MAPPING RUANG GINEKOLOGI ARAFAH 3

RABU 03/08/2022 05.00 WIB PAGI

DPJP JUMLAH PASIEN Kamar

Dr. dr. Hasanuddin, Sp.OG(K)-Onk 7 1B, 2B, 3B, 5D, 6F, 7A, 7E

dr. Yusra Septivera, Sp.OG

Prof. Dr. dr. Rajuddin, Sp.OG(K)-FER

dr. Tgk. Puspa Dewi, Sp.OG(K)-Obginsos 1 5A

dr. Sarah Ika Nainggolan, Sp.OG(K)-Onk 8 3A, 4B. 4C. 4D, 6A, 6D, 7F, ISO 2

dr. Niken Asri Utami, Sp.OG(K)-KFM

Dr. dr. Cut Meurah Yeni, Sp.OG(K)-KFM

dr. Munawar, Sp.OG(K)-Obginsos

dr. Munizar, Sp.OG(K)-Onk 2 5C, 6C

dr. Roziana, Sp.OG(K)-Urogin

dr. Dewi Karlina Rusly, Sp.OG

dr. Cut Rika Maharani, Sp.OG

dr. Hilwah Nora, M.Med.Sci, ART, Sp.OG(K)-FER 1 6B

dr. Ima Indirayani, Dr.Obgyn, Sp.OG

dr. Rusnaidi, Sp.OG(K)-FER 1 5B

dr. Rizka Aditya, Sp.OG 1 2A

TOTAL 21

1B Anita, 57 1-14-29-90 Post Menopausal Lab 31/07/2022 Misoprostol 400 mcg extra HSD Obs KU, TTV, Perdarahan
tahun Bleeding ec. Susp. Ca Hb/Ht/E/L/T Persiapan kuretase bertingkat
 12,9/36/4,6/10,68/365
MCV/MCH/MCHC
78/28/36
RDW/MPV/PDW
IGD
18,1/10,7/12,9
IV Transamin 500 mg/8jam malam ini
Diftel: 0/0/0/64/30/6
P2A0 (AH1) endometrium IV Omeperazole 40 mg/12 jam Pasien saat ini berpuasa
CT/BT 7/2
Asam Mefenamat 3x500 mg
SGOT/SGPT 45/44
(PO)
HBsAg non reaktif
GDS 124
Ur/Cr 29/0,80
Na/K/Cl 146/4,30/115

Lab 02/08/2022 Cefixime 100 mg/12 jam PO

Hb/Ht/E/L/T Na Diclofenak 50 mg/8 jam PO
POD 0 post kuretase 7,2/20/2,5/15,63/273 Vastral tab/12 jam PO Observasi KU, TTV, dan
Zaitun Mala,
2A 1-31-30-46 tajam ai abortus MCV/MCH/MCHC Sulfat ferrous tab 2x1 RA perdarahan
38 tahun
inkomplit 80/29/36 Metoklopramid 1 amp/12 jam Aff folley cath 1x24 jam
Diftel: 0/0/0/82/13/5 IV
Lansoprazole IV/ 12 jam

Lab 31/07/2022
Hb/Ht/E/L/T
14,8/43/5,4/13,46/288
MCV/MCH/MCHC
Abdominal pain VAS 3-4
79/27/35
e.c mioma uteri multiple Obs KU, TTV,
Yunti Hermi, Diftel: 2/0/0/62/29/7 Amlodipin 10 mg
dd adenomiosis Persiapan laparotomi dan
2B 42 tahun 1-31-31-31 CT/BT : 8/3 Ketorolac IV /8 jam HSD
Ibu dengan Infertil miomektomi elektif
P0A0 HBsAg non reaktif Omeprazole 20mg/12 jam IV
Primer 18 Tahun
SGOT/SGPT 27/45
Hipertensi Kronis
Albumin 4,1
GDS 105
Ur/Cr 32/1,0
Na/K/Cl 143/4,10/113

3A Cut Raihanah 1-17-02-10 NOK Susp. Malignancy Lab 01/08/2022 Dulcolax tab II Extra SIK Obs KU, TTV, Perdarahan
 Hb/Ht/E/L/T
12,8/39/4,4/7,31/256
MCV/MCH/MCHC
88/29/33 Rencana Laparatomi Debulking
Fatmi, 58
DM Tipe 2 Diftel: 1/0/0/64/29/6 Dulcolax sup II Extra Tumor
Tahun
CT/BT : 7/2
ALbumin : 4,4
GDS : 105

