Mapping Pdw 21 April 2015

DenahPasienRuangRawatPenyakitDalam Wanita (Mamplam 2) Hari/tanggal : Selasa Pagi/21 April 2015Tim jaga : dr. Rahmi/dr. YuniDokter Muda :Fara/Yuni/Ina/Cut/Fachri/Riska/Riski

9DPJP : dr. Eva, Sp. PDDR : dr. AhdiahH-3

DPJP : dr. Eva, Sp.PDDR : dr. AhdiahH-11

2./Faridah Hanum, 76 tahun, 1047620Ass/1.Penurunan kesadaran ec dd/1. Syok Hipovolemik 2. Syok Sepsis 3. Imbalance elektrolit2.Syok sepsis ec ulkus diabetikum3.DM tipe 2 underweight4.Anemia berat ec dd/1.def.besi 2.Peny kronis5.Geriatri problem (imobilisasi, inanisi,infeksi)6.Ulkuc dekubitus grade 27.Stroke lama8.Hipoalbuminemia9.PSMBA ec dd/ 1.stress ulcer 2.gastritis erosif

DPJP : dr. Chacha M, Sp.PDDR : dr. AndriH-9

DPJP : dr. Chacha M, Sp.PDDR : dr. RezaH-8

8 7DPJP : dr. M. Fuad, Sp.PDDR : dr. AhdiahH-7

DPJP : dr. M. Fuad, Sp.PDDR : dr. AhdiahH-58

1./Tuminah, 79 th. 0773826Ass/

1. Sirosis Hepatis std DC2. Konstipasi3. Hipoalbuminemia

2./Syahtini,65 tahun, Ass/1.DM Tipe 2 Obese grade II2.CKD stage 5 ec dd/1.DN 2.PNC 3. HN3.Abses a/r parietal (S)4.Anemia berat ec dd/1.Peny kronik 2.Perdarahan5.Iskemik anteroseptalHipoalbuminemia

1./Zainati ZA, 43 tahun,1047869Ass/1.dd/1.Filariasis 2. Selulitis2.Obesitas morbid

2./Widia Fatmawati,34 tahun, 1041768Ass/1.CKD stage 5 ec PNC on HD reguler2.ISK3.Hipertensi on terapi4.Hipokalemia ringan5.Anemia ringan ec penyakit kronik6. Rest leg syndrome post HD

DPJP : dr. Eva M, Sp.PDDR : dr. NadiH-2

DPJP : Dessy, Sp.PDDR : dr. NasriahH-3

DPJP:dr.Eva M, Sp.PDDR: dr. NadiH-18

6 5 DPJP :dr. Chacha M, Sp.PDDR : dr. RezaH-6

DPJP : dr. Chacha M,Sp.PDDR : dr.RezaH-4

DPJP : dr. Chacha M,Sp.PDDR : dr.RezaH-4

1./ Nilawati,60 tahun,1003548Ass/1.Penurunan ec Hipoglikemi perbaikan2.Hipoglikemi ec drug induced (insulin)3. DM tipe 2 obese gr 24. Hipertensi urgency5. Hiponatremi hipoosmolar hipovolemik6. Ulkus diabetikum ar cruris8. dd/1. pneumonia2. tb paru dengan inf. Sekunder3. mikosis paru

2./ SYAHMADI, 77 TH, 104 85 63Ass/1. PSMBA ec. dd/1) gastritis erosi, 2) ulkus gaster, 3) ulkus duodenum

2. dd/1) Pneumonia (CAD), 2) Tb paru dengan infeksi sekunder, 3) Mikosis paru

3. anemia sedang ec. dd/ 1) perdarahan, 2) penyakit kronik

4. hipertensi on therapy

5. geriatric problem: 1) inanisi, 2) impairment of hearing.

