Sensus Onkologi 2 Oktober

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SENSUS ONKOLOGI Sabtu,4 Mei 2013 Pasien Baru No CM Nama L/P Umur MRS Bangsal Diagnosis Laboratorium Px Penunjang Tindakan 1 1595866 L 19 th 5/3/2013 A2 Ca palatum durum Jadwal Operasi No CM Nama L/P Umur MRS Bangsal Diagnosis Tindakan OK Jam A2 No CM Nama L/P Umur MRS Bangsal Diagnosis Laboratorium Px Penunjang Tindakan 1 1484861 Surep L 42th 14/3/13 A2/7 2 1629194 yadi Miharjo L 54 th 4/22/2013 A2 BCC periorbita S 3 1629321` Nastanginah P 44 th 4/25/2013 A2 4 1620177 Robikah P 44 th 4/30/2013 A2 Ca mammae S post MRM 5 1630035 Sutini P 71 th 5/1/2013 A2 Ca mammae S T4dN1Mx M.Arifin Ilyas 11/4/13 AL 6,89 Hb 12,1 AT 319 Alb 4,29 BUN 6,9 Crea 0,69 OT 14 PT 8 Na 137 K 3,84 Cl 99,6 GDS 82 STT regio Colli (S), multiple papiloma 24/4/13 PPT 15,8/14,7 APTT 32,1/34,6 AL 9,53 Hb 4,1 Ht 13,1 AT 268 Na 133 K 3,4 Cl 109 23/4/13 : Al 15.73 Hb 5,4 HCT 16.6 AT 310 11/4/13 Al 19,71 Hb 10,3 AT 374 8/4/13 Al 14,1 Hb 9,1 AT 406 5/04 Al 13,47 Hb 8,2 AT 310 22/03 Al 11,3 Hb 9,0 AT 343 PPT 14,7/13,5 APTT 29,6/31,6 Alb 2,67 BUN 8,3 Creat 0,87 OT/PT 35/13 Na 142 K 3,9 Cl 108 massa dari glandula parotis S yang meluas ke paralaringeal S, sinusitis maksilaris bilateral, tak tampak destruksi tulang 9/08/2010 histopatologi : jar tumor sinonasal : keratinizing squamos cell carcinoma 15/03 pro debulking + tunggu pelacakan TS DV ( biopsi Poliklinik) 30/4/13 AL 7,6 Hb 13,9 AT 174 Alb 4,46 BUN 17,5 Crea 0,98 OT 34 PT 35 Na 140 K 3,8 Cl 102 GDS 73 30/4/13 Torax : bronkhitis, kardiomegali pro eksisi luas thp I. Rekonstruksi Ca ammae D post eksisi tumor mammae S 30/4/13 AL 6,95 Hb 11,7 AT 251 Alb 4,2 BUN 6,8 Crea 0,56 OT 15 PT 21 Na 138 K 3,5 Cl 106 GDS 164 16/4/13 Histopatologi : mammae D:lesi fibrokostik page III dengan papiloma intraduktal dengan karsinoma duktal insitu dan karsinoma lobular insitu, mammae S:lesi fibrokistik page III 9/4/13 torax : pulmo dan besar cor normal, tak tampak tanda pulmonal maupun skeletal metastase post mastektomi D hr 1 1/5/13 AL 4,13 Hb 12,3 AT 454 Alb 4,2 BUN 9,5 Crea 0,67 OT 15 PT 19 Na 140 K 4,5 Cl 107 GDS 66 9/4/13 AL 7,47 Hb 14,1 AT 271 BUN 11,6 Crea 0,98 Na 141 K 3,71 Cl 101 GDS 90 pro kemoterapi ke 3 30/4/13 AL 9,39 Hb 10,3 AT 383 BUN 6 Crea 0,82 OT 18 PT 25 Na 136 K 4 Cl 102 GDS 93 30/4/13 Torax: soft tissue mass di mammae S, curiga plate like atelektasis di paracardial pulmo D, tak tampak pulmonal maupun bone metastase

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Transcript of Sensus Onkologi 2 Oktober

6 mei 2013 SENSUS ONKOLOGISabtu,4 Mei 2013

Pasien BaruNoCMNamaL/PUmurMRSBangsalDiagnosisLaboratoriumPx PenunjangTindakanKonsulenTeamKet11575499MurtinahP25th4/9/13B2Ca recti ekstensi simp gluteus21627961JumrotunP34th4/9/13B2Ca Mamae D3157396TarminiP50th4/9/13WJYCa mamae S41606153Siti WP32 th4/9/13A2Ca maxilla51620177RobihahP34th4/9/13B2Ca mamae S61629737JundallahP54 th4/9/13CW2Ca mammae1161560NinditowatiP63 th4/5/13AYDca Mamae D pro kemoterapidr HJ4120783 Sri HardjantiP67 thCW2dr HJ51449927ErmawatiP45 th4/4/23A2Ca mame bil post MRM bil post kemoterapi, Anemia03/04/2013 Al 10,5 Hb 8 AT 305 Alb 2,02 BUN 14 Cr 0,90 OT/PT 28/29 Na 124 K 2,1 Cl 81 GDS 122dr HJ116267suryaniP42 th4/2/13B2Tumor parotis D21490138SutarnoL43 th4/2/13A2CA Recti Pro kemoterapi31582219pariman L 71 th4/2/13B2411589298Sri BerbudiP49 th4/6/13CW2post op tumor mamae2162804Febi FP16 th4/6/13A3FAM bilateral31992360RukilahP52 th4/6/13A2Ca mamae S post MRM, tumor mamae Dpindah CW11627776WaginemP63th4/10/13B2Ca Mamae D T4dN1Mxdr HJ21628178SaripahP43 th4/10/13A2Ca Palatumdr HJ31461750TursyiahP49 th4/10/13A2STY dd sarcoma pro biopsidr HJ41595866Muhammad Arifin IlyasL19th4/10/13B2Ca Palatum durumdr HJ51627073ButiyahP53 th4/10/13B2Ca Mammae Sdr HJ61467751Dwi BudiyahwatiP44th4/10/13B2Ca Mammae Sdr HJ11595866M.Arifin IlyasL19 th5/3/13A2Ca palatum durum 11/4/13 AL 6,89 Hb 12,1 AT 319 Alb 4,29 BUN 6,9 Crea 0,69 OT 14 PT 8 Na 137 K 3,84 Cl 99,6 GDS 82

Jadwal OperasiNoCMNamaL/PUmurMRSBangsalDiagnosisTindakanOKJamKonsulenTeamKet11132369Dwiyatnip53 thCW1Ca Mammae SMastektomi sinistra + diseksi Axila1.0108.00dr KS21625644Sri suyatiP51 thKSMCa MammaePro kemoterapi Pasang VAP1.0109.00dr HJ31620310Hartini lestariP35 thA3fibrikostik mammae bilateralEksisi Tumor1.0110.00dr HJ11550804SuradimahP58 thCND2Ca Mammae SMRM1019.00dr.KS21628611Tunsiyahp50 thCND2Tumor Colli D DD/ Parotis Dextra AnaplastikInsisi Biopsi10110.30dr.HJ11623855TuminemP71 thDH 1SNNTTyroidektomi50308.00dr HJ2169521Sohibul AL38DH3lymfadenopati submandibula bilateralbiopsi eksisi50309.00dr HJ31626091TukinahP49 thBGV4limfadenopati multiplebiopsi eksisi50310.00dr HJ41375899SudarwatiP81 thAMT1Ca mamae sincore biopsi10111.00KS

