LIST PASIEN DIVISI ONKOLOGISelasa, 29Desember 2015

Irina A atas(9 Pasien)No Kamar Identitas Diagnosis PemeriksaanPenunjang Terapi/rencana Ket:1. A1

Bed 1KandouDelfried/L/18 thn/462364

MRS 26/12/2015HP – 4

Dr. M. Merung, SpB(K)Onk

Ca colli

Susp ca nasofaring

Anemia

Elektrolit imblance

26/12/2015Leu 31.300Eri 2,96Hb 8,2Ht 23,7Tro 686MCH 27,7MCHC 34,6MCV 89,2

SGOT 62SGPT 40Ur 49Cr 1,1GDS 95Na 123K 3,6Cl 88,0

IVFD NaCl 0.9% 20 gtt/m

Inj ketorolac 3x1 iv

Inj Ceftriaxone 2x 1 gr

Inj Ranitidine 2x1 amp

Paracetamol 3x500mg drips

Transfusi PRC sampai hb ≥ 10

Vera

2. A3Bed 4

Runtuwene Ruth/P/52 thn

45.64.76

MRS 04/12/15HP – 26

dr. MarselMerung,

SpB(K)Onk

Ca mammae sinistra stadium

IV T4N3M1

Efusi Pleura Dextra

+metastasis ke hepar +ADHF

22/12/2015Leu 9400Eri 4.07Hb 11,7Htc 36,3Trombo 309MCH 28,7MCHC 32,2MCV 89,2SGOT 212SGPT 137Ur 13Cr 0.7GDS 145CK ttl 123CKMB 85Alb 3,22Fo 3,8Cl 102K 5,10

Na 132Ca 9,22

10/12/2015Leu 8800Eri 3.20Hb 12.3Htc 29.5Trombo 210MCH 38.4MCHC 41.7MCV 92.3

USG AbdomenKesan proses metastasepadahepar

Sudahadahasilfotothorax,sudahdilakukan tapping 25/12/2015 (650cc)

IVFD Nacl 0.9% - 20 gtt/m

Ranitidin 2x1 amp Ketorolak 3x1 amp Menunggu jadwal

echo Menunggu hasil

FNAB

KP:Chiko

3. A3Bed 1

Delvya Agama/ P/ 40thn/

46.21.47

MRS 23/12/2015HP - 6

dr. MarselMerung,

SpB(K)Onk

Ca mammaesinistra + anemia + general

weakness

28/12/2015Leu 4500Eri 2.38Hb 6.2Ht 18.6Trombo 227MCH 26.1MCHC 33.3Esinofil3%Basofil0%Netro btg 1%Netro sgment 74%Lim 6%Monosit 6%

23/12/15Leuko 3900Eri 1,28Hb 3,1Htc 10,2Trombo 403MCH 24,2MCHC 30,4MCV 79,3

Cl 115K 2,60Na 137GDS 100

Perbaiki KU Transfusi PRC

sampai hb≥ 10 IVFD RL Ceftriaxone 2x1 gr

iv Ranitidine 2x1 iv Ketorolac 3x1 iv

K

D

4. A6Bed 1

SulastriDelima/P/32 thn40.02.27

MRS 09/12/2015HP – 20

dr. MarselMerung,

SpB(K)Onk

Tumor mammae phyloides dextra

22/12/2015Leu 9100Eri 4.3Hb 11.1Htc 34.7Trombo 439MCH 25.8MCHC 32MCV 80.6SGOT 20

Cr 0.4Alb 2.24Cl 109K 3.30Na 136

Histopatologi: fibrocyctic change

IVFD NaCl 0.9% 20gtt/m

Ranitidin 2x1 amp Ketorolac 3x1 amp R/ simple

mastektomi R/ cek

PT/APTT(setelahlibur)

Cek EKG+ foto

KP:Chiko

1

SGPT 11Ur 7

mamae thorax

5. A6Bed 3

SartjeWowor/P/43 thn

09.01.12

MRS 17/12/2015HP –12

dr. MarselMerung,

SpB(K)Onk

FAM Dextraanemia

20/12/2015Leu 10000Eri 2.42Hb 5.5Htc 18Trombo 368MCH 22.7MCHC 30.6MCV 74.2

Ondancentron inj 2x1IVFD nacl 0,9% - 20 gtt/mTrnfusi PRC sampai HB ≥10Ketorolac 3x1 ivRanitidine 2x1injR/ simple mastectomyCek DL,PT,APTTCek EKG,foto thorax

