LIST PASIEN ORTHOPEDI

Selasa, 1November 2016

Irina A Atas
N
Kamar Identitas Diagnosis Lab / EKG / Xfoto Thoraks Terapi
1. A1 LewuIvanderOzora/ - Post hemispica 31/10/2016 29/10/1016 - PCT 3x250mg
Bed2 L/4th - Fraktur femur sinistra Leu 8729 SGOT 22 - Transfusi PRC
tertutup Eri 4.34 SGPT 14
RM : 47.50.78 - Frakturdiafisis tibia– Hb 9.7 Ur 12
TL : 21/10/2011 fibula sinistra Ht 35.1 Cr 0.3
Tromb 385 GDS 77
MRS : 18/10/2016 Tgl op: 22/10/2016 MCH 26.7 Cl 97
HP : 13hari POST ORIF 31/10/2016 MCHC 33.1 K 3.77
MCV 80.9 Na 136
DPJP : dr. Andre PT 13.2
Lengkong,SpOT APPT 35.1

2. A2 Dias Stive - Post 29/10/2016 SGOT 60 IVFD RL 20tpm

Bed 2 Johanis/L/8th facioec.Kompartement Leuko 7735 SGPT 39 Ceftriaxone 2x1/2 vial
RM : 00.48.57.24 syndrome Eri 3.54 Ur 19 Ranitidine 2x1 amp
TL : 29-09-2008 - Fr.diafisis radius ulna Hb 10 Cr 0.3 PCT syr 3xC1
Ht 30.5 GDS 108 Metronidazole 3x250mg
MRS :19/10/2016 Trombo 724 Cl 94.2 Rawat luka
HP: 12hari Tgl op: 25/10/2016 MCH 28.3 K 4.46
DPJP : Tommy.S, MCHC 32.9 Na 132
SpOT MCV 86.2 PT 13.7
APPT 26.5
3. A7 GarryTegila/L/18thn Fr. Diafisis femur 31/10/2016 29/10/2016 - Pertahankan skin traksi
Bed 1 RM: 486061 sinistra Leu 8729 SGOT 23 - IVFD RL -> 20 gtt/m
TL: 4/10/1998 Post pemasangan skin Eri 2.52 SGPT 23 - Ceftroaxone 2x1gr iv
traksi Hb 7.0 Ur 25 - Ketorolac 3x1 IV
MRS: 23/10/2016 Ht 21.0 Cr 0.7 - Ranitidin 3x1 IV
HP: 8hari Tromb 361 GDS 100
DPJP: dr. Andre MCH 27.8 Cl 93.1
Lengkong, SpOT MCHC 33.3 K 3.83
MCV 84.4 Na 128
PT 15.9
APPT 29.1
4 A7 Deri Trimansyah - Fraktur Cruris Sinistra -
/L/26thn 1/3 distal tertutup
RM:48.65.61 - Vulnus laceratum
region cruris dextra
MRS:30/10/2016
HP:3hari
DPJP: dr.Tommy
S.SpOT
5. A7 Musa Aldi - Ostemielitisos tibia 31/10/2016 29/10/2016 - IVFD RL 20gtt
Bed 2 /L/15 thn sinistra+ bone expose Leu 165600 SGOT 25 - Ranitidin 2x1
RM :48.38.13 post debridement + Eri 5,27 SGPT 8 - Ketorolac 3x1
TL: 24/4/2001 sequesterektomi + Hb 12,2 Ur 20 - Rawatluka
guttesing Ht 39,3 Cr 0.4 - Ceftasidin 2x1 (H13)
MRS 7/10/16 Trom 692 GDS 59
HP : 25hari Tgl op: 13/10/2016 MCH 23,1 Cl 94,3
MCHC 31.2 K 4,30
DPJP: dr. Andre MCV 74,7 Na 119
Lengkong, Sp.OT PT 15,2
INR 1,28
APPT 27,1
6 A8 Koba Leonard Paul/ - Post debridement ec. 29/10/2016 SGOT 52 - IVFD RL 20 gtt
Bed 2 L/ 30 thn Fr. Leu 13420 SGPT 44 - Ceftriaxone 2x1
RM: 38.26.56 Dislokasiantebrachiisin Eri 4.10 Ur 21 - Ranitidine 2x1
TL: 18-5-1986 istraterbuka gr. III A Hb 12.4 Cr 0.8
 Ht 37.2 GDS 94 - Ketorolac 3x1
MRS: 23-20-2016 Tromb 339 Cl 93.3 - Rencanaoperasi ORIF
HP: 3hari MCH 30.2 K 3.77 elektif
DPJP: dr. A MCHC 33.3 Na 133
lengkong, SpOT MCV 90.7 PT 16.5
APPT 26.5
7 A8 Sarah Fraktur column femur 28/10/2016 Cl 99,9 - Terapi lain ssuai TS Onko
Bed 7 montolalu/P/69 th sinistratertutup Leu 6799 K 3,31
RM :47.35.79 Camammaedextra on Eri 2.33 Na 128
TL: 22-11-1946 kemoterapi Hb 7.0 Kalsium 8,18
Ht 20,5
MRS 25/10/16 Tromb 288
HP : 2 hari MCH 30.1
MCHC 34.4
DPJP: dr. Djarot N, MCV 87,7
Sp.OT

