LIST PASIEN DIVISI UROLOGI, 21 MEI 2015

NoKamarIdentitasDiagnosisTerapiLabKet

1.A 7 Bed 1

T:110/70N:82R:20S:36,5Wempi Runtulalo (L)44 thn44.66.05

MRS 09/5/2015Perawatan H-13

dr. Richard M, Sp.U Ca prostat dd ca Buli Anemia Hiponatremia

Spooling Kateter IVFD NS 18 gtt/m Ranitidin inj 2x1 IV As tranexamat 3x1 inj Ciprofloxacin 2x200mg inj

Rencana:USG urologi 25/5-2015

20/05/2015SGOT 26SGPT 11Ur 90Cr 6,2GDS 80Na 130K 5,08Cl 105,718/5/2015Leu 8734Eri 2,74Hb 7,8Ht 22,2Tro 294Ur 111Cr 6,8Na 132K 5,26Cl 109,1SGOT 17SGPT 6GDS 87

KPJEdmond

2.A 7Bed 4

T: 120/70N: 62R: 24S: 36,9

Yan Rarung (L)61 thn23.43.45

MRS: 26-2-2015Perawatan H-85

dr. Ainun A, Sp.U

Ca prostat ISK IVFD NaCl 20gtt/mnt Ciprofloxacin inj 2x200mg Ranitidin inj 2x1 IV Mst 2x1 tab Duragesic patch

R/ sitologi urin16/5/2015Leu 9191Eri 4,64Hb 13,6Ht 41,1Tro 81Ur 59Cr 1,0Alb 3,78Na 135K 4,4Cl 108

9/05/2015Prot tot 6,13GDS 127Glob 2,97

16/04/2015SGOT 30SGPT 6

Pemeriksaan sputum 3xSPS: negative

05/05/2015PSA 10014/04/2015As Ur 7Kol 181HDL 29LDL 99TGL 263

Urinalisis14/04/2015Kristal:as.urat 5-6/LPBEri 6-8/LPBLeu 5-6 /LPBEpi 30-40/LPBBJ 1015pH 9Leu +++Prot +Eri ++++

USG:Kolelitiasis

KPJ:Randy L

3A 11Bed

T: N: R: S:

Tn. Arode Ridel (L)81 thn44.70.15

MRS 21-5-2015Perawatan H-2

dr. Alwin Monoarfa, Sp.B, Sp.U

Gross hematuri ec. Ca Buli +/+ LUTS berat IVFD RL 10 gtt/mnt Ranitidine 2x1 iv As. Traneksamat 3x1 iv Kateter 3 way spooling21/5/2015Leu 3064Eri 3,36Hb 9,7Ht 27,91Tromb 68.000EKG (dalam batas normal)

USG: tumor buli-buli +hidronefrosis bilateralKPJ: Chris

Irina A atas (2 pasien)

IRINA A BAWAH (6 PASIEN)NoKamarIdentitasDiagnosisTerapiLabKet

1.B 1 Bed 2

T:N:R:S:Maaniya Suharto (L)52 tahun43.00.86

MRS 12/05/2015Perawatan H-10 Post URs + Nefrostomy H-4 + PCNL + APG + RPG IVFD NaCl 20 gtt Inj Chrome 3x1 IV Inj Vit K 1x1 amp IM Inj vit C 1x1 amp Ranitidin inj 2x1 amp IV Cefoperazone 2x1 iv Vip albumin 3x2caps 19/05/2015Leu 13110Eri 3,52Hb 9,1Ht 28%Tro 127PT 16,5APTT 48,5INR 1,38

18/5/2015Ur 55Cr 2,6EKGNormal

USG UrologiNefrolitiasis (D)Hidronefrosis DD: HipogenesisKPJAdrian

2B 2Bed

T:N:R:S:Umahit Nurlaina(P)24thn40.23.49

MRS 10/5/2015Perawatan H-11 Post repair fistel ec. Fistel vesico vagina IVFD RL 20 gtt/mnt Ciprofloxacin 2x200gr iv Ranitidin 2x1 amp Vip albumin 3x2 caps Rawat luka19/5/2015Leu 9751Eri 4,37Hb 8,7Ht 28,5Tro 254Ur 12Cr 0,6Prot 7,05GDS 102Alb 3,6Glob 3,45Na 140K 3,78Cl 104,9EKGNormal

Produksi urin- Via kateter 140 cc/24 jam Via sistostomi minimalis - Urin drain hemoragic minimalisKPJ Maya

3B2Bed 2

T:N:R:S:Yulianti (P)14 tahun43.91.29

MRS 11/5/2015Perawatan H-11 Tumor buli susp malignancy Susp AKI post renal (interna) Anemia ec susp malignancy(interna) IVFD NaCl 20gtt/mnt Ceftriaxone 2x1 vial IV Ranitidin 2x1 amp Ketorolac k/p CT-Scan TU Buli

Rencana:Tur Buli rujuk RSCM

18/05/2015Leu 21290Er 4,01Hb 10,2Ht 31,4Tro 380Na 140K 5,23Cl 105,5Ur 68Cr 4,4GDS 84BNO IVP (23-2-2015)Uretherola- donefrosis (S)Tumor intravesika

