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  • WEEKLY BTKV 22 Oktober 2021 (Compress)

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    Amrina Rosyada
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    The weekly report summarizes the surgeries performed by the Thoracic and Cardiovascular Surgery division from October 18th-22nd 2021. It includes 7 patients who underwent procedures such as clipping of rib fractures, tracheostomy, arteriovenous shunt creation, and exploration of neck injuries. The report also lists 1 patient treated in the emergency department for drainage of abscesses in the parapharyngeal and retropharyngeal spaces. Three post-operative patients are being monitored in the intensive care unit, two of whom underwent rib fracture clipping.

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    The weekly report summarizes the surgeries performed by the Thoracic and Cardiovascular Surgery division from October 18th-22nd 2021. It includes 7 patients who underwent procedures such as clipping of rib fractures, tracheostomy, arteriovenous shunt creation, and exploration of neck injuries. The report also lists 1 patient treated in the emergency department for drainage of abscesses in the parapharyngeal and retropharyngeal spaces. Three post-operative patients are being monitored in the intensive care unit, two of whom underwent rib fracture clipping.

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    7 views80 pages

    WEEKLY BTKV 22 Oktober 2021 (Compress)

    Uploaded by

    Amrina Rosyada
    The weekly report summarizes the surgeries performed by the Thoracic and Cardiovascular Surgery division from October 18th-22nd 2021. It includes 7 patients who underwent procedures such as clipping of rib fractures, tracheostomy, arteriovenous shunt creation, and exploration of neck injuries. The report also lists 1 patient treated in the emergency department for drainage of abscesses in the parapharyngeal and retropharyngeal spaces. Three post-operative patients are being monitored in the intensive care unit, two of whom underwent rib fracture clipping.

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    FRIDAY, OCTOBER 22nd 2021

    WEEKLY REPORT DIVISI BEDAH TKV


    Consultants :
    dr. Artono Isharanto, SpB, SpBTKV(K)-T
    dr. Koernia Kusuma Wardhana, SpBTKV
    dr. Imam Suseno Bayuadi, SpBTKV

    Residents :
    dr. Wegig Perwiro Wibowo (GIR)
    dr. Rizki Hardwiansyah (IZI)
    dr. Amrina Rosyada (AMI)
    OK SENTRAL
    DAFTAR OPERASI BEDAH TKV DI IBS 18 - 22 Oktober 2021
    NO IDENTITAS TANGGAL OPERASI WDX TINDAKAN RENCANA
    SELANJUTNYA
    Multiple fracture costae 2,3,4,5,6,7,8
    posterolateral D (S22.4) + Contusio
    pulmonum D (S27.3) Thorax dan BGA
    1 Tn. Dedy/L/47thn/11519643 18/10/2021 - Emfisema subcutis colli - hemithorax D Post Clipping Costae evaluasi, Observasi
    (T81.8) + CKR 456 tanpa perdarahan (18/10/2021) tanda distress napas
    intrakranial (S06.0) + CF R glenoid + CF R
    Coracoid + Malunion R clavicle
    Prolonged ventilator dt Respiratory failure dt
    Pneumonia HAP (J18.9) + DOC dt CVA infark
    (I63.9) + Syok Sepsis perbaikan (R65.2) + HF st
    2 Ny. Andamarjati/P/79th/11314196 19/10/2021 C FC II dt CAD HHD (I50.9) + AF RVR —> NVR Post Tracheostomy Observasi tanda
    (I48.9) + AKI st I (N17.9) + Hipoalbuminemia (31.1) distress napas
    (E88.0) + Trombositopenia (D69.6) + Anemia
    perbaikan (D64.9)

    3 Ny. Khotimah/P/46th/11514083 19/10/2021 CKD stage V on Routine HD (N18.5) Post AV Shunt KRS

    Hematome post Radiocephalica AV Fistula S


    Tn. Mochamad (T82.8) + CKD stage V on Routine HD (N18.5) + Explore kp Repair AV Observasi tanda
    4 Sonhaji/L/45th/11517015 19/10/2021 Shunt perdarahan, AVN Distal
    HT Stage 1 (I10.0)
    DAFTAR OPERASI BEDAH TKV DI IBS 18 – 22 Oktober 2021
    NO IDENTITAS TANGGAL OPERASI WDX TINDAKAN RENCANA
    SELANJUTNYA