8 A9 Hiskya - Fr tibia fibula dextra 28/10/2016 Ur 22 Nacl 0.9% 20tpm

Bed 2 Mokosolang/L/10th 1/3 distal terbuka gr. Leu 24100 Cr 0.4 Ceftriaxone 2x1
IIIA Eri 4.98 GDS 118 Ranitidin 2x1
RM 486482 Hb 13.9 Cl 100 Ketorolac 3x1/2
TL 11/6/2006 Ht 38.6 K 4.1 Rawat luka
Tromb 380 Na 136
MRS 29/10/2016 MCH 27.9
DPJP dr. Djarot, MCHC 36
SpOT MCV 77.5
9 A9 PosumahCaroline/P - Fr. diafisis femur 26/10/2016 - IVFD RL 20gtt
Bed 5 / 8thn sinistra Leu 16730 - Ketorolac 3 x 1/2 amp iv
RM : 47.19.81 - Post ORIF Eri 4.66 (k/p)
TL : 3/6/2008 - TB on treatment Hb11.2 - Post ORIF
Ht34.6 - Aff kateter
MRS : 13/10/2016 Tgl op: 26/10/2016 Trom 564 - Rencanapulang
HP : 14hari MCH 24.0
MCHC 32.3
DPJP : dr. Djarot MCV 74.1
,SpOT

10 A9 Juan Kalangi/L/10th - Post LAC ec fr radius + 28/10/2016 SGOT 37 - IVFD RL 20 gtt

Bed 6 RM 486473 ulna 1/3 tertutup Leu 10500 SGPT 15 - Ceftriaxone 2x1/2vial
TL 09/06/2006 sinistra Eri 4.2 Ur 12 - Ranitidine 2x1
Hb 12.4 Cr 0.3 - Rawat luka
MRS 29/10/16 Ht 34.8 GDS 103 - PCT 3x500mg
Tromb 287 Cl 103
- Perawatan LAC
HP 2 hari MCH 29.5 K 3.9
DPJP dr. Djarot, MCHC 35.6 Na 136
SpOT MCV 82.9
11. A9 Novel Fr. Komunitif tibia 28/10/2016 Alb 3.30 - IVFD NaCl 0.9%
Bed 7 Karen/L/12thn dextraterbuka gr II Leu 9575 SGOT 16 - Ceftriaxone 2x1gr (H10)
RM: 48.57.98 Eri 3,61 SGPT 7 - Ranitidine 2x1 amp
Hb 8 Ur 18 - Keterolac 3x1 amp
TL :19/11/2004 Ht 31,3 Cr 0.6 - Rawatluka
MRS : 20/10/2016 Trom 512 Cl 99.9
- ORIF hari ini 1/11/2016
HP : 6hari MCH 29.9 K 3.49
MCHC 34,4 Na 137
DPJP : dr. A. MCV 86,9
Lengkong, SpOT

