KORAN BEDAH DIGESTIF

NO
1.

IDENTITAS
Sitti Hajar Rusli
39 thn/ 550052
MRS 21/05/2012
JKM
Bed 1

2.

Eka Wulandari
21 thn/535617
MRS 7/6/12
Bed 4
ST SAMSIAH
51 thn/549437
MRS 23/5/12
Bed 3

3.

4.

Henny Purwanti
24 thn/522357
MRS 6/6/12
Bad 2
Jamkesmas

Minggu, 10 JUNI 2012

LONTARA II ATAS DEPAN (BEDAH DIGESTIF) KAMAR 1

DIAGNOSIS
PEMERIKSAAN PENUNJANG
Post op hr. 3 drainase acites
Lab 1/6/12
CEA 2,8, Ca 19-9 4,36, ur 26, Cr 0,7, bil.tot 6,86, bil. Direk 0,48
Lab 26-05-12
WBC 18,19 RBC 5,09 Hb 10,5 HCT 35,3 PLT 878
Lab 19-05-2012
PT/APTT 11.6/23,9 CT/BT 700/230 Ur/Cr 19/0,4 GOT/GPT 20/12
Prot.tot 7,1 Alb 3,0 Globulin 4,1 Na 139 K 3,9 Cl 100 GDS 68
Msct-scan abdomen 1-06-2012
Kesan: limfadenopathy para aorta susp limfoma, asites
Pos colostomy double Lab 4/6/12
barrel ec perforasi colon GDS 112, ur 13, cr 0,4, GOT 14,GPT 10,prot.tot 6,6, alb 4,1, Ct 8, Bt 2, PT 11,5, APTT 26, Na 139, K 3,7, Cl
100, WWBC 10,3, RBC 5,04, Hb 13,6, HCT 39,7, PLT 267

Post op laparatomy
explorasi
cholelisistektomy hari 2

Lab 6/6/12
Na 135, K 3,3, Cl 100, GDS 129, ur 9, cr 6,1, bil.tot 17,81, GOT 165, GPT 111, alb 2,9, Glb 3,1 Prot.tot 6,6, Ct
9, BT 3, Pt 12,5, APTT 36,1, WBC 9,22, RBC 3,11, Hb 10,2, HCT 30,1, PLT 383
Lab(28/05/12): Hbs Ag(-), Anti HCV(-), PT/APTT 10,1/26,2 Bilirubin direct 14,05 protein total 7,4 GDS 92
GOT/GPT 212/138, Albumin 3,8, Ur/Cr 15/0,3
Lab(29/02/12): Ca 19-9: 12,71, Gamma GT:306, AFP:2,35,
Lab (16/USG Abdomen (29/02/12): Cholestatik intrahepatik&ekstrahepatik e.c batu CBD
CT Scan Abdomen (12/03/12): Cholestatis intrahepati bile duct, Cholelithiasis multiple, kista ovarium kiri
Foto Thorax (10/05/12): Normal

Tumor colon sigmoid

post colostomy double
barrel

Pro tutup colostomy

Lab 29-05-12
WBC 5.30 RBC 4.67 Hb 10.9 HCT 34.8 PLT 461
Lab 29-05-12
GDS 85 ureum 22 kreatinin 0.6 GOT 21 GPT 16 Albumin 3.4 Na 141 Ka 4.7 Kl 1.03
Lab 31-05-12
HbsAg (-). Anti HCV (-),

Keterangan

cek LED + leukosit/ hari

Thoraks 31/5/12 : dalam batas normal

LONTARA II ATAS DEPAN (BEDAH DIGESTIF) ISO
5.

6.