    5 Tn. Heru Cahyadi/L/41th/11518335 21/10/2021 CKD stage V on Routine HD (N18.5) AV Shunt (39.27) KRS

    Tn Muhammad Eksplorasi leher (86.0)


    6 21/10/2021 Neck injury zone II dt peluru gotri + Ekstraksi korpal KRS
    Choirul/L/30th/11520088
    (86.05)
    Fr costae 2,3 posterior S + Fr costae 5,6
    posterolateral S + CKR 456 tanpa
    7 Tn. Muh Barok/L/49th/11519987 17/10/2021 pendarahan intracranial + Subgaleal Post Urgent Clipping Thorax Xray dan BGA
    Hematom Regio frontal S + Fr. Maxilla D
    Costae Evaluasi
    non lefort + Fr. Rima Orbita Inferior D
    Tn. Dedy/L/47thn/11519643
    Tn. Dedy/L/47thn/11519643

    Chest Xray RS Panti Nirmala 12/10/2021


    Tn. Dedy/L/47thn/11519643

    Chest Xray RSSA 12/10/2021


    Tn. Dedy/L/47thn/11519643

    Chest Xray 14/10/2021


    Tn. Dedy/L/47thn/11519643

    Chest Xray 15/10/2021


    Tn. Dedy/L/47thn/11519643

    Chest Xray 17/10/2021


    Tn. Dedy/L/47thn/11519643

    Chest Xray 18/10/2021


    Ny. Andamarjati/P/79th/11314196
    Ny. Khotimah/P/46th/11514083
    Tn. Mochamad Sonhaji/L/45th/11517015
    Tn. Heru Cahyadi/L/41th/11518335
    Tn Muhammad Choirul/L/30th/11520088
    Tn Muhammad Choirul/L/30th/11520088
    Tn Muhammad Choirul/L/30th/11520088

    Chest Xray RSUD Lawang 18/10/2021


    Tn Muhammad Choirul/L/30th/11520088

    Cervical Xray RSUD Lawang 18/10/2021


    Tn Muhammad Choirul/L/30th/11520088

    DURANTE OP
    Tn. Muh Barok/L/49th/11519987
    Tn. Muh Barok/L/49th/11519987

    Chest Xray RS Sumber Sentosa Tumpang 18/10/2021


    Tn. Muh Barok/L/49th/11519987

    Chest Xray RSSA 18/10/2021


    Tn. Muh Barok/L/49th/11519987

    Chest Xray RSSA Post Clipping 18/10/2021


    IGD
    DAFTAR OPERASI BEDAH TKV DI IGD 16 – 22 Oktober 2021
    NO IDENTITAS TANGGAL WDX TINDAKAN RENCANA
    OPERASI SELANJUTNYA
    CT scan Kepala
    Infiltrat Parafaring dan Retrofaring S/ + Abses Submandibula Leher dgn dan
    Ny. Azizah
    1 16/10/2021 S/ post insisi drainase GA Insisi drainage abscess tanpa kontras
    Hidayati/P/31th/10578451
    fokus parafaring,
    retrofaring
    Ny. Azizah Hidayati/P/31th/10578451
    Ny. Azizah Hidayati/P/31th/10578451
    Ny. Azizah Hidayati/P/31th/10578451