A2NoCMNamaL/PUmurMRSBangsalDiagnosisLaboratoriumPx PenunjangTindakanKonsulenTeamKet11581479SupiniP40th12/2/13A2/8Ca mamma (D) T4dN1M022/03 Al 8,4 Hb 9,9 AT 258 Alb 3,25 18/03 Al 13,2 Hb 11,6 AT 351 Alb 3,98 BUN 7,5 Creat 0,56 Na 143 K 3,7 Cl 105 GDS 76 12/03 Al 8,12 Hb 10,8 AT 318 Alb 3,17 Na 147 K 4,02 Cl 10518/02 USG Upper Abd: Peningkatan echostruktur hepar curiga hepatopathy, tak tampak kelainan pd vesica velea,lien,pancreas,keuda ren, tak tampak lympadenopathy paraaorticiMastektomi paliatif (25/02/13)/H21 tutup defect dgn flap (21/3/13)dr.HJcek Dl,Alb21622276NurrohmahP37th14/3/13A2/9Ca Mammae (S)22/03 Al 8,75 Hb 11,3 AT 310 Alb 4,77 BUN 13,5 Creat 0,77 OT/PT 17/14 Na 139 K 4,1 Cl 99 GDS 97 15/03 Al 5,75 Hb 10,8 AT 316 PPT 13,5/13,2 APTT 30,4/29,8 Alb 4,17 BUN 5,4 Creat 0,74 OT/PT 17/17 Na 139 K 4,3 Cl 106 GDS 96pro BCT(26/3/13)dr.KScek Hb post op11618735MuhtoL46th20/02/2013A2/10Tumor Rongga mulut post maksilektomi bilateral dan eksisi19/03 Al 3,47 Hb 10 AT 328 Alb 2,82 15/03 Al 9,59 Hb 10,2 AT 343 11/03 Al 5,25 Hb 11 AT 413 Alb 2,88 Na 137 K 3,6 Cl 107 GDS 12015/3/13 maxilla : Melanoma maligna spindle cell type 22/2/13 foto thorax: dbn 1/2/13 MSCT: masa di mucosal regio maxilla dextra meluas ke palatum menyebabkan destruksi os maxilla dextra aspek anterior masuk ke cavum nasi dan sinus maxillaris bilateralmaksilektomi bilateral dan eksisidr.HJdr Hendicek lab, BLPL21625644Sri suyatiP51 thKSMCa MammaePro kemoterapi Pasang VAP1.0109.00dr HJ11261708Daimatu SalamahP40th4/3/13A2/8Basalioma regio angulus mandibula8/04/13 Al 8,41Hb 11,9AT 577Alb 4,48BUN 14,8 Cr 0,63OT 26 PT37 Na 140 K 3,7 Cl 104 GdS 90 21/03 Al 10,57 Hb 11,5 AT 433 Alb 3,9 BUN 10,6 Creat 0,63 Na 143 K 3,8 Cl 105 GDS 77 08/03 Al 7,9 Hb 12,1 AT 352 PPT 15,9/13,8 APTT 29,9/30,6 Alb 4,07 BUN 11 Creat 0,8 OT/PT 12/30 Na 146 K 3,2 Cl 104 GDS 76 25/03 hasil histopatologi PA basal cell carcinoma 21/03 thorax PA pleural reaction, besar cor normal11/03. USG Leher: Massa solid dgn central necrotic (S) regio infra auriculer disertai tumor vessel, megarah ke malignancy, Limfanodenopati sunmentale, submandibula bilateral dan posterior coroid (S) 1/04/13 submandibula : Basal cell Carcinomapost debulking tumor dan eksisi luas (22/3/13)dr.HJdr rusmawan, dr RidoGV41622280Sarjilahp 47 th4/1/13A2Ca Mammae ro kemoterapidr HJ31628825Ari KustitikP 54 th4/1/13A2Ca Mammae S 1/4: Al 8,9 Hb13.3AT 174Alb 3.33 BUN 6 Cr 0.81 AU 3,5 SGOT/PT 18/25 Na 139 K 3,3 Cl 98 GDS 144 HBsAg (-)04/4/13 AJH : ditemukan sel ganasdr HJ41490138SutarnoL43 th4/2/13A2CA Recti Pro kemoterapi3/04 PPT 12,6/13,8 APTT 26,7/32,5 Al 5,82 Hb 16 AT 229 Alb 4,2 BUN 15,2 Cr 0,84 AU 4,5OT 21, PT17 Na 139 K 4,1 Cl 104 7/09/2010 histologiPA : jar. Colon :nadenokarsinoma tipe musinosum differensiasi sedang metastase ked dua limfonodi (Dukes C). Jar apendix : apendicitis et periapendicitis akut, tanpa tumor 25/08/2010 USG lower abd : tak tampak tanda-tanda metastase pada organ hepar, VF, lien pancreas, kedua ren, VU, prostatdr HJ11484861SurepL42th14/3/13A2/7STT regio Colli (S), multiple papiloma24/4/13 PPT 15,8/14,7 APTT 32,1/34,6 AL 9,53 Hb 4,1 Ht 13,1 AT 268 Na 133 K 3,4 Cl 109 23/4/13 : Al 15.73 Hb 5,4 HCT 16.6 AT 310 11/4/13 Al 19,71 Hb 10,3 AT 374 8/4/13 Al 14,1 Hb 9,1 AT 406 5/04 Al 13,47 Hb 8,2 AT 310 22/03 Al 11,3 Hb 9,0 AT 343 PPT 14,7/13,5 APTT 29,6/31,6 Alb 2,67 BUN 8,3 Creat 0,87 OT/PT 35/13 Na 142 K 3,9 Cl 108 26/4/13 histopatologi : hasil biopsi sesuai dengan condiloma akuminata 9/4/13 MSCT kesan : massa dari glandula parotis S yang meluas ke paralaringeal S, sinusitis maksilaris bilateral, tak tampak destruksi tulang 9/08/2010 histopatologi : jar tumor sinonasal : keratinizing squamos cell carcinoma 15/03 cervical: Curiga masa tiroid dng pemyempitan airway,Thorax: dbn tak tampak metastasepro debulking + tunggu pelacakan TS DV ( biopsi Poliklinik)dr.HJperbaikan KU71591472MariyamP47th17/3/2013A2/9Undifferiented Metastase carcinoma reg Colli (D)17/03 Al 11,1 Hb 12,3 AT 437 Alb 3,91 BUN 14,8 Creat 0,77 OT/PT 144/39 Na 137 K 4,1 Cl 101 GDS 73 pro kemoterapidr.HJcek DL71628757TumiyemP60 th3/28/13A2/Ca Mammae (S)1/4: Al 7.8 Hb 9,2 AT320Alb 3.05 Bun 13,3 Cr 0,51 SGOT/PT14/8 Na 142 K 4,0 Cl104 GDS 128cek lab lengkap21449927ErmawatiP45 th4/3/13A2/9Ca mamae bilateral