KORAN UROLOGI

MINGGU, 7 SEPTEMBER 2014

LONTARA 2 UROLOGI KAMAR 12
1 Bed 1
Duppa
RM 629845
Tgl lahir 1/1/1930
MRS 27/8/2014
DPJP : dr. M. Asykar
, Sp.U
-hipertrofi prostat gr. III
-Hernia inguinal lateral
Reponibilis bilateral
-hematuri
-proteinuri
Rencana TUR P
Senin 8 sept. 2014m



Lab (19/8/2014)
WBC :8300
RBC :4,01x10
6
PLT : 222
HB :12,1
Ur : 31
Cr : 1,5

USG abdomen20/8/14
Fatty liver
Hipertrofi prostat

Echo ( 29/8/14)
EF 68%

TRUS 90
TAUS 94
2 Bed 2
Usman
RM 654419
Tgl lahir 1-7-1982
MRS 20/8/14
DPJP:
dr. M. Asykar , Sp.U
-seminoma testis kiri
-ascites
-infeksi saluran kemih
-anemia

Perbaikan KU
Rencana kemoterapi

Hasil PA 2/4/14
Seminoma testis

Lab 30/8/2014
WBC : 6,9
PLT : 337
HB : 9,3
Lab 20/8/14
Ur:25
Cr : 0,9
Lab 4/9/14
Alb : 2,9
Hb post transfusi 10,1
4 Bed 4
La Ami
RM 676966
Tgl Lahir31/12/1939
MRS 31-8-2014
DPJP: dr.Muh.Asykar
Palinrungi,Sp.U
-hipertrofi prostat gr. IV
-ISK
-Hiperaktifitas
transaminase
Post op TUR P
Tanggal 3/9/2014





Lab (22/8/2014)
Hb : 13,2
WBC : 9700

Ur : 49
Cr : 1,06
PLT 307
RBC 4,6
5 Bed 5
Junaedi paroki
RM 404507
Tgl lahir 22/7/1962
MRS 5/9/2014
DPJP :

Nephrolithiasis dekstra Lab 3/9/14
HB :
WBC :

RBC
PLT
Ur/Cr 29/1,5
Got/Gpt 30/26

Bed 6
Massa
Hipertrofi prostat Lab
WBC
KORAN UROLOGI
MINGGU, 7 SEPTEMBER 2014


LONTARA 2 URO KAMAR 1

Bed 1
Heri mokodompit
667545
TL 07/11/1968
MRS 9/9/14
dr. M. Asykar
Palinrungi, Sp.U
- Batu ginjal bilateral
- Hidronefrosis bilateral
- Double J Stent
- Hematuri
- Rencana replace Double J
Stent bilateral
- Ureterorenoscopy
- USG Abdomen
Lab (7-9-2014)
WBC : 8,60
RBC : 4,57
HB : 13,2
PLT : 279
Ur : 21
Cr : 1,20
SGOT : 20
SGPT : 23
N : 142
K : 3,8
Cl : 100

USG Abdomen (18-8-
2014)
-Nefrolith disertai
hidronefrosis bilateral
-DJ stent terpasang
pada kedua traktus
urinarius

Bed 2
Ibrahim Adjuna
672005
TL 03/08/1948
MRS 7/8/14
dr. M. Asykar
Palinrungi, Sp.U


- Batu cetak ginjal kiri
- Multiple kista ginjal
bilateral
- Pyeloplasty
- Batu cetak ginjal kiri
- Multypel kista ginjal
bilateral
- Anemia
- Melena
- Hipertensi gr II

- Post extended
pyelolithotomy sinistra
(23-8-2014) (POH 18)
- Aff kateter
- Aff infuse
- Aff hacting
- Rencana uretroplasty
ESRD on HD reguler
Lab (8-9-2014)
Ur : 59
Cr : 2,10

Lab (6-9-2014)
WBC : 10,9
RBC: 3,27
HB: 9,5
PLT: 404

Lab (4-9-2014)
WBC: 22,1
RBC: 2,20
HB: 6,1
PLT: 450
CT: 800
BT: 230

Lab (24-8-2014)
UR: 60
Tgl lahir 4/3/1920
RM 676952
Mrs: 19/8/2014
DPJP : dr. Asykar,
Sp.U
RBC
HGB
HCT
PLT
Ur/Cr:

KORAN UROLOGI
MINGGU, 7 SEPTEMBER 2014


CR: 2,70
Na: 138
K: 4,8
Cl: 104

Urinalisa (11/8/2014)
Warna: Kuning
pH: 5.5
BJ: 1.015
Protein: +++/300
Glukosa: +/50
blood: ++/80
leukosit: negatif
sedimen leukosit: 2
sedimen eritrosit: 5
sedimen epitel sel: 2

RPG (26-08-14)
POH 3 extended
pyelolithotomi
Ureterocutaneus
DJ stent sinistra
Multiple kista ginjal
bilateral

Hasil APG
Hidronefrosis grade II-
III

MSCT Urografi
(15/7/14)
- Kista ginal kanan
- Nefrolith dengan
hidronefrosis sinistra
- PNC sinistra

Foto Polos abd
(15/7/14)
Nefrolith sinistra (batu
staghorn)

Bed 4
La Hibbu
676624
Tgl lhr : 15-06-1934
MRS : 5-9-2014
DPJP : dr. Syakri
Syahrir , Sp.U

- Hipertropi Prostat gr
2-3
- Siapkan 1 bag PRC
- Rencana op hari kamis

Lab (20-8-2014)
WBC: 6,4
RBC: 4,33
HGB : 13,3
PLT : 206
HCT :40,3
Ur/cr : 25/1,20
Na/K/cl : 142/36/104
KORAN UROLOGI
MINGGU, 7 SEPTEMBER 2014