    Chest Xray 15/10/2021


    Ny. Azizah Hidayati/P/31th/10578451

    Chest Xray 16/10/2021


    HCU CISADANE
    DAFTAR PASIEN HCU CISADANE BEDAH TKV
    RENCANA
    NO IDENTITAS MRS WDX TINDAKAN SELANJUTNYA
    CF costae 4,5 posterolateral S + CF costae 6,7,8,9
    lateral S + CKR 456 tanpa pendarahan intracranial
    1 Tn. Sugeng/L/43th/11519984 17/10/2021
    + Fr. Maxilla D non lefort + Open wound palpebra Pro Urgent Clipping
    superior D + OF Base proximal phapanx R Ring Thorax dan BGA evaluasi Costae
    Finger + OF Middle Phalanx R Little Finger + CF
    Middle Shaft R Femur
    Fr costae 2,3 posterior S + Fr costae 5,6
    posterolateral S + CKR 456 tanpa
    2 Tn. Muh 17/10/2021 pendarahan intracranial + Subgaleal Post Urgent Clipping Thorax dan BGA
    Barok/L/49th/11519987 Hematom Regio frontal S + Fr. Maxilla D
    Costae evaluasi
    non lefort + Fr. Rima Orbita Inferior D
    Multiple fr costae 2 - 7 Posterolateral D +
    Laserasi Lung D + Hematothorax D +
    contusio pulmonum D + Emfisema subcutis Post clipping costae 5-8 D
    + Repair Lung D + Cuci pro AFF Chest Tube
    3 Tn. Dedy/L/47thn/11519643 12/10/2021 colli + hemithorax D + CKR 456 tanpa
    perdarahan intracranial + Stitch wound
    cavum pleura + Chest D
    Tube D
    supraorbita D + CF R glenoid + CF R
    Coracoid + Malunion R clavicle
    Pneumothorax D + Fr costae lateral 5,6 D +
    Tn. Taufik Emfisema subkutis + CKR 456 tanpa Pro Clipping Costae
    4 Effendi/L/41th/11520191 20/10/2021 perdarahan intrakranial + Stitched wound
    Post Chest Tube D + CXR dan BGA
    dorsal side R foot (MT1 NV1) Evaluasi
    Tn. Sugeng/L/43th/11519984
    Tn. Sugeng/L/43th/11519984

    Chest Xray RS Sumber Sentosa Tumpang 17/10/2021


    Tn. Sugeng/L/43th/11519984

    Chest Xray RSSA 17/10/2021


    Tn. Muh Barok/L/49th/11519987
    Tn. Muh Barok/L/49th/11519987

    Chest Xray RS Sumber Sentosa Tumpang 18/10/2021


    Tn. Muh Barok/L/49th/11519987

    Chest Xray RSSA 18/10/2021


    Tn. Dedy/L/47thn/11519643
    Tn. Dedy/L/47thn/11519643

    Chest Xray RSSA 12/10/2021


    Tn. Dedy/L/47thn/11519643

    Chest Xray 12/10/2021


    Tn. Dedy/L/47thn/11519643

    Chest Xray 14/10/2021


    Tn. Dedy/L/47thn/11519643

    Chest Xray 15/10/2021


    Tn. Dedy/L/47thn/11519643

    Chest Xray 17/10/2021


    Tn. Dedy/L/47thn/11519643

    Chest Xray 18/10/2021


    Tn. Taufik Effendi/L/41th/11520191

    Chest Xray 18/10/2021


    Tn. Taufik Effendi/L/41th/11520191

    Chest Xray 20/10/2021


    Tn. Taufik Effendi/L/41th/11520191

    Chest Xray Control 20/10/2021


    PICU
    DAFTAR PASIEN PICU BEDAH TKV
    RENCANA
    NO IDENTITAS MRS WDX TINDAKAN SELANJUTNYA
    Efusi pleura dextra + Pneumonia + Bronchiolitis
    on WSD D (15/10/2021) + Severe obstructive
    hydrocephalus ok arachnoid cyst + periventrikel
    III+IV + Septa Interventrikel Lateral + Agenesis Thorax dan BGA
    An. Ilham/ L/1 tahun/8,3 Septum Pellucidum + Disgenesis Corpus Callosum Chest tube D dengan NGT Evaluasi, Evaluasi
    1 kg/11519351
    14/10/2021 + Cerebral Palsy Tipe Diskinetik + ASD Sekundum ukuran 16 produksi chest
    Kecil +TR Ringan + PH low probability + Phimosis tube
    grade II + Konstipasi fungsional DD organik +
    Global Developmental Delay + Hiponatremia +
    Hipomagnesemia
    An. Ilham/ L/1 tahun/8,3 kg/11519351

