Ward Map Onkologi 6 Oktober 2019

Ward Map Ginekologi Onkologi Minggu 6 Oktober 2019
Kamar Nama Usia RM Diagnosis DPJP Laboratorium Target

Dr. dr. Gatot
PTM High risk, Beta HCG:
204B Muryat 28 4418463 Purwoto, Kemoterapi
meta paru 64.408
SpOG(K)
G1 hamil 25
mingu JTHIU
Nehemia Diah Dr. dr. Hariyono Kemoterapi,
204E 25 4391167 dengan Ca
Ayu W, SpOG (K) pulang
cerviks stadium
IB
26/09/2019
DPL :
12.2/37/13220,
pt/aptt:
0.9x/0.8x, CEA
1.7, AFP 2.25,
Ca ovarium post dr. T. Dewi Ca19-9 6.3, Ca Rencana operasi
205 B Yant Susant 41 4419979 Anggraeni,
SOB 125: 88.5, B-HCG
SpOG(K) : <1.2, OT/PT:
15/17, alb: 4.19,
Ur/Cr : 18/0.6,
GDS 90, LDH
216, elektrolit :
134/3.2/101
Prof. Dr. dr. DPL :

205 C Tan Sin Moy 75 4401573 Ca endometrium Andrijono, 12.9/38/5530/30 rencana operasi
SpOG(K) 5000
2/10/19 DPL
11,3/34/12800/4
39000 1/10/19
DPL
9.6/30/14020/48
Dr. dr. Fitriyadi K, 8000 Ca 125 tranfusi albumin
206A Jarsit 50 4383501 ca ovarium SpOG(K) 56.4 DPL (penelitan)
7.1/23/13.000/5
26.000
OT/PT19/19
albumin 1.76 Ca
125 56,4
Lab 3/10/19 DPL

Ca cervix III A 9.6/28/19290/54 koreksi elektrolit,
suspek residif 1000, ot/pt 23/6, post HD
dengan Ca pain, Dr. dr. Hariyono
206B Napsiah 33 4117156 gds 110, Alb 2.7, pertama,
W, SpOG (K)
fistula elektrolit rencana step
rektovagina 123/6.4/87, down dobutamin
Ur/Cr 291/6.4
2/10/19
Ca cervix DPL11,2/31,7/89
stadium IIIB, 40/473000 alb koreksi albumin
anemia, Dr. dr. Tofan W
206C Onih 52 439-29-40 2,35 Na 122 K
hiponatremia, Utami, SpOG(K) (penelitan)
4,9 Cl 94 DPL
hipochlorida, Ca 5.4/15.8/6730/5
Pain 55.000
2/10/19 DPL
Ca ovarium 7,7/23/9640/337
dengan asma on 000 DPL Transfusi target
terapi, HT st II, Prof. Dr. dr. 6.4/18.9/8730/2 Hb> 10gr/dL,
DM on insulin, Andrijono, 76000 nebulizer, raber
206 E Rengsi Hutapea 68 3369212 anemia, AKI SGOT/SGPT IPD dan paru,
SpOG(K)
dd/Acute on 20/18 Ur/Cr cek Hb post
CKD, 59/2.3 Na/K/Cl transfusi
hiponatremia 129/4.9/102
AFP 1.0
Ca corpus uteri
post laparotomi
histerektomi
subtotal dan
salpingektomi DPL
unilateral 3 bulan 8.5/26.9/24.500/
rencana
lalu diluar, 612.000,
Dr. dr. Sigit perbaikan KU,
206 F Budi Mulyani 51 4416711 dengan elektrolit
permasalahan, Purbadi, SpOG(K) tranfusi target
132/4.7/100 HB > 10 g/dL
anemia, intake OT/PT 10/24
sulit, elektrolit ur/crec 31.3/0.9
imbalance, ca
pain, suspek
meta tulang dan
HN
Riwayat syok 27/9/19:

