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KORAN UROLOGI Kamis, 11 SEPTEMBER 2014
LONTARA 2 UROLOGI KAMAR 12
1Bed 1DuppaRM 629845Tgl lahir 1/1/1930MRS 27/8/2014DPJP : dr. M. Asykar , Sp.U-hipertrofi prostat gr. III-Hernia inguinal lateralReponibilis bilateral-hematuri-proteinuriPost TUR P (10/9/14) (POH 1)
Lab (19/8/2014)WBC :8300RBC :4,01x106PLT : 222HB :12,1Ur : 31Cr : 1,5
USG abdomen20/8/14Fatty liverHipertrofi prostat
Echo ( 29/8/14)EF 68%
TRUS 90TAUS 94
2Bed 2Usman RM 654419Tgl lahir 1-7-1982MRS 20/8/14DPJP:dr. M. Asykar , Sp.U-seminoma testis kiri-ascites-infeksi saluran kemih-anemia
Perbaikan KURencana kemoterapi
Hasil PA 2/4/14Seminoma testis
Lab 30/8/2014WBC : 6,9PLT : 337HB : 9,3Lab 20/8/14Ur:25Cr : 0,9Lab 4/9/14Alb : 2,9Hb post transfusi 10,1
4Bed 4MUDDIN DG LALANGRM 677257Tgl Lahir 7/7/1949MRS 8-9-2014DPJP: dr.Muh.Asykar Palinrungi,Sp.U-hipertrofi prostat gr. III-Hematuria- LeukosituriaTrans urethal resection of Prostat HARI INI
Lab (25/8/2014)Hb : 12,5WBC : 10.1Ur : 21Cr : 0,91PLT 390RBC 4,34
USG ABD (22/8/14)Kesan: Hipertrofi Prostat
FOTO THORAX PA (22/7/14)Kesan: Normal
5Bed 5Ruslan653105Tgl Lahir 19/9/92MRS 8/9/14DPJP: dr.Muh.Asykar Palinrungi,Sp.UBatu Ginjal kananBatu ureter kananISKLeukositosisSusp. Single KidneyGangguan Fungsi HeparPost URS dan DJ Stent (10/9/14) (POH 1)Lab (7/9/14)Hb : 15.6WBC : 16.1Ur : Cr : PLT 360RBC 4,91
CT Scan ABD (8/9/14)Kesan: Severe hydronephrosis dextra e.c UreterolithNephroliths DextraHepatomegaly
6Bed 6Massa Tgl lahir 4/3/1920RM 676952Mrs: 19/8/2014DPJP : dr. Asykar, Sp.UHipertrofi prostat gr. IIICystitisTB Paru lama tenangProteinuriaHematuriaBronkhitisPost Trans Urethral resection of prostat 10/9/14Lab (22/8/14)WBC 10.3RBC 3.85HGB 11.3HCT 32.9PLT 250Ur/Cr: 64/9.0PSA: 8.70 (25/8/14)
LONTARA 2 URO KAMAR 1
Bed 1Heri mokodompit667545TL 07/11/1968MRS 9/9/14dr. M. Asykar Palinrungi, Sp.U Batu ginjal bilateral Hidronefrosis bilateral Double J Stent Hematuri Rencana replace Double J Stent bilateral Ureterorenoscopy USG AbdomenLab (7-9-2014)WBC : 8,60RBC : 4,57HB : 13,2PLT : 279Ur : 21Cr : 1,20SGOT : 20SGPT : 23N : 142K : 3,8Cl : 100
USG Abdomen (18-8-2014)-Nefrolith disertai hidronefrosis bilateral-DJ stent terpasang pada kedua traktus urinarius
Bed 2Ibrahim Adjuna672005TL 03/08/1948MRS 7/8/14dr. 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 uretroplastyESRD on HD regulerLab (8-9-2014)Ur : 59Cr : 2,10
Lab (6-9-2014)WBC : 10,9RBC: 3,27HB: 9,5PLT: 404
Lab (4-9-2014)WBC: 22,1RBC: 2,20HB: 6,1PLT: 450CT: 800BT: 230
Lab (24-8-2014)UR: 60CR: 2,70Na: 138K: 4,8Cl: 104
