CONSULTATION REPORT FROM MEDICAL WARD

26th May 2023 - 8th June 2023

 CONSULTATION REPORT FROM MEDICAL WARD
26th May 2023 - 8th June 2023
Day/Date No Name Assessment Action plan Doctor in Charge
Friday 1 A. A. Ayu Oka Suryati Currently we asses patient with - Insertion of NGT number PSD
26/05/23 F, 78 y.o oropharyngeal dysphagia 16 --> successful
CM 01334098 - ENT polyclinic
Ward : Flamboyan 2 - Patient education
 
Patient consulted from neurologist
with observation parkinsonism ec
suspect progressive supranuclear
palsy + aspiration pneumonia.
Consulted for dysphagia
 CONSULTATION REPORT FROM MEDICAL WARD
26th May 2023 - 8th June 2023
Day/Date No Name Asessment Action plan Doctor in Charge
Saturday DAY OFF
27/05/23
Sunday DAY OFF
28/05/23
Monday NONE
29/05/23

Tuesday 1 Putu Nakki Devanand Currently we assess the patient with - No treatment in ENT. DAP
30/05/23 M, 8 m.o no sign and symptom of infection in
CM 23027819 ENT
Ward : Cempaka 3

Patient consulted from  Pediatric

Neurologic division with complex
febrile seizures. Consulted for
evaluation of focal infection in
ENT
 CONSULTATION REPORT FROM MEDICAL WARD
26th May 2023 - 8th June 2023

Day/Date No Name Asessment Action plan Doctor in Charge

2 Sohaki Azis Currently we assess the patient with - Plan for tracheostomy DAP
M, 61 y.o prolong intubation pro tracheostomy
CM 23026752
Ward : ICCU

Patient consulted from

Cardiologist with NSTEMI (H7) +
Observation DOC Patient was
Consulted for tracheostomy
 CONSULTATION REPORT FROM MEDICAL WARD
26th May 2023 - 8th June 2023

Day/Date No Name Asessment Action plan Doctor in Charge

Wednesday 1 I Putu Yogi Aditya Currently we assess the patient with - No treatment in ENT. AND
31/05/23 M, 7 y.o no sign and symptom of infection in
CM 23027751 ENT
Ward : Cempaka 3

Patient consulted from  pediatric

with Urticaria and Angioedema ec
suspect drug allergy. Consulted
for evaluation of focal infection in
ENT

Thursday PANCASILA DAY

01/06/23
 CONSULTATION REPORT FROM MEDICAL WARD
26th May 2023 - 8th June 2023
Day/Date No Name Assessment Action plan Doctor in Charge
Friday DAY OFF
02/06/23

Saturday DAY OFF

03/06/23

Sunday DAY OFF

04/06/23
 CONSULTATION REPORT FROM MEDICAL WARD
26th May 2023 - 8th June 2023
Day/Date No Name Asessment Action plan Doctor in Charge
1 Hary Tan Naya Currently we assess the patient with No treatment in ENT. SAR
M, 44 y.o no sign and symptom of infection in
CM 23028183 ENT.
Ward : Integrated Heart Center,
HCU

Patient consulted from Cardiology

with possible Infective
Endocarditis (IE), planned for
aortic and mitral valve
Monday replacement. Consulted for
05/06/23 evaluation of focal infection in
ENT.
2 I Gede Juniawan Sukrama Currently we assess the patient with - Nasal irrigation with NaCl WLN
M, 39 y.o acute rhinitis. 0,9%
CM 20011645 - Illiadin nasal spray 2 puffs
Ward : Mahottama every 12 hours in both nasal
cavity
Patient consulted from Oncology
Surgery with right massive pleural
effusion. Consulted for upper
airway infection.
 CONSULTATION REPORT FROM MEDICAL WARD
26th May 2023 - 8th June 2023
Day/Date No Name Asessment Action plan Doctor in Charge
1 Siti Rodiyah Currently we assess the patient with - Planned for flexible AEP
F, 46 y.o oropharyngeal dysphagia endoscopy examination in the
CM 23027340 ENT clinic on June 7th 2023
Ward : Lely

