PETA PASIEN ORTHOPAEDI Sabtu, 20 Juni 2015 MRT/VER/AYT/GIT/AIP/ASD/GAS/MID/PUR/WOS/MYH/VEL/DIQ/RID

BGSLBED

NAMA Umur CM Dx OrthoICD 10

Dx non ortoMRS STTS

Tgl Tindkn

TindakanICD

9PLAN Status

RABER

LAB yg tdk normal PJ STAF

Mwr 2AIP`

2ARia Rini

Ning Kusuma P

14 01304991Open amputatum digiti 3,4,5 pedis S

OF metatarsal 4,5 pedis S comminutive displaced gr.IIB skin loss dorsum pedis S 18/6 post op 18/6post cito debridement + amputasi trans

metatarsal 3,4,5 pedis S

rawat post optatalaksana raw surface dorsum

pedis S ~ TS Plastikumum kls 3

B. Plastik

18/6 Hb 14.2, Ht 44, L 7.5, T 266

VER/AYT/

PUR/AIPAP

2E Heru C 15 01302478Susp. Osteosarcoma R. proximal humerus (D) metastase

pulmo - 28/5 post OP 6/6 - alih leader interna pro kemoterapiBPJS NPBI

kls.3 interna

9/6 Hb 11.0, L 12.1, T 26219/5 Hb 9.1 L 15.3 T 511 LED1 88 LED2 111 Alkali

fosfatase 355 Alb 2.8FNAB tidak didapatkan

tanda ganas

VER/AYT/PUR/AIP

AP

2F Pujiyanto 40 01303130 abses femur-gluteus (S)sequelle coxitis hip (S) DM tipe 2 1/6 - 15/6 post cito evakuasi pus + debridement

post re debridement + debridement Hiprawat luka post OP BPJS PBI - 10/6 Hb 13,8 Al 18,5 At

334 Cr 0,5 Ur 50

VER/AYT/

PUR/AIPUH

8 Yatiman 65 01243048Union Femur (S) post ORIF ai CF intercondyler Femur (S)

kominutif 19/6 - 20/6 Pro ROI BPJS NPBI 5/6 Hb14,1 L8,2 T307VER/AYT/

PUR/AIPAP

8J Pawiro Sumarto

70 00921965 Destruksi illiac wing (D), massa pelvis (S)Paraparese inferior ec MBD Adeno Ca Parotis

- 26/5 - - konservatifFNAB ulang, alih rawat HOM, raber

B.onko BPJS NPBI internaB.onko

10/6 Hb 10.2, L 10.2, T 210

9/6 Alb 2.7,hasil FNAB gambaran

sarcoma dd/ chondrosarcoma usul

biopsi

VER/AYT/

PUR/AIPAP

Mlt3GAS

4A Marinem 52 01300287 Destruksi Femur (S) 1/3 tengah displaced + destruksi VTh XII ec MBD Squamous cell Ca paru

Pulmonologi : Squamous cell Ca paru 25/5 - - Paru: kemoterapiKonservatif

MRI Femur (S) BPJS Pulmo 9/6 Hb 10.1 AL 14.6 AT 259

MID/GAS BJ

5A Joko Supriyanto

46 01305128 Fr.dislokasi shoulder (S) (fraktur pada tuberositas mayor dan collum chirurgicum) dengan lesi N.Axillaris

19/6 - 19/6 post closed reduction dengan GA Pro ORIF Elektif BPJS I 19/6 Hb16,0 L23,5 T282 GDS150 HbsAg+

MID/GAS AP

5CHendra

Noor 52 01290883Fr linier tibia (S)

raw surface regio cruris – pedis (S) Interna : DM Type II post op 24/2post OREF

post debridement + nekrotomiperawatan + mobilisasi post OP

medikasi / 3 hari BPJS NPBI -11/6 Hb 8.6 AL 10.4 AT 125 Hba1c 6.4 GDP 126

GDS 158 Alb 2.4MID/GAS BJ

8A Deasy 25 01264848 Chondrosarcoma R. Distal Femur (S)Infected megaprostesis Femur Distal (S)

pulmonologi : Nodul kalsifikasi TB Lama 3/12 post op 8/1227/12

Post wide excisi + MegaprostesaPost debridement + Irigasi

‘ perawatan post OPmedikasi / 5 hari

BPJS(titipan dir)

