MAPPING AQSHA 1

Jumat, 10 Mei 2019

Tim Jaga : dr. Andri/dr. Hera
Dokter Muda : Fathia/Oja

KELAS 1 KELAS 2 KELAS 3 KELAS 4

DR : dr. riza DR : Riza
DR : dr. Riza
COW: dr. indra COW: T. Fahril
COW: dr. Indra
DM: DM:
DM: DPJP : Ortopedi
Raber: Raber:
Raber:
DPJP: dr. Fauzi Yusuf, SP.PD- DPJP: dr. M.Riswan, SpPD ,
DPJP: dr. Fauzy Yusuf, Sp. PD
KGEH KHOM
Nama : Darwiandi Nama : M. Ziaul Kausar Nama : Yusmanidar
TTL : 15-12-1960 (58th) TTL : 27-12-2000 (18th) TTL : 1/3/1956 (63th)
Alamat : Aceh selatan Alamat : pidie Alamat : Kota Banda Aceh
CM : 1208457 CM : 1-17-34-48 CM : 0854452
Hari Rawatan : 4 Hari Rawatan : 5 Hari Rawatan : 7

A/ A/ A/
1. Hematoscezia ec dd 1. Thalasemia B Mayor 1. Trombositopenia (perbaikan) ec
- Hemorroid Interna 2. Dyspepsia tipe dismotility dd
- Ca recti - ITP
Th/ - MDS
Th/ - Bedrest - Leukimia akut
- Bedrest - Diet MB 2. Anemia mikrositer ec dd
- Diet MB 1700 kkal - O2b2-4 l/i defesiensi asam folat
-IVFD NaCl 0,9 % ttm - IVFD Nacl 0,9% 20 tpm 3. Hipertensi stg. II
-IV Lansoprazol 3 g/12j - IV Lansoprazole 30 mg/12 4. Hepatittis C
-Halnex 3x1 jam
-Ardin 2x1 - IV Ondancetron 4 Th/
-Sucralfat syr 3xCI mg/8jam - Bedrest
- anti hemoroid supp 2x1 - Drip pct 1 gr/8 jam - Amlodipin 1x10mg
- salofalk 3x500mg - Vit E 1x1 - Valsatan 1x80 mg
- As. Folat 2x1 - Mecobalamin 3x500mg
Lab 6-5-2019 - Transfusi PRC sd Hb - Asam folat 2x1 tab
Hb/Ht/E/L/T: 11,9/33/3,8/11,7/456 >10mg/dl
MCV/MCH/MCHC: 86/31/36 Lab 8-5-2019
Diftel: 7/1/0/71/16/5 Lab 9-5-2019 Hb/Ht/E/T/L: 10,7/30/2,3/15,8/319
PT/APTT : 12,4/32,8 Hb/Ht/E/L/T: 10,1/31/4,2/7,4/114 MCV/MCH/MCHC: 131/46/35
Anti HCV/ HbsAg : (-)/(-) MCV/MCH/MCHC: 75/24/33 Diftell: 7/0/1/48/18/26
GDS : 125 Diftell: 1/2/0/60/30/7 SGOT/SGPT: 52/60
Ur/Cr :27/1,23 Na/K/Cl: 142/4,5/108
Na/K/Cl : 143/3,8/113 8-5-2019
Ferritin : 1262,63 Lab 7-5-2019
Hb/Ht/E/L/T: 10,2/29/2,8/5,8/25
Lab 7-5-2019 MCV/MCH/MCHC: 103/36/35
Hb/Ht/E/L/T: 4,3/14/2,1/5,7/119 Diftell: 0/1/0/34/61/4
MCV/MCH/MCHC: 66/21/31
Diftell: 0/0/0/82/12/6 Lab 6-5-2019
Hb/Ht/E/L/T: 9,8/28/2,7/4,7/9
MCV/MCH/MCHC: 103/36/35
Diftell: 0/0/0/32/65/3
Ca : 9,4
Na/K/Cl:145/3,8/108

