LIST PASIEN DIVISI ONKOLOGI/KL

Seni, 18 MEI 2015

A Bawah : 6 Pasien
No
1.

IRINA A
BAWAH
B3
Bed 1

Identitas
Item Rivandi /L/ 16
tahun/44.56.17

Diagnosis
Fr. Zygoma S + fr.
Simfisis mandibula

MRS 5.05.2015
Perawatan H-13
Dr. Nico
Lumintang,spB -KL

2.

B4
Bed 3

Towoliu
Theroigne /P/ 47
tahun

Lab

Post
isthmolobektomi
sinistra

17/5/2015
Leu 9161
Eri 3,18
Hb 9,7
Ht 27,8
Trombo 184
Mch 31
Mchc 35
Mcv 87
Sgot 27
Sgpt 28
Ur 26
Cr 0,4
Gds 78
Na 135
K 4,60
Cl 102

13/5/2015
Leu 11160
Eri 4,66
Hb 14,1
Ht 41,3
Trombo 243
22/04/15
TSHS 0,955
FT4 1,330
FT3 4,8

MRS 11.05.2015
Perawatan H-5
Dr. Marselus
Merung, SpB(K)
Onk

28/04/15
FNAB : adenoma
polikuler tiroidea
USG : struma multi
nodusa ( dengan
massa di lobus kiri
tiroid memiliki batas
yang sangat dekat
LCCA
Limfadenopati reg
juguler kiri
EKG:
Gelombang U
Susp elektrolit
imbalance
Foto thorax : DBN

Terapi
-IVFD RL 20 gtt/m
-Ceftriaxone 2x1 gr iv
-Ranitidin 2x1amp IV
-Ketorolac 3x1 amp iv
-Ambroxol 3x1
- Rawat luka

-IVFD RL 20 gtt/m
-Ceftriaxone 2x1 gr
iv
-Ranitidin 2x1amp
IV
-Ketorolac 3x1 amp
iv
-Ambroxol 3x1
- Rawat luka

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3.

B5
Bed 2

Lumantow E Julius
L/70thn/44.05.94

Post Total
paratidektomi
Dextra

13/05/2015
Leu 12410
Erit 4,69
Hb 13,5
Ht 40,1
Trombo 198

MRS 11.05.15
Perawatan H-8
dr. Marselus
Merung,
SpB(K)Onk

4.

B8
Bed 5

Alo Makapele/L/
42.10.51

Adenokarsinoma
tiroid

12/5/2015
Leu 6799
Eri 3.66
Hb 11,2
Ht 33,8
Trombo 245
GDS 87
SGOT 20
SGPT 14
Ur 27
Cr 0.7
Na 135
alb 4.10
K 4,41
MCH 31
Cl 95,1
MCHC 33
MCV 93

MRS 2/5/2015
Perawatan H-15
dr.Nico Lumintang,
SpB-KL

B10
Bed 4

Fatun Musri/P/51th
44.55.00
MRS 01/05/2015
Perawatan H-19

Ca Mammae
dextra metastasis
mamae S
(T4N3M1 )

dr. Marselus
Merung,SpB(K)
Onk

9/5/2015
TSHS 9.280
FT4 0.976
FT3 4.9
17/05/2015
Leu 10670
Eri 3,70
Hb 10,3
Ht 31
Trombo 413
MCH 28
MCHC 32
MCV 86
SGOT 29
SGPT 15
UR 8
CR 0,5
GDS 87
ALB 2,74
NA 137
K 2,50
CL 105
PA (30/5/2015)
Infiltrating ductal cell
carcinoma mammae

- IVFD RL : D5% =
2:1 = 20 gtt
- Ceftriaxone 2x1 gr
- Ranitidin 2x1 amp
iv
- Ketorolac 3x1
amp iv
- Sohobion 1 amp
drips dalam D5%
-metil cobalamin 2x
1 tab
- Diet bebas
- Rawat luka
-Ambroxol sirup
3x1 C
-Nebulizer
- Hasil sitologi :
tidak didapati selsel ganas
-toleransi operasi
kardiologi class I:
1% complication
Kes: radang kronik

-IVFD NaCl 0,9% :

Aminofluid 2 : 1
-Ranitidine 2x1 iv
- Ciprofloxacin 2 x
400 mg
- Ondansentron 2x1
iv (STOP)
- Lain-lain sesuai
TS TKV

T:
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B10
Bed6

Ana Wantania/P/51th
44.28.57

Ca Mammae
dextra (T4N3Mx) +
Efusi Pleura

MRS 04/05/2015
Perawatan H14
dr. Marselus
Merung,SpB(K)
Onk

17/5/2015
Leu 7817
Eri 4,00
Hb 12,3
Ht 36,9
Trombo 372
MCH 31
MCHC 33
MCV 92
SGOT 65
SGPT 18
Ur 22
Cr 0,5
GDS 114
Alb 2,78
Na 131
K 3,70
Cl 131

-IVFD NaCl 0,9% :

Aminofluid 2:1
-Vip Albumin 3x4
caps
-PA : Sebaceous
adenocarcinoma
-Rawat luka

A Atas : 7 Pasien
No
1.