post MRM bil post kemoterapi dan radiasi23/4/13 Na 114 K 2,1 Cl 75 19/4/13 Al 7.93 HB 7.6 HCT 22,8 AT 267 Na 117 K 2,4 Cl 81 17/4/13 : Al 7.54 HB 7.4 HCT 22.4 AT 293 ALb 2,32 BUN 9,4 Cr 0,41 Na 126 K 2,81 Cl 8216/4/13 Na 130 K 3.0 GDS 101 12/4/13 Al 8,37 HB 10,5 AT 212 Alb 2,21 9/4/13 Alb 1,78 Na 125 K 2,8 Cl 89 GDS 98 8/4/13 Al 14 Hb 9,1 AT 406 03/04/2013 Al 10,5 Hb 8 AT 305 Alb 2,02 BUN 14 Cr 0,90 OT/PT 28/29 Na 124 K 2,1 Cl 81 GDS 12203/04/13 thorax foto : pleural reaction dextra, diafragma sinistra letak tinggi, cor dbn, tak tampak skeletal metastases 21/06/11 karsinoma duktal infiltrasi NOS, grade III, dengan metastase di limfonudi, dasar tumor tidak bebas tumorGV, perbaikan KUdr. HJtransfusi darah, Raber UPD 41606153Siti WP32 th4/9/13A2Ca maxilla9/4/13 Al 6,27 Hb 13,4 AT 186 Alb 4,11 BUN 9,6 Cr 0,85 OT/PT 15/9 Na 139 K 3,4 Cl 108 GDS 8231624474Marfuah P 63 th4/5/13A2struma colloides8/4/13 Al 8,7 Hb8,8 AT 523 05/04/13 Al 10,03 Hb 8,5 AT 570 Alb 3,09 BUN 29,4 Cr 0,89 OT/AT 69/20 Na 144 K 3,99 Cl 98,3 GDS 10611/4/13 USG thyroid massa solid inhomogen dg multiple lesi anechoic dg ukuran sangat besar , CFM (+) susp malignant 11/4/13 thoraks : soft tissue mass di regio colli, multiple nodule di kedua pulmo susp metastasis, cardiomegali, bone metastasis (-) 5/03/3 AJH : tidak ditemukan sel ganas 26/2/3 USG thyroid(bacaan tdk ada), foto soft tissue thorax dan leher: massa di regio collidr HJ71992360RumilahP52 th4/6/13A2Ca mamae S post MRM, tumor mamae D31628178SaripahP43 th4/10/13A2Ca Palatum11/4/13 Al 7 Hb 12,3 AT 123 Alb 3,83 BUN 8 Cr 0,56 OT/PT 17/9 Na 135 K 3,45 Cl 94,3 GDS 10011/4/13 thorax dbnbiopsi konsul THT dr KSBLPL, kemo via poli51461750TursyiahP49 th4/10/13A2STT dd sarcoma pro biopsi11/04/2013 Al 5,31 Hb 1 AT 377 Alb 4,16 BUN 10,8 Cr 0,54 OT/PT 30/21 Na 137 K 3,5 Cl 104 GDS 0611/04/2013 foto thorax: pulmonal metastase, nodular type dan subpleral type, cor dbn, metastase bone tak tampak. 06/09/10 PA jaringan payudara dan axilla: karsinoma ductal infiltrat gr 2 dengan bagian tipe komedo, metastase ke limfonudi regionalpro biopsi hari inidr HJ71605515Indah SuwarniP49 th4/17/13A2Ca Mammae Dpost kemoterapi dr HJBLPL61619727RubaengahP53 th4/17/13A2ca mammae Spost kemoterapi dr HJBLPL21629194yadi MiharjoL54 th4/22/13A2BCC periorbita S30/4/13 AL 7,6 Hb 13,9 AT 174 Alb 4,46 BUN 17,5 Crea 0,98 OT 34 PT 35 Na 140 K 3,8 Cl 102 GDS 7330/4/13 Torax : bronkhitis, kardiomegalipro eksisi luas thp I. Rekonstruksidr HJtungggu jadwal, Cek DR.KD31629321`NastanginahP44 th4/25/13A2Ca ammae D post eksisi tumor mammae S30/4/13 AL 6,95 Hb 11,7 AT 251 Alb 4,2 BUN 6,8 Crea 0,56 OT 15 PT 21 Na 138 K 3,5 Cl 106 GDS 16416/4/13 Histopatologi : mammae D:lesi fibrokostik page III dengan papiloma intraduktal dengan karsinoma duktal insitu dan karsinoma lobular insitu, mammae S:lesi fibrokistik page III 9/4/13 torax : pulmo dan besar cor normal, tak tampak tanda pulmonal maupun skeletal metastasepost mastektomi D hr 1dr KSoperasi tanggal 3/5/13 41615164KamilahP64 th4/25/13A2Ca mammae S pro kemo ke IVdr hj51453522Sri SumarniP49 th4/27/13A2Ca mammae S post mastektomi dan kemoterapi, efusi pleura S27/4/13 AL 14,7 Hb 12,6 Ht 38,3 AT 356 Alb 4,33 BUN 8,7 Crea 0,83 AU 4,6Na 135 K 3,15 Cl 91,2 GDS 25428/4/13 Thorax : susp pulmonal metastase mixed type (noduler type dan subpleural type), besar cor tak valid dinilai, tak tampak bone metastase 28/6/12 histopatologi : tumor mammae S : karsinoma duktal infiltratif NOS gr III residif 26/6/12 USG low abdomen : tak tampak kelainan pada hepar, vesika velea, lien, pankreas, kedua ren, vesika urinaria dan uterus, tak tampak tanda metastase pada organ tersebut, tak tampak limfadenopati paraaortici41620177RobikahP44 th4/30/13A2Ca mammae S post MRM1/5/13 AL 4,13 Hb 12,3 AT 454 Alb 4,2 BUN 9,5 Crea 0,67 OT 15 PT 19 Na 140 K 4,5 Cl 107 GDS 66 9/4/13 AL 7,47 Hb 14,1 AT 271 BUN 11,6 Crea 0,98 Na 141 K 3,71 Cl 101 GDS 90pro kemoterapi ke 351630035Sutini P71 th5/1/13A2Ca mammae S T4dN1Mx30/4/13 AL 9,39 Hb 10,3 AT 383 BUN 6 Crea 0,82 OT 18 PT 25 Na 136 K 4 Cl 102 GDS 9330/4/13 Torax: soft tissue mass di mammae S, curiga plate like atelektasis di paracardial pulmo D, tak tampak pulmonal maupun bone metastase61628377datisihP50 th4/19/13A2tumor mediastinum ec tymoma post biopsi eksisi limfonodi29/4/13 AL 6,61 Hb 13,4 AT 253 Alb 4,29 BUN 5,8 Crea o,73 OT 16 PT 16 Na 139 K 3 Cl 102 GDS 142 Free T4 h-TSH 1,11 T3 70,4 1/5/13 Na 141 K 3,7 Cl 10530/4/13 toraks : massa mediartinum superior, pulmo dan cor dbn 23/4/13 USG upper abd : multiple nodul di RLL dan LLL curiga gambaran malignancy dd/multiple hemangioma. Cholelithiasis. Tak tampak kelainan lien, pankreas, ren, vu, uterus. Tak tampak limfadenopati paraaortici. 22/4/13 cervical: soft tissue mass di paratrakeal D setinggi VT 2-6. USG toroid : lesi isoechoic inhomogen lobulated batas tak tegas di tiroid D mengarah malignitas.post biopsi eksisi limfonodi hr 1menunggu kosulan lebih lanjut71629206SumiyatiP43 th5/2/13A2Ca mammae S30/4/13 AL 7,05 Hb 12,4 AT 516 Alb 3,24 BUN 8 Crea 0,6 OT 33 PT 26 Na 134 K 4,7 Cl 96 GDS 103