6. iskemik inferior

7. efusi pleura ec dd/1. pleuritis pneumonia2. TB paru3. Malignancy

3./Khatijah,60 tahun,1046718Ass/1.SDA ec dd/1.Infeksi(CAP) 2.Low intake 3.Imbalance elektrolit2.Ulkus dekubitus grade I3.Hipokalemia4.Hiponatremia hipoosmolar euvolemik4.Geriatri problem (inanisi,imobilisasi,instabilitas dan jatuh)5.Konstipasi6.High risk thrombosis

1./Eli Marlina,35thn,1048300Ass/dd1.Pneumonia2.TB Parudgn Inf. Sekunder

2. SLE3. Hipetensi Stage 2

2./ Suwita ,42 tahun, 1031485Ass/1.Penurunan kesadaran ec dd/1. Metastase proses2. Stroke

2. Ca mammae sin std 4

3.Dd/1. HAP2. TB paru dgn inf.sekunder

4.Fr. kompresi vt 11-12

5.Inanisi

6. Hemiparese dex ec dd/ 1.Metastasis proses2.Stroke iskemik

7. Hipokalemi sedang

8. Nausea

3./Aisyah Badai,67 tahun,1048456Ass/1.Sepsis ec pneumoni

2. Dd/1. Pneumoni2. TB paru dengan inf. Sekunder

3.DM tipe 2 obesitas grade 1

4.Hipertensi terkontrol

5.Dispepsia tipe dd/1.Like ulcer2.Mixed

6. Hiponatremi normoosmolar euvolemik

7. AKI st 2

8. Anemia ringan

DPJP:dr.Eva M,Sp.PDDR:dr.NadiH-12

DPJP:dr.Eva M, Sp.PDDR:dr.NadiH-15

DPJP :dr. Chacha M, Sp.PDDR : dr. RezaH-13

DPJP :dr. Chacha M, Sp.PDDR : dr. RezaH-9

4./Zalicha,51 thn,1009129Ass/1.dd/1.gastropati diabetikum 2.dispepsia tipe dismotility 3.dispepsia tipe like ulcer2.DM tipe 2 normoweight3.Ulkus diabetikum ar pedis dextra

5./Nurhayati,53 thn,1047121Ass/1.CKD stage 5 ec dd/1.PGOI 2.PNC 3.HN2.Nefrolithiasis sin + hidronefritis sin3.Hipertensi stage 14.Hiponatremia hiperosmolar euvolemik5.Hiperkalemia6.Post nefrostomi percutaneus sin a/i CKD obstruksi HN grade III susp batu ureter (ginjal dextra tidak nefrostomi ok HN grade I)

4./Sumiati, 54thn,1022653Ass/1.Anemia berat ec dd/1.Penyakit kronik 2.Occult bleeding2.CKD stage 5 ec dd 1.HN

2.PNC3.Hipertensi stage 2

5./Nursiah, 40 tahun, 1019146Ass/1.CKD stage 5 on HD reguler2.Hipertensi emergency3. Anemia berat ec dd/ 1. Perdarahan 2/ Penyakit kronis

DPJP : dr. M. Fuad, Sp.PDDR : dr. RidhaH-2



4 3 DPJP :dr.Islamuddin,Sp.PDDR : dr. AndrieH-21

DPJP :dr.Islamuddin,Sp.PDDR : dr. Andrie

DPJP :dr.Islamuddin,Sp.PDDR : dr. AndrieH-2

1./Safni,46 tahun, 1047790Ass/1.DM tipe 2 normoweight

2. Dd/1. Pneumoni2. TB paru dengan inf. Sekunder

3.Dd/1. Dispepsia tipe like ulcer, 2. Dispepsia tipe mixed

4.Anemia ringan ec dd/1. Penyakit kronis2. Low intake

2./Ulfa, 37 thn, 1047442Ass/1.SLE2.HAP3.Anemia berat makrositer ec dd/1.Anemia def.besi2.Anemia def B123.Penyakit hati kronik4.MDS5.Hipotiroidisme