IRINA A
ATAS
A3
Bed3

Identitas

Diagnosis

Handa/P/56th/44.10.6
9

Skuamos sel
karsinoma
labialis inferior

Lab
9/5/2015
Leu 14.470
Eri 3.28
Hb 10.8
Ht 31.2
Trombo 253
SGOT 15
SGPT 16
Ur 28
Cr 0.8
GDS 71
Na 139
K 3.73
Cl 103.9

MRS 6/5/2015
Perawatan H-11
dr. Marselus Merung,
SpB(K) Onk

16/5-2015
Alb 3,32
FNAB: radang kronis
Scrapping (25/3/2015)
Lebih mengarah Karsinoma
cenderung Karsinoma
Skuamos Sel
EKG : Sinus Takikardi

Terapi
- - IVFD RL
- - Ceftriaxone 2x1 amp
iv
- - Vip albumin 3x2 mg
- -sangobion 1x1 cap
- Transfusi PRC (atas
permintaan anestesi)
- R/ pemeriksaan DL,
Albumin post transfuse
R/ wide & deep

Ket

T:
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A8
Bed 7

Harun Kude
L/63thn/44.45.80
MRS : 21/4/15
Hari perawatan-26
dr.Marselus M.
SpB(K)Onk

A6
Bed 1

Djally Pakaya
P/53thn/43.97.38
MRS : 21/3/15
Perawatan H-59

Fibrosarkoma
Regio Pedis
Dextra +
Limfoma Regio
Ingiunal Dextra
+ Hipertensi +
hipokalemia
(K:2,96)

12/5/2015
Na 135
K 3.28
Cl 94.8
6/5/2015
Leu:6983
Eri: 4,21
Hb: 11,8
Ht : 34,3
Trombo:277
MCH 28
MCHC 34
MCV 83
GDS 172
K 2,96
Na 138
Cl 98,0
Ur 27
Cr 1,0
SGOT 28
SGPT 17
PA (28/4/2015)
Kesimpulan : Fibrosarkoma
diferensiasi sedang
USG Inguinal (11/4/2015)
Kesan: Massa Heteroechoic
dominan solid campur kistik
dan kalsifikasi bentuk
lobulated dd limfoma
15/5/2015
Na 124
K 3,26
Cl 90,7
Leu 31230
Eri 2,21
Hb 6,5
Ht 19,5
Trombo 189

Tumor
Submandibula
+ anemia +
hipoalbumin +
elektrolit
imbalance

dr.Marselus M.
SpB(K)Onk

13/05/2015
Leu 23170
Eri 3.90
Hb 11.4
Ht 33.8
Trombo 155
MCH 29
MCHC 34
MCV 87
Ur 7
Cr 0.3
GDS 103
Alb 1,10
Na 128
K 2,71
Cl 93.8

-Amlodipin tab 10mg

1x1
-As.mefenamat 3x1 K/P
- Menunggu ekspertisi
USG Abdomen
(13/5/2015)
- R/Wide and Deep
Excision Pedis Dextra
-Rawat luka dgn
metronidazole
-ekspertisi EKG
-toleransi operasi

T:
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4/5-2015
X-foto pedis
Tulang-tulang intake

-IVFD Aminofluid :
Aminoflusin
-KCl 25 mg = 10 gtt
-metronidazole inj
3x500mg drips
-Ranitidin inj 2x1amp
iv
-As. Traneksamat 3x1
amp iv
-vip albumin 3x2 caps
-Rawat Luka dengan
metronidazole
-Menunggu hasil kultur
darah
-Tx lain sesuai TS
interna
- Transfusi PRC bila Hb
< 10
12/5/2015
P: Radang menahun
menanah (abses)
MSCT-scan kepala
rekonstruksi 3D
(6/5/2015)
Tampak destruksi
corpus mandibula kiri,
daerah symphisis
sampai pada daerah
mental mandibula
kanan.

T:
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A6
Bed5

Maria
Sulistian/P/39th/
44.31.28
MRS 10/4/2015
Perawatan H-37

Post simple
mastektomi ec
Tumor Piloides
mammae
sinistra H XI

4/5/2015
Leu 12520
MCH 27
Eri 3,79
MCHC 33
Hb 10,4
MCV 82
Ht 31,2
Trombo 404

-cefixime 3x1 tab

-as mefenamat 3x1 tab
-metronidazole 3x1 tab
-ranitidin 3x1 tab
-rawat luka

T:
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Hasil PA 8/5-2015
dr.Marselus M., SpB
(K) Onk

A6
Bed 6

Karolina
Kalendi/P/42th/
44.54.89
MRS 3/05/2015
Perawatan H-9
Dr. Victor Pontoh
SpB(K)Onk