Biopsi buli (11-3-2015)Jaringan ikat dengan keganasan

Hasil CT scan 20/3 :Susp renal cyst + hidronefrosis + massa buliKPJ Wina

4B 8Bed 4

T:N:R:S:Gosal Denni Herman (L)45 thn43.19.27

MRS 4-5-2015Perawatan H-18

dr. Alwin Monoarfa, Sp.B, Sp.U Metastasis tumor testis (S) Post Orchidectomy Hipoalbuminemia (2,69) Anemia Abdomen compartment syndrome IVFD RL 20 gtt/mnt Inj ketorolac k/p

16/5/2015Leu 9270Eri 3,97HB 9,8Ht 31,0Tro 324GDS 85Alb 2,69Cl 97,6K 4,01Na 138

5/5/2015Prot tot 684Glob 3,96

6/5/2015SGOT 32SGPT 8Ur 42Cr 1,0

EKGLAHT inverted di V1-V2T flat di V4-V5 e.c elektrolit imbalance dd anemia dd iskemik miokardKPJEka

5B 5Bed 4

T:N:R:S:Farid Baso (L)44 thn445854

MRS 7/5/2015Perawatan H-15

dr. Ainun A, Sp.U

Gross hematuria e.c. susp Ca buli Susp ISK Anemia ec susp malignancy dd chronic bleeding (Hb 6,0) Hipo-K (2,70) Hipo-Alb (2,36) IVFD RL 20 gtt/mnt Inj ranitidine 2x1 amp Inj ketorolac k/p Ciprofloxacin 2x200 mg

Rencana:CT scan abdomen dengan kontras 25/5/201518/5/2015Leu 10400Eri 2,95Hb 6,0Ht 19,8Tro 335Ur 20Cr 1,0GDS 116Alb 2,36

Urinalisis07/05/2015Warna: kuningKekeruhan: jernihBJ 1,010pH 6Nitrit negProtein ++Glu normKeton negUrobilinogen normBilirubin negDarah/eri ++++

16/05/2015Na 137K 2,70Cl 111,0

Feses 08/05/2015Darah negCacing negEri 2-3/LPBLeu 10-20/LPBEpitel 10-20Teur cacing negBakteri negJamur neg

USG urologi 18/5Tumor buliKPJ:Randy M

Produksi urin: cc/12 jam

6B 8Bed

T:N:R:S:Sambuari C Paulus (L)40 thn446765

MRS 18/5/2015Perawatan H-5

dr. Ainun A, Sp.U Grawits tumor IVFD NS 18 gtt/mnt Inj Omeprazole 2x1 Ranitidin inj 2x1 Patrol tab 3x1 SF 2X1 tab

Rencana:DL, Na K, Cl, Ur, Cr, SGOT, SGPT, ULTransfusi PRC 2 bagRadikal NefrektomiInformed consent

CrossmatchPersiapan darah PRC 1500-2000ccFFP 500cc

Advis interna:Novomix 2x6 U SCAntibiotik adekuat20/5SGOT 21SGPT 15Ur 17Cr 0,5GDS 173Na 128K 3,55Cl 90,9

Leu 10.100Eri 4,64Hb 10,5Ht 33,3Trombo 378

CT-scan abdomen 4/5/2015 (RS Teling)Tumor ginjal kiri (Grawits?)

EKG sinus takikardiaKPJAngel

7B 11Bed

T:N:R:S:Martoni (L)41 thn44.39.81

MRS 21/5/2015Perawatan H-2

dr. Richard M, Sp.U Nefrolithiasis bilateral Pos DJ stent Rencana 22/5/2015:ESWL14/4/2015Leu 7026Eri 4,67Hb 14,2Ht 41,6Trom 547MCH 30MCHC 34MCV 89Ur 26Cr 1,1Na 137K 4,64Cl 98,715/5/2015Thrombin Time: -Detik pasien: -PT pasien : 11,2PT kontrol : 13,0INR pasien: 0,93INR Kontrol: 1,04APPT pasien: 58,8APTT kontrol: 31,5SGOT : 16SGPT: 13Ur: 31Cr: 1,3GDS 85Na 135K 3,94Cl 97,1

KPJ: Bill

NoKamarIdentitasDiagnosisTerapiLabKet

1.NyiurKamar 9

T:N:R:S

Sompie Daniel (L)49 thn446127

MRS 17/5/2015Perawatan H-6 Fornier Gangren DM tipe II

Interna: Susp DM tipe II dd/ stress hiperglikemia Fornier gangreneIVFD RL 20gtt/mntCeftriaxone 2x1gr ivMetronidazol 3x500gr ivKetorolac 3x1 amp ivRanitidin 2x1 ampRawat lukaTerapi lain sesuai TS interna

Rencana: X-foto thorax AP, Lab. : PT, APTT, DL21/5/2015Leu 14.110Eri 4,82Hb 14,2Ht 42,1Tro 641MCH 30MCHC 34MCV 87GDP 349HbA1C 10,6Prot 7,2Alb 2,84Glo 4,18SGOT: 37SGPT 29Ur 16Cr 0,6Na 136K 4,46Cl 97,6