B2NoCMNamaL/PUmurMRSBangsalDiagnosisLaboratoriumPx PenunjangTindakanKonsulenTeamKet11623333SungkonoL53th13/3/13B2/12Tumor Parotis S post eksisi tumor parotis S6/04/13 PPT 13,1/4: Al 859 Hb15.7AT 239vAlb 4.6 BUN 8,5 Cr 1.1 Na 140 K 3.9 Cl 99 GDS 78 1/4/13 Al 8,5 Hb 15,7 AT 239 Alb 4,6 BUN 8,5 Cr 1,1 OT 14 PT 14 Na 140 K 3,9 Cl 99 GDS 7825/03 MSCT : massa di paroptis sin dd parotitis , neoplasma. Thorax :dbndr.HJ21624040TurijoL59th14/3/13B2SCC gluteal S22/03 Al 6,98 Hb 12,2 AT 277 Alb 4,16 BUN 15,8 Creat 1,07 Na 140 K 4,5 Cl 96 17/03 GDS 252 15/03 PPT 11.9/13,2 APTT 26,7/29,8 Al 5,79 Hb 12,3 AT 286 Alb 3,73 BUN 14,6 Creat 1,34 OT/PT 10/10 Na 138 K 4 Cl 105 GDS 40116/03 thorax: sesuai gmbrn TB paru lama aktif bilateral pro kemoterapidr.HJ11622813RamilahP67th14/3/13B2/10Myxoma Genu (D) post amputasi17/4/13 : Al 16.2 HB 11.1 HCT 35.1 AT 283 Na 129 K 5,4 Cl 99 16/4/13 Al 10.1 Hb 8,4 AT 312 8/4/13 Al 7,92 Hb 10,4 Plt 342Alb 3,2621/03 Al 6,99 Hb 8,1 AT 651 Alb 3,04 Na 140 K 3,6 Cl 105 GDS 108 14/03 Al 15,6 Hb 9,7 AT 283 PPT 10,9/12 APTT 24,1/30,4 Alb 2,78 BUN 23 Creat 0,68 OT/PT 44/31 Na 128 K 4,3 Cl 86 GDS 112 17/03 Thorax: Bronchopneumonia dan lesi noduler pulmo (D), sangat mkn e.c pulmonal metastase mixed type,cardiomegali,tak tampak skletal metastase, Cruris: Soft tissue mass regio cruris (D) pars tertia proximal 3/4 soft tissue: Sarcoma di regio cruris proximal, tak tamapak infiltrasi tumor pd musculi dan crurispost Amputasi ABOVE knee dr.HJkonsul RM31628611TunsyiahP34th3/28/13B2/10tumor anaplastic regio colli dextra31/3/3 Al 7,7 Hb 10,9 AT 418 Alb 3,82 BUN 9 Cr 0,68 OT 40 PT 24 Na 132 K 4,8 Cl 102 GDS 99 hTSH 1,74 total T4 8,66 T3 79,5 HBsAg (-) CRP 1804/4/13 Cervical AP/lat : thorax: pro CT scan senindr.HJ41592516NgatiyemP54th20/3/2013B2/8Tumor Colli D/S27/03 Al 5,92 Hb 14,4 AT 257 Alb 4,25 Ca 2,41 N a 138 K 4,7 Cl 105 GDS 97 T4 1,58 TSH 0,79 221/03 PPT 12,2/14,5 APTT 28,3/30,7 Al 5,84 Hb 14,7 AT 269 Alb 4,53 BUN 13,3 Creat 0,66 Na 142 K 3,7 Cl 86 GDS 89 Free T4 1,55(0,89-1,76) TSH 0,78 (0,4-4,0)dr.HJ11622339SuminiP62th21/3/2013B2/10SNNT20/4/13 AGD: pH 7,38 19/4/13: AL 5.36 HB 13,6 HCT 43,3 AT 252 NA 140 K 4.0 CL 104 GDS 81 12/4/13 Al 5,51 Hb 13,7 AT 300 BUN 10,3 Cr 0,61 Na 142 K 3,93 Cl 100.7 GDS 117 Free T4 1,02 hTSH 2,36 06/04/13 PPT 12,9 /14,1 APTT 26,9/31,3 Al 6,73 Hb 14,6 AT 300 Alb 4,1 BUN 11,3 Cr 0,66 OT 14 PT 3 Na 144 K 3,85 Cl 102 GDS 111 HBsAg (-) 27/3 : Al 5,92 Hb 14,4 At 257 Alb 4.25 Na 138 K 4,7 Cl 105 GDS 97 t4 1,58 TSH 0,79 12/4/13 Thorax : soft tissue mass regio colli Dextra, pulmo tak tampak kelainan, cardiomegali 02/4/13 AJH reg colli : neoplasia folikuler CT scan 28/3: Complex Cyzt thyroid bilateral terutama dextra curigamaligna, deviasi serta penyempitan Airway ke Aspek sinistrapro total thyroidektomi s.d trachestomidr.HJrecana operasi senin 6/5/1371622757WarsiniP50th21/3/2013B2/10Ca Mammae (D)23/03 PPT 12,5/13,7 APTT 28,9/33,9 Al 5,94 Hb 12,5 AT 257 Alb 4,02 BUN 14,6 Creat 0,9 OT/PT 11/7 Na 137 K 3,7 Cl 102 GDS 81 Mastektomi(26/3/13)dr.KScek Hb81627351DasriyatiP55th21/3/2013B2/10Ca Mammae (D)24/03 Al 8,8 Hb 8,4 AT 277 Alb 1,9 21/03 PPT 13,8/14,5 APTT 25,6/30,7 Al 7,8 Hb 4,4 AT 374 Alb 1,99 BUN 10 Creat 0,94 OT/PT 15/29 Na 138 K 2,7 Cl 98 GDS 103 21/03 Thorax: Cardiomegali dgn awal edema pulmonumdr.HJcek DL51626725suryaniP42 th4/2/13B2Ameloblastoma maxilla Dthorax dbnpro hemimaksilektomidr Hj51582219pariman L 71 th4/2/13B2genekomastia sinistra post mastektomi subkutan4/04/13 Na 145 K 4,3 Cl 105 GDS 121 3/4/13 ppt 13,6/13,8, APTT 29,4/32,5 Al 4,4 Hb 14,4 AT 166 Alb 4,69 BUN 16,3 Cr 0,94 OT 15 PT 14 Na 143 K 4 Cl103 GDS 115 HBsAg (-)03/04/13 thorax dbnmastektomi subkutandr HJdr Hendi/dr RidoBLPL71625053Daruni P36 th3/28/13D2Tumor mammae (S)19/3 Al 7,9 Hb 13,7 AT 230 BUN 9,8 Cr 0,63 OT 25 PT 23 Na 141 K 4,12 Cl 100,6 HBsAg (-)AJH: Lesi fibrokistikpro Eksisi ( 02/4/13)dr HJ81015464hamilahp 64 th4/1/13B2Ca Mammae (S) pro kemoterapi dr HJCek DL1o1542260Saminahp 60 th4/1/13B2Ca Mammae (D) pro kemoterapi dr HJCek DL61550804SuradinahP57 th4/4/13B2Ca Mama S post MRM04/04/13 Al 9,21 Hb 10,9AT 304 Alb 4,21 OT 19 PT 13 BUN 8,9 Cr 0,81 GDS 80 Na 45 K 3,61 CL 103 HBsAg (-)04/04/13 thoraks dbn tak ada tanda2 metastase MRMdr HJtunggu hasil PA31626747Andi NugrohoL28 thB2Sarcoma Femur S DD/ MPNST9/4/13 Al 10,3 Hb 13,8 AT 217 PPT 13,113,5 APTT 31,5/33,7Alb 4,54 BUN 8,2 Cr 0,91 OT/PT 17/7Na 142 K 3,8 Cl 10619/03/13 Al 9,0 Hb 13,9 AT 316 Alb 4,38 OT 52 PT 77 BUN 9,2 Cr 0,7 GDS 80 Na 140 K 4,46 Cl 104 thorax dbndr HJpost operasi hari ke 351575499MurtinahP25th4/9/13B2Ca recti ekstensi simp gluteus9/4/13 Al 26,99 Hb 11,1 AT 171 Alb 1,61 BUN 6,3 Cr 0,46 OT/PT13/7 Na 125 K 3,1 Cl 98 31627961JumrotunP34th4/9/13B2Ca Mamae D9/4/13 Al 8,21 hb 6,3 AT 254 Alb 3,39 BUN 15,8 Cr 0,77 OT/PT 264/55 Na 137 K 4,6 Cl 105 GDS 87dr HJpro kemoterapi + perbaikan KU71620177RobihahP34th4/9/13B2Ca mamae S09/04/2013 Al 7,47 Hb 14,6 AT 394 Alb 5,09 BUN 8 Cr O,94 OT/PT 17/40 Na 141 K 3,7 Cl 101 GDS 90 HbSag (-)81618757tumiyemP60th4/10/13B2NHL01/04/2013 Al 7,8Hb 9,2 AT 320 Alb 3,05 BUN 13,3 Cr 0,51 OT/PT 14/8 Na 142 K 4 Cl 104 GDS 128 31617358ChristianaP40th4/10/13B2Ca mammae D19/4/13 : AL 8,65 HB 8,9 HCT 28.1 AT 334 ALb 3.49 Na 139 K 4,1 Cl 105 16/4/13 Al 10,3 Hb 11,1 AT 91 Alb 4,03 Na 144 K 3,4 Cl07 GDS 10910/4/13 Al 8,68 Hb 11 AT 338 Alb 3,72 BUN 10,6 Cr 0,63 OT/PT 30/23 Na 143 K 3,62 Cl 103 GDS 93 HB sAg (-) 03/04/2013 Al 2,2 Hb 10,5 AT 201 10/4/13 thorax dbnpost mastektomi 18/4/13dr KS51624040TurijoL59th4/10/13B2SCC gluteal D pro kemoterapi II10/4/13 Al 8,67 Hb 11,8 AT 251 Alb 3,67 BUN 21,6 Cr 1,22 OT/PT 14/10 Na 136 K 5,35 Cl 96,3 GDS 279 27/3/13 Al 5,79 Hb 12,3 AT 286 Alb 3,73 BUN 14,6 Cr ,1,34 18/03/13 USG Abd : tak tampak metastase 16/03/13 thorax: gambaran TB aktif bilateraldr Hjpro kemoterapi71595866Muhammad Arifin IlyasL19th4/10/13B2Ca Palatum durum11/4/13 Al 6,89 Hb 12,1 AT 319 Alb 4,29 BUN6,9 Cr 0,69OT/PT 14/8 Na 137 K 3,84 Cl 99,6 GDS 82dr HJpro kemoterapi41627073ButiyahP53 th4/10/13B2Ca Mammae S11/4/13 Al 5,89 Hb 11,4 AT 307 Alb 3,91 BUN 13,6 Cr 0,57 OT/PT 17/11 Na 138 K 3,49Cl 98,8GDS 112dr HJpro kemoterapi71467751Dwi BudiyahwatiP44th4/10/13B2Ca Mammae S11/4/13 Al 4,57 Hb 11,8 AT 314 Alb 4,40 BUN 6 Cr 0,85 OT/PT 19/19 Na 140 K 3,42 Cl 103 GDS 117 dr HJpro kemoterapi81627776WaginemP63th4/10/13B2Ca Mamae D T4dN1Mx11/4/13 Al 10,35 Hb 10,1 AT 380 Alb 4,35 BUN 8,4 Cr 0,84 OT/PT 23/14 Na 141 K 4,1 Cl 102dr HJpro kemoterapi61569037DalijoL47 th12/413B2NPC13/4/13 Al 2,07 Hb 12,8 AT 362 Alb 3,86 BUN 7,1 Cr 0,80 OT 12 PT 8 Na 135 K 3,4 Cl 100 GDS 1198/03/13 Al 10,3 Hb 12,2 AT 368 Alb 3,66 BUN 6,4 Cr 0,64 Na 144 k 3,1 Cl 95.5 GDS 51pro kemo ke 4dr HJ21627541RohmanL46th4/16/13B2Tumor parotis D16/4/13 Al 36,2 Hb 10,3 AT 289 BUN 7,7 Cr 0,66 Na 12 K 3,7 Cl 87 GDS 99 HBsAg (-)AJH : Undiferentiated Carcinoma. CT scan : Massa di Cavum Nasi yang mendestruksi dinding lateral Cavum Nasi D masuk ke sinus maxilaris D dan mendestruksi dinding sinus Maxilaris D, di aspek caudal mendestruksi fossa alveolaris ossis maxilaris D dan meluas ke regio buccal D dan mendestruksi palatum durum dan mendestruksi os sphenoidalis ke dasar fossa cranialis media dextra dan di aspek posterior masuk ke nasofaring dan ororfaring suspek ANGIOFIBROMA , Limfadenopati cervicalis profunda dextra Foto thoraks: dbnpro debulking tumor tunggu jadwaldr HJkoreksi elektrolit, cek lab41354614BurhaniL38 th4/16/13B2Limfoma susp NHL16/4/13 Al 12,3 Hb 10,6 AT 102 Alb 3,97 BUN 17,8 Cr 1.00 OT 22 PT 6 Na 138 K 3,9 Cl 03 GDS 70 HBsAg (-)pro biopsi insisidr HJ31631568slamet riyadiL21 th4/19/13B2soft tissue tumor mandibula19/4/13 Al 9.64 HB 11,5 HCT 34.8 AT 400 Alb 4,17 BUN 28 Cr 0,95 SGOT/PT 29/31 Na 139 K 4,5 Cl 100 GDS 10026/4/13 MSCT : tumor radix lingua bilateral terutama Sin, tak tampak destruksi tulang, tak tampak limfadenopati cervicales 19/4/13 thorax : pulmo dbn, besar cor dbn, old fraktur costa 6 Dx aspek posteriorpro CT scan hr jumatdr HJPL APS41631562Sri Darini p 40 th4/19/13B2Ca Mammae Bilateral T4d N3Mx22/4/13 AL 8,75 Hb 11 Ht 33,6 AT 428 Alb 2,67 19/4/13 : Al 13,4 Hb 13,1 AT 390 Alb 2,66 BUN 13 Cr 1.14 SGOT/PT 76/37 GDS 99 Na 127 K 3,8 Cl 90 USG : Efusi pleura D, lain2 dbn Foto thoraks: pulmonal metastase mix type ( subpleural type dan pneumonic tipe) , tak tampak skeletal metastaseperbaikan KUdr HJ51580058Tri Wijayantip29 th4/19/13B2Tumor Axila D20/4/13 Al 4.36 HB 12.6 HCT 38,5 AT 365 