Athirah
35 tahun/515988
MRS 7/6/2012
Bed 2
MISI
69 Thn / 547710
MRS 09/05/12
Bed 1

Tumor abdomen

Hemicolectomy
e.c
tumor
ascendens
+
anterocutaneus
POH 9

dextra
colon
fistel

(31/5/12) : Na 136, K 3, Cl 102

(28/5/2012) WBC 5,13, RBC 4,47, Hb 12,3, HCT: 37,0, PLT 168, GDS 84, Ur 9, Cr 0,6, GOT/GPT 71/82, Na
138, K 3,1, Cl 9,8
(10/5/2012) GDS 94, UR/CR 16/10, GOT/GPT 37/39. ALB 3,5. AS. URAT 6. CT 830, BT 230. PT 11,2,
APTT 25, NA 136, CL 105, K 3,2 HBSAG (-). WBC 8,33. RBC 4,86, HB 13,3. HCT 41,6. PLT 306
USG ABD (4/5/2012) : WNL

KORAN BEDAH DIGESTIF

7.

Dg. Ngasse
42 thn/540345
MRS 21-05-2012
Bed 2
JKM

8.

Jawasang
70 thn/550502
24/05/12
Bed. 4

9.

Zulhidayah
38thn/551394
MRS 02/06/2012
Bed

10.

Ida Rohaya
23thn/549753
MRS 04/06/12
Bed 3
Askes

Minggu, 10 JUNI 2012

FOTO THORAX AP ( 03/05/2012) : cardiomegally pulmo wnl

PA 1/6/12 : adenocarcinoma (differensiasi baik), radang kronik non spesifik
LONTARA II ATAS DEPAN (BEDAH DIGESTIF) KAMAR 2
Post op laparatomy explorasi
Lab 5/6/12
colostomy
PT 14,4, APTT 27,4, GDS 105, ur 9, Cr 0,8, GOT 14, GPT 22, prot.tot 6,7, Alb 3,6, Glb 3,1, Na 139, K 3,4, Cl
POH 3
100, WBC 6,97, RBC 3,7, Hb 11,3, HCT 34, PLT 315
Lab 01/06/2012 : CEA : 32.64
Thoraks 21/05/2012 : tdk tampak tanda2 metastase, Cardiomegaly dengan dilatation aortae
USG Abdomen (21/05/12) : Gambaran Pseudokidney pada daerah rectum Susp. Massa daerah rectum
CT-Scan (24/05/2012): Tu. Anorectal, tidak tampak tanda-tanda metastase intrahepatic (dukes B)
Colon in loop (28/05/2012): massa anorectal
CEA 32,64
Post op. Cholesistektomi e.c
Lab 22/05/12 : WBC: 6,6, RBC: 4,29, HGB: 12,8, HCT: 38,5, PLT:317, Na:141, K: 4,2, Cl:104, GDS:100,
Cholesistolitiasis Hari 6
Ur/Cr:21/0,2, Bil. Tot:0,9, Bil. Direct:0,2, GOT/GPT:20/14, Albumin:4,4, CT/BT: 7/2, PT:11,4, APTT:24,3,
HbsAg (-), Anti HCV (-),
Foto Thorax PA : Pulmo Normal, Cardiomegaly disertai atherosclerosis aortae.
Echo Cardiorgaphy 23/05/12: fungsi diastolik global dan segmental baik, LVH (+), disfungsi diastolik
USG Abdomen: Cholelith
Cholelitiasis
Lab 03/06/2012: Bil direk: 1,20, Bil. Total: 1,90
Lab 28/05/2012: WBC : 5.70, RBC : 4.01, HGB: 11,7, HCT : 34,4 , PLT : 361, Urine Rutin : kesan
Hematuri, CT/BT: 700/200, PT/APTT: 10,7/23,9, HBsAG: (-), Na: 144, K: 3,3 Cl: 106, Ur/Cr: 12/0,5, GDS :
117, Bil.total : 1,0, SGOT/SGPT: 25/81, Alkalai Fosfatase: 518, Alb : 4,0
Hemoroid Interna Grade III +
Hemoroid Eksterna

Lab 7/6/12 CT 7, BT 2, PT 12, APTT 26,5, GDS 61, Ur 22, Cr 0,7, GOT 23, GPT 10, Alb 4,1, Na 138, K 4,2,
Cl 104, WBC 9,59, RBC 5,08, Hb 13,7, HCT 43,1, PLTT 334
Lab 16/05/2012 : WBC:13,4, RBC:4,84, HB:13,2, HCT:40,9 PLT:296
GDS: 92, UR:23, CR:0,7, GOT:21, GPT:16, CT:800, BT:200, PT:11,2/12,1, APTT:27,8/27,6
HBsAg (+), Anti HCV (-), Na:143, K:4,1, Cl:105

LONTARA II ATAS DEPAN (BEDAH DIGESTIF) KAMAR 3

11.