12 A9 Dannile O - Malunion fraktur 23/10/2016 SGOT 23 - Post ORIF 28/10/2016

Bed 8 Suharman/L/9thn supracondylar Leu 10350 SGPT 12 - Tunggu foto elbow D/S
RM: 48.06.85 humerus sinistra Hb 12,6 Ur 22 tanpa ekspertisi
Trom 495 Cr 0.6
TL :26/10/2007 MCH 27.4 Cl 101
 MRS : 26/10/2016 MCHC 33,3 K 4.26
HP : 6hari MCV 88 Na 138

DPJP : dr.Djarot,
SpOT

13 A 10 Arthur Tulandi/ L/ - Post debridement ec fr 28/10/2016 - Pengantar CTscan

27tahun tibia komunitif fibula Leu 19990
RM: 48.56.73 dextra+fr digiti II Eri 2.93
TL: 3/6/1989 pedisdekstra Hb 8.8
- Post ORIF Ht 29.9
MRS: 18/10/2016 Tromb 326
HP:15hari MCH 30
DPJP: dr.Tommy MCHC 34
S,SpOT MCV 88
14 A11 LumandungYessy/P - Post repair 29/10/2016 SGOT 58 - Post ORIF 31/1/2016
Bed 1 /21thn arteritibialis anterior Leu 14900 SGPT 123 - Rawatluka
RM: 48.56.62 dextra Eri 4.56 Ur 25 - Ketorolac 3x1 IV
TL: 23/12/1994 - Fr. Metafisis radius Hb 13,5 Cr 0,4 - Ranitidin 2x1 IV
dextra Ht 39,7 GDS 93 - Ceftriaxone 2x1 IV
MRS: 18/10/2016 - Fr. Diafisis femur Tromb 370 Cl 92,3
- Tx lain sesuai TS digestif.
HP: 8hari sinistra MCH 29,6 K 4,48
Plastic, vaskuler
DPJP: dr. Tommy S, - Fr. Diafisis tibia fibula MCHC 34 Na 129
SpOT dextra MCV 87,1
Tgl op: 19/10/2016 27/10/2016
PT 15.5
INR 1.32
APTT 26.7

Irina A bawah

No Kamar Identitas Diagnosis Lab / EKG / Xfoto Thoraks Terapi

1. B2 GertjeTangkulung - Fr. diafisis femur 25/10/16 - Ketorolac 3x1amp iv k/p
Bed 1 /P/70th dextra Leu 10000 Ur 45 - Ranitidin 2x1 amp iv
RM:47.95.66 - Stenosis vena Eri 3.48 Cr 1,3 - Terapi lain sesuai TS
TL: 20/03/1946 Hb 9.4 vaskuler
Ht 30,7
MRS:18/9/2016 Raber: TKV Trom 360
HP : 30 Stenosis vena dalam MCH 27,0 CT-Angiographi-
ec tumor femur MCHC 30,6 Venographi (menunggu
DPJP: dr. Djarot. N, dextra MCV 88,2 Hb> 11)
SpOT