PSA : 1,15
TAUS : 31,6
TRUS : 32,3
LONTARA 2 URO KAMAR 2

Bed 1
Muhlis Muin
667853
Tgl.lhr : 26-01-2014
MRS : 05-09-2014
DPJP : dr. Syakri
Syahrir, Sp.U
DJ stent sinistra
Anemia
Pro aff DJ stent Lab (18-7-2014)
WBC:8.0 RBC: 2.4
HGB: 6.6 PLT: 214
GDS: 111
Ur/Cr: 108/9,61
Na/K/Cl: 135/4.1/93

Lab (14-8-2014)
WBC:8.9 RBC: 1.84
HGB: 5.1 PLT: 172
GDS: 138
Ur/Cr: 65/5.08
Na/K/Cl: 129/3.2/99

FOTO POLOS
ABDOMEN (18-07-
2014)
DJ stent terpasang
dengan baik

USG ABDOMEN
(14-08-2014)
-Cholelith
-DJ stent terpasang
pada traktus urinarius


Bed 2
A.Jalante
674463
18/8/1953
MRS :12/8/14
DPJP:dr.Khairul
kholis, Sp.U
Tumor ginjal sinistra
susp. malignancy
Anemia
trombositotosis
Post Op (tgl.25-8-14)
nefrektomy sinistra e.c
tumor ginjal sinistra susp.
Malignancy


Lab (04-09-2014)
Na/K/Cl : 135/4,0/94

Lab (30-8-2014)
WBC:7.9HGB:9.8
HCT:23 RBC:3.85
PLT:537
Ur/Cr : 31/0.7
Na/K/Cl : 132/3.8/103
Albumin 2.4

KORAN UROLOGI
MINGGU, 7 SEPTEMBER 2014


Lab(28/8/14):
WBC: 6.72 RBC: 4.01
HGB: 9.9 PLT: 487

MSCT Abdomen:
(11-8-2014)
Kesan :
-Massa ginjal sinistra

USG Abdomen (6-8--
2014)
Kesan:
-susp.massa ginjal kiri

PA Ginjal Kiri (26-8-
2014)
Kesan:
-renal cell ca, clear cell
type
-kelenjar getah bening
dengan sinus histiosis


Bed 3
Najamuddin
677224
22-10-1959
MRS: 02/9/2014
DPJP: dr. M. Asykar
P, Sp.U
Hypertrophy Prostat
Gr.II
Hiperglikemi
DM tipe II
Pro Operatif prostat hari
senin, (08-09-2014)
Rawat sama
TS.Endokrinologi
Observasi GDS

Lab 4-9-2014
GDS : 192

Lab 25-8-2014
WBC: 5.4 RBC: 4.38
HGB: 14.1 PLT: 243
GDS: 244
Ur/Cr: 19/0.61
Na/K/Cl: 144/4.3/103
PSA: 0.76
PT/APTT: 10.2/25.0

USG Abdomen
Kesan:
-hypertrophy prostat
LONTARA 2 URO KAMAR 11

Bed 1
Hana Pepe
669064
TL: 20-4-1957
Batucetakginjal (D)
DJ Stent insitu bilateral
Kista ginjal (D)
-anemia
- pro extended
pyelolithotomi + replace
DJ stent dextra
- Diet rendah garam,
Lab (6-9-20140
WBC: 11,3
RBC: 3,75
HB: 11,2
KORAN UROLOGI
MINGGU, 7 SEPTEMBER 2014


MRS:21-8-14
dr.M. Asykar
Palinrungi, Sp.U
- ISK
-leukositosis
rendah purin
- Takar urin/24 jam
- POH 2
PLT: 455
UR: 54
CR: 1,90

Lab (30-8-14)
Ur : 29
Cr : 1,40
RBC: 2,86
PLT: 586
HB : 8,8
WBC : 12,0 x 10
3

Lab (1-9-2014)
Albumin: 3,4

USG Abd (12-08-
2014)
Nefrolith (D)
Renal cyst (D)
DJ stent
terpasangpadatraktusu
rinarius bilateral

Bed 2
Armianti amir
678900
17 9 1986
MRS: 10- 9- 2014
DPJP: dr.M Asykae P
Sp.B


- Hidronefrosis
Dextra
- Double J Stent
Bilateral
- Infeksi Saluran
Kemih
- Hematome



Rencana replace Double J
Stent Dextra
Dan Aff Double J Stent
Sinistra
Lab 2 9 2014
Wbc 8,6
Hgb 12,5
Plt 498
Rbc 4,76

Ur/Cr : 16/0,5

USG 1/9/2014
- Hidronefrosis
Bilateral



Bed 3
Ny Irma Sofian
654481
3/8/1982
DPJP: dr. Asykar,
Sp.U







- Hidronefrosis
Sinistra
- Ca Mammae
Grade III
- Infeksi Saluran
Cerna
- Anemia
Rencana pemasangan urs
dan pasang Double J Stent
Bilateral
4/9/2014
Wbc 7,5
Hgb 9,4
Plt 487
Rbc 3,27

GDS 86 mg/dl



KORAN UROLOGI
MINGGU, 7 SEPTEMBER 2014




Bed 4
Talaha
663275
17 1 1968
MRS 3 9 2014
DPJP dr.M Asykae P
Sp.B

Hidronefrosis bilateral
abses renal dextra
Pro replace DJ stent
bilateral
Lab 9 9 2014
Wbc 12,7
Hgb 11,1
Plt 498
Rbc 4,79


Bed 5
Ny Jainun
678246
11-2-1976
MRS 10-9-2014
DPJP : Dr.Kholis
Sp.U
Hidronefrosis Sinistra
Batu Pyelum Sinistra
Anemia
Hepatomegaly
Infeksi Saluran Kemih
TB Paru Lama Aktif
Batu Ginjal Sinistra
Lengkapi pemeriksaan Lab 1-9-2014
Wbc 10,0
Hgb 9,1
Plt 371
Rbc 4,24