hipovolemik e:
grade 3 ec intake 129/4/108,5
sulit pada ca 26/9/19
ovarium E : 122/3,7/107
advanced stage Prof. Dr. dr.
207A Ratna 40 4328944 post NAC 3x, Andrijono, DPL (23/9): Rencana pulang
hiponatremia SpOG(K) 13.3/36.6/15450
(116), /430000, E:
hipoalbumin 116/4.6/93,
(2.2), AKI dd/ Fibrinogen : 432,
acute on CKD, D-Dimer : 100,
CLTI Albumin : 2.2
Lab 3/10/19 :
Ur/CR: 83/1.8,
Lab 2/10/19 DPL
7,4/22/10480/21 pasca HD, cek
8000 Lab DPL, Ur/Cr,
30/9/2019 DPL konsul anestesi
Penurunan 8.0/23.7/10440/ untuk
kesadaran pada 205000 Ur/Cr pemindahan
Dr. dr. Hariyono
207B Diah Hastut 60 4379573 ca cervix IIIB, 144/3,6 Na/K/Cl akses ke jugularis
W, SpOG (K)
anemia, CKD 138/4.0/107 untuk HD
post HD (23/9/19) : traveling, pasien
13,1/36/4360/43 rencana pulang,
8000 Albumin konsul
3,29 Na 118 K neurologi--> ?
2,3 Cl 82 SGOT
33 SGPT 36 Ur 25
Cr 0,6 GDS 124
koreksi albumin
4/10/19: Alb: --> pungsi ascites
NOK suspek Dr. dr. Tofan W 1.74. /. Ur/cr: (sedang
207D Rumanah 57 4416897
maligna Utami, SpOG(K) 50/1.1. Na/K/Cl: dilaporkan untuk
127/3.7/98 penelitan belum
ada jawaban)
DPL
8.1/23/18720/57 perbaikan ku,
Ca cervix Dr. dr. Sigit P, 9.000 ur/crec
207 E Carsih 56 4336341 ytransfusi target
satdium III B SpOG(K) 29.9/0.9 OT/PT HB>10g/dL
44/22 albumin
2.79
Ca cervix
stadium IV 3/10/19 DPL :
dengan 10.8/29/8050/29
metastasis paru, 4000, DPL
tulang, suspek
7,2/18,4/7810/3 Perbaikan KU,
metastasis hepar, Dr. dr. Fitriyadi K, 00000 SGOT 344 rencana konsul
210A Ermiyat 62 4310305 pasca radiasi
komplit, intake SpOG(K) SGPT 241
albumin 2,19 Ur gizi, demam +
sulit, malnutrisi,
38 Cr 0,7 GDS 76
GERD, anemia, Na 114 K 2,9 Cl
hipoalbuminemi 91
a, hiponatremia,
hipokalemia
4/10/19: AGD:
pH: 7.5/pCO2:
23.6/PO2:
119.50/HCO3:
23.20 total CO2:
23.90. BE: 3.30.
saturasi 99. DPL:
9.3/27.2/9.040/2
SEPSIS pada POD 14.000. PCT: 9.5
IV post 3/10/19, Laktat :
laparotomy 1.9,30/9/19 DPL
suboptmal 11.7/36.2/8730/ KONSUL IPD:
debulking 203000 PT/APTT saran Ro thorax,
( residu tumor di Dr. dr. Sigit P, 1.0/1.2, antbiotk
210 C Emiyat 54 4084401 mesenterium SpOG(K) SGOT/SGPT dilanjutkan,
difragma) ai ca 18/17, Albumin curiga
ovarium residif 2,6 Ur/Cr perdarahan
Hipoalbuminemi 34.2/0.5
a 2.67 Na/K/Cl
134/3.5/106
Lab (18/9/19)
10,1/30/4020/59
4000 Lab
11.7/8730/203.0
00
Albumin 2.67
EL 134/3.5/106
dr. T. Dewi Dr. dr. Hariyono 205A, 207B,

Anggraeni, 201B W, SpOG (K) 207C, 212D
SpOG(K)
Dr. dr. Laila Dr. dr. Tofan W
Nuranna, 211A, 214D Utami, SpOG(K) 206C
SpOG(K)
Prof. Dr. dr. Dr. dr. Gatot
204 A, 206E,
Andrijono, Purwoto,
207A
SpOG(K) SpOG(K)
Dr. dr. Fitriyadi K, 204D, 204E,

204F, 206A,
SpOG(K) 210A
Dr. dr. Sigit
Purbadi, SpOG(K)
dr. Andi Darma 206D,207D,211C,

Putra, SpOG (K) 211D
Ward Map Ginekologi Onkologi Jumat, 4 Oktober 2019
Prof. Dr. dr. DPL