Alb 4,34 BUN 10.1 Cr 0.54SGOT/PT 17/12 Na 141 K 2,9 Cl 104 GDS 94 Eksisi tumor 24/4/3dr HJ8162915Didik SyamsuriL43 th4/16/13B2tumor submandibula D + TB milier16/4/13 Al 9,2 Hb 13 AT 391 Alb 4,25 BUN 9,6 Cr 1,01 Na 137 K 4,6 Cl 101 GDS 79 pro debridement sd eksisi tumordr HJ41621018sugiyemp68 th4/17/13B2Ca Lidah19/4/13: Al 4.68 HB 10,7 AT 353 Alb 3,51 BUN 13,9 Cr 0,81NA 136 K 3,9 Cl 101 GDS 103 13/3/13 Al 4.45 Hb 10,6 HCT 31,6 AT 335BUN 10,3 Cr 0,83 Na 137 K 3,4 Cl 101 Alb 2.9919/4/13 thorax : pulmo tak tampak kelainan, tak tampak metastase, cor dbn AJH: Carcinoma cell Squamous differensiasi baikpro Hemiglossektomidr HJtunggu jadwal71625461M MustadinL 30 th4/24/13B2Difuse NHL Reg Colli Sdr HJ51627979Suminip30 th4/23/13B2Ca Mammae Bilateral26/3/13 AL 5,7 Hb 11,1 AT 401 Alb 4,01 BUN 11,6 Crea 0,6 OT 12 PT 4 Na 141 K 3,75 Cl 103,7 GDS 104pro biopsidr HJcek lab71631023suryaniP38 th4/25/13B2Ca mammae D cT4dN2M0 Pro kemoterapidr HJ61575499MurtinahP26 th4/29/13B2Ca recti ekstensi gluteus pro kemoterapi ke VI30/4/13 AL 19,09 Hb 9,9 AT 75 BUN 7,5 Crea 0,58 OT 12 PT 8 Na 122 K 2,6 Cl 999/4/13 AL 26,9 Hb 11,1 AT 171 Alb 1,61 BUN 6,3 Crea 0,46 OT 13 PT 7 Na 125 K 3,1 Cl 984/10/12 thorax : bronkopneumonia 21/9/12 MSCT : massa rektum yang meluas ke rektosigmoid dan ke arah cutis regio gluteus Sin 23/7/12 histopatologi : anorektal :perluasan adenokarsinoma diferensiasi baikdr HJ61629498SuhardiL57 th4/29/13B2adenoma kel ludah1/5/13 AL 5,91 Hb 7,8 AT 374 Alb 3,52 BUN 70,9 Crea 7,7 Chol 177 Trig 130 Na 143 K 4,5 Cl1122/5/13 USG abd : nefrolithiasis bilateral, HN severe bilateral, cystitis, tak tampak kelainan pada hepar,lien,VF, pankreas,prostat.dr HJ71102670Sri SayektiP53 yh4/30/13B2tumor colli18/4/13 AL 10,7 hb 12,1 AT 206 Alb 4,6 BUN 11,5 Crea 0,7 Na 143 K 3,84 Cl 102,2 TSH 0,513 T4 11,7 T3 120 GDS 9622/4/13 MSCT : aneurisma a.carotis comunis Dx, bentuk fusifora. Sitologi : AJH leher depan : radang supuratif 12/4/13 USG tiroid dan soft tissue : massa colli anterior curiga benigna dd/limfadenopati colli, tak tampak kelainan pada tiroid D et S81627776WaginemP63 th5/2/13B2Ca mammae D11/4/13 AL 10,35 Hb 10,2 AT 380 BUN 8,4 Crea 0,84 OT 23 PT 14 Na 141 K 4,1 Cl 10291627961JumrotunP34 th5/2/13B2Ca mammae D19/4/13 AL 14,4 Hb 12,7 AT 162 Alb 4,15 BUN 8,9 Crea 0,69 AU 9,2 OT 224 PT 59 Na 138 K 4,51 Cl 98,8 GDS 10511624040TurijoL59 th5/2/13B2SCC gluteal D10/4/13 AL 8,67 Hb 11,8 AT 251 Alb 3,67 BUN 21,6 Crea 1,22 OT 14 PT 10 Na 136 K 5,35 Cl 96,3 GDS 27918/3/13 USG lower abd : simple cyst di ren Dx, tak tampak kelainan pada hepar,VF,lien,pankreas,ren S,VU,prostat. Tak tampak tanda-tanda metastase pada organ-organ terserbut. Tak tampak limfadenopati paraaortici. 16/3/13 thorax: sesuai gambaran TB paru lama aktif bilateral, besar cor normal

C211623369RuwiyatiP45th19/3/2013C2/7TMD28/3 : Al 9,29Hb 14,1 AT 302ALb 4,55 Na 140 K 3,8 Cl 104 GDS 12625/03.AJH: tidak didapatkan sel ganas pada Mammae (D)pro Eksisidr.HJ11626384SalinahP55th3/28/13C2/7Ca Mammae D T4bN1m09/4/13 Al 1.02 Hb 10,1 AT 188 Alb 2,34 BUN 9,3 Cr 0,76 OT/PT 37/13 Na 127 K 3,6 Cl 102 GDS 1461/4/13 Al 4.46 Hb 10.5 AT 392 30/3 : Alb 2,68 BUN 10,5 Cr 0,85 Na 136 K 3,2 Cl 109 GDS 13803/04/13 USG Abdomen: hepatal metastase AJH: ganas (Carcinoma Ductal)dr HJ21624940SumiyatiP44th22/3/2013C2/Ca Mammae (S)26/03 PPT 12,3/13,5 APTT 27,1/31,4 Al 8,5 Hb 11,8 AT 337 Alb 3,08 BUN 11,1 Creat 0,7 OT/PT 17/16 Na 142 K 4,49 Cl 99,1 GDS 77 pro Mastektomi(27/3/13)dr.HJ11626109sartiniP46 th4/4/13C2SNNT post thyroidektomi12/4/13 Al 9,69 Hb 12,5 AT 285 Alb 4,82 BUN 14,9 Cr 0.79 OT 15 PT 9 Na 1434/04/13 PPT 17,4/13 APTT 33,6/31,6 Al 7,68 Hb 11,8 AT 277 Alb 4,54 BUN 9,4 Cr 0,87 OT 15 PT 10 Na 146 K 3,76 Cl 06,7 GDS 104 Fre T4 1,19 hTSH 1,27 HBsAg (-) 14/3 Al 10,2 Hb 13,1 AT 311 Alb 3,96 BUN 11,5 Cr 0,89 OT 13 PT 11GDS 71 Free T41,34ismolobektomidr HJ11628115SarminahP49 th4/4/13C2Ca Tiroid18/4/13 Al 7.12 HB 12,6 HCt 42,7 AT 304 Alb 4,79 BUN 8,4 Cr 0,74 NA 140 K 3,6 Cl 103 GDS 73 4/4/13PPT 14,7/13 APTT 29/31,9 Al 6,43 Hb 1,9 AT 362 Alb 4,35 BUN 7,3 Cr 0,69 OT 13 PT 8 Na 140 K 3,6 Cl 106 GDS 100 free T4 1.33 hTSH 1,11 HBsAg (-)05/04/13 cervical AP/Lat dbn, 04/04/13 thorax cardiomegaliPost Total thyroidectomy 19/4/13dr KSBLPL21625255SuratmiP 62 th4/13/13C2papilary Carcinoma on the neck region, anemia, sepsis17/4/13 Al 35,2 HB 9.8 HCT 31,1 AT 342 14/4/13 Al 36,41 Hb 8,6 AT 426 Alb 3,04 BUN 15 Cr 0,62 OT 19 PT 22 Na 132 K 4,1 Cl 97 GDS 114 HBSag non reaktifperbaikan KU, Raber