Ur/Cr : 19/1,00

USG 1-9-2014
-Hepatomegaly
-Hidronefrosis ec Batu
Pyelum PUJ Snistra


Bed 6
T. Dg. Ngai
545338
TL: 31-12-1968
MRS: 5-9-2014
dr. M. Asykar P,
sP.BU
Hidronefrosis bilateral
Double J stent sinistra
Post op hari 1 Aff. DJ Stent
sinistra
Ureterorenoscopy

Instruksi post op
Awasi TV & KU pasien
Bed rest 24 jam post op
IVFD RL 20 tpm
Ceftriaxon 1gr/12j/IV
Ketorolac 30 mg/8j/IV
Ranitidin 50 mg/8j/IV

Lab 6-9-2014
WBC: 6,4
RBC: 4,16
HB: 11,7
HCT: 35
PLT: 288
NA: 140
K: 3,9
CL: 106
GDS: 88
UR: 60
CR: 1,80
GOT: 27
GPT: 2,0
USG abdomen
23 7 2014
Kesan
hydnronephsis
bilateral
DJ stens
terpasang pada
traktus urinarius

KORAN UROLOGI
MINGGU, 7 SEPTEMBER 2014



LONTARA 2 URO KAMAR 3

-hidronefrosis bilateral
-DJ stent insitu (S)
Bed 1
Juliana S
677525
2/2/1970
MRS : 26/8/2014
DPJP : dr. syakri
syahrir, Sp.U
Post op nefrolitotomi
sinistra (1/9/2014)

Awasi KU + TV
Cek HB post transfusi

Lab (5-9-2014)
WBC:22,4 RBC:3,63
HGB:10,2 PLT:423

Lab (3-9-2014)
RBC: 2.53 WBC: 20.8
HGB:7.4 PLT: 451

Lab (1-9-2014)
HB 11,5
PLT 574
WBC 16,2
Ur 74
Cr 2,70
Albumin 2,5

USG Abdomen (26-8-
2014)
-hidronephrosis
sinistra
-massa SBR yang
menginfiltrasi buli-
buli

Foto Thorax (31-8-
2014)
-cardiomegaly
Bed 2
Indahwati
676254
20/9/1977
MRS :24/8/2014
DPJP : dr.M. Asykar
Palinrungi, Sp.U
Post op nefrolitotomi
sinistra (1/9/2014)

Post Op. Bivalvo
nefrolitotomi sinistra ( 3-9-
2014 )

Lab (5-9-2014)
WBC:14,6 RBC:3,62
HGB:11,0 PLT:193


Lab (18/8/2014)
HGB : 14.5
PT/APTT : 12.5
control 11.2/27.9
control 25.3
GDS : 90
Ur/Cr : 16/0.86
Alb: 4.5
Na/K/Cl : 141/4.2/103
KORAN UROLOGI
MINGGU, 7 SEPTEMBER 2014



Foto Polos Abdomen
(25-8-2014)
Nephrolit sinistra (batu
Staghorn)
Bed 3
Talaha
663275
17-1-1968
MRS: 3/9/2014
DPJP: dr.M.Asykar
P, Sp.U
Batu ginjal kiri
Hidronefrosis sinistra
Leucositosis
Pro replace DJ stent
bilateral

Lab 19-8-2014
WBC:9,3 RBC:3,61
HGB:7,2 PLT:679
GDS : 106
Na/K/Cl : 132/4,0/88
Ur/Cr : 16/0,71
HBsAg : Non Reaktif

Lab 7-6-2014
WBC: 15 RBC: 4.37
HGB: 10.1 PLT 496

USG Abdomen (19-8-
2014)
Kesan :
-Nodul lobus dextra
hepar susp. Tumor
metastase ke hepar
-hidronefrosis bilateral
-susp.abses renal
dextra
-terpasang DJ stent
pada ke-2 traktus
urinarius.

Foto Polos Abdomen
(4-6-2014)
Kesan:
-DJ stent terpasaqng
pada ke-2 traktus
urinarius

MSCT Abdomen (5-
9-2014)
-Dekstruksi CV L4-L5
sugestif spondylitis
lumbalis dengan massa
paravertebral kanan
KORAN UROLOGI
MINGGU, 7 SEPTEMBER 2014


level L3-L4 (abses
paravertebra) DD
tumor metastasis
vertebra CV L4-L5
-Severe
hydronephrosis
bilateral dengan DJ
stent pada lintasan
traktus urinarius
-Efusi pleura bilateral
-Lesi hipodens segmen
VI lobus kanan hepar
Bed 4
Asifah latif
655339
28/7/1949
MRS:28/8/2014
DPJP: dr.Syakri
syahrir, Sp.U
Hidronefrosis bilateral
Abses Renal dekstra
Post.Op URS + DJ Stent
(S) tgl.4-9-2014
Pro kontrol foto
Lab (12-8-2014)
RBC 4.22 WBC: 8.2
HGB 11.2 PLT: 246
Ur /Cr: 27/1 GDS: 96
CT/BT: 730/3
Lab (10-6-2014)
WBC: 6.6 RBC: 4.36
HGB: 11.3 PLT: 198
Ur/Cr: 36/1.10
GDS: 109
Na/K/Cl: 142/3.7/106

USG Abdomen (11-8-
2014)
Kesan:
-nefrolith dextra
uk:1,86cm
-hidronefrosis sinistra

IVP (15-8-2014)
Kesan:
-ureterolith sinistra
-hidronefrosis sinistra
gr.II
LONTARA 2 URO KAMAR 10 Batu ginjal kanan
hidronefrosis (S)
Stenosis Ureter (s)
Bed 1
Matius raba
625262
1/1/1963
Batu ginjal bilateral
Acites
DJ stan insitu bilateral
Anemia
POH 1I Replace DJ stent
Bilateral (4/9/2014)
Lab (20/8/14):
Ur/Cr: 88/12.90
Na/K/Cl: 146/3.8/108
WBC:5.36
KORAN UROLOGI
MINGGU, 7 SEPTEMBER 2014