2. B3 FransTuwaidan/L/7 - Post debridement 22/10/2016 GDS 149 - Ketorolac 3x1 k/p

Bed 1 3thn ec. Fr. tibia-fibula Leu 26.300 Cl 96.8 - Rawatluka
RM: 48.58.46 gr. II Eri 3.85 K 3.88 - Terapi lain sesuai TS NS
Hb 11.3 Na
TL: 17-06-1943 Tgl op: Ht 33,5
MRS: 20/10/2016 20/10/2016 Trom 365
HP: 6hari MCH 29,4
DPJP: dr. Djarot N, MCHC 33,7
SpOT MCV 87
Pro.total 6,88
Alb 2,32
3 B5 BernadusAgapaRinu - Fr. Diafisis femur 26/10/2016 Ur 33 - Pertahankan skin traksi
Bed 4 sMakai/L/18 thn sinistratertutup Leu 5213 Cr 0.9 - Ketorolac 3x1 IV
RM: 48.60.76 Eri 3.45 GDS 79 - Ranitidine 2x1
TL :05/10/1996 Hb 11.3 Cl 101.0 - ORIF hari ini 1/11/2016
Ht 29.6 K 4.10
 MRS : 23/10/2026 Trom 206 Na 139
HP : 3hari MCH 32.7 PT 13.6
MCHC 38.0 INR 1.11
DPJP : dr. A. MCV 86.1 APPT 28.1
Lengkong, SpOT SGOT 41
SGPT 31
4. B8 TangoiSukri/L/30th Fr. Pelvis 26/10/2016 Ur 31 - AS.mefenamat3x1tab
bed 3 n superior inferior Leu 15000 Cr 0.5 - Ranitidin tab 2x1
RM :48.55.36 dextra Eri 3.70 - Rencana rawat jalan
Rupture Hb 11.4
TL:10/6/2016 uretrapostrerior Ht 34.0 URO: LepasRawat, dx: post
MRS: 22/10/2016 Trombo 529 sistostomi (27/10/16)
HP: 4hari MCH 30.8
DPJP: dr. Djarot N, MCHC 33.5
SpOT MCV 92.0

5 B8 PorajowGeraldi/L/2 - Tumor femur 26/10/2016 Ur 23 - IVFD RL 20 gtt

Bed 5 0thn dextrasusp. leuko 5602 Cr 0,6 - Transfuse PRC smpaiHb>
RM: 48.59.76 Osteosarkoma eri 2.00 Uric Acid 6.5 8
MRS: 22/10/2016 Hb 5.7 Gds 104 - Ketorolac 3x1
HP: 4hari Ht 18.1 Alb 2.61 - Ranitidin 3x1
Trombo 193 Cl 101 - VIP albumin 3x2
DPJP: dr. Djarot N, MCH 28.6 K 3.50
Sp.OT MCHC 31.7 Na 132
MCV 90.2 PT 16.9
SGOT 44 INR 1.48
SGPT 33 APTT 29.7
6. B8 Willem Pongai - Post 28/10/2016 SGOT 55 - IVFD RL 20 gtt/m
bed 7 /L/ 14 th fasciotomiRegioc Leu 8803 SGPT 115 - Ceftriaxone 2x1
RM :48.39.45 rurissinistra Eri 2,74 Ur 2 - Ranitidine 2x1
TL: 26/2/2002 - Fr. diafisis femur Hb 7,7 Ur 26 - Ketorolac 3x1
sinistra Ht 24,0 Cr 1 - Rawatluka
MRS: 26/9/16 - Fr tibia fibula Trombo 327 GDS 114
HP: dextra MCH 28,2 Alb 2,62
MCHC 232,2 Cl 97,3
DPJP: dr Andre Raber : Plastik MCV 87,4 K 3.67
Lengkong, SpOT Combustio gr.III ec air Na 132
panas LLB 9% 31/10/2016
Post debridement Hb 7,7
11/10 PT 12,7
APTT 30,1
Raber: TKV
Post Fasciotomi rg.
Cruris
sinistra(26/9/16)
7. B8 Dane - Dislokasi hip joint 30/10/2016 SGOT 21 - IVFD RL 20 gtt/m
Bed 8 Nazaruddin/L/28ta posterior sinistra Leu 9100 SGPT 23 - Ketorolac 3x1 amp IV
hun Eri 5,75 Ur 20 - Ranitidin 2x1 amp IV
RM: 48.65.51 Hb 16,7 Cr 0.8
Ht 47,5 GDS 123
TL: Trombo 249 Cl 105.0
MRS: 30/10/2016 MCH 29,0 K 3.8
DPJP: MCHC 35,2 Na 138
MCV 82,6