KP:Dedy

6. A6Bed 7

WantasengHeti/P/50 thn46.09.58

MRS 08/12/15HP – 21

dr. Victor Pontoh, SpB(K)Onk

Post simple mastectomy ec

Tumor piloidesMammae

SinistraH - VII

EKGSin.RhytmGelombang U (+)Susp. hipokalemia

PAPhylloides Tumor (susp. degenerasimalignaliposarcoma)22/12/2015Leu 12700Eri 3,79Hb10,2Htc 30,5

Trombo 285MCH 27.5MCHC 34.6MCV 79.5SGOT 19SGPT 20Ur 20Cr 0.6GDS 112Alb 3,2Cl 107K 3,30Na 135

14/12/2015PT : 13,0@INR: 1,04APTT : 25,3

Cefixime 2x100 mg poAsam mefenamat 3x500 mg po

Rawatluka

KP:Chiko

7 A6Bed 8

YuhildeSawal/ P/ 40thn/

07.73.58

MRS 14/12/2015HP - 15

dr. MarselMerung,

SpB(K)Onk

Post total thiroidektomi ec

tumor thyroid bilateral

23/12/15Leu12300Eri 4.60Hb 13.6Htc 42.1Trom 326MCH 29.6MCHC 32.3MCV 91.5

LabLeuko 7908Eri 4.80Hb 14.5Htc 40.5Trombo 264MCH 30.2MCHC 35.6SGOT 15SGPT 15Ur 17Cr 1.0GDS 109

Cefixime 2x1 As.mefenamat 3x1 Ceftri 2x1 Ranitidine 2x1 Ketorolac 3x1 Rawa t luka

KP: Dedy

8 A9Bed 3

Ratu Imanuel /L/8thn

46.22.79

MRS 25/12/2015HP -

dr. Nico Lumintang, SpB(K)KL

Fr.mandibulaFr.corpus mandibula

25/12/2015Leu 13.400Eri 3.94Hb 11.1Ht 34Trombo 238MCH 28.2MCHC 32.6MCV 86.3SGOT 68SGPT 41

Ur 37Cr 0.5GDS 145Cl 100K 3.90Na 133

IVFD NaCl 0.9%= 20gtt/m

Injeksi Ketorolac 3x1 iv

Injeksi Ranitidine 2x1 IV

Injeksi Ceftriaxone 2x1 gr IV

Rencana ORIF elektif

9. A6Bed 2

Meinny Rondonuwu

P/45thn38.35.46

MRS 28/12/015HP 1

dr. Victor P,SpB(K) Onk

Ca mammae

Irina A Bawah ( 9 Pasien)No Kamar Identitas Diagnosis PemeriksaanPenunjang Terapi Ket:1. B10

Bed 4Dahlia Musa/P/37

thn35.78.87

MRS 20/12/2015HP- 9

dr.

Struma uninodusanontoks

ik D

17/12/2015Leu 7300Eri 4,55Hb 14,4Htc 39,5Trombo 273MCH 31.6MCHC 36.5

Cl 103,3K 4,13Na 140

RL 20 gtt/m Ceftriaxone 2x1 gr Ketorolac inj 3x1 Ranitidine inj 2x1 R/ ishmolobectomy D

KP: Chiko

2

MarselMerung, SpB(K)Onk

MCV 86,8

2. B10Bed 7

Jull Topi/P/55 thn46.19.55

MRS 20/12/2015HP- 9

dr. MarselMerung,

SpB(K)Onk

CaMammae D (T4N1Mx)

21/12/2015Leu 8000Eri 3.53Hb 9,7Htc 29.1Trombo 386MCH 27.5MCHC 33.3MCV 82.5

Ur 40Cr 1.5GDS 91Mg 2.08Cl 102.1K 3.52Na 137Ca 8.64

Insisionalbiopsy IVFD NaCl 0.9 %

per12 jam

Ceftriaxone inj 2x1 Ketorolac 3x1 amp Ranitidine 2x1 amp R/ USG Abdomen Ekspertisi x-foto

spine thoracolumbal(28/12/15)