Lab 02/08/2022
Hb/Ht/E/L/T
10,5/30/3,5/8,58/164
MCV/MCH/MCHC
Ca Ovarium Stadium IIIC 86/30/35
Post Kemoterapi 6 Diftel: 0/0/1/84/9/6 Ketorolac 30 mg/8 jam IV Obs. KU, TTV, Nyeri
Ummi Kaslum
Siklus, Post HTSOB 2 CT/BT 8/2 Omeprazole 40 mg/12 jam IV USG Konfirmasi Poli
binti Yusuf
3B 1-29-03-60 bulan yll. Ibu dengan HBSAG : non reaktif Curcuma 3x1 HSD CT Scan Abdomen Pelvis Kontras
Abidin, 59
permasalahan SGOT/SGPT 33/15 Kaltropen Supp 200 mg/8jam dan Non-Kontras
Tahun
1. Asites Ur/Cr 97/1,20 Drip Albumin 1 fls/24 jam
2. Hipoalbumin GDS 79
Albumin 2,10
Na/K/Cl 136/4,4/107

Ca-125 2599

4B Surjani, 47 1-28-21-95 POD 0 Post Surgical Lab 07/07/2022 IV Ceftriaxone 2 gr/24 jam SIK Observasi KU, TTV
tahun Staging ai Ca Ovarium Hb/Ht/E/L/T IV Omeprazole 40 mg/12 jam AFF dc 1X24 JAM
P1A0 11,1/33/4,3/12,10/626 IV Transamin 500 mg/8 jam Susul hasil cek darah (2 jam post
MCV/MCH/MCHC IV Ketorolac 30 mg/8 jam op)
78/26/33 Kaltropen Supp II/8 jam Aff drain 2x24 jam
Diftel: 2/0/0/74/16/8
CT/BT 8/2
HBSAG : non reaktif
SGOT/SGPT 27/12
Ur/Cr 15/0,79
 Gds 108
Albumin 4,42
Na/K/Cl 143/4,6/104

Lab 01/08/2022
Hb/Ht/E/L/T
11,2/32/4,0/17,47/362
MCV/MCH/MCHC
81/28/35
Diftel: 0/0/0/90/4/6

Lab 26/07/2022
POD 1 Radikal Hb/Ht/E/L/T
Cceftriaxone 2 gr/24 jam IV
histerektomi a/i Ca 10,1/30/3,6/9,44/456
Ketorolac 30 mg/8 jam IV
Ainol Marliah, servix St. Ib post MCV/MCH/MCHC Obs ku,ttv, perdarhan
Kaltropen supp II/8 jam
4C 44 tahun 1-30-43-70 salfingoforektomi 83/28/38 SIK Mobilisasi bertahap
Omeprazole 40 mg/12 j IV
P1A0 bilateral, post Diftel: 3/1/0/56/33/7 Folley kateter 2x 24 jam
Tramsamin 500 mg/8 j IV
limfadenektomipelvik Bt/Ct 2/8
PCT 1 gr drip K/P
bilateral Ft4 17,67
Tshs 2,580
HbsAg Non-reaktif
SGOT/SGPT 40/50
Alb 4,39
GDS 139
Ur/Cr 15/1,05
Na/K/Cl 136/2,90/105

4D Rosleni binti 1-31-27-32 NOK susp Malignancy Lab 01/08/2022 Furosemide 20g/8j iv SIK Observasi KU, TTV
ahmanuddin,7 dengan permasalahan Hb/Ht/E/L/T Spironolakton 100g/24j po
8 th 1. CAD 9,90/29/3,6/7,46/262 Curcuma tab/8j po
P5A0 2. DM tipe 2 MCV/MCH/MCHC Ceftriaxone 2g/24j iv
3. CAP 82/28/34 Albumin 1 fl/24 jam Drip
4. Hipoalbumin Diftel: 1/0/0/78/10/11
 Ca 125 : 1988
Albumin 3,16
Ur/Cr 50/1,6
NA/K/Cl 130/4,2/105

Lab 28/07/2022
Analisa Cairan Asites
Makroskopik
Warna kuning
Kejernihan: jernih
Bekuan: Negatif
PMN 10%
MN 89%
Leukosit 719
Tot Protein 4,70
Albumin 2,5
Glukosa 60

Urinalisis
Lekosit +
Keton +
Nitrit +
Darah +
Leukosit 10-25
Eritrosit 25-50
Epitel 0-1
Hyalin cast +
Bakteri +

