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    Laporan Pagi OK IGD 4feb2017 TF Rev1

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    Hario Tri Hendroko
    Five patients are scheduled for emergency surgery on Saturday, February 4th, 2017. The first patient, a 53 year old man, will undergo a below knee amputation for diabetic gangrene of the right foot and has multiple comorbidities including diabetes, pneumonia, acute kidney injury, and anemia. The second patient, a 3 year old girl, will undergo right eye rupture repair for a corneal rupture. The third patient, a 16 year old boy, has a left pneumothorax and bilateral vulnus scissum. The fourth patient, a 33 year old man, needs open reduction internal fixation and debridement for closed fractures of the bilateral humerus, distal ulna, and left hand crush injury. The

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    Laporan Pagi OK IGD 4feb2017 TF Rev1

    Uploaded by

    Hario Tri Hendroko
    12 views8 pages
    Five patients are scheduled for emergency surgery on Saturday, February 4th, 2017. The first patient, a 53 year old man, will undergo a below knee amputation for diabetic gangrene of the right foot and has multiple comorbidities including diabetes, pneumonia, acute kidney injury, and anemia. The second patient, a 3 year old girl, will undergo right eye rupture repair for a corneal rupture. The third patient, a 16 year old boy, has a left pneumothorax and bilateral vulnus scissum. The fourth patient, a 33 year old man, needs open reduction internal fixation and debridement for closed fractures of the bilateral humerus, distal ulna, and left hand crush injury. The

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    Five patients are scheduled for emergency surgery on Saturday, February 4th, 2017. The first patient, a 53 year old man, will undergo a below knee amputation for diabetic gangrene of the right foot and has multiple comorbidities including diabetes, pneumonia, acute kidney injury, and anemia. The second patient, a 3 year old girl, will undergo right eye rupture repair for a corneal rupture. The third patient, a 16 year old boy, has a left pneumothorax and bilateral vulnus scissum. The fourth patient, a 33 year old man, needs open reduction internal fixation and debridement for closed fractures of the bilateral humerus, distal ulna, and left hand crush injury. The

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pptx, pdf, or txt
    12 views8 pages

    Laporan Pagi OK IGD 4feb2017 TF Rev1

    Uploaded by

    Hario Tri Hendroko
    Five patients are scheduled for emergency surgery on Saturday, February 4th, 2017. The first patient, a 53 year old man, will undergo a below knee amputation for diabetic gangrene of the right foot and has multiple comorbidities including diabetes, pneumonia, acute kidney injury, and anemia. The second patient, a 3 year old girl, will undergo right eye rupture repair for a corneal rupture. The third patient, a 16 year old boy, has a left pneumothorax and bilateral vulnus scissum. The fourth patient, a 33 year old man, needs open reduction internal fixation and debridement for closed fractures of the bilateral humerus, distal ulna, and left hand crush injury. The

    Copyright:

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    Download as pptx, pdf, or txt
    of 8

    Morning Report Emergency OR

    Saturday, February 4th, 2017

    dr. Zeta Manda Uyun Defit


    ICU : dr. Sisca
    HCU : dr. Neil
    TMRC : dr. Ronald
    IMET : dr. Hendra
    ICU IGD : dr. Roy
    Resus : dr. Chrysa
    APS : dr. Mange - Kadek
    PJT : dr. Shendy
    Total Patients : 5 patients
    1. M, 53 yo

    Diagnosis Diabetic gangrene of the right foot

    Procedure Below knee amputation

    Physical status ASA 3


    - Septic (HR 120X/min, Temperature 37 C, leukocyte 32800, RR 20-22x/min,
    SpO2 99% on O2 3 litre/min, PCT 0,24, lactate 1,6. Nasal canule on sitting
    position, urine output 0,5 cc/kg/hour, on meropenem 3x1 gr E2
    - DM type 2 (RBG 148 mg/dl on insulin drip 1U/hour)
    - Community acquired pneumonia dd/ lung TB (without cough, RR 22-
    24x/min, rales on both lung fields, on meropenem 3x1gr E2. CXR: infiltrate
    on both lung fields ,suspected pneumonia)
    - AKI dd acute on CKD (ureum 63 g/dl and creatinine 1,4 g/dl, UO
    <0,5cc/kg/hour
    - Anemia Hb 8,56 g/dl
    - Diabetic gangrene of the right foot on heparin 20.000 IU/24h
    - Hipoalbuminemia 3,06 g/dl
    - Thrombocytosis 726000
    - Without airway difficulty

    Plan GA CVC

    Post Op ICU
    2. F, 3 yo

    Diagnosis Corneal rupture of the right eye

    Procedure Rupture repair

    Physical status ASA 2


    - Third day of acute respiratory infection without cough/rales
    - Leukocytosis 12900/mm3

    Plan GA

    Post Op Ward
    3. M, 16 yo

    Diagnosis Bilateral vulnus scissum, left pneumothorax

    Procedure
    Physical status ASA 3
    - Left pneumothorax ( weakened vesicular sound in the left lung.
    Subcutis emphysema, CXR: Left pneumothorax )
    - Leukocytosis 15600
    - Hypernatremia 156 mEq/L
    - Without airway difficulty

    Plan MAC

    Post Op Ward
    4. M, 33 yo

    Diagnosis Closed fracture of bilateral humerus, closed fracture of distal ulna, left
    hand crush injury
    Procedure Open reduction internal fixation, K-wire, debridement

    Physical status ASA 2


    - Leukocytosis 15600
    - Elevated SGOT 124 g/dl, SGPT 89 g/dl
    - Without airway difficulty

    Plan GA

    Post Op Ward
    5. F, 28 yo
    Diagnosis Left eye endopthalmitis

    Procedure Evisceration, dermal fat graft

    Physical status ASA 2


    - Hypertension, BP 1498/79 mmHg, without therapy, EKG: inverted T
    on I, aVL, V5-V6
    - Elevated SGOT 34 g/dl/SGPT 79 g/dl
    - Leukocytosis 25000
    - Without airway difficulty

    Plan GA

    Post Op Ward
    THANK YOU

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