18-2-15

No Identitas Ruang MRS DPJP Diagnosis Tindakan Rencana Keterangan 1. Ny. Ponirah / 52 th / C518517/ BPJS NPBI R3A 29-1-15 APR Fr. Komr!"i #.$ 3-% Fran&!' C (i!"th!"i "!tin))i #.$2 *!+tra Po"t 'amin! &tomi *!&omr!"i , i+a"i int!rna 12-2-15 0oi 'i "a"i * *& Kon"' an *a ri n! ro rain 4 15 m'/2% 6 "!roh!morha)i& 2. Ny. Smirah / %2 th / C5199 / 795323 / Biaya P :ar*a Foo* / 'o)o;n) Pati R3A 7-2-15 R< ="t!omy!'iti" 'na "ini"tra. Bon! !+o"!* Po"t =RIF ra*i " *!+tr a !t "ini" tra 23-1-156 RSK ! ri *! m!nt , SS: , a*>an?!m!nt 'a , &'tr , )i" or!"'a 1-2-156 17-2-15 Ra;at '&a *onor (,1% (B 413.1 $ 412. :S 15 A' 3.7 3. Ny. Ni&mah / 5% th / C5192%7 / 79%99%8 / BPJS NPBI / Pannan K*" R3A 5-2-15 APR Cana' "t!no"i" #. $.3-%6 $5-S1 Son*i'o"i" 'ma'i" $1-5 S&o'io"i" 'ma'i" $%-5 )r I Pro 'amin! &tomi *!&omr !"i , i+a"i int!rna Kon"'an *ari N!ro ACC a'at *an tin*a&an "!*an) a'an 4. n.Ahma* Ri@a' An;ar/19th/ C51588/ 792257/BPJS PBI/K!*n)Kara n)6!*n) R3B 12-1-15 APR $BP !? Fr Komr!"i #. $1 (NP #.$ 1 $amin!&tomi *!&omr!"i , i&"a"i int!rna 11-2-15 -Foto hora?o'ma'4 - P! mi i ha n a" !& ant!ri or ?or " #$1 53 - ! *)i n) Fra ?tr! Cor " # .$ 1 0RI 4 - Fr. Kom r!"i C.# .$1 , "t!no "i" th!?a' "a? "!tin))i '!>!' t!r"!t - P!n!& anan &! o"t!r ior C.#. $1 5. Ny. ;i Rina Roa!ti / %5 th /C519179 / 79%57 /BPJS NPBI /Br!!" RB 2-1-15 APR Co+iti" "ini"tra !? An&i'o"in) "on*i'iti" Ri;. P!n)oatan B "!a& 9-1-15 (i!rt!n"i Ra!r int!rna Pro ro n&o "&oi *ari int!rna Ra!r :i@i K'ini& Ra!r R!ha 0!*i& P!rai&an KD =A Pro (R Lab !3"2"15#$ (B 4 1. ( 4 33.3 $E 1 J 4 89 $E 2 J 4 119 :S 4 12 Dr / Cr 4 12 / .29 Na/K/C' 4 12/3.% / 92 Lab !%"2"15# $ Na/K/C' 4 135/%/1 Ca/0) 4 2.9/.8 ACC a'at *an tin*a&an "!*an) a'an BA I - 1

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Transcript of 18-2-15

NoIdentitasRuangMRSDPJPDiagnosisTindakanRencanaKeterangan

1. Ny. Ponirah / 52 th / C518517/ BPJS NPBIR3A29-1-15APRFr. Kompresi V.L 3-4 Frankel CHipesthesi setinggi V.L2 dextra

Post laminektomi dekompresi + fixasi interna (12-2-15)

Mobilisasi duduk

Konsulan dari neuroDrain : 15 ml/24 j, serohemorhagik

2. Ny. Sumirah / 42 th / C516909 / 7953023 / Biaya PT Garuda Food / Tlogowungu Pati

R3A7-2-15DRYOsteomyelitis ulna sinistra.Bone exposedPost ORIF radius dextra et sinistra (23-1-15, RSDK)

Debridement + STSG + advancement flap + kultur + gips foreslap (10-2-15, 17-2-15)

Rawat luka donor H+14HB :13.1L :12.000GDS 105 Alb 3.7

3. Ny. Nikmah / 54 th / C519247 / 7949948 / BPJS NPBI / Panjunan Kudus

R3A5-2-15APRCanal stenosis V.L.3-4, L5-S1Spondilosis lumbalis L1-5Skoliosis lumbalis L4-5 gr IPro laminektomi dekompresi + fixasi interna

Konsulan dari NeuroACC alat dan tindakan sedang jalan

4. Tn.Ahmad Rizal Anwar/19th/ C515868/ 7920257/BPJS PBI/KedungKarang,WedungR3B12-1-15APRLBP ec Fr Kompresi V. L1 HNP V.L 1Laminektomi dekompresi + fiksasi interna (11-2-15)X-Foto Thoracolumbal: Pemipihan aspek anterior corpus VL1 (53%) Wedging Fracture Corpus V.L 1MRI : Fr. Kompresi C.V.L1 + stenosis thecal sac setinggi level tersebut Penekanan ke posterior C.V.L1

5. Ny. Dwi Rina Roaeti / 45 th /C519179 /7946567 /BPJS NPBI/Brebes

R6B 2-01-15APRCoxitis sinistra ec Ankilosing spondilitisRiw. Pengobatan TB sejak 9-1-15Hipertensi Raber interna Pro bronkoskopi dari internaRaber Gizi KlinikRaber Rehab MedikPerbaikan KUOATPro THR

Lab (3-2-15):HB : 10.6 HT : 33.3LED 1 J : 89 LED 2 J : 119GDS : 162 Ur / Cr : 12 / 0.29Na/K/Cl : 126/3.4 / 92Lab (7-2-15) :Na/K/Cl : 135/4/100Ca/Mg : 2.09/0.8ACC alat dan tindakan sedang jalanBTA I (-)