Koran Kardio
5
Daftar Pasien Kardiologi KJS Atas 27 Februari 2015 Palem Atas 1. Andi Badaruddin B1/4 564364 28-4-1940 KJS Prof dr Peter Kabo , SpJP, SpFK, FIHA S : Sesak nafas berkurang Kadang nyeri kepala O:Tensi100/80 DVS R+2 cm H2O Anemis (-) Rhonki (-) BJ I/II regular Bisingsistolik LLSB grade 3/6 Ascites ada Ekstremitas : Edema (-) A : CHF ec HHD8 Af NVR Furosemid 40mg/24jam/IV Digoxin 0.125 mg/24 jam/oral Simarc 2mg/24 jam/oral Spironolactone 25mg/24jam/oral Alprazolam 0,5 mg/24jam/oral Ambroxol 30mg/8jam/oral Clopidogrel 75 mg/24jam/oral Atorvastatin 40 mg/24jam/oral Cotrimoksazole 960mg/12jam/oral Lab 22-2-2-2015 WBC: 7,1 RBC: 5,32 HGB: 15,8 PLT: 172 Prot total: 7,0 Alb: 3,9 Kol total: 207 HDL 35 LDL 114 2. Siti hamidah B2/5 396894 17-8-1943 Prof dr Peter Kabo , SpJP, SpFK, FIHA A: HHD Dyspepsia Hipokalemia Valsartan 40mg / 24 jam/ oral Omeprazole 40mg/24jam/intravena Ceftri 2gr/24jam/IV Neurodex Tab 1x1 Ksr 600mg/ 12 jam/oral Lab 23-2-2015 Hb: 9,6 WBC: 21,1 PLT: 251 Na/K/Cl: 149/3,3/113 3. Syarifuddin B2/11 695939 28-08-1954 Dr. Idar Mappangara, SpPD, SpJP, FIHA S : luka dan bengkak pada kaki kiri O : Bp : 120/80 mmHg HR : 82 x menit Rr : 20X/ menit Temp : 36.5 c Bunyi jantung I/II murni reguler. Murmur tidak ada. Bunyi napas vesikuler, ronkhi dan wheezing tidak ada Ardium 1 tab/12 jam/ oral Lab 22-2-2015 PT 12,0 co 9,9 INR 1,20 D Dimer 0,76 APTT 38,7 co 28,8
-
Upload
della-fergina -
Category
Documents
-
view
227 -
download
5
description
medical
Transcript of Koran Kardio
Daftar Pasien Kardiologi KJS Atas27 Februari 2015
Palem Atas
1. Andi BadaruddinB1/456436428-4-1940KJSProfdrPeter Kabo, SpJP, SpFK, FIHA
S : Sesak nafas berkurangKadang nyeri kepalaO:Tensi100/80DVS R+2 cm H2OAnemis (-)Rhonki (-)BJ I/II regularBisingsistolik LLSB grade 3/6Ascites adaEkstremitas : Edema (-)A : CHF ec HHD8Af NVRFurosemid 40mg/24jam/IVDigoxin 0.125 mg/24 jam/oralSimarc 2mg/24 jam/oralSpironolactone 25mg/24jam/oralAlprazolam 0,5 mg/24jam/oralAmbroxol 30mg/8jam/oralClopidogrel 75 mg/24jam/oralAtorvastatin 40 mg/24jam/oralCotrimoksazole 960mg/12jam/oralLab 22-2-2-2015WBC: 7,1RBC: 5,32HGB: 15,8PLT: 172Prot total: 7,0Alb: 3,9Kol total: 207HDL 35LDL 114
2. Siti hamidahB2/539689417-8-1943ProfdrPeter Kabo, SpJP, SpFK, FIHA
A: HHDDyspepsiaHipokalemiaValsartan 40mg / 24 jam/ oralOmeprazole 40mg/24jam/intravenaCeftri 2gr/24jam/IVNeurodex Tab 1x1Ksr 600mg/ 12 jam/oralLab 23-2-2015Hb: 9,6WBC: 21,1PLT: 251Na/K/Cl: 149/3,3/113
3. SyarifuddinB2/1169593928-08-1954Dr.Idar Mappangara, SpPD, SpJP, FIHAS : luka dan bengkak pada kaki kiriO : Bp : 120/80 mmHgHR : 82 x menitRr : 20X/ menitTemp : 36.5 cBunyi jantung I/II murni reguler. Murmur tidak ada.Bunyi napas vesikuler, ronkhi dan wheezing tidak adaPulsasi arteri poplitea dan arteri dorsalis pedis sulit dinilaiA : Susp selulitis dd/DVT