12.

13

Tuo
45thn/553348
MRS 08/06/12
Bed 1
Jamkesmas
Nursida
41thn/552818
MRS 05/06/12
Bed 2
Jamkesmas
Dg.Tuna
67thn/552582

POH 4 Colostomy double barrel

e.c Ca recti 1/3 distal

Lab 5/6/12
WBC 5,50, RBC 5,6, Hb 12,0, HCT 39,2, PLT 491, GDS 122, Ur 58, cr 0,6, Na 137, K 3,01, Cl 111
GOT/SGPT 12/35 albumin: 4,9 HbsAg (-)

KORAN BEDAH DIGESTIF

Minggu, 10 JUNI 2012

MRS 08/06/12
Bed 4
Jamkesda

14.

15.

16.

17.

MASITA
551729/p/67thn
MRS:30/05/2012
Bed 6

Nurhayati
550895/p/48thn
MRS:26/5/2012
Bed 2

Najemah
551926/P/42 THN
MRS 30/5/2012
BED 1
Fitriyani
21 thn/547846
MRS 7/6/12
Bed 5

18

Nn. Novianty
26 thn/p/26 thn
MRS 04/06/2012

19.

Mursalim
18 thn/ 549287
MRS 22/5/12
JKM
Bed 4

LONTARA II ATAS DEPAN (BEDAH DIGESTIF) KAMAR 10

Dyspneu ec ascites+ Lab 4/6/12
ileus obstruktif parsial.
WBC 19,28, RBC 4,10, Hb 10,2, HCT 35,5, PLT 503, GDS 86, ur 36, cr 29, Na 146, K 4,7, Cl 104
Lab (29/05/2012)
WBC: 9,87 RBC: 4,52 Hb: 11,4 HCT: 38,4 PLT: 665, Ur/Cr: 16/0,67 GDS: 100 GOT/SGPT 40/28
albumin: 2,4 Na : 135 K : 3,8 Cl : 102
CT : 800 BT : 200 PT : 12,8 APTT :27,9
Cholesistolithiasis
POH 12

Lab 26/05/2012 : CT/BT : 600/200, PT/APTT: 10,5/ 27,7

LAB (25/05/2012)
WBC: 7,65 RBC: 4,79 Hb: 14,5 HCT: 42,2 PLT: 294, Ur/Cr: 15/0,7 GDS: 105 GOT/SGPT 27/22 Bil total:
1,1 bil direct:0,3 albumin: 4,4 As Urat: 4,7 HbsAg: negatif Anti HCV: negatif Na 140 K 4,17 Cl 104
USG Abdomen (25/05/2012): cholelitiasis

Fistel Perianal

Lab(30/5/2012) WBC 18,78 RBC 3,77 HB 9,6 HCT 31,8 PLT 333PT 13,2, APTT 30,7, GDS 79 Ur/Cr 11/0,3,
got/gpt 10/9 Protein total 8,4 Albumin 2,2 Na 129, Ka 4,1 Cl 102 HBsAg (-)
Foto thorax AP 31/5/2012 tidak tampak kelainan
Usg abdomen massa servix uteri
Endoskopi 11/5/12
Pemeriksaan CLO H. pylory negative, reflex bilier, GERD gr. A
PA 16/5/12
Peradangan kronik non spesifik tanpa adanya sel metastase
HBsAg positif

