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PASIEN UROLOGI DIRUANGAN 2-3 agustus 2015

Jeumpa 1NoNama/Umum/CMKamarDPJPTanggal MasukDiagnosaTindakanTanggal OpHasil LabPlaning

1Januddin Nafi/50 thn/1059117K7B4DAH25/07/2015CKD stage Ve.c obstruksi uropati+nefrolitiasis bilateral+multiple batu ureter dex + trombositopeniTgl 29/9/2015Hb/ht/erit/luko/trom10,7/28/3,4/24,1/25Pt/apt : 12,1/41,4Inr : 1,12Fibrinogen: 359 d-dimer:>10000Sgot/sgpt:43/25Alb:2,64Tgl 26/7/2015Hb/ht/erit/leu/trom12,7/36/4,1/19,5/7Ur/Cr :167/6,77Tgl 25/7/2015Pt/aptt : 11,0/37,5Hbsag negatifINr 1,03Tgl 31/7/2015Hb/leu/trom/LED8,8/19,6/44/80MDT: hipokrom mikrositerCT/BT:10/4AFP:1,30Hbsag:- Sgot/sgpt:34/23ALP:266Alb :2,65Ur/cr :181/3,98Transfusi trombosit/FFP 10 Kolf (+)Konsul HOM(+)Konsul anastesi +kardio (+)Rencana RPGCek billirunun senin

JEUMPA 2NoNama/Umum/CMKamarDPJPTanggal MasukDiagnosaTindakanTanggal OpHasil LabPlaning

1Jumini/61thn/1059408K7b126/7/2015retensi urin e.c neurogenic bladder susp. Vesicolitiasis +DISLOKASI vl 4-5 +Fr. Parasimpasis sup infTgl 28/7/2015Hb/ht/erit/leuko/tro8,9/29/3,7/5,0/585CT/BT : 7/2Na/k/cl : 137/3,7/105GDS : 287Ur/cr : 22/1,09Tgl 30/7/2015Hb/leu/trom9,4/18,2/690USG Urologi (+)Konsul RM (-)Dr, ur/cr ulang (1/8)BNO ulang ( )

Jeumpa 4NoNama/Umum/CMKamarDPJPTgl MasukDiagnosaTindakanTgl OpHasil LabPlaning

1Nurhayati/55 th/ 1051370K1B1JUF20/6/2015

Post cystoscopy URS (D) + insersi DJ stent (D) + repair fistula retrococutan + post repair wound dehisanse a/r flank (D) + post bivalve Pyelolitotmi a.i batu staghorndebridement dan ganti dj stent (30/7/2015)

30/6/201530-7-201527/7/2015Hb: 9,1 Leu: 12,7 tromb:558 21/7/2015protein total:7,4 alb:2,90 Glb:5,0 Na:140 K:4,5 Cl:103 Ur:45 Cr:1,20 GDS:110

Aff catheter Aff drainBno kontrol (+)

2Saifullah / 41 th/ 844906K2B1JUF16/07/2015Post LE + Abses Pararenal + Hidronefrosis ec batu ureter media + TOF + sepsis + PH + Acute Respiratory Syndrome23/7/2015Hb:9,3 leu:17,1 tromb:273 na:131 k:3,7 cl:96 ca:8,8 mg:1,9 gds:72 24/7/2015SGOT:67 SGPT:51 Na:133 K:3,8 Cl:101 Ca:8,4 Mg:6,929/7/2015Hb/leu/trom/alb/glo9,5/13,1/545/2,8/3Gds: 68Na/k/cl : 118/3,9/92Ur/cr: 20/0,70

CT Scan Kontras/Non kontras (kamis, 30/7) Susul hasilAff heatingGV/hariAB ganti ciprofloxacin 2x500Konsul IPD (hiponatremi&gout artritis)DR ulang

3.Irfan Ilyas, 32 thn, 1055155K2b2JUF29/7/2015Nefrolitiasis PCNL10/6/2015Hb/ht/erit/leu/trom15,1/44/4,6/11,7/331CT/BT: 7/2Na/K/CL/Ca144/3,9/104/9,4Ur/cr : 11/0,93Urinalisa: leukosit (+)8/7/2015Hb/leu/trom15,4/10,2/348CT/BT:7/2Na/K/Cl: 142/3,6/102Ur/cr : 19/0,89Jadwal op PCNL

4. Hamidah/64 thn/1058455K1b2JUF17/7/2015Partial MBO e.c tumor intraabdomen dd Ca. Colon sigmoid + hematuria e.c dd/ instrumenMetastase tumorTgl 29/7/2015Protein: 6,2Alb/glo : 3,54/2,66Tgl 28/7/2015Urinalisa: Leukosit :+protein :+1Darah:+1Leukosit:20-25Erit:20-30Epitel:4-6Tgl 26/7/2015Hb/ht/erit/leu/tro10,9/33/3,9/12,6/445CT/BT : 8/2Alb:2,79Na/K/Cl : 131/4,8/104Ur/Cr : 84/1,27GDS : 105Hasil USG Urologi (+)