Urinalisa (11/8/2014)Warna: KuningpH: 5.5BJ: 1.015 Protein: +++/300 Glukosa: +/50 blood: ++/80leukosit: negatifsedimen leukosit: 2 sedimen eritrosit: 5 sedimen epitel sel: 2
RPG (26-08-14)POH 3 extended pyelolithotomiUreterocutaneusDJ stent sinistraMultiple kista ginjal bilateral
Hasil APGHidronefrosis grade II-III
MSCT Urografi (15/7/14) Kista ginal kanan Nefrolith denganhidronefrosis sinistra PNC sinistra
Foto Polos abd (15/7/14)Nefrolith sinistra (batu staghorn)
Bed 4La Hibbu676624Tgl lhr : 15-06-1934MRS : 5-9-2014DPJP : dr. Syakri Syahrir , Sp.U
Hipertropi Prostat gr 2-3 Siapkan 1 bag PRC Rencana op hari kamis
Lab (20-8-2014)WBC: 6,4RBC: 4,33HGB : 13,3PLT : 206HCT :40,3Ur/cr : 25/1,20Na/K/cl : 142/36/104
PSA : 1,15TAUS : 31,6TRUS : 32,3
LONTARA 2 URO KAMAR 2
Bed 1Abd. Rauf67909930-6-1961MRs: 5-9-2014DPJP: dr.Muh.Asykar Palinrungi,Sp.UTu. Buli-buliPost TUR BT (POH 1) (10-9-2014)Lab 5-9-2014Hb: 14,3RBC: 4,47WBC: 6,1HCT: $1,6PLT: 293Ur/cr: 21/1,00
USG abdomen: -Massa buli-buli-Hidronefrosis
Bed 2Abdul HakimRM 645271Tgl lahir 14/9/1955MRS 7/9/2014DPJP : Dr. Syakri. SpU
DJ-stent Insitu BilateralPost Aff DJ-Stent. (POH 1) (10-9-2014)Lab 22/8/2014HB : 11,5WBC : 8,2RBC 4.06PLT: 259Ur/Cr: 57/1.70PT/APTT: 10,6/23,8
Bed 3Najamuddin67722422-10-1959MRS: 02/9/2014DPJP: dr. M. Asykar P, Sp.UHypertrophy Prostat Gr.IIHiperglikemiDM tipe IIPOST TUR Prostat (8-9-2014) (POH 3)
Lab 7-9-2014GDS: 243 mg/dl
Lab 5-9-2014GDP: 125GD2P: 143HbA1C: 7,9
Lab 25-8-2014WBC: 5.4 RBC: 4.38HGB: 14.1 PLT: 243GDS: 244Ur/Cr: 19/0.61Na/K/Cl: 144/4.3/103PSA: 0.76PT/APTT: 10.2/25.0
USG AbdomenKesan: -hypertrophy prostat
LONTARA 2 URO KAMAR 11
Bed 1Hana Pepe669064TL: 20-4-1957MRS:21-8-14dr.M. Asykar Palinrungi, Sp.UBatucetakginjal (D)DJ Stent insitu bilateralKista ginjal (D)-anemia- ISK-leukositosis- pro extended pyelolithotomi + replace DJ stent dextra - Diet rendah garam, rendah purin- Takar urin/24 jam- POH 2Lab (6-9-20140WBC: 11,3RBC: 3,75HB: 11,2PLT: 455UR: 54CR: 1,90
Lab (30-8-14)Ur : 29Cr : 1,40RBC: 2,86PLT: 586HB : 8,8WBC : 12,0 x 103
Lab (1-9-2014)Albumin: 3,4
USG Abd (12-08-2014)Nefrolith (D)Renal cyst (D)DJ stent terpasangpadatraktusurinarius bilateral
Bed 2Armianti amir 67890017 9 1986MRS: 10- 9- 2014DPJP: 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 SinistraLab 2 9 2014Wbc 8,6Hgb 12,5 Plt 498Rbc 4,76
Ur/Cr : 16/0,5
USG 1/9/2014 Hidronefrosis Bilateral
Bed 3Ny Irma Sofian6544813/8/1982DPJP: dr. Asykar, Sp.U
Hidronefrosis Sinistra Ca Mammae Grade III Infeksi Saluran Cerna Anemia Rencana pemasangan urs dan pasang Double J Stent Bilateral 4/9/2014Wbc 7,5Hgb 9,4Plt 487Rbc 3,27
GDS 86 mg/dl