MRS :31/8/2014
DPJP dr. khairul
kholis, Sp.U

Hidronefrosis bilateral HGB:8.5
HCT:25.0
PLT:232

USG(11-8-2014)
-ginjal kanan : tampak
echo batu dgn
diameter 0.8 cm
-ginjal kiri : tampak
echo batu dgn
diameter 1,5cm
Kesan : Acites
Neprolith bilateral
DJ stent terpasang
pada kedua traktus
urinarius

HD terakhir : 3/9/2014

Bed 2
Tanra
675845
2/6/1953
675845
Mrs: 1/9/2014
DPJP: dr.Khoirul
Kholis, Sp.U

Batu ginjal bilateral
Acites
DJ stan insitu bilateral
Anemia
Hidronefrosis bilateral
POH II TUR-P (4/9/2014) Lab (5/9/14):
WBC:15 HGB:10.6
RBC:4.3
PLT:291

Lab(15/8/14):
WBC:11.8 HGB:10.9
HCT:33.5 RBC:4.56
PLT:298
Ur/cr :21/0.9

USG abdomen
(15/08/2014)
Nefrolith bilateral
Hipertrofi prostat
TRUS : 43,6cc
TAUS : 44,5cc

IVU (25/8/2014)
Fungsi eksresi kedua
ginjal baik
Nefrolith dextra
Hipertrofi prostat
disertai cystitis
Bed 3
M.Dg. Talling
676926
31/12/1943
MRS :
BPH
Nefrolith bilateral
Leukositosis
Cistitis
IVFD NaCl 0,9% 28 tpm
Injeksi (gentamicin,
ketorolac, ranitidin)
Spooling kateter
VIP Alb : 3xII tab
Lab(4/9/14):
WBC:7 HGB:5.7
RBC:1.95
PLT:224

KORAN UROLOGI
MINGGU, 7 SEPTEMBER 2014


DPJP:dr.Muh.Asyka
rPalinrungi,Sp.U
Lab
Ur/cr : 41/2,45
Lab(31/8/14):
WBC:8.8 HGB:9.1
HCT:23 RBC:3.19
PLT:406

Lab (30-8-2014)
Ur/Cr : 44/1.42
Albumin 4,1

LAB(28-8-2014)
Albumin 2.3

Lab(25/8/14):
PSA : 10.41

USG Abdomen
(21/8/14)
Massa buli-buli

MCST(26-8-2014)
Massa buli-buli
Hidronefroureter
bilateral
DNC sinistra
Hypertropi prostat
Efusi pleura bilateral
Bed 4
Dg. Sanne
678588
3/3/1954
MRS: 2/9/2014
DPJP:
Tumor Buli-buli
Anemia
Hematuria
Hidronefrosis bilateral

Konsulendokrin
Konsulicu
Konsulinfeksitropis
Lab (2/9/2014)
HGB 12.5
RBC 4.25
HCT 36.1
PLT 90
WBC 9.8
Ur/Cr 110/2.86

Lab (5/9/2014)
GDS 66
HGB 10.9
WBC 45.7
HB 10.9
HCT 32
Ur/Cr 66/2.2

USG Abd (2/9/2014)
Kesan:
-hidronefrosis bilateral
- vesicolithukuran
KORAN UROLOGI
MINGGU, 7 SEPTEMBER 2014


3.11 cm
-susplymphodenopaty
- Ascites minimal
Bed 5
Tn. La Taudin
672323
1/7/1955
MRS: 15/08/2014
DPJP:
dr.Muh.AsykarPalinr
ungi,Sp.U
Post vesicolitotomyhari
IV
- sepsis
Rawatlukaoperasi
Sensitive terhadap
antibiotic gentamycin
Lab (1/09/2014)
WBC 9.4 RBC 3.62
HGB 9.7 PLT 222

Lab (22/08/2014)
WBC:13.3RBC:4.26
HGB:11.8 HCT:36
PLT:177


Bed 6
Syarifuddin
675016
07/09/1967
MRS:
DPJP:dr.KhoirulKho
lis,Sp.U
POH 14 TUR Prostat
Vesicolithiasis
ISK
Hepatitis B
Rencana bivalve Lab(7/8/14):
Ur/Cr: 34/1.40
HGB:14 WBC:11,2
HCT:43 PLT:240

USG ABDOMEN
(WHOLE ABD) TGL
6/8/2014
KESAN: dj DJ stent
padatraktusurinariaDe
xtra,
nefrolithginjalkanan,
hidronephorsiskanan
IVP (19/8/2014)
-batustaghorndextra

LONTARA 2 KAMAR ISO

Batucetakginjaldextra
DJ stent ureter dextra

Bed 2
Wayan
674704
43 tahun
MRS 07/08/2014
DPJP:dr.Muh.Asyka
rPalinrungi,Sp.U
Ca penis +post partial
penectomy + ulkus
inguinal dextra +
leukositosis
Post KemoterapiSiklus 1
hari 1 tgl 21/8/2014
Rawat luka per hari dengan
metronidazolebubuk

Lab (25/8/14):
Na/K/Cl: 138/3.5/94
WBC:10.6 HGB:13.3
RBC:4.75 HCT:3.9
PLT:382 Ur/Cr:
16/0.98

Lab
RBC 5,37;WBC
12,08;HB 15,2;PLT
352;UR/CR 25/0,8

USG Abdomen :
Tidakadatanda-
tandametastase
Bed 1
Abdrauf
Ca penis +post partial
penectomy + ulkus

KORAN UROLOGI
MINGGU, 7 SEPTEMBER 2014


61 thn inguinal dextra +
leukositosis
Post KemoterapiSiklus 1
hari 1 tgl 21/8/2014
LONTARA 1 BAWAH BELAKANG Hipertrofi prostat
Jaju
1/7/1955
677728
Mrs : 03/09/2014
K6/III B5
DPJP : dr.Khoirul
Kholis, Sp.U
Massa paravertebra Lengkapi pemeriksaan
Lab (5/9/2014)
WBC : 8,8
RBC : 3,14
HB : 9,3
PLT : 418
Alb : 2,1