UPDNoCMNamaL/PUmurMRSBangsalDiagnosisLaboratoriumPx PenunjangTindakanKonsulenTeamKet11599581Prapto wiyonoL58 th4/17/13C2/10Tumor mandibula S27/4/13 AL 6,12 Hb 14,7 AT 192 Prot 6,6 Alb 4,10 BUN 11 Crea 1,17 OT 11 PT 34 Na 142 K 4 Cl 102 GDS 9617/10/12 histopatologi : regio alanasi basal cell carcinoma type solid dan basosquamos, batas operasi masih mengandung tumorpro eksisi luas + rekonstruksidr HJtunggu jadwal21629817Pardiyemp52 th4/18/13C2Ca thyroid post thyroidectomy27/4/13 AL 6,7 Hb 11,5 Ht 35,8 AT 146 Alb 4,3 BUN 14 Crea 0,83 Na 144 K 3,7 Cl 102 GDS 59 Free T4 1,29 TSH 0,509 20/4/13 Al 5.49 HB 10,4 HCT33.1 AT 258 Alb 4,24 BUN 13,9 Cr 0,62 SGOT/PT 14.15 Na 140 K 3,8 Cl 106 GDS 7920/4/13 thorax : pulmo dan cor dbn, tak tampak pulmonal maupun skeletal metastase .AJH : Ca thyroid papiler varian Ca folikuler USG : residu tumor thyroid D dan Cyst thyroid Spost thyroidektomi h-2dr HJIMO/TOF3526284SukardiL72 th4/29/13C2dispepsia on patient with pancreatic cancer post kemoterapi29/4/13 AL 9,9 Hb 9,7 AT 220 Alb 2,96 BUN 14 Crea 0,82 AU 3,2 OT 14 PT 41 Na 143 K 3,2 Cl 101GDS 1581/2/12 thorax : pulmo dan cor dbn, tak tampak pulmonal maupun bone metastasedr HJobservas KU41631972SuratmiP46 yh 4/30/13C2Ca mammae D30/4/13 AL 6,3 Hb 10,3 AT 467 Alb 4,41 BUN 10 Crea 0,98 OT 17 PT 25 Na 142 K 3,9 Cl 104 GDS 16651632764SutiyatiP83 th 4/30/13C2basalioma1/5/13 AL 5,77 Hb 11,9 AT 219 BUN 13,7 Crea 0,7 OT 13 PT 7 GDS 110 Na 144 K 3,4 Cl 1121/5/13 Torax : curiga pulmonal metastasis noduler type, susp TB paru, cardiomegali dengan ASHDpost eksisi h-1dr. HJD211629321NastanginahP45th4/5/13D2tumor mammae bilateral post op16/4/13 Al 10,5 Hb 11,9 AT 201 BUN 8,4 Cr 0,64 Na 138 K 3,4 Cl 1079/4/13 Al 7,64 Hb 14,3 AT 225 Alb 4,66 BUN 6,2 Cr 0,62 Na 139 K 3,5 Cl 105 GDS 107 HBsAg (-)USG mamae D : multiple cyst tdk nampak tanda2 malignant. USG mamame S : cyste mamae S tak nampak malignant. Mammografi tdk ada bacaan. Thorax dbndr KSNoCMNamaL/PUmurMRSBangsalDiagnosisLaboratoriumPx PenunjangTindakanKonsulenTeamKet11631268Pralisca Tri Nugroho PP 19 th4/19/13D2Struma Nodusa29/4/13 AL 27,6 Hb 14,3 AT 265 27/4/13 AL 8,12 Hb 15,5 Ht 45,5 AT 238 Alb 4,71 BUN 10 Crea 0,94 Na 144 K 4,2 Cl 102 GDS 103 Free T4 1,23 TSH 0,78 T3 119 20/4/13 Al 7,02 HB 15,6 HCT 47,3 PLT 228 Alb 4,88 BUN 8,5 Cr 0,75 Na 138 K 4,8 Cl 103 GDS 7427/4/13 Cervical : deviasi trakea ke arah Sin di proyeksi paravertebra Dx setinggi VC VII, curiga massa regio colli Dx, Thorax : bronkitispost tiroidektomi hr-3dr.KSTOF/RDTaff drain besok

E2NoCMNamaL/PUmurMRSBangsalDiagnosisLaboratoriumPx PenunjangTindakanKonsulenTeamKet11619727RubaengahP53th27/3/2013E2Ca Mammae (S)pro kemoterapidr.HJ21626517Siti NgaisahP56th16/3/2013E2Ca Mammae (D)25/03 Bone Survey:Multiple lesi litik di calvaria susp bone metastase Cervical AP/Lat:Multiple lesi litik dan axial compressi VC 3 sups bone metastasedr.HJ31619727RubaengahP53th27/3/2013E2Ca Mammae (S)pro kemoterapidr.HJ11626110TugirahP54th25/3/2013E2Susp NHL10/4/13 Al 10,99 Hb 9,4 AT 59 7/4/13 Al 9,1 Hb 10,4 AT 67 Alb 2,06 05/04/13 Al 16, Hb 9,2 AT 108 Alb 1,83 BUN 11,7 Cr 0,31 OT 33 PT 16 Na 128 K 3,6 Cl 99 GDS 67 03/04/13 Al 11,9 Hb 7,3 AT 95 Alb 2,04 25/03 Al 15,19 Hb 8,1 AT 283 Alb 2,23 BUN 11 Creat 0,88 Na 121 K 4 Cl 83 GDS 80 pro biopsidr.HJAJH tunggu hasil1507665Rini SetyowatiP51 th4/24/13E2abses mammae DAL 12,28 HB 14,6 HCT 44,3AT 281 BUN 8 Cr 0,97 SGOT/PT 21/53 Na 137 K3,8 Cl 102 GDS 141USG Mammae: Abses mammae D aspek inferior, Tak tampak limfadenopati, Foto thoraks dbn

A311625461M.Mustabi'inL30th11/3/13A3/6Lymfoma colli (S)25/3 AL 6,5 HB 15.4AT 105CT Scan 28/3: Limfoma, tak tampak kelainan pada nasofaring 3/4/13 hasil biopsi: Diffuse Non Hodgkin's Lymphoma, Large B cell typebiopsi(26/3/13)dr.HJ11623855TuminemP70th11/3/13A3/9Struma Colloides post thyroidektomi9/4/13 al 13,33 hb 9,1 AT 235 Na 137 K 3,6 Cl 99 GDS 186 AGD: pH 7,445 pCO2 38,2 pO2 137,5 BE 2,24/04/13 Al 6,21 Hb 12,4 AT 260 free T4 1,61 h-TSH o,367 T3 78,4 gol darah B Rh + 2/4/13 Al 6,13 Hb 12,4 AT 276 Alb 4,1BUN 9,9 Cr 0,83 AU 5,3 Na 141 K 3,4 Cl 103 14/03 PPT 13/12 APTT 27,4/30,4 Al 5,6 Hb 12,8 AT 271 Alb 3,94 BUN 8,4 Creat 0,84 OT/PT 14/10 Ca 2,31 Na 143 K 3,94 Cl 103,3 GDS 136 Free T4 1,3 26/03/13 Ct scan: massa thyroid kistik bilateral curiga jinak, tak tampak destruksi tulang, sinusitis maksilaris 14/03/13 cervical AP/lat : soft tissue mass di regio colli proyeksi setinggi VC4-VTh 3 yang mendesak trachea ke kanan, kalsifikasi (-). Thoraks : dbndr.HJpost operasi hari ke 4. pulang hari