Bed 4Talaha 66327517 1 1968MRS 3 9 2014DPJP dr.M Asykae P Sp.BHidronefrosis bilateral abses renal dextraPro replace DJ stent bilateralLab 9 9 2014Wbc 12,7Hgb 11,1Plt 498Rbc 4,79
Bed 5Ny Jainun67824611-2-1976MRS 10-9-2014DPJP : Dr.Kholis Sp.UHidronefrosis Sinistra Batu Pyelum SinistraAnemiaHepatomegaly Infeksi Saluran KemihTB Paru Lama AktifBatu Ginjal SinistraLengkapi pemeriksaan Lab 1-9-2014Wbc 10,0Hgb 9,1Plt 371Rbc 4,24
Ur/Cr : 19/1,00
USG 1-9-2014-Hepatomegaly -Hidronefrosis ec Batu Pyelum PUJ Snistra
Bed 6T. Dg. Ngai545338TL: 31-12-1968MRS: 5-9-2014dr. M. Asykar P, sP.BU-hidronefrosis bilateral-DJ stent insitu (S)Pro URS-Replace / Affv DJ stentDiet bebasMobilisasiLab 6-9-2014WBC: 6,4RBC: 4,16HB: 11,7HCT: 35PLT: 288NA: 140K: 3,9CL: 106GDS: 88UR: 60CR: 1,80GOT: 27GPT: 2,0
LONTARA 2 URO KAMAR 3
Bed 4Ester67563001/6/1947MRS:08/9/2014DPJP: dr.M. Asykar Palinrungi, Sp.U Tumor Ginjal DextraCardiomegalyDiverticulosis colonRencana Op nefrectomyLab (14-8-2014)RBC 3.73 WBC: 7.5HGB 11.7 PLT: 216Ur /Cr: 22/0.50 GDS: 124CT/BT: 800/230
MSCT Urograf i (26-8-2014)Kesan:-Tumor Ginjal kiri sesuai dengan Grawitz tumor
Colon- Inloop (19-8-2014)Kesan: -Diverticulosis Colon
LONTARA 2 URO KAMAR 10
Bed 1Zainuddin67608231/12/194310/9/2014DPJP:dr. Syakri S. Sp.UCa prostateRencana orchidectomyLab (8/9/14)WBC:9.2 RBC: 4.61HGB:12.1 PLT:445GDS : 1455Na/K/Cl : 139/4.1/106Ur/Cr : 17/1.07GOT/GPT: 37/38
Bed 2Drs. Khaidir SangajiRM 679676Tgl Lahir 31/12/1960MRS 9/9/2014DPJP : dr. Khoirul Kholis Sp.UHidronefrosis bilateralURS hari ini
Bed 3M.Dg. Talling67692631/12/1943MRS :DPJP:dr.Muh.Asykar Palinrungi,Sp.UTumor Buli-buliAnemiaHematuriaHidronefrosis bilateral
IVFD NaCl 0,9% 28 tpmInjeksi (gentamicin, ketorolac, ranitidin)Spooling kateter VIP Alb : 3xII tab
Lab(6/9/14):WBC:10.6 HGB:8.8RBC:2.99PLT:229
Lab(4/9/14):WBC:7 HGB:5.7RBC:1.95PLT:224
LabUr/cr : 41/2,45
Lab (30-8-2014)Ur/Cr : 44/1.42Albumin 4,1
Lab(25/8/14):PSA : 10.41
USG Abdomen (21/8/14)Massa buli-buli
MCST(26-8-2014)Massa buli-buliHidronefroureter bilateralDNC sinistraHypertropi prostatEfusi pleura bilateral
Bed 4Husen KilwaranyRM 679156Tgl lahir 7/1/1953MRS 6/9/14DPJP : Hematuri ec. Susp. Nefrolith sinistra
Lengkapi pemeriksaanLab 6-9-2014Hb : 14,9WBC : 11,2x 10 3RBC 4,97PLT 130Got/gpt 22/25Alb 3,6
Bed 5Bassara6775721/7/1954MRS: 10/9/2014DPJP:Hipertrofi prostat grade III susp. Malignancy Rencana TUR P
Bed 6Syarifuddin67501607/09/1967MRS:DPJP:dr.KhoirulKholis,Sp.UBatucetakginjaldextraDJ stent ureter dextra
Pro extended pyelolitotomiLab(7/8/14):Ur/Cr: 34/1.40HGB:14 WBC:11,2HCT:43 PLT:240