Haeruddin
25/12/1957
677346
Mrs : 6/9/2014
K7B5
Massa paravertebra Lengkapi pemeriksaan
Susp. Ca prostat
LONTARA 1 BAWAH DEPAN

LONTARA 1 ATAS DEPAN

Risma Idris
677926
11/3/1972
K5B5
Konsul : 4/9/2014
Kolik ureter
Nefrolithiasis bilateral

Lab (4/9/2014)
WBC : 10,2
RBC : 4,16
HB : 13,6
PLT : 232

MSCT urografi
dengan kontras
(1/9/2014)
Kesan :
nefrocalcinosis
bilateral
cistitis

Kolik ureter
Nefrolithiasis bilateral
LONTARA 1 ATAS BELAKANG

Puasa
K2B5
678759
1/7/1945
Mrs : 4/9/2014
Ureterolith bilateral
Poh 3 URS + DJ stent
bilateral (4/9/2014)
Lab (4/9/2014)
WBC : 6,8
RBC : 3,57
HB : 12
PLT : 157
Ur : 126
Cr : 11,1

Petta Dulling Ureterolith bilateral Lab 4/9/2014
KORAN UROLOGI
MINGGU, 7 SEPTEMBER 2014


K2B6
676914
08/10/1970
MRS 27/08/2014
DPJP: dr. Syakri
Syahrir, Sp.U
Injeksi (ceftriaxone,
ranitidin, ketorolac)
Awasi TTV/KU
Bedrest 24 jam
Foto BNO kontrol
Cek ur/cr
Post op URS+DJ stent
(1/9/2014)
Ur/cr: 244/5.17
Na/K/Cl: 127/4,8/95

Lab 3/9/2014
RBC : 2,97
WBC : 13,4
HGB : 8,7
PLT : 146
Ur/cr : 366/7,10


PAKIS Batu ginjal bilateral
Hidronefrosis bilateral
Batu ureter 1/3
proksimal bilateral
CKD stage V

Urine : 1500cc/24jam
Madjid Arsjad
14/10/1945
568609
Mrs : 2/9/2014
Hipertropi prostat gr.IV Lengkapi Pemeriksaan Lab (4/9/14):
WBC:6,13 HGB:15.2
RBC:4.68 HCT:43,3
PLT:162 Ur/Cr: 46/1,4

USG abdomen
(3/9/14) :
Prostat membesar
dengan volume
41,2cc.
Kesan : hipertrophy
prostat

Hipertropi prostat gr.IV
LONTARA 2 ORTOPEDI
Hamka Dg Sibali
K7A
26/4/1980
679087
Mrs : 5/9/2014
DPJP : dr.Khoirul
Kholis, Sp.U
Tumor testis dextra POH I e.c ruptur uretra
pars bulbosa (6/9/2014)
Lab (5/9/2014)
WBC : 10,4
RBC : 3,64
HB : 11,7
PLT : 273
Ur : 16
Cr : 0,7
Na/K/Cl L: 142/4/107


Kusnadi
K7AB4
675341
9/4/1969
Tumor testis dextra Rencana sasche 8/9/2014
Diet biasa
Lab (12/8/2014)
WBC : 7,3
RBC : 5,29
HB : 15,8
KORAN UROLOGI
MINGGU, 7 SEPTEMBER 2014


Mrs : 4/9/2014
DPJP : dr.Asykar
Palinrungi, Sp.U
PLT : 223
Ur : 25
Cr : 0,97

Uretrocystografi
(18/8/2014)
Tampak penyempitan
pada pars membranosa
& prostatica
Kesan : striktur uretra

LONTARA 3 ATAS BELAKANG
Striktur uretra pars
bulbo membranacea
Cistitis
DM type II
LONTARA 3 BAWAH BELAKANG (SARAF)
Muhammad
Arsyad
673641
MRS : 30/6/2014
DPJP :

POH 10 TUR-
Hipertrofiprostat gr I/II
susp malignancy
-rencanakemoterapi

Lab 23/8
HgB: 12,0
WBC: 6,1
RBC: 4,19
PLT: 284
Alb: 2,9
Ur/Cr: 25/0.8
Lab 27/8/2014
HGB : 10,5
WBC : 11,8
RBC : 3,67
PLT : 307
HCT: 31
Alb: 2,9
Hasil PA(30/8/2014):
-adenocarcinoma
prostat, moderate
grade


LONTARA 4 BAWAH DEPAN
POH 10 TUR-
Hipertrofiprostat gr I/II
susp malignancy
Fatimah HD
Kmr 6 bed 3
677017
15/6/1962
MRS: 28/8/2014
Hidronefrosis bilateral
ecca cervix stdIIIb
Post op 2 URS + DJ stent
sinistra
Operasitanggal 3/9/2014
Lab 25/8/2014
Alb: 3.4
Wbc: 15.4
Rbc: 3.41
Hgb: 9.8
KORAN UROLOGI
MINGGU, 7 SEPTEMBER 2014