Lab 4-5-2019
Hb/Ht/E/L/T: 9,6/28/2,7/5,2/8
MCV/MCH/MCHC: 105/36/34
Diftell: 0/0/0/27/69/4
MDT :
Eritrosit : Normokrom, anisitosis
Leukosit : limfosit atipik (+)
Trobosit : jumlah kurang
Anti HCV/HbsAg : (+)/(-)
 KELAS 5 KELAS 6 KELAS 7 KELAS 8
DR : dr. Wahyu DR : dr. Wahyu
COW : dr. Dedy COW : dr. Dedy
DM : DM : DPJP NEURO DPJP THT
Raber : Raber :
DPJP : dr. Azzakiq, Sp.PD DPJP : dr. Azzakiq, Sp.PD
Nama : Mardhiah Abdurrahman Nama : Makawiyah
TTL : 01-07-1954 (64 th) TTL :31-12-1960 (58 th)
Alamat : Kuta Alam, Banda Aceh Alamat : Aceh Timur
CM :1206743 CM :1-20-60-73
Hari rawatan : 2 Hari rawatan : 28

A/ A/
1. CHF ec CAD 1.Tumor esofagus susp. Malignancy
2. MR mild metastase hepar, paru, dan tulang
3. TR Mild 2. OA genu bilateral
4. ISK 3. PSMBA (perbaikan)
5. Geriatri problem (inanisi, infeksi, 4. Malnutrisi
imobilisasi,konstipasi) 5. Hipoalbumin berat (3,04)

Th/
Th/ -Bedrest
-Bedrest - Diet sonde 6x200cc/hari
- Diet jantung II 1700kkal/hari -IVFD Nacl 0,9% 20 gtt/i
-IVFD Nacl 0,9% 10gtt/i - IVFD Clinimix + clinoleic 1 fls/hari
- Catheter -IV Lansoprazole 30 mg/12 jam
- IV lansoprazole 30mg/12jam -Flumucyl 3x1
-Clopidogrel 1x75 mg - IV ondansetron 4mg/12 jam
- Spironolactone 1x25 mg - catarlent 4x1 gtt ODS
-Digoksin 1x0,25 mg - P pred 6x1 gtt ODS
-Atrovastatin 1x20mg -vigamox 6x1 gtt ODS
-coralam 2x5 mg -pradaxa 1x40mg
- Ramipril 1x25mg -IV Paracetamol 1 gr (extra)
- Xarelto 1x10mg -IV Albumin 25% 100cc/hr
- Furosemid 1x40mg - Zometa 1 fls/24j
-Laktosa 1xCII -IV Cefepime 1g/12 j

Lab 08-05-2019 Lab 09-05-2019

Hb/Ht/E/L/Tr: 17,3/50/6,1/8,3/301 GDS: 124
MCV/MCH/MCHC: 82/29/35
Diftell: 1/1/0/59/33/6 Lab 07-05-2019
Ur/cr: 99/ 0,80 Hb/Ht/E/L/Tr: 11,2/34/5,2/14,5/232
Na/K/Cl: 139/5,2/100 MCV/MCH: 66/22
GDS : 100 Diftell: 2/0/0/84/8/6

Analisa cairan pleura 07-05-2019

makroskopik
warna : merah
kejerniham : keruh
bekuan: negative
mikroskopik
hiung jenis sel
PMN sel :40%
MN sel: 60%
Leukosit: 1620
Total protein: 2,9
Glukosa: 156

Lab 06-05-2019
Hb/Ht/E/L/Tr: 9,5/29/4,5/16,6/333
MCV/MCH/MCHC: 63/21/33
Diftell: 1/0/0/90/4/5
Ur/cr: 33/0,53
Na/K/Cl: 140/3,8/101