USG ABDOMEN (WHOLE ABD) TGL 6/8/2014KESAN: dj DJ stent padatraktusurinariaDextra, nefrolithginjalkanan, hidronephorsiskananIVP (19/8/2014)-batustaghorndextra
LONTARA 2 KAMAR ISO
Bed 1Sauda67916912-1-1961MRS: 9-9-2014DPJP: Dr. Khoirul Kholis, Sp. UTu. Penis suspek malignancyRawat luka dengan metronidazole bubuk dan NaCl 0.9%Kultur lukaLab 6-9-2014WBC: 14,0RBC: 3.34HB: 9.9PLT: 243Ur/Cr: 26/1.00
USG AbdomenTidak tampak tanda-tanda metastasis pada USG abdomen ini
Bed 2Wayan 67470443 tahunMRS 07/08/2014DPJP:dr.Muh.AsykarPalinrungi,Sp.UCa penis +post partial penectomy + ulkus inguinal dextra + leukositosisPost KemoterapiSiklus 1 hari 1 tgl 21/8/2014Rawat luka per hari dengan NaCl 0,9% dan metronidazole bubuk
Lab 4-9-2014:Alb: 3,2Lab (25/8/14):Na/K/Cl: 138/3.5/94WBC:10.6 HGB:13.3RBC:4.75 HCT:3.9PLT:382 Ur/Cr: 16/0.98
LabRBC 5,37;WBC 12,08;HB 15,2;PLT 352;UR/CR 25/0,8
USG Abdomen :Tidakadatanda-tandametastase
LONTARA 1 BAWAH BELAKANG
Jaju1/7/1955677728Mrs : 03/09/2014K6/III B5DPJP : dr.Khoirul Kholis, Sp.UAbses psoaslimfadenopatiPro drainase absesLab (5/9/2014)WBC : 8,8RBC : 3,14HB : 9,3PLT : 418Alb : 2,1
USG abdMassa retroperitoneal kanan suspek massa paravertebralDilatasi loop-loop usus
CT scan AbdomenMassa paravertebrayang mendestruksi CV L3-L4Efusi pleura bilateral
Haeruddin67734625-121957MRS: 5-9-2014K5B5
Susp. Ca. ProstatAwasi TTVUSG AbdomenHipertrofi prostatCystitis
CT scan abdomen-Hypertrophy prostat disertai dengan lymphadenopathy-cystitisTu. Metastasi ke tulang
Foto pelvis APOld fracture pada column femoralis sinistra
LONTARA 1 BAWAH DEPAN
LONTARA 1 ATAS DEPAN
Risma Idris67792611/3/1972K5B5Konsul : 4/9/2014ureterokelPro URS Lab (4/9/2014)WBC : 10,2RBC : 4,16HB : 13,6PLT : 232
MSCT urografi dengan kontras (1/9/2014)Kesan : nefrocalcinosis bilateralcistitis
LONTARA 1 ATAS BELAKANG
PAKIS
LONTARA 2 DIGESTIF
Saniasa K10B36746055-10-1975MRS: 26-8-2014Konsul: 30-8-2014Hidronefrosis dextra ec tumor adneksa DD/ hemangioma retroperitonealRencana URS + DJ Stent Sinistra (tunggu jadwal)Lab: 25/9/2014Wbc: 7.5Rbc: 4.84HGB: 11.3PLT: 319Alb: 3,9Ur/cr: 13/0,7
MSCT Whole abd. (dengan kontras)Kesan: kista ovarium kananSevere hydronefrosis dan hydroureter sinistra
Hasil PA (19-8-2014)Papiloma squamosa +endometrious eksternal
LONTARA 2 ORTOPEDI
S. Todding AlloK5B3677812MRS: 9-9-2014DPJP:Hypertrophy prostat gr. IIRencana TUR PLab 28-82014WBC: 6.2RBC: 4.68HB: 14.1Ur/cr:24/1.06Usg abdomenHipertorfi prostat
KusnadiK7AB46753419/4/1969Mrs : 4/9/2014DPJP : dr.Asykar Palinrungi, Sp.UStriktur uretra pars bulbo membranaceaCistitisDM type IIPost sasche (8-9-2014) (POH III)Lab (12/8/2014)WBC : 7,3RBC : 5,29HB : 15,8PLT : 223Ur : 25Cr : 0,97