Dispepsia kronik

LONTARA II ATAS DEPAN (BEDAH DIGESTIF) KAMAR 11

POH 11 laparatomi eksplorasi +
23/5/2012
biopsi tumor psoas sinistra + URS Cr 0,89
+DJ stent 5
14/5/2012 WBC 10,71 RBC 4,81 HGB 15,1 HCT 42,7 PLT 453 PT/APTT: 11,9/27,5 CT/BT 800/300GDS
82 Ur 29
GOT/GPT 23/15 Alb. 38 As.urat 5,5 Na 140 K 4,2 Cl 101 HbsAg (+) HCV (-)
CT scan Abdomen 16/5/2012
Kesan : massa rongga pelvis sup. miosarcoma
USG Abdomen : susp. Lymphoma mesenterial
PA 6/6/12 : malignant tumor kesan suatu perivaskuler tumor (malignant glumous tumor)

KORAN BEDAH DIGESTIF

20

21

Hamsa
41 thn/553109
MRS 31/5/12
JKM
Sarifuddin
551949/L/28 thn
MRS 31/05/2012

Minggu, 10 JUNI 2012

Perforasi Gaster
POH 11 laparatomy
explorasi

Lab (31/5/2012)
WBC : 10,96 RBC 5,08 Hb : 14,9 HCT : 44,9 PLT : 282, Ur/Cr : 39/11 GDS : 157 GOT/SGPT 16/14 alb 3,7
HbsAg (-) Anti HCV (-) CT/BT 730/300 PT/APTT 14,0/21,5 Na : 134 K : 4,2 Cl : 105

Perforasi gaster ec
vulnus ictum penetrans
POH 11

Lab 6/6/12
Na 144, K 3, Cl 115, GDS 111, ur 40, cr 1,5, GOT 21, GPT 26, alb 2,7, WBC 13,08, RBC 2,69, Hb 7,7, HCT
24,8, PLT 202
Lab (31/05/2012)
WBC : 17,90 RBC : 5,33 Hb : 15,7 HCT : 47,2 PLT : 331
29/5/2012 WBC 9,5 RBC 5,03 HGB 14,4 HCT 42,0 PLT 330 PT/APTT: 11,5/27,4 INR: 0,96 CT/BT
800/200GDS 89 Ur/Cr 29/08. GOT/GPT 16/11 Alb. 3,7 Na 137 K 4,5 Cl 98 HbsAg (-) HCV (-) CEA:
7,07
USG Abdomen (24/5/2012):
tidak tampak tanda-tanda metastase
massa rectum
Foto Thorax PA (25/5/2012):
tidak tampak tanda-tanda metastase
Colon in loop (25/5/2012) :
sesuai gambaran tu. Rectum dsertai colithis
Echo (30/5/2012) fungsi sistolik LV baik, Ef 58% disfungsi diastolik LV TR trivial-mild
LGIE (1/6/2012) tumor polipoid tipe sirkuler distal rectum

22

Tn. Marrung
80 thn/550338
MRS 29/5/2012
Bed 1

Tu. Rectum + hemoroid interna

23

Zaenuddin
42 thn/L/
MRS 03/06/2012
473196

HIL Dextra Reponibilis

Lab 03/06/2012: WBC : 4,90, RBC : 5,18, HBG: 13,5, HCT : 43,5, PLT : 90, CT : 800, BT: 300, Ur: 38, Cr:
0,9, APTT: 25,5, PT: 12,5, GDS : 96, SGOT: 38, SGPT: 25, Na: 139, K: 3,9, Cl: 110, HbsAG : (-), Anti
HCV(-)