Konsul: 29/8/2014
DPJP:
Lab 30/8/2014
Ur: 167
Cr: 8,6
Hasil PA (21/4/2014)
- invasive squamous
cell carcinoma (large
cell non
keratinizing/moderatel
y differentiated) dgn
LVSI (+) positif (tipe
II)
Mscturografi non
kontras (28/8/2014)
Kesan:
massasegmenbawah
Rahim
disertaihidronefrourete
r bilateral (FIGO IIIB)
Saniasa
Kmr 2 bed 5
674605
5/10/1975
MRS:26/8/2014
Konsul: 30/8/2014
Hidronefrosis bilateral
ecca cervix stdIIIb
Rencana URS + DJ stent
sinistra (tunggujadwal)
Lab: 25/9/2014
Wbc:7,5
Rbc: 4,84
Hgb: 11.3
Plt: 319
Alb: 3,9
Ur: 13
Cr: 0,70
MSCT whole abd
(dengankontras)
Tgl 27/8/2014
Kesan: -kista ovarium
kanan
- severe
hydronephrosis dan
hydroureter sinistra
Hasil PA (tgl
19/8/2014)
- papillo,a squamous
+endometrious
external
NICU Hidronefrosis sinistra ec
tumor adneksa d
hemangioma
KORAN UROLOGI
MINGGU, 7 SEPTEMBER 2014


retroperitoneal

By Bonewati
674246
5-8-2014
Dirujuk 18-8-2014
Gastrochisis + estrofi
buli-buli + post ileotomi

POH 31litostomi
Terapi. Sesuai TS.Bedah
anak
Lab (12/8/2014)
RBC 3,57
HGB 12,5
HCT 37,1
PLT 499
WBC 11.83
Lab (1/9/2014)
RBC 3.14
HGB 9.8
HCT 28
PLT 963
WBC 14.6
PALEM ATAS
Gastrochisis + estrofi
buli-buli + post ileotomi


B1/4
Jennie Ariyani
677473
Tgl Lahir: 17/7/1979
Tgl Konsul: 3/9/2014
DPJP:
dr. Syakri Syahrir,
Sp.U
Ca Recti 1/3 Distal pro
Miles Procedure
Pro URS + DJ Stent Lab (3/9/2014)
WBC 5900
RBC 4,33x10
6
HGB 10
PLT 463000

Lab (26/8/2014)
WBC 7600
RBC 3,8x10
6

HGB 8,6
PLT 532000
GDS 94
Ur/Cr 13/0,6
SGOT 18
SGPT 16
Albumin 3,3
Na 139
K 3,9
Cl 105

Foto Thorax
(27/8/2014)
Kesan normal

MSCT Whole
Abdomen non
kontras (27/8/2014)
- Penebalan sirkular
dinding rectum
suspek tumor
rectum
- Lymphadenopathy
KORAN UROLOGI
MINGGU, 7 SEPTEMBER 2014



USG Abdomen
(27/8/2014)
Tidak tampak tanda-
tanda metastasis

B1/6
La Hami
676378
Tgl Lahir: 7/11/1958
Konsul : 30/8/2014
DPJP:
dr. Syakri Syahrir,
Sp.U





Ca Recti 1/3 Distal pro
Miles Procedure
Post URS + DJ stent
sinistra (tanggal
4/9/2014)(POH 1)
Lab (4/9/2014)
WBC 8800
RBC 3,07x10
6
HGB 9,5
PLT 239000

Lab (2/9/2014)
WBC 7900
RBC 3,37x10
6
HGB 9,8
PLT 239000
GDS 111
Ur/Cr 114/6,6
Na/K/Cl 141/3,9/98

Foto Thorax
(27/8/2014)
Kesan normal

CT Whole Abdomen
(18/8/2014)
Hydronephrosis
sinistra ec Nefrolith

B2/1 Bed 1
Jabbar
674930
Tgl Lahir: 12/5/1966
Tgl MRS: 30/8/2014
DPJP:
dr.Khoirul Kholis,
Sp.U
- Batu staghorn
sinistra
- Hidronefrosis
sinistra
Post operasi EKL litotripsi
+ sistoskopi
(tanggal 4/9/2014)(POH 1)
Lab (1/9/2014)
WBC 6630
RBC 5,28x10
6

HGB 16,4
PLT 88000
Ur/Cr 25/1,1
GDS 292
GOT/GPT 19/19
Protein Total 8,9
Albumin 4,2
Na/K/Cl 141/3,4/99

Foto Thorax
(11/8/2014)
- Pulmo dalam
batas normal
- Dilatatio aortae

USG Abdomen
(7/8/2014)
KORAN UROLOGI
MINGGU, 7 SEPTEMBER 2014


- Nefroliths sinistra
ukuran 1,4 cm
- Vesicolith ukuran 3
cm

MSCT Scan
Abdomen (8/8/2014)
- Fungsi ekskresi dan
sekresi kedua ginjal
normal
- Nephrolith bilateral
- Kista ginjal kanan
- Vesicolith ukuran
2,7x1,1 cm

B2/2 Bed 1
Baddu Dg. Tanro
675259
Tgl Lahir:
11/09/1940
Tgl MRS: 11/8/2014
DPJP:
dr. Khoirul Kholis,
Sp.U
- Batu Ginjal pole
bawah sinistra
- Vesicolithiasis
Post TUR-P
(tanggal 1/9/2014)(POH 4)
Lab (27-08-2014)
GDS 172
Na/K/Cl 144/3,5/102

Lab (11/08/2014)
WBC 7600
RBC 3,71x10
6
HGB 11,7
PLT 265000
Ur/Cr 19/0,6
SGOT 27
SGPT 12

PSA (15/08/2014)
>100,00

TRUS 40,3 cc
TAUS 40,4 cc

RT:
Teraba massa pada
dinding posterior buli-
buli
Prostat tidak teraba

Foto Thorax
(18/8/2014)
- Cardiomegaly
disertai dilatation
et elongation
aortae
- Observasi nodul
paru kiri
- Soft tissue mass
KORAN UROLOGI
MINGGU, 7 SEPTEMBER 2014


yang
mendestruksi
tulang pada region
1/3 medial os
clavicula sinistra
- Fraktur costa IX
lateral kanan

MSCT Whole
Abdomen dengan
kontras (4/8/2014)
- Hipertrofi prostat
sugestif
malignancy
- Destruksi CV
Th.6 hingga S1
susp.metastasis
- Efusi pleura
bilateral