Uretrocystografi (18/8/2014)Tampak penyempitan pada pars membranosa & prostaticaKesan : striktur uretra
Taha MayuluK7B/B76789281-4-1946Mrs: 10-9-2014DPJP: Tumor ginjal dextraRencana paradeLab 5-9-2014Wbc 9.6RBC 3.73HCT 3.08Ur/cr 73/2.20
Usg abdomen-Grawitz tu. Dextra disetai hidronefrosis -hepar, lien, GB, prankeas, ginjal kir, VU dan prostat kesan normal pada USG abdomen saat ini
Ct urologi tanpa kontrasSesuai massa tumor ginjal dextraTidak tampak batu saluran kemih
Foto thorax PAFoto thorax normal
Yunus sakkeK8B367879525-6-1968MRS: 3-9-2014DPJP: dr. Asykar Palinrungi, Sp.U
Batu pyelum dextra Hydronephrosis dextraPro pyelolitotomi dextra Pro pyeloplastyLab 3-9-2014RBC: 3.97HGB: 13.3HCT: 38.4WBC: 9.0Ur/Cr: 21/1.06
Foto Thorax 3-9-2014Pulmo dalam batas normalDilatation et atherosclerosis aortae
Foto BNO-IVPNephrolithiasis dextraHydrnephrosis dextra grade II-III dengan hidroureter 1/3 proximal e.c susp. Batu ureter radiolusen dd/ stricture
Foto USGMild hydronephrosis dextra dengan nephrolit dextraVesicolith dengan tanda-tanda cystitis
LONTARA 3 ATAS BELAKANG
LONTARA 3 ATAS DEPAN
JASMAN MADDAKAMAR 1 BED 41-6-1979679611MRS : 9-9-2014DPJP :dr. syakri Sp.U
batu ginjal kanan bati buli2Rencana ESWL
RBC 3,57 HGB 12,5 HCT 37,1 PLT 499WBC 7,9
LONTARA 4 BAWAH DEPAN
Fatimah HDKmr 6 bed 367701715/6/1962MRS: 28/8/2014Konsul: 29/8/2014DPJP:Hidronefrosis bilateral ecca cervix stdIIIbPost op 2 URS + DJ stent sinistraOperasitanggal 3/9/2014Lab 25/8/2014Alb: 3.4Wbc: 15.4Rbc: 3.41Hgb: 9.8Lab 30/8/2014Ur: 167Cr: 8,6Hasil PA (21/4/2014)- invasive squamous cell carcinoma (large cell non keratinizing/moderately differentiated) dgn LVSI (+) positif (tipe II)Mscturografi non kontras (28/8/2014)Kesan: massasegmenbawah Rahim disertaihidronefroureter bilateral (FIGO IIIB)
Ny. Haerani Kamar 4 bed 167444512-9-1948Konsul : 6-9-2014DPJP: dr. Syakri Sp.UCa Cervics std IIIHidronefrosis bilateralRencana DJ Stent BilateralLab 8-9-2014Wbc: 14,4Rbc: 3,41Hgb: 9,9PLT 506Ur/cr: 153/9,30
NICU
By Bonewati6742465-8-2014Dirujuk 18-8-2014Omphalocele + Ekstrofi kloakaPro repair omphalocele + ekstrofi kloakaLab (6/9/2014)Na/K/Cl: 133/5.9/95Lab (12/8/2014)RBC 3,57 HGB 12,5 HCT 37,1 PLT 499WBC 11.83Lab (1/9/2014)RBC 3.14HGB 9.8HCT 28PLT 963WBC 14.6
PALEM ATAS
B1/1 Bed 1Maskun677692Tgl Lahir: 16/06/1954Tgl MRS: 07/9/2014DPJP: dr. Syakri Syahrir, Sp.U
Batu cetak ginjal kiri Batu ginjal kanan Batu buli-buli CholilitiasisPro TUR-PLab (28/8/2014)WBC 73000HGB 12,9PLT 459000GDP 88Ur/Cr 31/1,60GOT/GPT 29/47
Foto Thorax (02/09/2014)Kesan-Cor dan Pulmo normal-Dilatation et elongation aortae