5A Nurbayani 1-31-33-10 AUB ec Hiperplasia Lab 02/08/2022 Transamin 500 mg/8 jam IV TPD Konsul kardio dan anestesi
binti Hamzah, Endometrium Hb/Ht/E/L/T Asam Mefenamat 500 mg/8 jam Rencana kuretase bertingkat
48 tahun 8,9/29/4,6/7,89/298 PO Pasang laminaria jam 02.00
MCV/MCH/MCHC Omeprazole 1 vial/12 jam IV Transfusi PRC sampai Hb >10
63/19/31 gr/dL
Diftel: 1/0/0/64/27/8 USG Transvaginal
 HbsAg non reaktif
Albumin 4,10
Ur/Cr 25/0,60
NA/K/Cl 142/4,50/114
SGOT/SGPT: 17/13
GDS: 110
BT/CT: 3/8

Lab 30/07/2022
Hb/Ht/E/L/T
12,0/38/5,8/21,35/404
MCV/MCH/MCHC
66/21/32
Diftel: 3/0/1/84/9/3

Lab 26/07/2022
Hb/Ht/E/L/T
Yuliana Binti AUB ec mioma uteri -Observasi ku, ttv, perdarahan
8,4/28/4,5/8,68/762
Arazik Ali, 45 intramural -Cek HbsAg, HBV DNA
5B 1-31-26-99 MCV/MCH/MCHC Curcuma 3x1 PO RUS
tahun Ibu dengan HbsAg -USG Abdomen
62/19/30
P2A0 (AH1) Reaktif -Penjadwalan OP
Diftel: 7/0/0/52/34/7
BT/CT 2/7
HbA1c 5,10
HBsAg reaktif
SGOT/SGPT 19/13
Albumin 4,01
GDS 107
Ur/Cr 22/0,82
Na/K/Cl 141/4,00/103

5C Nadriah binti 1-31-23-91 NOK Susp malignancy + Lab 01/08/2022 Ceftriaxone 1 gr/12 jam IV MNZ Observasi KU, TTV
Adnan, 56 efusi pleura sinistra Urinalisis Codein 10 mg/8 jam PO
tahun DM Tipe 2 Warna Kunig Kaltropen ekstra supp Saran dari Endokrin :
P0A0 Kejernihan keruh Ketorolac amp/ 8 jam IV Diet DM 1700 kkal/hari
BJ 1,039 Lantus 0-0-0-10 unit SC SC Lantus 0-0-0-14 U jam 22.00
PH 6 Drip Albumin 25% 1 fls/24 jam Metformin 3x500 mg
 Lekosit +
Protein +1
Glukosa +2
Keton -
Nitrit -
Darah +
Urobilinoge +
Bilirubun -
Leukosit 5-10
Eritrosit 5-10
Epitel 1-3 Cek KGDP/Hari

HbA1c 10,3
GDS 223
GD2PP 200

Lab 29/07/2022
Hb/Ht/E/L/T
11,3/36/6,0/11,17/337
MCV/MCH/MCHC
61/19/31
Diftel: 1/0/0/84/8/7

5D Dwi isnaini, 38 1-30-07-04 POD 0 Post Laparatomi Lab 02/08/2022 Ceftriaxone 2 gr/24 jam IV HSD Obs. KU, TTV
tahun Miomektomi, Post Hb/Ht/E/L/T Ketorolac 30 mg/8 jam IV Mobilisasi bertahap
Rekonstruksi Uteri a/i 13,5/38/4,7/9,22/276 Kaltropen Supp 200 mg/8jam Cek DR 2 jam Post OP
Mioma Uteri Multipel MCV/MCH/MCHC Omeprazole 40 mg/12 jam IV
Ibu dengan DM tipe2 81/29/35 Transamin 500 mg/8jam IV
Diftel: 0/0/0/79/17/4

Lab 28/07/2022
GDP 184
GD2PP 254
Hba1c 10,2
 Lab 26/07/2022
Hb/Ht/E/L/T
14/41/3,9/6,67/376
MCV/MCH/MCHC
84/29/34
Diftel: 2/0/0/45/46/7
LED 44
HbA1C 954
SGOT/SGPT 17/12
GDP 162
GD2PP 193
UR/CR 18/0,47
Na/K/Cl 141/3,8/106

Lab 07/07/2022
Hb/Ht/E/L/T
11,2/34/4,2/2,85/300
MCV/MCH/MCHC
80/26/33
Diftel: 6/0/1/40/46/7
CT/BT 7/2
Erlina, 44 Adenomiosis dd Mioma HBSAG : non reaktif Observasi KU, TTV
6A tahun 1-28-21-95 Uteri, Infertil Primer 1 5 SGOT/SGPT 13/7 SIK Rencana Reseksi Adenomiosis
Tahun Ur/Cr 20/0,55
GDS 94
Albumin 4,14
Na/K/Cl/Ca
143/3,7/110/8,3