A6
Bed 4

Jois
Koloay/P/46thn/42.82.
09
MRS 14/5/2015
Perawatan H-4

Tumor phyloides
cystosarcoma phyloides
mammae S
Susp.
Squamous cell
Carcinoma
regio mammae
sinistra dd/ Ca
Mammae
sinistra +
elektrolit
imbalance ( Na:
129, Cl: 92,5)

- Ca mammae
sinistra T4N1M0
- Anemia (9,8)
- Hiponatremia
(133)

dr.Marselus M., SpB

(K) Onk

15/5/2015
Leu 12480
Eri 4,24
Hb 11,2
Ht 34,5
Trombo 467
PT Pasien 14,4 detik
INR Pasien 1,20 detik
APPT Pasien 39,6 detik
SGOT 17
SGPT 5
Ur 7
Cr 0,5
GDS 90
Na 129
K 3,59
Cl 92,5

-IVFD RL 20gtt/m
-As.Mefenamat 3x1 tab
(K/P)
-Metronidazole
3x500mg drips
-Rawat luka dgn
Metronidazole
- R/ Ekspertisi toraks
- R/ Ekspertisi EKG

5/05/2015
Leu 20610
Eri 4.14
Hb 10.7
Ht 33.0
Trombo 422
MCH 26
MCV 80
15/5/2015
Leu 6586
Eri 4,27
Hb 11,9
Ht 36,3
Trombo 405
SGOT 15
SGPT 7
Albumin 3,48
PT Pasien 12,4
INR Pasien 1,03
APPT Pasien 29,9

Antibiotik:semua
resisten

14/5/2015
leu 5727
Er 3.50
Hb 9.8
Ht 29.4
Trombo 240
GDS 95
Na 133
K 4.10
Cl 105.0

T:
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Hasil Pa 12/5-2015
Suatu jaringan berulkus
Kultur pus:
Kuman acmebacter
baumanii

-IVFD NaCl 0,9% :

amino fluid = 20 gtt/m
-Ceftriaxone 2x1 iv
-Ranitidin 2x1 iv
-Ketorolac 3x1 iv
- vip albumin 3x2 cap
- Rawat luka dengan
Metronidazole
- Rencana ekspertisi
foto toraks
- Rencana EKG
- Transfusi PRC jika Hb
<10
Hasil Pa 6/11-2015
Carcinoma ductal
payudara cenderung
jenis papillary
carcinoma

T:
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A8
Bed 1

Paputungan
Indangrio/L/40th/44.6
3.69

Ulkus +
Pembesaran
KGB inguinal
dextra

14/5/2015
Leu 23170
Eri 2,12
Hb 7,0
Ht 19,3
Trombo 154
SGOT 23
SGPT 19
Ur 189
Cr 3,7
GDS 110
Na 121
K 5,50
Cl 94

MRS 14/5/2015
Perawatan H-4
dr. Marselus Merung,
SpB(K) Onk

- - Ceftriaxone 2x1 iv
- -metronidazole
3x500mg
- -as mefenamat 3x1 iv
- -pct drips 3x1 k/p
- - Ranitidin 2x1 iv
- - Ketorolac 3x1 iv
- - Ekspertisi foto toraks
- - Rawat luka
- - Cek albumin

Anggrek II
No
1.

Ruang
113

Identitas
Lomboan Joula
P/49th/41.72.36
MRS : 5/5/2015
Perawatan H-12

Diagnosis
Ca Mammae D T4N3Mx
+ Efusi pleura dextra

dr.Marselus M.
SpB(K)Onk

Lab
9/5/2015
Leuko 5339
Eri 3.96
Hb 13.0
Ht 37.0
Trombo 259
MCH 33
MCHC 35
MCV 94
Alb 3,0
GDS 72
Na 141
K 3.32
Cl 102.5

Terapi
Tunggu hasil pa
-venflon
-ceftriaxone 2x1
gr iv
-vip albumin 3x4
cap PO
-dulcolax 2x1 tab

Ket
T:
N:
R:
S:

Irina B
No

Ruang

1.

K5

Identitas
Betsail Wungou
/L/63thn/44.19.46
MRS 7/5/2015
perawatan H-7
dr.Marselus M.
Sp.B(K)Onk

Diagnosis
Tumor Parotis
Sinistra
Post insisional
biopsi

Lab

Terapi

13/5/2015
leu 7346
Er 4.72
Hb 14.3
Ht 41.2
Trom 315
6/5/2015
Er 5.02
Hb 15.3
Ht 44.1
Trom 290
SGOT 29
SGPT 18
Ur 14
Cr 0.7
Alb 4.64
Na 138
K 4.24
Cl 100.4
PT 12.8
APPT 33.0
APTT 31.7
6/5/2015
FNAB : cenderung mixed tumor dd tumor

Ket

-IVFD nacl
0,9%
=20gtt
ceftriaxone
2x1 gr
-ranitidin
2x1 amp
-ketorolac
3x1 amp
-rawat luka
-tunggu
hasil pa

T:
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