LONTARA 1 ATAS BELAKANG

24

Asran
K./41/L/549776
MRS 29/5/2012
Kmr 1

Tu. Rectum 1/3 distal

Metastase hepar

25

Muh. Yusuf
50 thn/548977
MRS 31/5/2012
Km. 12 bed 3

Hernioraphy e.c Hil(D)reponibilis

POH 2
BPH gr III urolithiasis

Keterangan

Lab 5/6/12
PT 13,3, APTT 29,4, Gamma GT 18,4, GDSA 103. Ur 16, cr 0,58, bil.tot 0,34, GOT 12, GPT 15, Na131,
K 3,7, Cl 101, WBC 13,38, RBC 4,89, Hb 11,1, HCT 36, PLT 446
MSCT Scan Abdomen, kesan Tu.Rectosigmoid
Lab 23/05/2012 : GDP: 97, HBA1c: 11,6, Alkali Fos. : 111, Prot.total : 6,7, Alb: 3,3, Globulin : 3,4, Gama
GT: 38,7
Colon in loop 7/6/12 : sesuai gambar tu. recti
LONTARA 1 ATAS DEPAN
LONTARA 2 UROLOGI
(28/5/2012) WBC : 9,99, RBC : 5,66 HB : 16,2, HCT : 46,5, PLT : 233, , GDS :77, Ur/Cr :35/2,1, PT: 107
APTT:24,0
30/5/2012 : PSA 24,93
Foto thorax AP 22/5/2012: bronchitis kronis; dilatatio aortae

KORAN BEDAH DIGESTIF

26

Rosdiana 41 th/
545966
MRS 24/4/2012

Chest tube e.c efusi pleura

bilateral
POH 20
Drainase ascites

27

Nahariah
551882/42 thn
MRS 30/05/2012
Kamar 1 bed 1

Hemoroid Interna gr.IV

Minggu, 10 JUNI 2012

BNO 11/5/2012 : vesicolith
BNO IVU 22/5/2012 : vesicolith, divertikel buli-buli, hipertrofi prostat
USG Abdomen 11/5/2012 : batu buli-buli
Echocardiography 29/5/2012 : disfungsi diastolik, EF 62% dgn LVH (+)
LONTARA 2 OBGYN
Lab 1/6/12
Prot tot 7,0, alb 2,7, glb 4,5
Lab 12/5/2012 WBC : 22,04, RBC : 3,90, HB : 10,1, HCT : 32,8, PLT : 480
HBsAg (Ur/Cr :14/0,7, SGOT/SGPT : 14/6, Albumin :4,1 CT: 700 BT:300 PT: 10,9 APTT:26,1
Thoraks PA 14/5/12 : efusi pleura bilateraldan diafragma letak tinggi
LONTARA 3 KULIT
Lab 30/05/2012 : WBC:4,54, RBC : 3,81. HGB:9,6, HCT : 32,2 , PLT : 205, GDS: 98, Ur: 13, Cr; 0,5,
Bil, Total : 2,3, Bil direk : 0,6, SGOT : 19, SGPT : 11, Alkali fost.: 67, CT: 700, BT: 200, PT: 13,1,
APTT: 25,5
Lab 12-05-12
WBC 4,54 RBC 3,81 Hb 9,6 HCT 32,2 PLT 205 GDS 98 PT/APTT 13,1/25.5 CT/BT 700/200 Ur/Cr
13/50,5 GOT/GPT 19/11 Alkali fosfatase 67 109 bil tot 2,3 bil direk 0,6
LONTARA 3 THT

28

Dr. MARINO,Tn
43 Thn / 533769
B2/4/bed 1
12/05/12

CKD Stage V
POH 6 CAPD

29

Agustinus
552991/56
06/06/12
B 1/3

Ikterus Obstruksi e.c Suspek

Choledocolithiasis

30

Mansyur sumang
H
553175
MRS 7/6/2012
B2/1
Bed 1

Ca. recti

PALEM ATAS
Lab 22-05-12
WBC 5,55 RBC 2,68 Hb 8,3 HCT 25,4 PLT 136 Ur/Cr 122/11,3 Na 137 K 4,5 Cl 99
Lab 12-05-12
WBC 4,8 RBC 2,85 Hb 8,5 PLT 159 PT/APTT 11.7/29.1 CT/BT 730/230 Ur/Cr 78/5,75 GOT/GPT
65/140 Alb 3,0 Na 138 K 3,7 Cl 109
Lab 28-05-12
WBC 6,01 RBC 3,26 Hb 9,8 PLT 161 Hct: 30,4 GDS: 80 Ur/Cr 124/9,28 Na 133 K53,2 Cl 107
Lab 30/4/2012 : HB 11,1
Lab 11/4/2012 : WBC:11,09 RBC:3,46 HB:9,8 HCT:27,4 PLT:678
Lab
21/4/2012 : GOT:27 GPT:55 Ur:4 Cr:0,91
PALEM BAWAH
Pindah dari poli