KP: Dedy

3. B2Bed 1

YultjeAtang/P/58thn/ 37.36.45

MRS 15/12/2015HP-14

dr. MarselMerung,

SpB(K)Onk

Soft tissue sarcoma region

genu sinistra

18/12/2015Leu 3600Eri 3,00Hb 9Htc 27,3Trombo 257MCH 30,0MCHC 33,0MCV 91,0

23/12/2015Leu 5300Eri 2.99Hb 8.7Htc 25,2Trombo 234MCH 29,1MCHC 34,5MCV 84,2GDS 144Cl 97,4K 3,78Na 132

24/12/2015Leu 3600Eri 3.00Hb 9.0Ht 27.3Trombo 224MCH 30.0MCHC 33.0MCV 91.0Malaria (negative)

IVFD NaCl 0.9% Paracetamol tab

3x1 tab Ceftriaxone 2x1 gr Ranitidine 2x1 A Ketorolac 1A k/p Metronidazole

3x500 mg drips R/ MRI genu

(28/12/15)

KP:Chiko

4. B8Bed 7

Umar Abid/L/53 thn

45.72.72

MRS 03/12/2015HP – 26

dr. MarselMerung,

SpB(K)Onk

AmeloblastomamaxilaSinistra

08/12/2015Ur 12Cr 0.8

FNABMengarahAmeloblastoma

EKGSinus TakikardiLVHVoltage Aritmia

07/12/2015Leu 6100Eri 3,85Hb 10,8Htc 32Trombo 254MCH 28MCHC 33,8

MCV 83,2SGOT 14SGPT 11Cr 0.6GDS 80Cl 95K 3.7Na 136

26/12/2015Leu 6700Eri 4,32Hb 11,6Ht 37,5Tro 281SGOT 18SGPT 15Ur 13Cr 0,8Glo 3,64Cl 98K 3,8Na 132

Rencanaoperasi subtotal maxilektomy (Senin, 28/12/2015)

KP:Dedy

5. B 7Bed 8

Alvin waworuntuh/L/12

thn/

MRS 26/12/2015HP – 4

Dr. N. Lumintang, SpB(K)KL

SAH temporoparietal D

Fr. Zygoma D

26/12/2015Leu 14300Eri 5,46Hb 15,3Ht 44,3Tro 349SGOT 29SGPT 16

Ur 17Cr 0,8GDS 147Na 140K 3,5Cl 106

Konservatifuntuk dr. zygomadextra

Vera

6. B5Bed 1

Alfa Kaseside/L/25 thn

46.12.02

MRS 19/12/2015 HP-10

dr. NicoLumintang,

SpB(K)KL

Post ekstraksicorpalreg

iocavum orbitaDextra

22/12/2015Leu 4500Eri 4.52Hb 13.8Htc 42.1Trombo 237MCH 30.5MCHC 32.8MCV 93.2SGOT 12SGPT 10

23/12/15Leu 7500Eri 3,95Hb 12,8Ht 39,7Trom 249MCH 32,4MCHC 32,2MCV 100,5Ur 16Cr 1

Cefixime 2x100gr Asammefenamat

3x500mg Rawatluka Rencana RJ

KP: Dedy

3

Ur 16Cr 1.0Ur.acid 5.2Cl 105.2K 3.91Na 141

GDS 89Cl 106K 3,9Na 142

7. B5Bed 4

Christian Polla/L/26 thn

39.07.43

MRS 26/09/2015HP – 87

dr. NicoLumintang,

SpB(K)KL

Fibromiksomapostreseksi tumor +

marginal mandibuloktomid

gntrakeostomi

1 5/12/2015 Leu 15900Eri3.15Hb9.2Htc26.2Trombo 540MCH 29.2MCHC 35.1MCV 83.2

NaCl 0.9% :D5 = 2:1

Cefazolin 2x1 gr Ketorolac 3x1A

k/p Ranitidine 2x1A Vip albumin 3x1

sachet Nebu 3x1/ hari Oral hygiene of

betadine gargle Diet TKTP : lunak

KP:Chiko

8. B4 Bed 1

Sutriah/P/58thn/ 37.36.45

MRS 15/12/2015 HP-13

dr. MarselMerung,

SpB(K)Onk

Soft tissue tumor regioantebrachide

xtra

23/12/15Leu 6700Eri 3,07Hb 7,7Ht 23,8Trom 622MCH 25,1MCHC 32,4MCV 77.6SGOT 16SGPT 9Ur 54Cr 1,8Ur ac13,2Kol 133HDL 31LDL 84