Lab 07/06/2022
Ca-125 47,8

6B Fitri Muliana, 1-01-96-70 Abdominal Pain VAS 5-6 Lab 01/08/2022 HN IVFD RL 20 gtt
30 Tahun ec Kista Endometriosis Hb/Ht/E/L/T IV Ketorolac 1 amp/ 8jam
bilateral 11,0/34/4,2/8,45/261 IV Omeprazole 1 vial/12 jam
 MCV/MCH/MCHC
81/26/32
LED 36
Diftel: 2/1/0/58/30/9
Kaltropen sup 200 mg/8 jam
Ibu dengan : SGOT/SGPT 15/9
IV Ondansetron 8 mg/8 jam
1.Obs Vomitus Albumin 4,31
Drip Paracetamol 1000 mg Extra
2. Low Intake GDS 94
Sucralfat Syr 3 x CI
UR/CR 20/0,59
CA 125 19,2
Na/K/Cl 140/3,8/111

Lab 01/08/2022
Hb/Ht/E/L/T
11,3/33/3,9/14,63/309
POD 1 Post HTSOB
MCV/MCH/MCHC
Omentektomi a/i NOP
84/29/34
Susp Malignancy
Diftel: 0/0/0/90/6/4 Ceftriaxone 2 gr/24 jam IV
Post Adhesiolisis a/i
PT/aPTT : 1,04/0,97 Ketorolac 30 mg/8 jam IV
Siti Hormat, Adhesi Berat
6C 1-31-25-32 D-Dimer : > 4000 Kaltropen Supp 200 mg/8 jam MNZ Obs. KU, TTV, Perdarahan
67 Tahun Ibu dengan
Albumin 3,00 Omeprazole 40 mg/12 jam IV
permasalahan :
GDS 94 Trasamin 500 mg/8 jam IV
1. Leukositosis
UR/CR 23/0,80
2. Peningkatan D-
CA 125 19,2
Dimer
Na/K/Cl 139/3,2/109
Ca/Mg : 8,1/1,6

6D Wardah M Ali, 1-31-22-28 POD 17 post Lab 01/08/2022 Ketorolac amp /8jam IV SIK Obs KU, TTV, perdarahan
54 tahun laparostomy eksploarasi CEA 2,07 Omeprazole vial/12jam IV Hasil CT scan +
P0A2 dari RS luar a/I tumor CA 125 1275 Kaltropen II up/8jam up Koreksi Albumin 1 fls/24 jam
intra abdomen susp ca Ca 19-9 603,8 Transamin 1000 mg/24 jam IV
ovarium dengan Albumin 1 fls/24 jam Drip
abdominal pain VAS 3-4 Lab 31/07/2022
Dengan permasalahan Albumin 2,1
Pneumonia,
 Lab 23/07/2022
Albumin : 3,1

Lab 21/07/2022
Albumin 2,4

Lab 20/07/2022
Hb/Ht/E/L/T
10,1/30/3,7/12,99/507
MCV/MCH/MCHC
Hipoalbuminemia
80/27/34
Diftel: 0/0/0/92/44
CT/BT: 8/3
HbSAg non reaktif
SGOT/SGPT:29/10
Albumin : 2,6
GDS 77
Ur/Cr 41/1,2
Na/K/Cl 136/3,8/104

Lab 30/07/2022
Hb/Ht/E/L/T
13,2/37/4,4/6,35/352
Ketorolac 30mg/8j IV
MCV/MCH/MCHC
Omeprazole 40mg/12j IV
84/30/36
Roslinar Binti POD 0 Laparatomi Vildagliptin 50mg/12j PO
Diftel: 2/1/0/54/35/8
Nurdin BS,55 Debulking Tumor a/i Lantus 0-0-0-12 SC Observasi KU,TTV dan nyeri
6F 1-31-21-77 BT/CT: 2/7 HSD
Th Nok susp. Malignancy Amlodipin 10 mg/24 jam
SGOT/SGPT: 23/19
P2A0 dengan + DM tipe II Ceftriaxone 2 gr/8 jam
Alb: 3.70
Kaltropen sup II/8 jam
GDS: 161
Transamin 500 mg/8 jam
Ur/Cr :17/0,70
Na/k/cl: 142/3,90/113