Ardium 1 tab/12 jam/ oralLab 22-2-2015PT 12,0 co 9,9INR 1,20D Dimer 0,76APTT 38,7 co 28,8
4. MihraB2/136646071-1-1930ProfdrPeter Kabo, SpJP, SpFK, FIHA
A: CHF ec CADFurosemide 40mg/ 12jam/IVCaptopril 6,25mg/8jam/oralAspilet 80mg/24jam/oralNitrokaf R 2,5 mg/12jam/oral/8jam/oral
5. JamadiB2/9ProfdrPeter Kabo, SpJP, SpFK, FIHA
CHF ec CardiomyopathyNSTEMIAKI pre renalHipoalbuminHipokalemiaFurosemide 40mg/ 12jam/IVTrizedon 35 mg/12jam/oralClopidogrel 75 mg/24jam/oralDigoxin 0.25 mg/24 jam/oralKSR 1 tab/12 jam/oralAllerten 100mg/24 jam
6. Nurlaela70112412/9/1972CHF NYHA III ec CADSpinorolakton 100 mg/24jam/oralAspilet 80mg/24jam/oralSimvastatin 20mg/24jam/oralTrizedon 35 mg/12jam/oral
Lontara 1 Atas Depan
7. RajidaK6/III/B147403118-09-1958ProfdrPeter Kabo, SpJP, SpFK, FIHA
A: CHF NYHA I-II ec. CAD
USG : SplenomegalyFurosemid 40mg/12jam/iv
8. MagdalenaK6/III/B264150718-3-1958ProfdrPeter Kabo, SpJP, SpFK, FIHA
A: CHF NYHA II-III ec HHDPADFurosemide 40mg/12jam/IVFarsorbid 10mg/8jam/oralAspilet 80mg/24jam/oralSimvastatin 20mg/24jam/oral
9. Zainal AbidinK3/II/B3AF NVR CADDigoxin 0.25 mg/24 jam/oral
Lontara 1 Atas Belakang
10. Mangasi PanggabeanK6/II/B470186225-9-1950dr.Pendrik Tandean,Sp. PD-KKV
A: Paroxysmal AF, DyspepsiaOmeprazole 40mg/24jam/intravena
21/2/2015WBC : 18,9Hb : 12,0PLT : 120Alb : 2,5Pro Calcitonin : 162,62
Infection Center Lantai 2
11. KursiahISO39899726-8-1974ProfdrPeter Kabo, SpJP, SpFK, FIHA
A: CHF ec AFRVR, MR Severe TR + PH ModerateTB AktifFurosemid 40mg/12jam/oralDigoxin 0.125 mg/24 jam/oralOmeprazole 40mg/24jam/intravenaSimarc 2g/24 jam/oralNeurodex 1tab/12jam/oral
Lab 23-2-2015WBC: 7,1RBC: 4,50HGB: 12,3PLT: 217
EchocardiografiEjeksi fraksi 57 %Fungsi sistolik RV menuunMS severe, Mr trivial mild, wilkins score 2-2-3-2TR moderate, PH ModeratePR ModerateEfusi Pericard Minimal
12. LisnahP.II70059513-7-1947ProfdrPeter Kabo, SpJP, SpFK, FIHA
BP : 110/70HR : 86RR: 22A:Efusi Pericard post pericardiosintesis Tumor Metastase ke Paru
EchocardiografiEjeksi fraksi 65 %
13. Eddy Prayitno 15/8/1948701647ProfdrPeter Kabo, SpJP, SpFK, FIHAA : DVT Eks. Inferior SinistraArdium 1 tab/12jam/oralFuroemide 40 mg/24jam/oralAsam Mefenamat 500 mg/8jam/oralSimarc 2 mg/24jam/oral
Infection Center Lantai 3
14. Ronny Liemena69807309/06/1966ProfdrPeter Kabo, SpJP, SpFK, FIHA
A: CHF ec. HHDFurosemide 20 mg/12 jam/ivValsartan 80mg / 24 jam/ oralSpironolactone 25mg/12am/oralNitrokaf 2,5mg/8jam/oral
Lab 21/1/2015HbsAg : nonreactiveAnti HCV : nonreactive
Lab 18/02/2015WBC6.1
RBC4.33
HGB12.9
HCT36.8
PLT210
MCV85
MCH29.7
MCHC34.9
Foto Thorax 21/1/2015Edema paru bilateral