Lab 04/05/19
Albumin : 2,38
Na/K/Cl: 133/4,3/98

Lab 28-04-2019
Hb/Ht/E/L/Tr: 8,5/25/4,1/8,7/309
MCV/MCH/MCHC: 61/21/34
Diftell: 2/1/0/79/11/7
PT/APTT: 13,10/32,10
Ur/cr: 20/0,46
Na/K/Cl: 132/5,2/98

Endoskopi
Tumor esophagus suspect maligna
 KELAS 9 KELAS 10 KELAS 11 KELAS 12
DR : DR : dr. Muna DR : dr wahyu
COW : COW : dr. Suheir COW : dr dedy
DPJP BEDAH
DM : DM : DM :
Raber EMD
Raber: Raber: Raber: Neurologi
DPJP : DPJP : dr. Abdullah, Sp.PD-KGH DPJP : dr. M. Diah Sp.PD KKV
Nama : Nama : Mustafa Khaharuddin Nama : Sakdiah M Sayok
TTL : TTL : 27-07-1954 (64 tahun) TTL : 01-07-1957(61th)
Alamat : Alamat : Ulee Kareng Alamat : Aceh Utara
CM : CM : 0682887 CM : 0902095
HariRawatan : HariRawatan : 12 HariRawatan : 7

A/ A/ A/
1. Penurunan kesadaran 1. Penurunan kesadaran
(perbaikan) ec dd (perbaikan) ec dd/
- Uremic ensefalopati 1.hipoglikemia
- Recurent stroke 2. stroke
2. Susp. recurent stroke 2. Pneumonia (HAP)
3. Pneumonia (HCAP) perbaikan 3. DM Tipe 2 normoweight
4. CAD 4. Hipokalemia ringan
5. Hipoalbuminemia sedang 5. OMI inferior

Th/ Th/
- Bedrest -Bedrest
Th/ - O2 2-4 l/i - IV dextrose 40% (extra)
-Diet sonde ginjal 6x200 cc via oral -diet sonde 6x200kkal/hari
-Threeway -IVFD NaCl 0,9% 20tpm
-HD Senin-Rabu-Jumat -IV Cefepime 1 gr/24jam
- drip albuminar 25% 100cc/hari - IV Citicolin 1000 mg/12 jam
-IV Ceftriaxone 2gr/24 jam (H-10) - PCT drip(extra) 500mg
-Clindamycin 3x300 mg (H-10) - IV mecobalamin 500mg/12jam
-Paracetamol 3x1000 mg - Asam folat 2x1
-Lenal Ace 2x169 mg
-As. Folat 2x400 mg Lab 06-05-2019
-Aspilet1x80mg Urinanalisis :
-ISDN 3x5 mg - Makroskopik :
-Clopidogrel 1x75 mg Warna : Kuning
-Atorvastatin 1x20 mg Kejernihan : keruh
-Flumucyl 3x200 mg Berat jenis : 1.05
- Nebule Combivent 1 resp/8jam pH : 5
-chlorpromazin 1x25mg (malam) leukosit : +1
(tunda) protein : +1
-citicolin 2x500mg Darah : +
-mecobalamin 2x500mg - Sendimen urine :
Leukosit : 10 - 15
Lab 08-05-2019 Eritrosit :8 - 10
Hb/Ht/E/L/T : 9,4/27/3,1/9,7/229 Epitel : 3 - 5
MCV/MCH/MCHC: 86/30/35
Difftel : 3/1/0/86/6/4 Lab03-05-2019
Ur/Cr: 155/7,32 Hb/Ht/E/L/T : 10,2/29/3,5/15/237
Na/K/Cl: 139/3,3/104 MCV/MCH/MCHC: 84/29/35
Albumin: 2,34 Difftel : 0/0/0/85/11/4
Ca: 8,4 Ur/Cr: 40/1,39
Na/K/Cl: 135/3,5/103
Lab 05-05-2019
Hb/Ht/E/L/T : 8,6/25/2,9/6,7/257
MCV/MCH/MCHC: 84/30/35
Difftel : 4/2/0/80/11/3
Ur/Cr: 174/7,59
Na/K/Cl: 135/3,3/102
Albumin: 2,63