    Chest Xray 08/10/2021


    An. Ilham/ L/1 tahun/8,3 kg/11519351

    Chest Xray 14/10/2021


    An. Ilham/ L/1 tahun/8,3 kg/11519351

    Chest Xray 15/10/2021


    An. Ilham/ L/1 tahun/8,3 kg/11519351

    Chest Xray 16/10/2021


    An. Ilham/ L/1 tahun/8,3 kg/11519351

    Chest Xray 18/10/2021


    7HCU
    DAFTAR PASIEN 7HCU BEDAH TKV
    RENCANA
    NO IDENTITAS MRS WDX TINDAKAN SELANJUTNYA
    Tumor Abdomen dt susp lymphoma maligna dd Pasang suction
    neuroblastoma dd hepatoblastoma + Upper GI
    1 An. M. Fajar/L/7th/22kg/11519388 18/10/2021 Bleeding dr uremic gastropathy + AKI + HT st II + Post Chest Tube S aktif + Thorax dan
    Hydronefrosis Bilateral Sedang + Efusi Pleura S BGA Evaluasi
    An. M. Fajar/L/7th/22kg/11519388

    Chest Xray 09/10/2021


    An. M. Fajar/L/7th/22kg/11519388

    Chest Xray 14/10/2021


    An. M. Fajar/L/7th/22kg/11519388

    Chest Xray 18/10/2021


    RUANG BIASA
    DAFTAR PASIEN R. BIASA BTKV
    NO IDENTITAS MRS WDX TINDAKAN RENCANA
    SELANJUTNYA

    CT scan Kepala Leher


    Ny. Azizah Infiltrat Parafaring dan Retrofaring S/ + Abses dgn dan tanpa kontras
    1 Hidayati/P/31th/10578451
    16/10/2021 Submandibula S/ post insisi drainase GA Insisi drainage abscess
    fokus parafaring,
    retrofaring

    2 Tn Muhammad 21/10/2021 Neck injury zone II dt peluru gotri Eksplorasi leher (86.0) + KRS
    Choirul/L/30th/11520088 Ekstraksi korpal (86.05)

    Pneumothorax spontan sekunder D 33% + Chest Xray dan BGA


    3 Tn. Yazid Alwi/46 th/11519067 09/10/2021 Lung TB far advanced lesion + Malnutrisi Post Chest tube D
    Evaluasi

    Susp. TB paru dd Keganasan + Gizi buruk


    An. Findi Azzuma/ P/12 Marasmus fase rehabilitasi + Limfadenopathy Chest Xray dan BGA
    4 19/10/2021 regio colli OK susp. TB dd keganasan + Efusi Post Chest tube D
    tahun/20kg/11520141 Evaluasi
    pleura dextra + Moderate ARDS

    5 Tn. Heru 20/10/2021 CKD stage V on Routine HD (N18.5) AV Shunt (39.27) KRS
    Cahyadi/L/41th/11518335
    Ny. Azizah Hidayati/P/31th/10578451
    Ny. Azizah Hidayati/P/31th/10578451

    Chest Xray 15/10/2021


    Ny. Azizah Hidayati/P/31th/10578451

    Chest Xray 16/10/2021


    Tn Muhammad Choirul/L/30th/11520088
    Tn Muhammad Choirul/L/30th/11520088
    Tn Muhammad Choirul/L/30th/11520088

    Chest Xray RSUD Lawang 18/10/2021


    Tn Muhammad Choirul/L/30th/11520088

    Cervical Xray RSUD Lawang 18/10/2021


    Tn. Yazid Alwi/46 th/11519067

    Chest Xray RSSA 06/10/2021


    Tn. Yazid Alwi/46 th/11519067

    Chest Xray RSSA 06/10/2021


    Tn. Yazid Alwi/46 th/11519067

    Chest CT RSSA 08/10/2021


    Tn. Yazid Alwi/46 th/11519067

    Chest Xray RSSA 09/10/2021


    Tn. Yazid Alwi/46 th/11519067

    Chest Xray RSSA 12/10/2021


    Tn. Yazid Alwi/46 th/11519067

    Chest Xray RSSA 15/10/2021


    Tn. Yazid Alwi/46 th/11519067

    Chest Xray RSSA 19/10/2021


    Tn. Yazid Alwi/46 th/11519067

    Chest Xray RSSA 20/10/2021


    An. Findi Azzuma/ P/12 tahun/20kg/11520141

    Chest Xray RSSA 19/10/2021


    An. Findi Azzuma/ P/12 tahun/20kg/11520141

    Chest Xray RSSA 19/10/2021


    TERIMA KASIH

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