Echocardiography
(25/8/2014)
- Disfungsi
diastolic LV
- EF 62%
- LVH
- MR mild

B2/8 Bed 2
Kondo Rapa
670213
Tgl Lahir:
25/12/1951
Tgl MRS: 3/9/2014
DPJP:
dr. Khoirul Kholis,
Sp.U
Hipertrofi Prostat grade
IV susp. Malignancy
Pro kemoterapi siklus III Lab (14/08/2014)
WBC 10900
RBC 3,55x10
6
HGB 9,4
PLT 390000
Ur/Cr 31/1,33
SGOT 27
SGPT 29
Na 126
K 4,6
Cl 93

PA Ginjal
(30/12/2013)
Sesuai pyonephrose

MSCT Abdomen
(23/6/2014)
- Tumor
retroperitoneal
dextra, curiga
KORAN UROLOGI
MINGGU, 7 SEPTEMBER 2014


renal cell
carcinoma residif
DD malignant
peripheral nerve
sheat tumor
- Destruksi corpus
vertebra L1-L2
- Infiltrasi vena
cava inferior
PALEM BAWAH
Renal Cell Carcinoma

B2/ 3 Bed 2
Sarifah
625259
Tgl Lahir:
07/02/1964
Tgl MRS: 22/8/2014
DPJP:
dr. Khoirul Kholis,
Sp.U
- Batu staghorn dextra
et sinistra
- Hidronefrosis dextra
et sinistra
- Abses ginjal dextra
Post nefrolithotomi dextra
(tanggal 1/9/2014)(POH 4)


Lab (4/9/2014)
WBC 16500
RBC 3,98x10
6
HGB 10
PLT 221000

Lab (3/9/2014)
WBC 30500
RBC 3,47x10
6
HGB 8,7
PLT 212000
GDS 162
Na 135
K 4,5
Cl 100

Lab (05/08/2014)
Ur/Cr 67/1,79
GOT/GPT 20/18
Protein total 6,0
Albumin 3,8

USG Abdomen
(25/8/2014)
- Nefrolith bilateral
ukuran 12 cm (D)
0,7 cm (S)
- Pelviocalyactasis
bilateral
- Abses renal dekstra
ukuran 5,5x5,8 cm
- Terpasang DJ stent
pada traktus
urinarius bilateral

Echocardiography
(6/8/2014)
KORAN UROLOGI
MINGGU, 7 SEPTEMBER 2014


Disfungsi diastolik
EF 61%

Foto Thorax
(5/8/2014)
Kesan normal

Urinalisis (5/8/2014)
- Hematuria
- Leukositoria

Foto Polos Abdomen
(24/7/2014)
Tampak batu radiopak
pada kedua traktus
urinarius, namun batu
radiolusen belum
dapat disingkirkan

MSCT abdomen
tanpa kontras
(15-07-2014)
Nefrolithiasis
(staghorn calculi)
bilateral menyebabkan
hidronefrosis
B2/14 Bed 2
Muhammad Ali
040311
Tgl Lahir: 12/1/1938
Tgl Konsul: 2/9/2014
DPJP: dr. Khoirul
Kholis, Sp.U
- Batu staghorn dextra
et sinistra
- Hidronefrosis dextra
et sinistra
- Abses ginjal dextra
Lengkapi pemeriksaan
- TRUS-TAUS
- USG Abdomen
Lab (2/9/2014)
WBC 15100
RBC 3,08x10
6
HGB 9,1
PLT 375000
GDS 113
Ur/Cr 148/4,9
Na 132
K 3,9
Cl 102

Lab (27/8/2014)
WBC 23000
RBC 3,05x10
6
HGB 9,1
PLT 611000
Ur/Cr 190/3,82

Foto Thorax
(25/8/2014)
- Garis fibrosis
pada lapangan
KORAN UROLOGI
MINGGU, 7 SEPTEMBER 2014


tengah paru kanan
- Dilatatio,
elongation et
atherosclerosis
aortae

MSCT Thorax
(25/8/2014)
- Tidak tampak ;esi
patologik
intrapulmonary
- Efusi pleura
minimal kanan
- Atherosclerosis
Aortae Thoracalis
- Kista Hepar

MSCT Whole
Abdomen Non
Kontras (25/8/2014)
- Hipertrofi prostat
- PNC dengan
multicystic renal
bilateral
- Kista lobus kanan
hepar
- Cholelith dengan
susp. Batu CBD
- Efusi pleura
minimal dextra

Echocardiography
(25/8/2014)
- Disfungsi
diastolic LV
- LVH
- EF 62%
UGD
Hipertrofi prostat grade
III
Husen Kilwarany
RM 679156
Tgl lahir 7/1/1953
MRS 6/9/14
DPJP :
Hematuri ec. Susp.
Nefrolith sinistra

Lengkapi pemeriksaan Lab 6-9-2014
Hb : 14,9
WBC : 11,2x 10
3
RBC 4,97
PLT 130
Got/gpt 22/25
Alb 3,6

Muh. fathurohman Hematuri ec. Susp. Lengkapi pemeriksaan Lab 6/9/14
KORAN UROLOGI
MINGGU, 7 SEPTEMBER 2014


RM 679167
Tgl lahir 28/11/2000
MRS 6/9/2014
DPJP : dr. Asykar Sp.
U
Nefrolith sinistra

Ur/Cr
Hb 12,6
Rbc 4,38
Wbc 5,9
Plt101

USG Abdomen
Hematom subkapsular
ren sinistra
Efusi pleura bilateral

RS.UH
Hematom subcapsular
ren sinistra
405 A
Nurlela
031361
Konsul : 8/9/2014
DPJP :
dr.Syarif Bakri, Sp.U
Hidronefrosis D + batu
ureter D
OPTIMALISASI KU



Lab 9-9-2014
HGB 8.9 WBC 19.40
RBC 3.24 PLT 709
Ur/Cr: 34/1.0
Na/K/Cl: 136/4.3/107