Lab30-04-2019
CKMB jantung: 23

Lab 28-04-2019
Hb/Ht/E/L/T : 7,3/20/2,5/7,0269
MCV/MCH/MCHC: 83/30/36
Difftel : 2/1/0/81/12/4
Ur/Cr: 152/6,25
Na/K/Cl: 126/3,3/99
 ISO 1 ISO 2 ISO 3 ISO 4
DR : dr.Wahyu
DR : dr. Riza DR : dr. Riza DR : dr. Riza
COW : dr. Dedy
COW : dr. T.fahril COW : dr. T.fahril COW : dr. T.Fahril
DM :
DM : DM : DM :
Raber : Neurologi, pulmo, GH
Raber : Raber : bedah uro Raber :
DPJP: dr.Azzaki Abubakar, Sp.PD,
DPJP: dr. Riswan, Sp.PD-KHOM DPJP: dr. M.Riswan,Sp.PD,KHOM DPJP: dr. Riswan SP.PD
KGEH
Nama: Rahimah Nama: Hamdan AS Nama: Miskiah Parto P. Nama: Basri AbdulWahab
TTL : 20-06-1975 (43 tahun) TTL : 08-01-1951 (68 tahun) TTL: 05/06/1957 (61th) TTL: 07/11/1977 (41thn)
Alamat : Banda Aceh Alamat : Aceh Besar Alamat: Banda Aceh Alamat: UleeKareng, Banda Aceh
CM : 1205392 CM : 0914197 CM: 1145613 CM: 1687864
Hari Rawatan: 9 Hari Rawatan: 11 Hari Rawatan : 16 Hari Rawatan :30