Patient consulted from Neurology

with primary cerebral SOL.
Consulted for evaluation of
dysphagia.
Tuesday
06/06/23 2 Nyoman Rastama Currently we assess the patient with No treatment in ENT. AEP
M, 41 y.o no sign and symptom of infection in
CM 23029190 ENT.
Ward : Medical Surgical

Patient consulted from Neurology

with suspect TB
meningoencephalitis. Consulted
for evaluation of focal infection in
ENT.
 CONSULTATION REPORT FROM MEDICAL WARD
26th May 2023 - 8th June 2023

Day/Date No Name Asessment Action plan Doctor in Charge

3 Cille Ayla Pilgard Currently we assess the patient with - Ear toilets DAP
F, 49 y.o left impacted cerumen + left hearing - Suggest tympanoaudiometry
CM 23028860 disorder. examination in the ENT clinic
Ward : Anggrek

Patient consulted from Psychiatry

with depressive phase of bipolar
disorder. Consulted for evaluation
of pain in the left ear.
Tuesday
06/06/23 4 I Ketut Toya
M, 66 y.o
CM 15040461
Ward : Mawar, HCU
Patient consulted from Neurology
with suspect bacterial
meningoencephalitis. Consulted
for evaluation of sudden hearing
loss
Currently we assess the patient with
bilateral sudden deafness.
- Suggest tympanoaudiometry WND
examination in the ENT clinic
when the patient able to sit for
more than 30 minutes
- Joint care with ENT
- Oxygen 4 lpm ~ 15 minutes
every 6 hours
- Steroid & mecobalamine ~ TS
Neurology
 CONSULTATION REPORT FROM MEDICAL WARD
26th May 2023 - 8th June 2023
Day/Date No Name Asessment Action plan Doctor in Charge
Wednesday 1 Dewa Ketut Ngurah Currently we assess the patient with - NGT inserted succesfully AND
07/06/23 M, 60 y.o with lung adenocarcinoma pro NGT
CM 22004109 insertion.
Ward : Sanjiwani

Patient consulted from

Pulmonology with lung
adenocarcinoma. Consulted for
NGT insertion.
Thursday 1 Jero Dangan Currently we assess the patient with - Plan for Tracheostomy on DAP
08/06/23 M, 58 y.o pneumonia + severe ARDS + type 1 June 9th 2023
CM 23029074 respiratory failure + intubation day 6.
Ward : West ICU

Patient consulted from Anesthesia

with pneumonia + severe ARDS +
type 1 respiratory failure.
Consulted for early tracheostomy.
INPATIENT PROCEDURAL REPORT
26th May 2023 - 8th June 2023
 INPATIENT PROCEDURAL REPORT
26th May 2023 - 8th June 2023

Day/Date No Name Diagnosis Action plan Surgical Finding Operator

Friday NONE
26/05/23

Saturday DAY OFF

27/05/23
Sunday DAY OFF
28/05/23
Monday I Putu Bayu Pratama Putra Stoke haemoragic + Tracheostomy JES/DEV
29/05/23 M, 42 y.o hypertension grade I + acute DAP
CM 23026766 kidney injury + post intubation
Ward: HCU day 6
Tuesday NONE
30/05/23

Wednesday NONE
31/05/23

Thursday PANCASILA DAY

01/06/23
 INPATIENT PROCEDURAL REPORT
26th May 2023 - 8th June 2023

Day/Date No Name Diagnosis Action plan Surgical Finding Operator

Friday DAY OFF
02/06/23

Saturday DAY OFF

03/06/23
Sunday DAY OFF
04/06/23
Monday NONE
05/06/23

Tuesday NONE
06/06/23

Wednesday NONE
07/06/23

Thursday NONE
08/06/23