Trigli 91Prot tot 5,21GDS 85Alb 2,72Glob 2,49Cl 102K 3,59Na 102

26/12/2015Leu 8500Eri 3.58Hb 9.5Ht 26.6Trombo 713MCH 26.5MCHC 35.7MCV 74.3

IVFD NaCl 0.9% /12 jam

Ceftriaxone inj 2x1 iv

Ketoroloak 3x1 amp IV

Ranitidine 2x1 amp IV

Rencanamriantebrachidextratgl 28/12/2015

Tungguhasil DL

KP: Dedy

9. B7Bed 6

Valentino Pangkey

IRDB (1 pasien)

No Kamar Identitas Diagnosis Pemeriksaanpenunjang Terapi Ket:1. Hariyanto/L/15

thn/462419

MRS 27/12/2015HP – 2

Dr. N. Lumintang, SpB(K)KL

EDH frontal D ICH frontal S Midline shift Fr. Angulus

mandibular Fr.

Parasimpisismandibulae

Fr. panfacial

27/12/2015Leu 34800Eri 4,37Hb13,9Ht 42,6Trombo221SGOT 34SGPT 38

Ur 50Cr 1,9GDS 139Na 142Cl 104K 4,5

R/ ORIF elektif

KP:vera

ICU (1Pasien)No Kamar Identitas Diagnosis PemeriksaanPenunjang Terapi Ket:1 Bed 5 PakayaKasmawati

/P/61 thun/ 46.12.02

MRS 16/12/2015HP-10

dr. MarselMerung,

SpB(K)Onk

Post total tiroidektomiecAd

enocarcinoma poliferum thyroid

11/12/2015Leu 9100Eri 4.86Hb 15.4Htc 42.6Trombo 237MCH 31.7MCHC 36.2MCV 87.7SGOT 34

GDS 184Cl 102.5K 3.88Na 145PT 13.1INR 1.05APTT 26.9

14/12/2015USG :

Rawat luka Ceftriaxone 2x1 gr Thyrax 1x200 ug

(pagi)

KP:Chiko

4

SGPT 38Ur 26Cr 0.7

kesanstruma multi nodul

Anggrek 1 (1Pasien)No Kamar Identitas Diagnosis PemeriksaanPenunjang Terapi Ket:1 Bed

10BakarySukartati/P/57 thn/330150

MRS 18/12/2015HP –9

dr.MarselMerung, SpB(K)Onk

Camamaesinistra (T4M4Nx)

23 /12/2015 Leu 34300Eri 3.54Hb 10.7Htc 33.7Trombo 533MCH 30.2MCHC 31.8MCV 95.3Cl 77K 2.40Na 123

1 8/12/2015 Leu 1000Eri 3.63Hb 10.6Htc 32.1Trombo 237

MCH 29.2MCHC 33MCV 88.3Cl 76K 2.70Na 117

21 /12/2015 Leu 1600Eri 3.49Hb 10.3Htc 30.2Trombo 460MCH 29.5MCHC 34.1MCV 86.5Cl 64K 2.49Na 112

Kapsul garam 3x2 caps

Diet tinggi serat Terapi lain seusai TS

Interna

Kp : Dedy

Anggrek2 (1 Pasien)No Kamar Identitas Diagnosis PemeriksaanPenunjang Terapi Ket

`1 K.203 NursaniTamahiwu /P/47 thn/44.90.48

MRS 10/9/15Hariperawatanke 93

Dr. Victor Pontoh, Sp. B (k)ONK

CaMammaedextra post mastektomi

On chemo

18/12/15Leu 6100Eri 3.20Hb 9Ht27.9Trombo 365MCH 28.1MCHC 32.3MCV 87.3

SGOT 18SGPT 8Ur 16Cr 0.8GDS 95Cl 92.3K 2.8Na 136

IVFD NaCl Ceftriaxone 2x1 gr B Comp 3x1 tab Vit C 3x1 tab Cek DL, elektrolit

Kp:Vera

5