KORAN ONKOLOGI 19 MARET 2015Lontara 2 onkologi kamar 8

Bed 1Viane Rumayan70400102-04-1973MRS : 16-3-2015

Alamat : jl.Goa ria

DPJP :dr.HaryasenaSp.B (K)OnkS: Keluhan tidak adaO: Keadaan umum baik, compos mentis

A : POH-1 biopsi eksisi e.c.Ulcus regio frontalInstruksi post op-Awasi TV dan KU-IVFD RL 28 tpm-Ceftriaxone 1 gr/12 jam/iv-Paracetamol 1 gr/12 jam-Ranitidin 40 mg/8 jam-Tidak puasa

Laboratorium (8-3-2015)WBC: 2.0RBC: 4.51HGB: 14.2HCT: 42PLT: 421PT/APTT: 9.5/27.7Albumin: 4.2CT/BT: 800/300INR: 0.9GDS: 101Ur/Cr: 13/0.6SGOT/SGPT: 11/24Na/K/Cl: 144/4.3/107HbsAg: non reactiveAnti HCV:Non reactive

Hasil FNA (9-3-2015)Hasil : Radang granulomatous supuratif

Bed 2Masny Madily15-06-1987703701MRS : 16-3-2015

Alamat : kebon cengkeh Ambon

DPJP : dr.Septiman, Sp.B (K) Onk

S: keluhan tidak adaO: Keadaan umum baik, comos mentis

Vital signTD: 110/70 mmHgN: 80X/menitP: 20x/menitS: 36.7

A: Tumor regio vertexRencana operasiTunggu jadwalLaboratorium (05-03-2015)WBC: 7.16RBC: 5.21HGB: 12.9HCT: 41.3PLT: 330CT/BT: 800/300PT/APTT: 10.0/28.3GDS: 85Ur/Cr: 10/0.55SGOT/SGPT: 21/20Na/K/Cl: 139/4.8/112HbsAg: non reactiveAnti HCV:Non reactive

Hasil FNA(05/03/2015)Hasil : Kista epidermoid

BED 3Hapida. P1-1-1950560095MRS : 27-02-2015

Alamat : Kabere

DPJP : dr. William Hamdani, Sp.B(K)Onk

S : Keluhan : tidak adaO : KU : baik, compos mentis

A :Carsinoma mammae dextraT4cN0M0Kornafsky 80%

- Rencana operasi-Perbaiki kondisi umum-Inj. Leucogen 0.2 cc-Cek lab DR post inj.leucogen

Laboratorium(17-03-2015)WBC: 3.2RBC : 3.82HGB : 12.5HCT : 34MCV :89MCHC : 33 PLT : 98

BED 4Murhalima61101121-01-1972MRS : 16-03-2015Alamat : PosoDPJP : dr.Septiman, Sp.B (K) Onk

S: keluhan tidak adaO: Keadaan umum baik, comos mentis

Vital signTD: 110/70 mmHgN: 80X/menitP: 20x/menitS: 36.7

A : POH-1 biopsi insisi e.c. Tumor mammae bilateral

Instruksi post op-Awasi TV dan KU-IVFD RL 28 tpm-Ceftriaxone 1 gr/12 jam/iv-Ketorolacl 1 amp/8 jam-Ranitidin 1 amp/8 jam-Tidak puasa

Laboratorium (10-2-2015)WBC: 7.2RBC: 4.86HGB:13.4HCT: 41PLT: 287MCV: 80MCH: 28PT/APTT: 10.3/24.3GDS: 82Ur/Cr: 13/0.5SGOT/SGPT: 27/34Na/K/Cl: 144/4.1/110CT/BT: 800/230

BED 5MAGDALENA01/07/1934701425MRS : 04-03-2015

Alamat : dulir, kab lembata NTT

DPJP :dr. DjonnyFerianto, Sp.B(K)Onk

S : Nyeri pada mulutO: Sakit sedang, compos mentis

TD: 110/70N: 80X/menitP: 20X/menitS: 36.7A: Oral cancerRencana operasi tunggu jadwalBelum acc anestesiOptimalisasi KURL: Destrose= 1:1=20 tpmCeftriaxone 1 gr12 jam/ivKetorolac 30 mg/8 jam/ivRanitidin 50 mg/8 Jam/iv

-Terapilanjut dari TS.gizi dan TS endokrin metabolik-GV / hari

Hasil Lab PA (18-2-2015)Malignant epithelial tumor, yang sudah metastase ke submandibula

Laboratorium 17-3-2015WBC: 9.6RBC: 2.47HGB:7.4HCT: 21PLT: 342MCV: 86MCH: 30

Hasil lab (13-3-2015)Na : 131Kal: 2.4Cl : 94

BED 6AGUSTINA KAHAR02-08-1968693850MRS: 17-03-2015

Alamat: Galesong Takalar

DPJP :dr. DjonnyFerianto, Sp.B(K)Onk

S: keluhan tidak adaO: keadaan umum baik,compos mentis

A: Carcinoma mammae sinistraRencana kemoterapiHasil FNA 23-12-2014Adenocarcinoma mammae