204A Diana Nur 31 4385898 PTM high risk Andrijono, 13,3/38/5450/48 Kemoterapi
EMACO
SpOG(K) 8000
DPL
Dr. dr. Gatot
204B Sandra 44 4417063 Ca cervix IB Purwoto, SpOG(K) 11.8/35/5260/20 Kemoterapi
8000
dr. Kartwa Hadi N, DPL

204C Sumiat 38 4381819 PTM High risk 12.1/35.7/5040/3 Kemoterapi
SpOG(K) 33000
DPL :
13/35/7320/3220
Dr. dr. Gatot
204D Mayeni 61 4387731 Ca cervix IIB Purwoto, SpOG(K) 00, OT/PT : 28/34, kemoterapi
alb 4.1, Ur/Cr :
24/0.9, GDS 120
30/9/19, Dpl :
11.3/346500/484
Prof. Dr. dr.
000, elektrolit :
204E Halimatus S 29 4417283 Ca cervix Andrijono, 135/4.5/102, gds : kemoterapi
SpOG(K) 68, ur/cr:
22.5/0.5, alb 4.52
1/10/19, DPL :
11.4/35/9980/40
Dr. dr. Gatot 1000, elektrolit :
204 F Nursima 45 4387992 Ca cervix III B Purwoto, SpOG(K) 136/3.4/103, gds : kemoterapi
94, ur/cr :
20.3/08, alb 4.24
Lab 1/10/19:
Na/K/Cl
129/4.5/103
30/9/19DPL
12.9/39.9/20510/
459000
(26/9/2019):
DPL:11,9/38/8940
/532000//76,6/24
POD III post
laparotomi Dr. dr. Hariyono W, /31,3, pt/aptt: Perawatan post
205 A Fauziah 43 4386889 0,9x/0,9x,
optmal debulking SpOG (K) sgot/sgpt: 12/10, op, GV
ai ca ovarium IIIC alb: 3,4, ur/cr:
17/0,7, GDS: 87,
e: 134/4,1/104,6
Lab
12.9/20.510/459.
000
El 132/4.2/105.5
Lactat 3.4→ 1.8
26/09/2019 DPL :
12.2/37/13220,
pt/aptt: 0.9x/0.8x,
CEA 1.7, AFP 2.25,
Ca19-9 6.3, Ca
dr. T. Dewi
Ca ovarium post 125: 88.5, B-HCG : Rencana operasi
205 B Yant Susant 41 4419979 Anggraeni,
SOB <1.2, OT/PT:
SpOG(K) 15/17, alb: 4.19,
Ur/Cr : 18/0.6,
GDS 90, LDH 216,
elektrolit :
134/3.2/101
Prof. Dr. dr. DPL :

205 C Tan Sin Moy 75 4401573 Ca endometrium Andrijono, 12.9/38/5530/30 rencana operasi
SpOG(K) 5000
2/10/19 DPL
11,3/34/12800/4
39000 1/10/19
DPL
9.6/30/14020/48
Dr. dr. Fitriyadi K, 8000 Ca 125 56.4 tranfusi albumin,
206A Jarsit 50 4383501 ca ovarium SpOG(K) transfusi PRC
DPL
7.1/23/13.000/52
6.000 OT/PT19/19
albumin 1.76 Ca
125 56,4
Lab 3/10/19 DPL