3./Ruhmi Ardhany, 42 tahun, 0657623Ass/1.Anemia hipokrom mikrositer ec dd/1. Def. Fe2. Peny. Kronis3. Thalesemia

2. Dispepsia tipe like ulcer dd/1. Tipe mixed

3.OA genu bilateral

4.Post PSMBA ec dd/1. Gastritis erosive2. Ulcus gaster

5.Obesitas

1./Nur Iman,71 tahun,0925011Ass/1.Multiple myeloma2.Iskemik antero septal3.Hiperuricemia4.Hipokalemia ringan5.Hiperkalsemia

2./Zahara (titipan onkologi) 3./Ramiah,59 tahun, 1048528Ass/1.Post PSMBA ec dd/1. Gastritis erosive2. Ulcus gaster3. Ulcus duodenum

2.Anemia ec dd/1. Perdarahan2. Peny. kronik

3. OA genu bilateral

4. Hipokalemi





4./Rohana Ishak,62 thn,1045343Ass/1.SH stadium dekompensata child pugh A related hepatitis B2.Efusi pleura dextra ec dd/1.pleuropneumonia 2.Keganasan 3.Tb paru 4.Hipoalbuminemia3.HAP dd/1.Tb paru 2.Ca paru4.HE grade 1 perbaikan

5./ Tuti Arianti, 24 thun,1046593Ass/1.Bisitopenia ec dd/1.anemia aplastik 2.ITP 3.Leukemia akut2.Hipokalemia ringan

4./ 5./Nyak Meulu, 74 tahun, 1048564Ass/1. Penurunan kesadaran ec dd/ 1. Imbalance elektrolit2. Sepsis berat

2. PSMBA ec dd/1. Gastritis erosive2. Ulcus gaster3. Ulcus duodenum

3. Dd/1. Pneumoni geriatric (CAP)2. TB paru3. Mycosis paru

4.Hiponatremi hipoosmolar hipovolemik

5.Geriatri problem dd/1. Infeksi 2. Imobilisasi3. Inanisi4. Impairement of hearing and visual

DPJP :dr.Islamuddin, Sp. PDDR :dr. NazaruddinH-3

DPJP :dr. M. Fuad. Sp. PDDR : dr. NazaruddinH-6

2 1DPJP :dr.Islamuddin,Sp.PDDR : dr. NazaruddinH-12

DPJP :dr.Islamuddin,Sp.PDDR : dr. NazaruddinH-21

1. Siti Aisyah, 75 thn, 1047992Ass/ 1. Sepsis ec dd/ 1. Gangren diabetic ar cruris sin, 2. HAP, 3. ISK2. Ganggren diabetic ar cruris sin3. HAP dd/ TB paru dengan infeksi sekunder4. ISK5. DM tipe 2 normoweight6. Hipoalbuminemia berat7. Hiponatremi hiperosmolar hipovolemik8. Anemia berate c perdarahan

2. /Chadijah, 64th

Cm: 1048294Ass/ 1. HE Grade 1

1. SirosisHepatisStad. Decompesata2. Asites Grade III3. HiponatremiHiperosmolarHipop

olemik4. Anemia Berat

1./Mariani, 58 tahun1047800

1. DM tipe 2 underweight 2. Neuropati diabetikum3. Hipoglikemia ec low

intake (perbaikan )4. Hidronefrosis Bilateral5. Sistitis Kronis 6. Massa di supra pubis ec

dd/ 1. Massa di vesika urinaria2. Kista ovarium

2./Rohana binti Yacob, 71 tahun,1046369Ass/1.CHF FC NYHA 1 ecdd 1.DCM,2.IHD2.Ulkus diabetik ar pedis sin3.DM tipe 2 overweight4.OMI infero, anteroseptal5.Hipertensi stg 1 terkontrol6. Hipoalbuminemia7.ISK perbaikan8.Dislipidemia9.Glucoma Adheren OD10.Pseudofakia OS11. Neuropati diabetic12. Hemoroid interna grd 2-3

Mapping Pdw 21 April 2015

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