KORAN BEDAH DIGESTIF

31

Lency P
Rachman
548882/62
23/5/12
B 2/5
Bed 1

32

Tn Maruf
Andage
43 tahun /002871
MRS 23/5/12
LT. 3 kmr 302

Post op laparotomi eksplorasi

reseksi anastomosis rectosigmoid
hari 3 e.c tu. Colon sigmoid

Choledocolithiasis
Post explorasi CPD
POH 10

33

Akibun diko
39 th/002272
Lt 3 kamar 332
(dr.Ronald)

Post op miles prosedur e.c ca

anorektal + metastase ke paru &
kel. Inguinal

34

Nurjannah
60 th/003085
MRS 7/6/2012

Tu. Region gluteus (s)

DM tipe II
HT gr. II

Minggu, 10 JUNI 2012

ICU
HCU
Lab 7/06/2012: WBC: 12,08, RBC: 4,489, HGB: 10,0, HCT: 32,9, PLT: 218, albumin: 2,6, Na: 142,
K:2,59, Cl: 110 GDS : 43
Echo 31/5/2012 disfungsi diastolik LV & EF 61 %
Lab 31/05/2012: WBC: 6,35, RBC: 4,9, HGB: 10,9, HCT: 34,4, PLT: 289, albumin: 3,2, globulin 2,7, As.
Urat 4,7, CT : 8, BT : 2, PT 11,APTT 22,6
Na: 139, K:3,3, Cl: 105 CT/BT: 8/3 PT/APT:17,4/30,6 GDS: 61 HbsAG/Anti HCV:-/- widal: LAB 23/5/12
WBC 8.80 RBC5.23 HB11,5 PLT 309 Ur/Cr 26/0,86 SGOT/SGPT 18/14 PT/APTT 12,1/24,2
Foto Thorax PA
Kesan: Cardiomegaly dengan dilatatio aortae
BNO dan Colon in loop (28/52012): colitis iskemik
PA (245/2012): adenocarsinoma (Differensiasi baik dapat dipertimbangkan + radang kronik non spesifik)
LGIE (16/5/2012): hemoroid interna gr 5
-IBD ( protoksikmoiditis ringan aktif)
-Tumor polipoid colon sigmoid stenotik

RSP
LAB 23/05/12
WBC 5,500 RBC 2,08 Hb 6,6 HCT 16,4 PLT 203 Ur/Cr 50,5/1,03 GOT/GPT 89/112,3 Na 124 K 4,0 Cl
97 GDS 93
LAB 24/05/12
WBC 4,900 RBC 2,540 Hb 7,7 HCT 19,8 PLT 216 PT 13,1 APTT 31,2 CT 9 BT 3
LAB 25/05/12
WBC 5,900 RBC 3.120 Hb 9,1 HCT 23,9 PLT 211
LAB 29/05/12
WBC 5,19 RBC 4,28 Hb 126,6 HCT 35,1 PLT 318 PT 15,2 INR: 1,21 APTT 34,5 CT 3 BT 9
Ur/Cr 29/0,9 GOT/GPT 40/71 Na 130 K 3,8 Cl 101 GDS 143 Bil total: 9,8 bil direct: 8,1 prot total: 7,1
albumin: 3,8 globulin: 3,3
LAB 31/05/12
WBC 12,29 RBC 4,71 Hb 13,5 HCT 40,2 PLT 517 Ur/Cr 13,3/0,7 GOT/GPT 13/18 Na 141K 3,2 Cl 106
GDS 99 prot tot: 6,6 albumin 4,22 CT/BT: 3/9 PT/APTT: 17,5/51,5
Foto Thorax 21/05/2012
-efusi pleura D/
-Susp Tu. Paru S/ DD pneumonia lobus medius S/
Lab 5/6/2012
WBC 7,3 RBC 5,31 Hb 14,3 HCT 38,6 PLT 274 Ur/Cr 23/0,7 GOT/GPT 11,9/14,8 Na 134 K 4,9 Cl
100 ,CT : 800, BT : 300, as urat 4,5