A/
1. MBC metastase tulang post kemo
siklus 1
2. trombositopenia
Th/
-Bedrest
- transfusi PRC 2 kolf
- PCT 3x500mg
- coditam 3x1
- tracetat 1x1
- IV metil prednisolone 125mg/12jam
- ondansetron 2x4mg
- fosen enema supp (prn)
Lab 07/05/2019
Hb/Ht/E/L/Tr: 8,3/24/3/4,7/51
MCV/MCH/MCHC: 81/28/34
Difftel: 0/0/1/64/33/2
Lab 07/05/2019
Hb/Ht/E/L/Tr:9,7/29/3,5/7,8/11
MCV/MCH/MCHC: 81/27/34
Difftel: 0/1/0/48/48/3
Lab 04/05/2019
Hb/Ht/E/L/Tr:11/32/4,0/9,9/16
MCV/MCH/MCHC: 80/28/34
Difftel: 30/3/0/11/50/6
PT/APTT: 15,40/40,90
A/
1. Pneumonia (CAP) dd infeksi paru
spesifik
2. Geriatric problem (infeksi,
instabilitas dan jatuh, inanisi)
3. Hipertensi terkontrol
4. Ulkus dekubitus grade I
5. Hiccup (perbaikan)
6. Post op ca prostat
7. CAD
8. Adenocarcinoma Prostat
Th/
-Bedrest
-IV Omeprazole 40 mg/12 jam
-Domperidon 3x10 mg
-Asetilsistein 3x200 mg
-Amlodipin 1x5 mg
-Valsartan 1x80 mg
-Casodex/24 jam
-Miniaspi 1x80 mg
-Atorvastatin 1x20 mg
-KSR 1x600 mg
-Cloramronazin 25mg/hr
-IV Zometa 4 mg/100ml/hr
- mecobalamin 1x500mcg
- gabapentin 1x300mg
Lab 09/05/2019
Hb/Ht/E/L/Tr: 10,7/29/3,7/10,9/328
MCV/MCH/MCHC: 79/29/36
Difftel: 0/1/0/83/8/8
Albumin: 3,06
Lab 03/05/2019
Hb/Ht/E/L/Tr: 9/25/3,2/9,2/160
MCV/MCH/MCHC: 78/28/36
Difftel: 1/0/1/78/13/7
Na/K/Cl: 128/4,2/107
A/
1. AKI stg III dd/ hepatorenal
syndrome tipe I
2. Sirosis hepatis std dekompensata
3. Pneumonia (HAP)
4. Hemiparese sin ec recurrent stroke
5. Anemia sedang NN ec dd
1. Penyakit kronis
2. Perdarahan
Th/
- Bed rest
- Diet hati MII 1700 kkal/hari
- Three way
- Balance cairan seimbang
- Atorvastatin 1x40mg
- Amlodipin 1x10mg
- Lactulac syr 3xCI
- drip albumin 25% 100cc/hari
- Mecobalamin 3x500mg
- IV Omeprazole 40mg/12 jam
- Gabapentin 1x300 mg
- IV Furosemide 40 mg/12 jam
- Cetirizine 1x10 mg
- Levofloxacin 1x500 mg
- Spironolakton 2x200mg
- IV Cefepim 1gr/24jam
- Flumucyl 3x1
- Norepinefrin 0,5 mg/jam
- IV vit-k 10 mg (ekstra)
- IV asam traneksamat 500mg
(ekstra)
Lab 09-05-2019
Hb/Ht/E/L/Tr: 7,5/22/2,3/8,3/37
MCV/MCH/MCHC: 93/32/35
Difftel: 2/1/0/78/9/10
PT/kontrol/INR: 18,10/13,7/1,43
APTT/kontrol: 45,5/36
A/
1.NHL post kemoterapi siklus ke-3
dengan regimen ugmesna
2.Bisitopenia induced kemoterapi
3.High risk trombosis
4. PSMBA (perbaikan)
Th/
-Cetirizin1x10mg
- IV ondansentron 8 mg/hari
- IV MST 15 mg/12jam
- Domperidone 3x10mg
- Lactulac Syr 2xCII
- Coleste tab 2x1
-leukogen 1 vial/24jam
-IV Prosogan 30mg/12jam
-clindamisin zalf 3x ue
- transfusi PRC 2 kolf
Lab 09-05-2019
Hb/Ht/E/L/Tr: 6,2/18/2,2/3,5/76
MCV/MCH/MCHC: 84/29/34
Difftel: 0/0/0/29/64/7
Lab07-05-2019
Hb/Ht/E/L/Tr: 5,2/16/1,9/3,5/12
MCV/MCH/MCHC: 84/27/32
Difftel: 0/0/0/32/62/6
Lab06-05-2019
Hb/Ht/E/L/Tr: 5,6/18/2,1/3,2/6
MCV/MCH/MCHC: 85/27/32
Difftel: 0/0/0/37/59/4
PT/APTT : 12,7/33,6
Lab 05/05/2019
Hb/Ht/E/L/T: 5,8/18/2,3/4,0/5
MCV/MCH/MCHC : 84/27/32
Diftell: 0/0/1/37/58/4