5.Saufana/ 10 thn/ 0998575K5B1DAH21/7/2015Post pyelolitotomi +nefrolitotomi sin+UNC a.i batu ureter prox sin+multiple batu ginjal sinPCNL sinistra29/7/201523/7/2015Hb:7,7 Leu:10,3 tromb:301LED:120 ct:2 bt:7 Na:144 K:3,2 Cl:102 Mg:2,0 Ca:9,7Ur:111 Cr:2,36

Tgl 26/7/2015Hb: 9,4Leuko : 10,9Ur/cr : 99/2,56Tgl 30/7/2015Hb/ht/leu/trom9,3/28/16,7/449LED:96Ur/cr : 99/2,56Transfusi 1 kolf

6. Ratna Julita/34 th/1009784K5b3DAH10/7/2015Post LE+Colostomy a.i ca recti 1/3 distal +retensio urinTgl 19/7/2015Hb:9,5Leuko:12,2Trombo:415Alb:3,72Glo:2,78Na/k/cl/ca: 138/4,1/101/9,2Ur/cr : 12/0,30Bladder trainingRencana PBJ

7Sakdiah/ 46 th/ 1058570K5B4DAH21/7/2015Post repair buli a/i peritonitis ec trauma buli intra peritoneal post histrectomy29/7/201522/7/2015Hb:12,7 leu:16,4 tromb:376 27/7/2015Prot. Total: 5,5Alb/glo : 2,83/2,67Na/K/Cl: 141/3,4/107Gds : 102Ur/cr : 19/0,47

Rawat LukaSpooling Na-cl-betadineKetorolac affRanitidine affGV rawat dengan aquacell+gentaMonitor urin output

8M. akbar /20 th/ 1058209K7b4DAH13/07/2015post cytoscopy diagnostik+insersi dj stet dex+radikal orchidektomy dex+eksplorasi ureter bilateral

CKD + Hidronefrosis bilatetral post bilateral nefrotomyOp 27/7/2015

27/7/2015Hb/leuko/tro: 9,3/10,6/263Na/k/cl:127/4,5/105Ur/cr : 66/3,1425/7/2015Hb/ht/erit/leuko/trombo8,6/26/3,4/13,2/288Protein total :6,5Alb/glob : 2,90/3,60Na/k/cl : 125/4,9/103Gds : 90Ur/cr : 81/4,40

Tgl 30/7/2015Hb/leuko/trom9,3/6,3/323Susul hasil BNO 3 posisiURS ulang (persiapan)Koreksi Na 2500ccCek DR, ur/crKonsul anastesi (senin)

9Rukmini,58 thn,1057986 Iso 2DAH29/7/2015HN dex e.c stenosis ureter dex+batu calix inf sin Post RPG si+URS dex dilatasi +insersi DJ stentSusul hasil BNO kontrol

10. Zaini, 69 thn,1058325

K4B1DAH14/7/2015

Post nefrostomi dex a.i HN dexe.c susp. Batu ginjal dex dd/ PUJO30/7/2015TGL 27/7/2015Hb/ht/erit/leu/trom12,5/40/4,9/18,8/498Alb/glo;2,86/4,24Na/k/cl: 131/4/102Ur/cr:30/0,73

GV, monitor nefrostomi, DR, alb/glo

MAMPLAM 1NoNama/Umum/CMKamarDPJPTanggal MasukDiagnosaTindakanTanggal OpHasil LabPlaning

1Jamaluddin/ 52 tahun/ 1057909K9b3DAH19/07/2015Nefrolithiasis bilateral + post insersi dengan stent + hipokalemi + CKD + anemia23/07/2015Hb:8,1Leu:8,6 Tromb:146 Na:141 K:3,2 Cl:100 Ur:33 Cr:1,91

28/7/2015Hb/leu/trom/8,6/5,6/151USG Urologi (+)Persiapan op tgl 3/8

2Bustami/ 41 /1057508K4b3JUF26/7/2015Nefrolitiasis sin +Ureterolithiasis dex+hidronefrosis dex+anemia sedang+limphadenopatiURS+Insersi DJ+Nefrolitotomi sinTgl 26/7/2015Hb.ht/erit/leuk/tro8,3/26/3,3/5,7/212Alb/glo: 3,8/2,4Na/k/cl: 123/4,2/100Ur/cr : 38/1,17Hbsag : -Cek DR, ur/cr ulang