ini.21575499MurtinahP25th14/3/13IGDCa Recti pro kemoterapidr.HJ11624373WalmiP59th19/3/2013A3/6SNNT4/04/13 PPT 14,4/13,0 APTT 32,9/31,9 Al 7,46 Hb 14,5 AT 271 Alb 4,09 BUN 12,0Cr 0,51 OT 9 PT 6 Ca 2,25 Na 140 K 3,6 Cl 107 GDS 113 free T4 0,99 h-TSH 0,117 20/03 PPT 12,8/13,3 AlPTT 32,3/33,2 Al 6,83 Hb 14,6 AT 286 Alb 4,35 BUN 12,5 Creat 0,68 OT/PT 12/10 Ca 2,21 Na 142 K 3,1 Cl 106 GDS 146 T4 1,29 TSH 0,2foto thorax : dbndr.HJ41624253SumariL48th22/3/2013A3/4SNNTppt 12.7, aptt 32.4, hgb 13.6, plt 134, alb 4.66, bun 19.5, creat 0.52, sgot 16, sgpt 15, Ca 2.38, Na 141, K 3.68, Cl 101.3, gds 62, free T4 1.03, h-TSH 0.559 tiroidektomi(26/3/13)dr.KS51623271NgatinahP51th27/3/2013A3/4Hematome axilla (D)evakuasi hematome(27/03/13)dr.KS41620310Hartini LestariP 34 th3/28/13A3/FAM Bilateral01/4: AL 6.93 Hb 13,1 At 252 Alb 4,8 Bun 10,1 Cr 0,67SGOT/PT 33/22 Na 143 K 3,5 Cl 105 fibrokistik Bilateral21628011Febi FP16 th4/6/13A3FAM bilateral11/4/13 Al 7,38 Hb 13,5 AT 205 Alb 4,73 BUN 9,7 Cr 0,6 OT/PT 15/10 Na 137 K 3,6 Cl 104 GDS 118 HBsAg (-)26/03/13 Al 8,2 Hb 13,3 AT 216 PPT 13,6/13,5 APTT 29,8/31,4 Alb 4,62 OT 13 PT 9 BUN 7,5 Cr 0,72 GDS 188 Na 138 K 4,16 Cl 10228/03 AJH: FAM 27/03 thorax dbn, USG Mamae : massa solid uk 2,6x1,86x2,58 cm di mamae dextra arah jam 3 dan 1,05x0,7x0,9 cm di mamae sinistra arah jam 9 sesuai gambaran FAMeksisi tumordr HJpost eksisi tumor hari 141621716Zephyr panturaP18th4/10/13A3MPNST pro kemoterapi9/4/13 Al 5,57 Hb14 AT 195 BUN 6,1 Cr 0,76 OT/PT 15/8 GDS 79thorax dbn. PA fibrosarcomadr HJ11349844SyarifahP60 th4/16/13A3TM D et SAl 7,34 Hb 12,7 AT 272 Alb 4,5 BUN 10,1 Cr0,88 OT 23 PT 24 Na 136 K 3,5 Cl 101 GDS 301USG : complex cyst mammae S peripapilla, fibrocystic mammae Ddr HJ11628451KardiL4/17/13A3/ 12kIsta Epidermoid 20/4/13 Al 5,49 HB 17,8AT 208 Alb 4,19 BUN 13,2 Cr 0,79 Na 139 K 4,0 Cl 101 GDS 171 HBA1c 10%AJH: Kista Epidermoidpost eksisi Tumor 23/4/13 dr HJBLPL21625053Daruni P56 th4/17/13A3/ 2Ca mammae S19/4/13 Al 12,84 Hb 10,3 AT 272post Mastektomi + diseksi Axila H 1dr HJCek HB post OP21636837MarwatiP20 th 4/16/13B3tumor colli bilateral , penurunan kesadarandr HJ

NoCMNamaL/PUmurMRSBangsalDiagnosisLaboratoriumPx PenunjangTindakanKonsulenTeamKet11631923Ernie SusantieP33 th4/29/13A3SNNT29/4/13 AL 11,2 Hb 12,6 AT 260 BUN 8,1 Crea 0,74 OT 19 PT 25 GDS 99 TSH 1,33 Total T4 7,42 T3 97,6 23/4/13 Free T4 1,20 TSH 1,24post endoscopic tyroidektomi h-1dr HJ11627521Shohibul ansoriL37 th3/21/13DH3lymfadenopati submandibula bilateral, SOPT dengan inf sekunder, CP dekompensata, obs. Ikterik dengan limfadenitispro biopsi senin 8 april 2013dr HJ11567876Kliwon HardjoL60 th2/23/13D3/2Tumor Parotis D post eksisi luas, drug eruption, DM2NO22/4/13 Al 21,84 HB 11,9 HCT 34.8 AT 215 SGOT/PT 115/306 23/4/23 GDS 169rawat lukadr HJraber Kulkel< UPD2SuparnoL41D4/8limfadenopati generalisatapro biopsi insisikonsulan UPD21621716ZephyrL18 th5/2/13A3CSS1/5/13 AL 4,45 Hb 13,6 AT 199 Alb 4,87 BUN 7,1 Crea 0,74 OT 12 PT 6 Na 144 K 4,1 Cl 1103/4/13 Toraks:pleural reaction bilateral, besar cor normal,skoliosis torakalis 6/3/13 histopatologi :regio leher belakang:fibrosarcoma dd/malignant peripheral nerve sheath tumor, limfonodi:limfadenitis kronis tanpa tumorpro kemoterapdr.HJ

D3NoCMNamaL/PUmurMRSBangsalDiagnosisLaboratoriumPx PenunjangTindakanKonsulenTeamKet11624711TriyadiL/P46 th5/1/13D3massa di punggung2/5/13 PPT 14,5/14,4 APTT 27,5/34,1 AL 25,67 Hb 15 AT 312 BUN 9,7 Crea 0,82 OT 7 PT 8 GDS 3121/3/13 Sitologi : trans thoracic Aspiration Biopsi (TTB) paru Dx:ditemukan sel ganas,Non Small Cell Carcinoma,jenis adenocarcinoma. USG torax Dx: efusi pleura Dx dgn punctum maksimum berada pada posisi probe di daerah hemotorax Dx aspek posterior setinggi SIC5-6/6-7 dengan kedalaman maks kl 5 cm ke arah anterior. 9/3/13 torax: efusi pleura kanan berulang minimal dalam dekompresi dengan WSD,ujung WSD proyeksi SIC 6-7 kanan aspek posterior.pro biopsidr. HJtunggu jadwal

NoCMNamaL/PUmurMRSBangsalDiagnosisLaboratoriumPx PenunjangTindakanKonsulenTeamKet11629538JumiyatiP57 th5/2/13Dahlia 51/5/13 AL 6,97 Hb 11,4 AT 257 Alb 3,34 BUN 12 Crea 0,81 OT 23 PT 29 Na 140 K 3,7 Cl 104 GDS 94pro kemoterapi21627372Arbani ML63 th5/1/13Dahlia 58/4/13 AL 10,15 Hb 10,9 AT 565 BUN 6,2 Crea 0,68 OT 21 PT 11 Na 126 K 3,7 Cl 989/4/13 MSCT : massa dari glandula parotis dengan kalsifikasi (+) curiga keganasan, tak tampak destruksi tulang, tak tampak limfadenopati servikalis

Pasien Konsul11625381Sri HartatiP38 th4/6/13BGV 3thymoma10/4/13 FT4 2,29 hTSH