Lab 02-05-2019 Lab06-05-2019 Lab 01/05/2019

Na/K/Cl: 129/3,6/107 Hb/Ht/E/L/Tr:9,0/26/2,8/6,3/58 Hb/Ht/E/L/T: 6,1/19/2,3/5,0/6
MCV/MCH/MCHC: 93/33/35 MCV/MCH/MCHC : 84/27/32
Lab 1-05-2019 Difftel: 3/1/0/63/15/18 Diftell: 0/1/0/39/56/4
Na/K/Cl: 120/3,8/95 Alb: 2,76 PT/APTT: 14,60/36,0
Ca : 8,8
Lab 29-04-2019 Ur/Cr: 279/5,4 Lab 30/04/2019
Hb/Ht/E/L/T : 9,7/26/3,5/6,5/180 Na/K/Cl: 137/6/104 Hb/Ht/E/L/T: 6,5/20/2,4/4,6/69
MCV/MCH/MCHC: 75/28/37 Urinanalisis : MCV/MCH/MCHC : 82/27/33
GDS: 129 - Makroskopik :
Ur/Cr: 49/0,58 Warna : Kuning Lab 28/04/2019
Na/K/Cl: 108/4,7/85 Kejernihan : keruh Hb/Ht/E/L/T: 7/21/2,6/2,5/3
Berat jenis : 1.015 MCV/MCH/MCHC : 82/27/33
pH : 5 Diftell: 0/2/0/47/49/2
leukosit : +1
protein : +1
Darah : + Lab 22/04/2019
- Sendimen urine : Urinalisa
Leukosit : 20 – 25 Glukosa (+1)
Eritrosit :8 - 10
Epitel : 3 - 5
Lab 02/05/2019
Hb/Ht/E/L/Tr:8,0/23/2,4/7,6/96
MCV/MCH/MCHC: 96/33/34
Difftel: 3/0/0/79/8/10
Alb: 2,29
Ur/Cr: 230/5,07
Na/K/Cl: 134//5,2/103
 ISO 5 ISO 6 ISO7 ISO 8
DR : dr. Reyza DR : dr. wahyu DR :
COW: dr. febri COW : dr. dedy COW :
DPJP BTKV DM: DM : DM :
RABER EMD Raber: Raber : EMD, HOM Raber :
DPJP: dr. Islamuddin, Sp.PD DPJP : dr. M.Diah,Sp.PD KKV DPJP :
Nama : Jalaluddi Nama : Marsalena Nazaruddin Nama :
TTL : 01/07/1965 (53th) TTL : 19/05/1955 (63 Th) TTL :
Alamat : Aceh Utara Alamat : Aceh Besar Alamat :
CM : 1207614 CM : 1189059 CM :
Hari Rawatan : 13 Hari Rawatan :5 Hari Rawatan :

A/
dd 1. TB paru
2. massa paru dextra
2. Pansitopenia ec. Dd.
- Anemia aplastik
- MDS
- Leukemia akut
- Paraneoplasma sindrom
Th/
- Bedrest
- Diet lunak 1700kkal/ hari
- Threeway
- Drip Paracetamol 1000 mg
- Metoclopramid 2x10mg
- Piridoksin 2x1
- Curcuma 3x1
Lab 06/05/19
Hb/Ht/E/L/Tr : 10,1/28/3,5/2,1/250
MCV/MCH/MCHC: 81/29/36
Diftel: 1/0/0/32/55/12
Na/K/Cl: 131/3,8/99
Lab 06/05/19
Hb/Ht/E/L/Tr : 9,1/27/3,3/1,3/40
MCV/MCH/MCHC: 81/27/34
Diftel: 0/1/0/60/30/9/1
Na/K/Cl: 135/3,7/106
A/ A/
1. Penurunan kesadaran ec dd
- Imbalance elektrolit
- sepsis
- Metastase proses
2. Ca Mammae post kemo
siklus 4
3. DM Tipe 2 OW
4. Hiponatremi hipoosmolar
euvolemik
5. Hipoalbuminemia (2,1)
Th/
- Bedrest
- -02 2-4L/i Th/
- Pasang NGT+kateter urin
- Diet DM MII 1700kkal/hari
- Kompres luka dikaki dengan Nacl
0,9%
- IVFD NaCl 3% 10 tpm
- Drip paracetamol 1gr/8 jam (prn)
- IV Omeprazole 40 mg/12 jam
- IV ondansetron 4mg/8jam (kp)
- KSR 2x600mg
- Leukogen 1 vial/24jam (k/p)
- Drip insulin novorapid 1 unit/jam
- IV Levofloxacin 500 mg/24 jam
- Pradaxa 1x110mg
- drip albuminar 25% 1fls/24 jam
- gabapentin 1x300mg