Foto Polos Abdomen (01/09/2014)Kesan-Nefrolith Bilateral-Vesicolith
Foto IVU (01/09/2014)Kesan :-Hydronefrosis sinistra derajat II-III-Nefrolith Bilateral-Vesicolith
CT Scan Abdomen (28/08/2014)Kesan -Cholelith-Severe hidronefrosis sinistra e.c batu staghorn-Kista ginjal dextra
USG AbdomenKesan-Sludge GB dan Cholelith disertai cholecystitis-Nephrolith disertai hydronephrosis kiri-Vesicolith-Kista Ginjal Kanan
Echocardiogram(02/09/2014)Kesimpulan-Disfungsi diastolic LV-EF 61%
B1/4Jennie Ariyani677473Tgl Lahir: 17/7/1979Tgl Konsul: 3/9/2014DPJP: dr. Syakri Syahrir, Sp.UCa Recti 1/3 Distal pro Miles Procedure Pro URS + DJ Stent
Lab (3/9/2014)WBC 5900RBC 4,33x106HGB 10PLT 463000
Lab (26/8/2014)WBC 7600RBC 3,8x106HGB 8,6PLT 532000GDS 94Ur/Cr 13/0,6SGOT 18SGPT 16Albumin 3,3Na 139K 3,9Cl 105
Foto Thorax (27/8/2014)Kesan normal
MSCT Whole Abdomen non kontras (27/8/2014) Penebalan sirkular dinding rectum suspek tumor rectum Lymphadenopathy
USG Abdomen (27/8/2014)Tidak tampak tanda-tanda metastasis
B1/6La Hami676378Tgl Lahir: 7/11/1958Konsul : 30/8/2014DPJP: dr. Syakri Syahrir, Sp.U
Batu staghorn sinistra Hidronefrosis sinistraPost URS + DJ stent sinistra (tanggal 4/9/2014)(POH 4)Lab (4/9/2014)WBC 8800RBC 3,07x106HGB 9,5PLT 239000
Lab (2/9/2014)WBC 7900RBC 3,37x106HGB 9,8PLT 239000GDS 111Ur/Cr 114/6,6Na/K/Cl 141/3,9/98
Foto Thorax (27/8/2014)Kesan normal
CT Whole Abdomen (18/8/2014)Hydronephrosis sinistra ec Nefrolith
B2/2 Bed 1Mohammad Idroes300187Tgl Lahir: 12/08/1946Konsul : 30/8/2014DPJP: dr. Syakri Syahrir, Sp.U
Hipertrofi Prostat grade IIRencana TUR-PLab (12/08/2014)WBC 7,5RBC 3,07x106HGB 12,8PLT 311000GDS 111Ur/Cr 22/1,20Na/K/Cl 140/3,2/104
CT Whole Abdomen (15/8/2014)Kesan-Hpertrophy prostat-Cystitis
Echocardiograf-Fungsi sistolik LV baik, EF 73%-Diresi ruang-ruang jantung : normalLVH (+)Global normokinetik
B2/8 Bed 2Kondo Rapa670213Tgl Lahir: 25/12/1951Tgl MRS: 3/9/2014DPJP: dr. Khoirul Kholis, Sp.UTumor Ginjal DextraOptimalisasi KU
Lab (06/09/2014)WBC 10100RBC 3,18x106HGB 8,0PLT 327000Ur/Cr 67/1,60GDS 131Na 131K 4,1Cl 96
Lab (14/08/2014)WBC 10900RBC 3,55x106HGB 9,4PLT 39000 0Ur/Cr 31/1,33SGOT 27SGPT 29Na 126K 4,6Cl 93
PA Ginjal (30/12/2013)Sesuai pyonephrose
MSCT Abdomen (23/6/2014) Tumor retroperitoneal dextra, curiga renal cell carcinoma residif DD malignant peripheral nerve sheat tumor Destruksi corpus vertebra L1-L2 Infiltrasi vena cava inferior
PALEM BAWAH
B1/4Esthepanus Palungang, M.S583573Tgl Lahir: 14/6/1944Tgl MRS: 07/09/2014DPJP: dr. Khoirul Kholis, Sp.U -Hipertrofi prostat grade III-HT-DM tipe 2 Rencana TUR-P
Lab (04/09/2014)GDP 200HBA 1c 9,2