8 B9 VandiRumagit/L/27 - Post ORIF tgl 28/10/2016 Gds 105 - Trf PRC 1 bag/hr s/d hb >
Bed 4 thn 28/10/2016 Leu 13900 Cl 101 10g/dL
RM : 47.86.02 - Fr. Femur 1/3 Eri 3.08 K 3.7
TL: tengah sinistra Hb 9.1 Na 137
Ht 26.3 PT 13.9
MRS : 18/8/2016 Tr0 362 INR 1.14
HP : MCH 29.5 APTT 26.4
 MCHC 34.6
DPJP : dr. Harry MCV 85.4
Sunaryo, SpOT GDS 123

9. B9 JenlyGinoga/L/ - Bone graft 27/10/2016 23/10/2016 - IVFD RL

Bed 7 26thn/ +osteotomitaftwi leuko 12440 SGOT 13 - ranitidine 2x1amp
RM :39.68.71 re Eri 5.03 SGPT 11 -ceftriaxone 2x1gr (H8)
TL: 30-03-1990 - Osteomielitis tibia Hb 13.7 Ur 6 -ketorolac 2x1 amp
sinistra Ht 42.6 Cr 0,6
MRS : 18/10/16 - Fr. Femur dextra Trombo 243 Gds 115
HP : 8hari MCH 27.2 Cl 115.0
TGL OP : 27/10/16 MCHC 32.1 K 3.70
DPJP : dr. Djarot N, MCV 84.7 Na 141
SpOT PT 13.2
APTT 31.3
10. B 10 Sartine Gaib/P/37th - 27/10/2016 SGOT 64 -
RM 486412 Leu 6000 SGPT 5
TL 10/3/1979 Eri 2.35 Ur 32
Hb 6.3 Cr 0.8
MRS 27/10/2016 Ht 19.6 Gds 98
HP 4 hari Tro 250 Cl 117
MCH 26.8 K5
DPJP : dr Tommy MCHC 32.1 Na 137
SpOT MCV 83.4

IRINA B

1. K4 Adeline Fr. Humerus 1/3 26/10/2016 SGOT 17 - IVFD RL

Gerungan/P/76t proximal dextraterbuka Leu 12100 SGPT 16 - Ranitidin 2x1
hn POST ORIF Eri 3.78 Ur 75 - Ketorolac 2x1
RM: 48 54 01 Hb 11.9 Cr 1.0 - Ceftazidin 2x1
Tgl Op :26/10/2016 Trom 251 GDS 526
MRS: 14-10-2016 Ht 32.5 Cl 95.0
HP: 5 MCH 31.5 K 4.50
MCHC 36.6 Na 129
DPJP : drDjarot, MCV 86.0 PT 12.6
SpOT APPT 20.0

30/10/16
Prot tot 5.74
Alb 2.68
Glo 3.06
2. K15 SientjeLengkong - Fr column femur 26/10/2016 SGOT 11 - Ketolorolac 3x1 k/p
dextra Leu 11000 SGPT 8 - R/ MRI dan CT Scan
MRS: 26-10-16 Fr kompresi VT 8 burst Eri 3.3 Ur 54 Hip
L3 Hb 9,8 Cr 0,7
DPJP : dr Tommy Trom 271 GDS 179
S, SpOT Ht 27,5
MCH 29,7
MCHC 35,6
MCV 87,3

NYIUR
1. K4 Thelma - Frkompresisusp. 27/10/2016 MCV 83.2 - Tramadol drip/24 jam
Karepu/P/42 thn HNP L5-S1 Leu 12290 SGOT 11
RM 28.51.75 Metastaseparu Eri 4.25 SGPT 7
Hb 12.0 Ur 30
MRS: 23/10/2016 Ht 35.4% Cr 0.8
 Tr 417 GDS 79
DPJP: dr. Tommy MCH 28.2 Fosfor 4.3
S,SpOT MCHC 33.9 Mg 1.98
Cl 94.6
K 3.67
Na 136
Ca 10.02