Foto polos abdomen
9/9/2014
Tidak tampak bayangan
batu radiopak pada
abdomen ini,
kemungkinan batu lusen
tidak disingkirkan

421
Ibrahim, 78
th
025872
9/2/1936
DPJP: dr. Kholis
Sp.U
MRS: 1/09/2014

BPH Gr.II - III

OPTIMALISASI KU

Lab 03-09-2014
WBC: 12.16 RBC: 4.42
HGB: 12.5 HCT:36.0
PLT: 408 Ur/Cr: 200/2.4
Na/K/Cl: 128/4.4/97

Lab 05-09-2014
Na 129 k 4.9
Cl 98
Ur/Cr :194/2.3


USG Abdomen
18/8/2014
Kesan:
- hydronephrosis
bilateral terutama kanan
-hypertrophy prostat
Kamar 416A BPH Gr.III Optimalisasi KU Lab 02-09-2014
KORAN UROLOGI
MINGGU, 7 SEPTEMBER 2014


Hobertina
025838
12/1/1966
MRS:20/08/2014
DPJP: dr.Syarif, SpU
GDS: 155
Lab 31-8-2014
Na/K/Cl: 139/4.21/108
WBC: 8.86 RBC: 4.60
HGB: 10.6 PLT: 267
Lab 22-8-2014
Na/K/Cl:136/4,2/104
CT/BT:7/3
PT/APTT:15,5/25,1
SGOT/SGPT:13/11
Ur/Cr:32/1,4
PLT:292

GDS ( 04/09/2014)
238mg/dl
USG Abdomen
19/8/2014
-nephrolithiasis dextra

CT-Scan Abdomen
tanpa kontras
-nephrolith dextra
(staghorn calculi)
-perirenal abses dextra
-fatty liver

424
Rakhmawati
026909
6 8 1969
Konsul : 8 9 2014
DPJP
dr. Syarif, Sp.U

Susp. Batu saluran kemih
(Uretra)
IVFD RL 28 tpm
Ketorolac
Ranitidin
MSCT Scan 9/9/2014
Fatty liver
Tidak tampak urolith
Cholelith

426
Tri Handayani

MRS: 3/9/2014
Batu ginjal bilateral +
histc ginjal kiri
Rencana Pro URS + DJ Stent
(senin, 8/9/2014)
Lab 1-9-2014
WBC: 33.22 RBC: 4.13
HGB: 11.6 HCT: 33.1
PLT: 255
UR/CR: 41/1.1

Lab 22-9-2014
WBC: 19.54 RBC: 4.10
HGB: 11.1 HCT: 32.6
PLT: 286

431
St. Nawati

Hidronefrosis bilateral e.c
Ca Cerviks st.IV
Pro aff DJ Stent Lab 27-8-2014
WBC: 12.06
RBC: 6.18 HGB: 11.4
KORAN UROLOGI
MINGGU, 7 SEPTEMBER 2014


MRS: 3/9/2014 PLT: 553
Ur/Cr: 29/0.9
Ct/Bt: 7/2

USG Abdomen
(3/9/2014)
Kesan:
peliocadextra_caliectasis
dextra dengan terpasang
DJ stent
418
Baharuddin
4/11/1956
DPJP: dr. Syarif Sp.U
MRS: 8/09/2014

BPH Gr.II - III

OPTIMALISASI KU

Lab 9-9-2014
WBC: 5,9 RBC: 3,4
HGB: 10,6 HGB :10,6
PLT: 201 Ur/Cr: 200/2.4
Na/K/Cl: 135/4,1/107
Ur/Cr : 96/2.8
GDS : 199
SGOT/SGPT : 15/17

USG Abdomen
8/9/2014
Kesan:
- Nefrolith sinistra
disertai hydroneprhosis
- Vesicolith
- Hipertrophy prostat
PCC
DJ stent insitu
215
HJ.Rostia
645409
4/11/1962
MRS: 4/9/2014
DPJP: dr.M.Asykar P,
SpU
POH 2 URS + EKL + DJ
STENT bilateral
Batu ureter distal kanan
Batu pyelum kiri
Hidronefrosis kanan
ISK
Hiperkolesterolimia,
hiperuremia
NaCL 0,9% 20 tts/i
Ceftriaxone 1 gr/12j/iv
Ketorolac 30 mg
Ranitidine 50 mg/8 j/iv

Lab 9/9/2014
Wbc 11,5
Rbc 3.83
Plt 218
Hgb 12.0
Ur/cr 36/1.75



323
Hj nurmini
678146
60 thn
MRS 4/9/2014
DPJP dr Syakri Syahrir
POH 2 URS + EKL + DJ
STENT bilateral
Batu ureter distal kanan
Batu pyelum kiri
Hidronefrosis kanan
ISK
Hiperkolesterolimia,
hiperuremia
Renana URS
Pajang double j score bila KU
optimal
Terapi lanjut dari TS interna
Lab 09/09/2014
Gdp 114
Lab 08/09/2014
Gula puasa 94

Lab 07/09/2014
Wbc 4,0
Rbc :2,63
Plt 124
Hgb 8,2
KORAN UROLOGI
MINGGU, 7 SEPTEMBER 2014


Ur/cr 165/8,82
Na,K,Cl :135,3,3,106
209
Franse Elo
678063
25/11/1959
DPJP: dr. Syakri
Syahrir, Sp U
Nephrolithiasis bilateral
urerolithiasis dextra
Hidronefrosis sinistra
CKD stage V on HD
reguler
Harnal tab 1x0,4 mg
Asam mefenamat 3x500
Ranitidine 3x150

Lab 9/9/2014
Wbc 2.8
Plt 117
Hct 30.2
Rbc 3.47
Hgb 9.3
N,K,Cl : 119,3,1,95
Ur/cr 188/5.47
MSCT abd non kontras
Kesan: nephrolithiasis S
Postop extracorporal
shock wave lisotrips H 2
Batu ginjal kiri