7A Mariamah 1-31-31-11 Tumor Ovarium Susp. Lab 02/08/2022 IV dexamethasone 1 amp extra HSD Observasi KU,TTV
 AFP : 1,42
Beta HCG : 3,8
LDH : 249

Lab 01/08/2022
Ca 125 : 18,6

Lab 31/07/2022
PCT 1 gr/ amp extra
Malignancy dengan Hb/Ht/E/L/T Cek USG Konfirmasi (+)
Binti Wahan, Ketorolac 1 amp/8 ja IV
permasalahan anemia 6,6/21/42,7/10,40/576 Transfusi PRC sampai HB>10
60 tahun Omeprazole 1 vial/12 jam IV
berat (HB : 6,6), MCV/MCH/MCHC Koreksi albumin
P3A0 Drip Albumin 1 fls/24 jam
hipoalbuminemia (2,8) 79/25/32 Cek DR Post Transfusi 4 Kolf
N-Asetilsistein 1 tab/8 jam PO
Diftel: 2/0/1/78/10/9
BT/CT: 3/8
HbsAG Non-Reaktif
SGOT/SGPT: 71/100
Alb: 2,80
GDS: 151
Ur/Cr :18/0,50
Na/k/cl: 135/3,80/102

Lab 02/08/2022
Hb/Ht/E/L/T
10,8/31/4,1/8,88/394
MCV/MCH/MCHC IGD:
76/26/34 Transamin ektra iv
Post menopausal
Umiyah binti Diftel: 2/0/0/59/33/6 Transamin 500mg/8jam iv Susul hasil lab dan hasil
bleeding ec Ca servix
7E Ibrahim, 62 1-31-32-53 HbsAg : non reaktif Asam mefenamat 500 mg/8 jam HSD crossmatch
stadium IIIB ibu dengan
thn, P4A0 BT/CT: 2/8 PO Konsul IPD
DM tipe 2 dan HT st 1
SGOT/SGPT : 17/11 Omeprazole 40 mg/12 jam iv
Albumin: 3,10 Ketorolac 1 amp/8 jam iv
GDS: 407
Ur/Cr : 16/0,50
Na/K/Cl ; 136/4,40/110

7F Nurakizah 1-31-28-33 POD 0 Laparatomi Lab 02/08/2022 Lansoprazole 30 mg/12 jam SIK Obs KU dan TTV
 AFP : 3,81
Beta-HCG : < 2,00
FT4/TSHs: 21,08/0,484

Lab 28/07/2022
CA 125 93,1
Ketorolac 30 mg/8 jam IV
Lab 27/07/2022 Lansoprazole 30 mg/12 jam IV
binti Abdul Salphingooforektomi Hb/Ht/E/L/T Kaltropen Supp 200 mg/8 jam
Hamid, 48 unilateral Sinistra, Post 12,8/36/4,3/6,27/295 Ceftriaxone 2 gr/8 jam IV
tahun Adhesiolosis a/i NOK MCV/MCH/MCHC Transamin 500 mg/8 jam IV
P3A0 Susp. Malignancy 82/30/36 Metronidazole 500 mg/8 jam
Diftel: 3/0/0/58/32/7 Drip
HbsAg : non reaktif
BT/CT: 2/7
SGOT/SGPT : 14/12
Albumin: 3,70
GDS: 164
Ur/Cr : 12/0,70
Na/K/Cl ; 146/3,40/109

ISO 2 Rukaiyah Binti 1-30-64-67 POD 9 Post laparotomy Lab 25/07/2022 - Cefixime 100 mg/12jam PO SIK Obs. KU, TTV
Abdullah, 65 debulking tumor post Albumin 2,90 - Omeprazole 20 mg/12jam PO Persiapan operasi laparotomy
tahun, salfingoferektomy - Na Diklofenat 50 mg/8 jam PO surgical staging
P2A0 bilateral a/i NOK susp Lab 23/07/2022 - Curcuma tab 2x1 PO
Malignancy Albumin 1,90

Lab 18/07/2022
AGDA
PH 7,5
PCO2 48,9
PO2 56
Bikarbonat 42,3
Total CO2 43,8
BE 17,8
Saturasi 91,1

Lab 11/07/2022
Hb/Ht/E/L/T
13,3/39/4,7/12,09/428
MCV/MCH/MCHC
83/29/34
Diftel: 2/0/0/78/11/9
BT/CT : 2/7
SGOT/SGPT 22/12
Protein Total : 6,6
Alb :2,8
Globulin : 3,8
Ur/Cr 33/0,60
Ca/Mg : 9,5/1,6
Na/K/Cl 136/4,0/101