Pulmo6/6 Hb 10.9 AL 9.6 AT 559 GDS 99 Alb 3.6 Na 137 K

3.7 Cl 109MID/GAS BJ

20C Sumino 58 01302175

Paraplegi inferior level VTh.VII dg tandem lession (LMN type) ec MM

Fraktur kompresi patologis VTh XII ec MMUlcus decubitus R.sacrum gr.IV, ulcus decubitus R.pedis D et

S

Interna: anemia gravis, inkontinensia uri et alvi, splenomegali ringan, efusi

pleura bilateralNeuro: paraparese inferior, hipoestesi

setinggi VTh.III

pre Op - Work up diagnostik Medikasi ulkus dekubitus, cek SPE BPJS Kls.I Interna, Neuro

9/6 Hb 10.1 AL 14.6 AT 259

29/5 SGOT 43 SGPT 46 Alb 1.6 Glo 4.8, LED1 71, LED2

95

MID/GAS RYN

MWR3GAS

3B Rati 83 CF Collum femur (D) transcervical Garden type II AO 31.B2 Cardio : Decomp cordis NYHA II, OMI anteroseptal 14/6 pre Op - Skin traksi Pro Hemiarthroplasty (menolak

operasi) BPJS PBI Cardio 14/6 Hb 11.5, Al 13.7 AT 251 GDS 157 Cr 0.7 Ur 32

VER/AYT/

PUR//GAS

RYN

6B Ina Nurliana 33 01304605 CF clavicula D 1/3 tengah alman grup 1 cominutif displaced edema cerebri

fr. maxilla D dengan hematosinus 15/6 pre op 20/6 pro ORIF BPJS kls 2B.SarafB.Plasti

k

VER/AYT/

PUR//GAS

AP

8B Riyanto 26 01304616

CF radius ulna 1/3 tengah displaced,posterior dislocation hip S Eipstein Thompson type 1 post

close redACL, PCL rupture dgn V. lacerasi R. Genu (S)

FBC anterioredema cerebri

fr le fort 115/6 pre op

15/622/6

post closed red hippost cito debridement knee + evaluasi

ligamen injury pro orif elektif BPJS PBIB.SarafB.plasti

k

MRT/ASD/WOS AP

RGBGIT

D Sukirno 56 01304445OF tibia fibula S severe comminutive gr IIIC stenosis total a.tibialis anterior post

bypass + heparin13/6 pre op

16/622/6

post bypas a.tibialis anteriorPerbaikan KU

jika vaskular membaik pro OREF perawatan luka tiap hari

VIP B BTKV

16/6 Hb 6,4 Al 12,6 At 110

13/6 GDS 145, Ur 41, Cr 1.0, PT 16.9, PTT 48.8

GIT/MYH/VEL

RYN

K Rahmanto 27 01304155 CF subtrochanter femur S displaced Plastik : combutio elektrik 12% 10/6 pre op 18/6 post ORIF elektif rawat luka post OP umum kls 3 B.plastik

10/6 Hb 11.2, L 11.4, T 156

GIT/MYH/VEL RYN

ICUGIT

2 Marsiyah 85

CF distal radius (S) Frykmann ICF Clavicula (D) 1/3 tengah kominutif displaced

CF Humerus (D) 1/3 tengah oblique type displacedCF Tibial plateau (D) Schatzker VI

OF intercondyler femur (D) gr IIIA OGPCF intercondyler femur (S)

CF Tibial plateau (S) Schatzker VI

18/6 post OP 19/6 perbaikan KU post OP rawat luka post OP VIPGIT/

MYH/VEL AP

11 warsono 26 01304611CF metacarpal I manus S comminutive displaced,

CF base phalanx proximal digiti I mamus (S) displaced,CF base metacarpal V manus (S) comminutive displaced

b. saraf : EDH reg temporal post craniotomi evakuasi EDH

plastik; fr zmc, fr rima orbita (D)15/6 pre op 22/6 pro ORIF elektif (tgg acc b.saraf) umum kls 3

b. saraf B.plasti

k

15/6 hb 13,9 ht 42 al 15,1 at 430

GIT/MYH/VEL AP

TulipASD

6 Abu Sholeh

65 01304607CF distal radius D frykman VII colles typeCF distal radius S frykman VII colles type

CF patell D kominutif min displacedSAH regio parietal (S) 15/6 pre op 19/6 konservatif umum kls 2 B.Saraf 15/6 Hb 13.5, L 11.9, T

161MRT/

ASD/WOSAP

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