Lab (03/9/2014)WBC 10,2RBC 4,10x106HGB 12,6PLT 561000Ur/Cr 26/1,03Na 135K 4,5Cl 101SGOT 44SGPT 60GDP 244
(02/09/2014)GDS strip 274
(02/09/2014)Urin rutinGlukose +++/500
Lab (29/08/2014)WBC 10,2RBC 4,10x106HGB 12,6PLT 561000Ur/Cr 29/1,10Na 135K 4,7Cl 100SGOT 31SGPT 61GDS 252
(01/09/2014)PSA 21.39Kesan : Penanda Tumor meningkat
B2/5 Bed 2Junaidi Paroki404507Tgl Lahir: 22/07/1962Tgl MRS: 07/09/2014DPJP: dr. Khoirul Kholis, Sp.U -Batu Ginjal Kanan-CAD POGT PTCA Konsul KardiologiLab (07/09/2014)WBC 4,0RBC 4,81x106HGB 14,3PLT 254000Ur/Cr 30/1,30Na 143K 3,9Cl 104SGOT 26SGPT 23GDS 163
Lab (10/07/2014)
WBC 4,3RBC 5,10x106HGB 14,5PLT 235000Ur/Cr 31/1,42SGOT 28SGPT 26GDS 178
Foto Polos Abdomen(24/07/2014)Kesan-Tidak tampak bayangan batu radiopak pada foto polos abdomen ini, kemungkinan batu radiolusen belum dapat disingkirkan
Usul : USG Abdomen-BNO-IVU
Foto USG Abdomen(10/07/2014)Kesan-Nephrolith dextra-Fatty LiverUsul : CT Scan Urography
USG Abdomen(28/04/2014)Kesan :-Hepatomegaly dengan Fatty Liver-Nefrolithiasis dextra
B2/14 Bed 2Muhammad Ali040311Tgl Lahir: 12/1/1938Tgl Konsul: 2/9/2014DPJP: dr. Khoirul Kholis, Sp.U -Hipertrofi prostat grade III-PNC-Polikistik ginjal bilateral Harnal 0,2 1x1 konservatifLab (2/9/2014)WBC 15100 RBC 3,08x106HGB 9,1PLT 375000GDS 113Ur/Cr 148/4,9Na 132K 3,9Cl 102
Lab (27/8/2014)WBC 23000 RBC 3,05x106HGB 9,1PLT 611000Ur/Cr 190/3,82
Foto Thorax (25/8/2014) Garis fibrosis pada lapangan 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%
USG AbdomenKesan-Hypertrophy prostat-Cholelith-PNC dan polikistik ginjal bilateral
UGD
1KamidRM 679668Tgl Lahir 31/12/1935MRS 9/9/2014DPJP: Susp. Tumor Buli-BuliLengkapi pemeriksaanLab 9-9-2014Hb : 8.9WBC : 7.3 x 10 3RBC 2.80PLT 295GOT/GPT 28/25Ur/Cr 26/0.80GDS 103Na/K/Cl 136/4.3/111HBsAg Reactive
2Saing67987321/9/194510/9/2014DPJP:Retensi urine susp BSKLengkapi pemeriksaan
3H. Husaini67984810/1/1947MRS 10/9/2014DPJPHipertrofi prostat gr. IIILengkapi pemeriksaan
4Muslimin Dg. Mille6798655/10/1956Mrs 10/9/2014DPJP:Lengkapi pemeriksaa
RS.UH
405 ANurlela031361Konsul : 8/9/2014DPJP :dr.Syarif Bakri, Sp.UHidronefrosis D + batu ureter DOPTIMALISASI KU
Lab 9-9-2014HGB 8.9 WBC 19.40RBC 3.24 PLT 709Ur/Cr: 34/1.0Na/K/Cl: 136/4.3/107
Foto polos abdomen 9/9/2014Tidak tampak bayangan batu radiopak pada abdomen ini, kemungkinan batu lusen tidak disingkirkan
421Ibrahim, 78th0258729/2/1936DPJP: dr. Kholis Sp.UMRS: 1/09/2014
BPH Gr.III
OPTIMALISASI KU
Lab 03-09-2014WBC: 12.16 RBC: 4.42HGB: 12.5 HCT:36.0PLT: 408 Ur/Cr: 200/2.4Na/K/Cl: 128/4.4/97
Lab 05-09-2014Na 129 k 4.9 Cl 98Ur/Cr :194/2.3