Lab 08/05/2019
Bilirubin total/direct/indirect:
10,10/7,22/2,88
SGOT/SGPT: 52/43

Lab 08/05/2019
LDH: 291
As. Urat: 5,4

Lab 07/05/2019
Alb: 2,15
Na/K/Cl: 136/3,8/109

Lab 06/05/2019
Hb/Ht/E/L/Tr : 9,4/26/3,1/10,3/48
MCV/MCH/MCHC: 85/30/36
Diftel: 0/0/0/96/2/2

Lab 05/05/2019
Hb/Ht/E/L/Tr : 9,5/26/3,1/1,9/77
MCV/MCH/MCHC: 83/30/36
Diftel: 0/0/0/73/10/17
GDS: 85
Ur/Cr: 57/2,37
Na/K/Cl: 128/2,8/96
 ISO 9 ISO 10 ISO 11 ISO 12
DR : dr. Reyza DR : dr. Okdimur DR : dr.muna DR : dr. Taufiq
COW : Febri COW : dr. Rahmi COW : dr. suheir COW:dr. Delfi
DM : DM : DM : DM :
Raber : HOM Raber : Raber : PTI Raber: Bedah plastic, PTI
DPJP: dr.Chacha, Sp.PD DPJP: dr. Diana Erlita, Sp.PD DPJP: dr. Mahriani, Sp.PD DPJP: dr. Azhari Gani, Sp. PD.
Nama: Amri A Manaf Nama: Handayanti Nama : Murniana Zakaria Nama : Rahmat Hidayat
TTL : 04-11-1989 (29 tahun) TTL : 15/5/1990 (28 tahun) TTL : 03/12/96 (22th) TTL : 01/03/1991(28th)
Alamat : Pidie Jaya Alamat : Aceh besar Alamat : Aceh Utara Alamat : Aceh Pidie
CM : 1198906 CM : 1207071 CM : 1193908 CM : 1035032
Hari Rawatan: 19 Hari Rawatan: 5 Hari Rawatan: 3 Hari Rawatan : 7

