWAT TS NEURO

JD : 16.15 WIB

BS, NEURO

FAR, DESSIKA

MAHAKAM

PPDS : NAY

DATANG SENDIRI

5. TN. MOCH SOFWAN/L/63TH/11521912

DX : GENERAL WEAKNESS + HEMATOCHEZIA DT HEMORRHOID EXTERNA + ANEMIA +

HIPOALBUMINEMIA + PNEUMONIA

TX : PERBAIKAN KU + COLONOSCOPY + URGENT HEMORRHOIDECTOMY

JD : 16.45 WIB

BD, PARU

WAN, SANTI

CISADANE

PPDS : NAY

DATANG SENDIRI

6. NY. NUR HENIK SUKRIAWATI/P/57TH/11521992

DX : CEPHALGIA + ICH REGIO BASAL GANGLIA D VOLUME 9 CC + HYPERTENSI EMERGENCY

TX : NON OPERATIVE MANAGEMENT, ALIH RAWAT TS NEURO

JD : 17.00

BS, NEURO

FAR, DESSIKA

MAHAKAM

PPDS : NAY

RS PRIMA HUSADA

7. TN. SAIFUL/L/46TH/11521994

DX : PERITONITIS GENERALISATA DT SUSP PERFORASI MALIGNANCY DT TUMOR RECTI 1/3 PROXIMAL

TXNXM0 SUSP GANAS

TX : EXPLORASI LAPAROTOMY KP RESEKSI KP STOMA

JD : 17.10

BD

WAN

CISADANE

PPDS : NAY

RSI AISYIYAH

REMAINING OPERATIONS

8. NY. FARIDA/P/53TH/11521998

DX : ABSES REGIO SUBMANDIBULA STADIUM INFILTRAT + CARIES DENTIS + HT ST II + DM TYPE II

TX : NON OPERATIVE MANAGEMENT, INCISI DRAINAGE JIKA STADIUM SUPURATIF

JD : 20.10

BT

SUS

CISADANE

PPDS : NAY

RS WAVA HUSADA
9. TN. NURHASAN/L/48TH/11521997

DX :

- OBS TTT

- CKR 456 TANPA PERDARAHAN INTRAKRANIAL

- EDEMA CEREBRI

- VULNUS ABRASIO FACIALIS

- CF L ACROMION

- CF L NECK SCAPULA

- CF PROXIMAL SHAFT L HUMERUS

- CF METAPHYSEAL R DISTAL RADIUS INTRAARTICULAR

- CF R STYLOID ULNA

- CF SUPERIOR & INFERIOR L RAMI PUBIS

TX :

BTKV : BGA DAN THORAX CONTROL

BEDAH SARAF: NON OPERATIVE MANAGEMENT

BEDAH PLASTIK : RAWAT LUKA DENGAN HYDROCOLLOID

ORTHOPAEDIC DEPT :

L SHOULDER : ARMSLING IF MOBILIZED + PLAN FOR CT-SCAN SHOULDER

L HUMERUS : COAPTATION SPLINT + ORIF PLANNED

R FOREARM : BACKSLAB + ORIF PLANNED

PELVIC : BED REST

JD : 22.30

BS, BT, BP, BR

FAR, SUS, WAN, MH

CISADANE

PPDS : NAY

RS SOEDARSONO

10. AN. NAURA/P/5TH/20KG/11522000

DX : LOW LEVEL BOWEL OBSTRUCTION EC SUSP INVAGINASI

TX : EXPLORASI LAPAROTOMY KP RESEKSI KP STOMA

JD : 03.00 WIB

BA

WID

RINJANI

PPDS : NAYDATANG SENDIRI

REMAINING OPERATIONS

11. NY. BETI/P/34TH/11521756

DX : PROLAPSE STOMA POST EKSPLORASI LAPAROTOMY

TX : COLON IN LOOP + CT SCAN ABDOMEN DENGAN KONTRAS

JD : 04.00 WIB

BD

WAN

IGD P2

PPDS : NAYDATANG SENDIRI

12. TN. SYAIFUL AMIN/L?33TH/11522003

DX : MODERATE CHOLANGITIS DT SUSP CHOLEDOCOLITHIASIS

TX :

- PTBD, APABILA BESOK TIDAK DIKERJAKAN MAKA DAFTAR CHOLECYSTOSTOMY OK IGD

- URGENT MRCP

JD : 04.00 WIB

BD

HER

IGD P2

PPDS : NAYRUJUKAN RS WAVA HUSADA

OPERASI IGD

1. NY. PIAWAR/P/72TH/11521906
DX : CONTUSIONAL HEMORRHAGE FRONTAL D + SAH + EDEMA CEREBRI + OPEN WOUND
PARIETOOCCIPITAL S + MULTIPLE FACIAL ABRASION

TX :

BS : POST TDE CONTUSIONAL HEMORRHAGE FRONTAL D + ICP KOCHER S + DEBRIDEMENT PRIMARY

HECTING GA

BP : RAWAT LUKA MOIST DRESSING DENGAN HYDROCOLLOID SHEET

OPERATOR/ASSISTEN : JAU - AGI

OK 402, 7/8JAM

2. BY. NY. SRI KRISTIANING/P/6-11-21/4HARI/2600 GRAM/11521898

DX : MALFORMASI ANOREKTAL DENGAN FISTEL PERINEAL + PRETERM/BBLR/SMK + LATE ONSET

SEPSI + LABIOGNATOPALATOCHIZIS KOMPLIT UNILATERAL. CLP / ---SHAL + DEHIDRASI BERAT

TX : POST SIGMOIDOSTOMY

OPERATOR/ASSISTEN : FON - AKA

OK 403, 3/4JAM

3. NY. NUR RAHMANINGSIH/P/31TH/10706687

DX : CKR 456 TANPA PERDARAHAN INTRAKRANIAL + EDEMA CEREBRI + OPEN WOUND FRONTAL D +
OPEN WOUND LABIA ORIS INFERIOR

TX :

BS : POST DEBRIDEMENT + PRIMARY HECTING GA

BP : POST DEBRIDEMENT + PRIMARY HECTING GA

OPERATOR/ASSISTEN : BRI/AKA

OK 403, 2/3JAM

4. TN SOEPONO ASTONO/L/62TH/11521892

DX :

- ABSES REGIO SUBMANDIBULA TER DRAINASE SPONTAN

- DM TYPE II

TX :

- DEBRIDEMENT DRAINASE ABSES + KULTUR DASAR LUKA

OPERATOR/ASSISTEN : ROS/REV
OK 402, 2/3JAM

TERIMA KASIH PAK/BU.