3Bundiamin/54 thn/MAMPLAM 4K6Ca. Recti+fistel rectovesicacystografiTgl 26/7/2015Hb/leu/CT/BT6,4/15,7/8/2Alb/glo: 2,77/3,53Na/k/cl: 120/3,0/102Ur:73Cystografi senin 3/8Dr, ur/cr, elektrolit, alb/glo ulang

HCUNoNama/Umum/CMKamarDPJPTanggal MasukDiagnosaTindakanTanggal OpHasil LabPlaning

1.Abdul rasyid/ 73 th/ 1057936K7b2DAH09/07/2015Tumor ginjal (D)22/7/2015Na: 141 K:4,4 Cl:106 ur: 38 Cr:1,7226/7/2015Protein total : 9,0Alb/glob: 3,32/5,6829/7/2015Hb/ht/erit/leuko/trombo11,5/36/4,1/8,4/137PT/APTT: 16,6/67,8INR/D-Dimer : 1,51/5766Alb:2,7k/cl/ca/mg :4,3/104/8,1/1,6ur/cr : 27/1,84 Tgl 1/8/2015Hb/leuko/trom10,3/20,7/41Pt/aptt/inr15,5/111,6/1,42d-dimer : 2188,74Ph/pco2/po2/hco37,291/52,2/82/25,4Na/k/cl/ca/mg133/3,3/104/9,5/1,9Aff drain

Seurune 2NoNama/Umum/CMKamarDPJPTanggal MasukDiagnosaTindakanTanggal OpHasil LabPlaning

1.Ibrahim/ K4b1post nefrostomy perkutan sin a.i hidronefrosis bilatal e.c batu ginjal dex + RSP batu ureter sin + sirosis hepatisNefrostomy bilateralAPG28/7/2015Aptt : 46,8D-dimer: >10000Hbsag negAnti hcv negativBil total : 4,68Bil dir/ indi : 4,09/0,77Sgot/sgpt : 211/106Tgl 26/7/2015Hb/leuko/trombo8,0/10,2/464Na/k/cl : 130/3,7/105Ur/cr : 69/1,59Tgl 30/7/2015Hb/leu/trom/LED7,3/8,9/394/40ALP:233Alb:2,13Glo:4,87

Usg abdomen () hasilCek ulang ur/cr

2. Rosni, 62 thn, 0840624K6b3Post nefrostomi a.i batu staghorn +multiple nefrolitiasis dex dj stent in situTgl 28/7/2015Hb/leu/trom/led10,5/6,6/275/30UR/CR : 69/2,17Urinalisa: leukosit(+), protein +1, darah +Sedimen urin: leu:40-60Erit 20-30Tgl 1/8/2015Hb/leuko/trom9,1/18,3/381Ur/cr:98/2,93Transfusi 1 kolfFoto BNO

GEURUTENoNama/Umum/CMKamarDPJPTanggal MasukDiagnosaTindakanTanggal OpHasil LabPlaning

1samsuar/52 th/0873928K6DAH24/06/2015Post sistocopy TURBT + post nefrostomi S27/7/2015Hb:8,2 leu:13 tromb:268 ur:53 cr:2,30

Tgl 29/7/2015Hb/leu/trom/alb10,1/27,5/2,4/2,99Ur/cr: 43/1,37Ct scan buli 7/8/2015GV nefrostomi

IWNoNama/Umum/CMKamarDPJPTanggal MasukDiagnosaTindakanTanggal OpHasil LabPlaning

1.T.Makmur/64thn/1059527C2JUF29/7/2015HematuriaTgl 29/7/2015Hb/leu/trom8,8/10,6/403Ct/bt: 7/2Ur/cr: 38/1,13Gds 82Usg ulang senin 3/8Ct scan kontras non kontras

Geulima 2NoNama/Umum/CMKamarDPJPTanggal MasukDiagnosaTindakanTanggal OpHasil LabPlaning

1.Saiful aidi, 54 thn,1059044K7b4JUFBPH

2. Ibrahim Daud,62 Thn,1059138K7B6JUFSusp BPH+Ca paru sinTgl 31/7/2015Na/k/cl132/4,1/105Tgl 30/7/2015UrinalisaLeuko:+,Protein+1,Darah+Sedimen urin: leu 6-8, erit 4-6,epitel 8-10Tgl 25/5/2015Ur/cr : 28/0,65Ct/bt: 8/2USG Prostaturinalisa

IGDNoNama/Umum/CMKamarDPJPTanggal MasukDiagnosaTindakanTanggal OpHasil LabPlaning

1Firmanda/ 44th tahun/

Ca penisDLFoto thorax

2Rasyid Yunus/

PCNLCek DR, Foto thorax

3Warman/ 40 tahun/

nefrolithiasisUSG (+) di IGD