USG Abdomen 18/8/2014Kesan:- hydronephrosis bilateral terutama kanan-hypertrophy prostat
Kamar 416AHobertina02583812/1/1966MRS:20/08/2014DPJP: dr.Syarif, SpUPOH XI DebridementAbses perirenal (S)Post op drainase abcessOptimalisasi KULab 02-09-2014GDS: 155Lab 31-8-2014Na/K/Cl: 139/4.21/108WBC: 8.86 RBC: 4.60HGB: 10.6 PLT: 267Lab 22-8-2014Na/K/Cl:136/4,2/104CT/BT:7/3PT/APTT:15,5/25,1SGOT/SGPT:13/11Ur/Cr:32/1,4PLT:292
GDS ( 04/09/2014) 238mg/dlUSG Abdomen 19/8/2014-nephrolithiasis dextra
CT-Scan Abdomen tanpa kontras-nephrolith dextra (staghorn calculi)-perirenal abses dextra-fatty liver
424Rakhmawati0269096 8 1969Konsul : 8 9 2014DPJPdr. Syarif, Sp.U
Susp. Batu saluran kemih (Uretra)IVFD RL 28 tpm Ketorolac RanitidinMSCT Scan 9/9/2014Fatty liverTidak tampak urolithCholelith
426Tri Handayani
MRS: 3/9/2014Hidronefrosis bilateral e.c Ca Cerviks st.IVRencana Pro URS + DJ Stent (senin, 8/9/2014)Lab 1-9-2014WBC: 33.22 RBC: 4.13HGB: 11.6 HCT: 33.1PLT: 255 UR/CR: 41/1.1
Lab 22-9-2014WBC: 19.54 RBC: 4.10HGB: 11.1 HCT: 32.6PLT: 286
431St. Nawati
MRS: 3/9/2014DJ Stent insitu + ileostomy e.c Ca CerviksPro aff DJ StentLab 27-8-2014WBC: 12.06RBC: 6.18 HGB: 11.4PLT: 553Ur/Cr: 29/0.9Ct/Bt: 7/2
USG Abdomen (3/9/2014)Kesan: peliocadextra_caliectasis dextra dengan terpasang DJ stent
418Baharuddin 4/11/1956DPJP: dr. Syarif Sp.UMRS: 8/09/2014
BPH Gr.II - III
OPTIMALISASI KU
Lab 9-9-2014WBC: 5,9 RBC: 3,4HGB: 10,6 HGB :10,6PLT: 201 Ur/Cr: 200/2.4Na/K/Cl: 135/4,1/107Ur/Cr : 96/2.8GDS : 199SGOT/SGPT : 15/17
USG Abdomen 8/9/2014Kesan:- Nefrolith sinistra disertai hydroneprhosis- Vesicolith- Hipertrophy prostat
PCC
215HJ.Rostia6454094/11/1962MRS: 4/9/2014DPJP: dr.M.Asykar P, SpUPOH 2 URS + EKL + DJ STENT bilateralBatu ureter distal kananBatu pyelum kiriHidronefrosis kananISKHiperkolesterolimia, hiperuremiaNaCL 0,9% 20 tts/iCeftriaxone 1 gr/12j/ivKetorolac 30 mgRanitidine 50 mg/8 j/iv
Lab 9/9/2014Wbc 11,5Rbc 3.83Plt 218Hgb 12.0Ur/cr 36/1.75
323Hj nurmini67814660 thnMRS 4/9/2014DPJP dr Syakri SyahrirNephrolithiasis bilateralurerolithiasis dextraHidronefrosis sinistraCKD stage V on HD regulerRenana URSPajang double j score bila KU optimalTerapi lanjut dari TS internaLab 09/09/2014Gdp 114Lab 08/09/2014Gula puasa 94
Lab 07/09/2014Wbc 4,0Rbc :2,63Plt 124Hgb 8,2Ur/cr 165/8,82Na,K,Cl :135,3,3,106
209Franse Elo67806325/11/1959DPJP: dr. Syakri Syahrir, Sp UPostop extracorporal shock wave lisotrips H 2Batu ginjal kiriHarnal tab 1x0,4 mgAsam mefenamat 3x500Ranitidine 3x150
Lab 9/9/2014Wbc 2.8Plt 117Hct 30.2Rbc 3.47Hgb 9.3N,K,Cl : 119,3,1,95Ur/cr 188/5.47MSCT abd non kontrasKesan: nephrolithiasis S