9.6/28/19290/54
Ca cervix III A
suspek residif Dr. dr. Hariyono W, 1000, ot/pt 23/6, rencana konsul
206B Napsiah 33 4117156 gds 110, Alb 2.7, urologi, penyakit
dengan Ca pain, SpOG (K) elektrolit dalam
fistula rektovagina 123/6.4/87, Ur/Cr
291/6.4
2/10/19
DPL11,2/31,7/894
Ca cervix stadium 0/473000 alb 2,35 Transfusi target
IIIB, anemia, Dr. dr. Tofan W
206C Onih 52 439-29-40 Na 122 K 4,9 Cl 94 Hb> 10 gr/dL,
hiponatremia, Utami, SpOG(K) DPL koreksi albumin
hipochlorida 5.4/15.8/6730/55
5.000
Ca cerviks stadium
III B dengan DPL
anemia ec riw dr. Andi Darma
206D Ade mulyat 47 4418778 5.8/17.6/11620/3 Transfusi target
perdarahan, Putra, SpOG (K) Hb> 10 gr/dL
32000
hiponatremia, Ca
pain
2/10/19 DPL
7,7/23/9640/337
Ca ovarium 000 DPL
dengan anemia, Prof. Dr. dr. 6.4/18.9/8730/27 Transfusi target
206 E Rengsi Hutapea 68 3369212 AKI dd/Acute on Andrijono, 6000 SGOT/SGPT
CKD, SpOG(K) 20/18 Ur/Cr Hb> 10gr/dL
hiponatremia 59/2.3 Na/K/Cl
129/4.9/102 AFP
1.0
27/9/19:
Riwayat syok e: 129/4/108,5
hipovolemik grade 26/9/19
3 ec intake sulit E : 122/3,7/107
pada ca ovarium
advanced stage Prof. Dr. dr. Perbaikan KU,
DPL (23/9):
207A Ratna 40 4328944 post NAC 3x, Andrijono, 13.3/36.6/15450/ koreksi elektrolit,
hiponatremia SpOG(K) pasien sudah DNR
430000, E:
(116),
116/4.6/93,
hipoalbumin (2.2), Fibrinogen : 432,
AKI dd/ acute on D-Dimer : 100,
CKD Albumin : 2.2
Lab 3/10/19 :
Ur/CR: 83/1.8, Lab
2/10/19 DPL
7,4/22/10480/21
8000 Lab
30/9/2019 DPL
8.0/23.7/10440/2
Dr. dr. Hariyono W, 05000 Ur/Cr
ca cervix IIIB,
207B Diah Hastut 60 4379573 144/3,6 Na/K/Cl Perbaikan KU
anemia, CKD SpOG (K) 138/4.0/107
(23/9/19) :
13,1/36/4360/43
8000 Albumin
3,29 Na 118 K 2,3
Cl 82 SGOT 33
SGPT 36 Ur 25 Cr
0,6 GDS 124
LAB 1/10/19 DPL

11.3/34.2/9660/2
25000 Albumin
2.54 Na/K/Cl
129/4.1/107
29/9/19: DPL
8,8/26,9/6620/25 koreksi elektrolit.
Ca cervix IV A, 2000 / albumin Urologi rencana
hipoalbumin, 2,48 LAB sistoskopi+RPG
hiponatremia, Dr. dr. Hariyono W, 27/9/19: DPL: bilateral+insersi DJ
207C Imelda Erni 40 4393735 hidronefrosis SpOG (K) 7,3/21,7/13740/2 stent bilateral
bilateral on 89000//79,8/26,8 2/10/19, pasien
nefrostomi /33,6, alb: 2, perburukan -->
ur/cr: 31,8/1,8, e: DNR (+)
128/3,7/101,8,
PT/APTT:
1,1X/1,1X, hbSaG
NON REAKTIF,
ANTI hcv: NON
REAKTIF
2/10/19: DPL :
8.9/26/10200/35
Ca endometrium 6000, elektrolit :
suspek stadium II
Dr. dr. Fitriyadi K, 134/4.1/103, alb Transfusi target
207E Sri Wahyuni 40 4419222 dd Ca cervix
anemia ec blood SpOG(K) 3.9, PT/APTT: Hb> 10gr/dL
0.9x/0.9x, GDS
loss 106, OT/PT: 16/7,
Ur/cr :22/0.7
Ca cervix susp 2/10/19 iGe total
stadium IIIB 712, LDH 566, CK
dengan intake 871,
sulit, hidronefrosis 1/10/19 DPL
bilateral dan 12.2/35.8/11270/ Konsul IPD dan
dr. Andi Darma
207F Rinem 50 4420003 hiponatremia, 281000 PT/APTT konsul gizi
hipoalbuminemia, Putra, SpOG (K) 0.9/1.0
Ca pain, susp SGOT/SGPT
subakut 130/35 Ur/Cr
cutaneous lupus 45.9/0.8 Na/K/Cl
eritematosus 127/3.8/95
Ca cervix stadium
IV dengan 3/10/19 DPL :
metastasis paru, 10.8/29/8050/29
tulang, suspek 4000, DPL
metastasis hepar, 7,2/18,4/7810/30 Perbaikan KU,
pasca radiasi Dr. dr. Fitriyadi K,
210A Ermiyat 62 4310305 0000 SGOT 344 rencana konsul
komplit, intake SpOG(K) SGPT 241 albumin gizi
sulit, malnutrisi, 2,19 Ur 38 Cr 0,7
GERD, anemia, GDS 76 Na 114 K
hipoalbuminemia, 2,9 Cl 91
hiponatremia,
hipokalemia
1/10/2019 post
op DPL
9.8/30.4/16490/4
13000 PT/APTT
1.0/0.8 Albumin
2,61 Na/K/Cl
134/4,1/102
26/9/19
DPL
10,8/32,7/11900/
POD III post 613000//82,2/27,
laparatomi 1/33
surgical staging PT/APTT 0,9/0,9, VC: tumor
dr. T. Dewi
ERLINA atas indikasi Ca OT/PT 23/17 epithelial ganas
210B 49 4427046 Anggraeni,
DAMIJANTI ovarium early Alb 3,64, Ur/Cr ovarium kiri
SpOG(K)
stage, 25/0,6 Perawatan post op
hipoalbuminemia, e 136/4,4/105
Vertgo
(25/9/29) DPL
9,5/29,8/5620/23
2000 (18/9/19)
PT 0,8x/APTT
0,8x/ sgot 23/sgpt
24/albumin 3.6/ur
26,2/cr 0.6/ gds
113/ na 137/K
4,0/Cl 103/hbsag
non reaktf
3/10/19, Laktat :
1.9,30/9/19 DPL
11.7/36.2/8730/2
03000 PT/APTT
POD III post 1.0/1.2,
laparotomy SGOT/SGPT 18/17,
suboptmal Albumin 2,6
debulking ( residu Ur/Cr 34.2/0.5
tumor di Perawataan post
Dr. dr. Sigit P, Na/K/Cl
210 C Emiyat 54 4084401 mesenterium 134/3.5/106 Lab op, drain(+),
SpOG(K)
difragma) ai ca stoma (+)
(18/9/19)
ovarium residif 10,1/30/4020/59
Hipoalbuminemia 4000 Lab
2.67 11.7/8730/203.00
0
Albumin 2.67
EL 134/3.5/106
3/10/19: alb 2.3,