A/ A/ A/ A/
1. Hepatomegali dengan suspek 1. Febril Neutropenia 1. SLE derajat berat dengan 1. SIDA std IV
ruptur lien dengan cairan bebas 2. Metastase breast cancer post kemo keterkaitan neuropsikiatri 2. Cholesistitis
dicavum pelvis siklus 1 2. Oral kandidiasis 3. Candidiasis oral
2. Pansitopenia ec dd/ 4. Anemia sedang hipokrom
1). Anemia Aplastik Th/ Th/ mikrositer ec dd/
2). Leukemia Akut -Bedrest 1. Defisiensi Fe
3). Hemofagositik -Diet MII 1700 kkal/hari - Bedrest 2. occult bleeding
4) Mielofibrosis - threeway - Diet M sonde 6x200cc 5. Hipoalbuminemia
5) Limfagositik maligna - Drip Nacl 0,9% 50cc +1amp - IVFD Nacl 0,9% 20 gtt/i 6. Hepatitis B kronik
6) hipersplenisme novalgin/8jam - IV metilprednisolon 7. Abses ar. Femur sinistra
3.Hipoalbumenia berat - IV flumucyl 200mg/24jam 250mg/12jam 8. dd/ - Lipoma
- iv lansoprazole 30mg/12 jam - IV omeprazole 40mg/12jam - limfadenopati spesifik
Th/ - Donperidon 3x10mg - Kalsium lactat 2x500mg
-Bedrest - sukralfat 3xCII - Ostriol 2x0,25mg Th/
-Diet MB 1700 kkal/hari+ekstra putih - IV levofloxacin 500mg/24jam - Asam folat 2x400mcg - Bedrest
telur - nistatin drop 2gtt/6jam - Nystatin drop 4xgtt2 - Diet lunak 1700 kkal
-IVFD NaCl 0,9% 20 gtt/i - O2 2-4 Lpm (k/p)
- transfusi PRC sd Hb>10gr/dl Lab 9/5/19 Lab 8/5/19 - IVFD Aminofusin hepar 1 fls/hari
- transfusi TC 10 kolf Hb/Ht/E/L/T : 10,5/31/3,6/8,1/158 Hb/Ht/E/L/T : 11,3/35/5,5/11,7/261 - IV ceftriaxone 2g/24jam
- transfusi FFP 900cc MCV/MCH : 86/29 MCV/MCH : 63/21 - IV Omeprazole 40mg/12j
- IV omeprazole 40mg/24jam Diftel : 0/0/0/71/15/14 Diftel : 0/0/0/89/8/3 - Sistenol 3x500mg
- IV albumin 25% 100cc/hari Bilirubin total/direct/indirect: Ca: 8,6 - Drip Albumin 25% 100cc/hr
- metilprednisolon 3x10mg 0,35/0,11/0,24 Na/K/Cl: 141/4,1/109 - Nistatin 1 gtt/6 jam
- levofloxacin 1x500mg SGOT/SGPT: 18/16 - Sucralfat syr 3x1c
Ur/Cr: 11/0,71 - Drip novalgin 1 amp dalam 500 cc
Lab 9/5/19 Na/K/Cl: 138/3,3/108 dex 5% 20 tpm
Hb/Ht/E/L/T : 5,3/15/1,6/6,7/11 - cotrimoxazole 1x2tab
MCV/MCH : 94/34
Diftel : 0/1/0/78/5/16 Lab 8/5/19 Lab 8/5/19
Albumin: 3,05 Hb/Ht/E/L/T : 9,3/27/3,2/3,2/91 Hb/Ht/E/L/T : 7,6/23/3/10,6/230
Na/K/Cl: 140/4,2/107 MCV/MCH : 84/30/35 MCV/MCH : 78/26
APTT/Kontrol: 38,30/36 Diftel : 1/1/0/54/17/27 Diftel : 0/0/0/94/2/4
PT: 1,39 PT/APTT: 14,00/42,30
SGOT/SGPT: 91/21
Lab 7/5/19 Ur/Cr: 23/0,37
Hb/Ht/E/L/T : 6,4/18/1,9/8,5/17 Albumin:2,62
MCV/MCH : 98/35/35
Diftel : 0/0/0/59/7/34 Lab 6/5/19
Hb/Ht/E/L/T : 7,6/23/3,0/10,6/230
Lab 4/5/19 MCV/MCH : 78/26/33
Hb/Ht/E/L/T : 8,3/24/2,4/5,1/16 Diftel : 0/0/0/94/2/4
MCV/MCH : 99/34/35 PT/APTT: 14,00/42,30
Diftel : 0/1/0/83/11/5 SGOT/SGPT: 91/21
Albumin: 2,74 Ur/Cr: 23/0,37

Lab 2/5/19 Lab 5/5/19

Hb/Ht/E/L/T : 9,9/30/2,9/11,0/29 Albumin : 2,28
MCV/MCH : 101/34/33
Diftel : 0/0/0/95/3/2 Lab 3/5/19
PT/APTT :
Lab 30/4/19 Imunoserologi :
Hb/Ht/E/L/T : 7,9/23/2,3/1,2/27 AFP (Alfa Feto Protein) : 1,31
MCV/MCH : 101/35/34 Na/K/Cl: 132/3,1/98
Diftel : 1/1/0/76/15/7
Alb : 2,59 Lab 2/5/19
GDS : 87 Hb/Ht/E/L/T : 8,4/24/3,2/12,5/209
Na/K/Cl: 143/3,4/112 MCV/MCH : 76/26/35
Diftel : 0/0/0/92/2/6
Lab 24/4/19 Bilirubin total : 8,02
Ur/Cr: 53/0,50 Bilirubin direk/indirek : 5,46/2,56
SGOT/SGPT : 107/32
Protein total : 7,36
Albumin : 2,29
Globulin : 5,07