WR

KORAN BEDAH DIGESTIF

Minggu, 10 JUNI 2012

Lantai 4 kmr 406

PCC
35

Herculanus
551334
MRS 24-5-2012
Lnt 3 / kmr 314

Post Laparaskopi
cholecsistektomi hari 4

36

Deddy Arfandy
Kadullah
552968
06/06/12

37

Syamsiah
51 tahun
MRS 22/5/12
Lt 3 kmr 313
(dr.Ronald)

Laparotomi explorasi reseksi

anastomosi enjejeno-jejenostomy
e.c tu. Mesenterium
POH 12

Kanjariah
53/P/550226
Lt 3 kmr 329
(dr.ibrahim)
Tn. Muh. Yusuf
551405/64 th
MRS 29/5/2012
LT 2 kamar 216
Askes
(pasien dr.
warsinggih)

Tu. Uterus _ cholelitiasis

38

39

Lab 2/06/2012
BT/ CT : 300/730 PT/APTT 12,2/24,8 GDS 146 UR/CR :22/0,8 GOT/GPT : 22/23
Foto Thorax 28/5/2012 : pulmo dalam batas normal, cardiomegaly ( tensi ? klinis ?)
Lab 28-5-2012
WBC:9,6; RBC: 5,22; HgB: 14,8; HCT: 45,1: PLT: 268;

Cholelithiasis

Ca recti 1/3 distal

Lab 7/6/2012 WBC:5,5; RBC: 2,95; HgB: 8,6; HCT: 26,7: PLT: 505; GDs:146
PA (7/6/2012 moderate grade sarcoma susp leimyosarcoma

Lab 28/05/2012
WBC:6,7; RBC: 3,33; HgB: 11,0; HCT: 33,5: PLT: 413; Ur/Cr: 26/0,7; GDP:114; GOT/GPT 17/6;
Na 141; K 3,4; Cl 110
Foto Thorax 18/5/2012 cardiomegali dan dilatasi aorta
Colon in loop 7/6/2012 kesan ; Normal
Lab 7/6/2012 : 4,5; WBC: 4,33, HBG: 10,9 , RBC: 4,33, HCT: 35,2, PLT: 437
CT thorax 4/6/2012 efusi pleura kanan, choleleidotolith, lymphadenopathy mediastinal
Lab 2/6/2012 : WBC: 4,33, HBG: 10,9 , RBC: 4,33, HCT: 35,2, PLT: 437
Lab 5/6/2012 : WBC: 14,0;, HBG: 12 , RBC: 4,06, HCT: 37,1, PLT: 365

WS

KORAN BEDAH DIGESTIF

40

Hamsina
48thn/P/552384
MRS 03/06/2012

Efusi Pleura Dextra post tube

gross Hematuri
ascites

Minggu, 10 JUNI 2012

IRD BEDAH
Lab 06/06/2012 : WBC: 14,64, RBC: 4,86, HGB: 812,6, HCT: 40,6, PLT: 447
Lab 03/06/2012 : WBC: 12,27, RBC: 3,48, HGB: 8,4, HCT: 28,5, PLT: 555, As.Urat: 8,9, Na: 136, K: 4,2, Cl: 104, HBsAg : (-), anti
HCv : (-), CT: 700, BT: 200, PT: 10,7, APTT: 21,8, GDS: 101, Ur: 51 , Cr: 0,64, GOT: 22, GPT: 30, Alb: 2,3
Usg 3/6/2012 efusi pleura dextra + fatty liver
Thorax 3/6/2012 efusi pleura (D)