Lab 30/9/2019
DPL
Ca endometrium 10.1/30/6710/17 Ro thorax
stadium IV, 1000 29/9/19: 1/10/19: efusi
metastasis cervix DPL pleura kanan,
on radias luar 6x, 8,3/24,4/9120/20 aorta elongasi,
anemia, 6000 Lab multpelkalsifikasi
hipoalbuminemia, Dr. dr. Laila (28/9/19): DPL:
211A Titk 49 4416543 di kedua paru
hidronefrosis Nuranna, SpOG(K) 6,9/19,6/11500/2 stqa, tdak tampak
bilateral, 51000//70/24,6/3 nodul dikedua
hiponatremia, 5,2, GDS 80, paru, koreksi
acute on CKD, ca PT/APTT: 1/0,9X, elektrolit dan
pain (VAS 3), sgot/sgpt: 12/13, albumin
dyspepsia ALB 1,4,
ureum/creatnin:
51,3/1, e:
130/4,7/107
3/10/19 : DPL :
Ca ovarium on
11.3/34/4620/39
kemoterapi, dr. Andi Darma 0000, DPL Transfusi PRC
211C Sit Rohamah 41 4366258 peningkatan Putra, SpOG (K) 9,7/29,1/5870/39 target Hb 10
enzim 6000 SGOT 67
transaminase SGPT 185
Lab 2/10/19 DPL:
9.9/30/9660/533
000, PCT 0.68,
Lab 21/9/2019
10,6/32/9750/33
4000. Fibrinogen
414 d-Dimer
3440. LAB
13/9/2019
Ureum 25
Creatnin 0.7.
12/9/2019 LDH
1255. AFP 3. CEA
Abdominam mass 3.1 Ca 19-9 39. Konsul Pulmo (Ro
suspek sarcoma Ca 125 97 b hcg thorax 1/10/19:
dd/ 2.14. 11/9/2019 kedua hilus
lymphoma,denga elektrolit tampak menebal
n akut on CKD
Ny. Kresna Dr. dr. Laila 11/32/19490/268 dan berlobulasi,
214D 53 4426537 post HD,
Aritonang Nuranna, SpOG(K) 0007/9/19 konsolidasi di
hidronefrosis DPL lapang tengah
bilateral, 12,1/34/14.790/4 paru kiri, opasitas
hiponatremia, 32.000 di laapng paru
hiperkalemia OT/PT 29/15 kanan bawah)
pasca koreksi Alb 2,96
Ur/Cr 193/15,2
GDS 75
e 121/7,4/86
8/9/19
Fosfat 2,95
e 121/5,6/91
Ur/Cr 135/10,4
LAB (10/9/19) e:
121/5,9/86,7,
ureum/creatnin:
169,6/13,3
dr. T. Dewi Dr. dr. Hariyono W, 205A, 207B, 207C,

Anggraeni, 201B SpOG (K) 212D
SpOG(K)
211A, 214D
Nuranna, SpOG(K) Utami, SpOG(K) 206C
Prof. Dr. dr.
204 A, 206E, 207A Dr. dr. Gatot
Andrijono, Purwoto, SpOG(K)
SpOG(K)
Dr. dr. Fitriyadi K, 204D, 204E, 204F,
SpOG(K) 206A, 210A
Dr. dr. Sigit

Purbadi, SpOG(K)

Ward Map Ginekologi Onkologi Kamis, 3 Oktober 2019
Kamar Nama Usia RM Diagnosis DPJP Laboratorium
Prof. Dr. dr. DPL

204A Diana Nur 31 4385898 PTM high risk Andrijono, 13,3/38/5450/48
SpOG(K) 8000

204B Tya M 26 4309685 PTG 10.7/32.2/5,750/
SpOG(K) 377.000

204C Sumiat 38 4381819 PTM High risk 12.1/35.7/5040/3
SpOG(K) 33000
Dr. dr. Fitriyadi K, DPL

204D Maria Emernsiana 62 4380514 Ca Ovarium 12/35/9660/3670
SpOG(K) 00

204E Nawiyah 36 4384146 Ca Ovarium 12,7/38/6060/30
SpOG(K) 4000

204 F Sri Susilowat 54 4388714 Ca cervix IIB 13,4/40/7850/33
SpOG(K) 1000
Lab 1/10/19:
Na/K/Cl
129/4.5/103
30/9/19DPL
12.9/39.9/20510/
459000
(26/9/2019):
DPL:11,9/38/8940
/532000//76,6/24
POD III post
Dr. dr. Hariyono W, /31,3, pt/aptt:
laparotomi
205 A Fauziah 43 4386889 0,9x/0,9x,
optmal debulking SpOG (K) sgot/sgpt: 12/10,
ai ca ovarium IIIC alb: 3,4, ur/cr:
17/0,7, GDS: 87,
e: 134/4,1/104,6
Lab
12.9/20.510/459.
000
El 132/4.2/105.5
Lactat 3.4→ 1.8
2/10/19 DPL
11,3/34/12800/4
39000 1/10/19
DPL
9.6/30/14020/48
Dr. dr. Fitriyadi K, 8000 Ca 125 56.4
206A Jarsit 50 4383501 ca ovarium SpOG(K) DPL
7.1/23/13.000/52
6.000
OT/PT19/19
albumin 1.76 Ca
125 56,4
BTA negatf Lab
Ca cervix stadium 25/9/2019
IIIB, CKD on DJ 8,2/24,3/13.900/
stent kanan, 140.000
Anemia Lab 21/9/2019
normositk 9.9/29/11620/18
normokrom ec 8.000//85/28/33
penyakit kronik, dr. Kartwa Hadi N, LAB 20/9/19 :
206B Mukliyani 45 4362795 Ca pain (VAS 3), SpOG(K) DPL
suspek TB paru 7,6/22,5/11640/2
dd/metastasi 22000, PT/APTT
paru, Intake sulit, 0,9x/1,1x, e:
Cephalgia ec susp 136/4,7/101,
SOL, paraparesis SGOT/SGPT: 21/8,
UMN ureum/creatnin:
122/2,8, GDS: 99
2/10/19
DPL11,2/31,7/894
Ca cervix stadium
0/473000 alb 2,35
IIIB, anemia, Dr. dr. Tofan W
206C Onih 52 439-29-40 Na 122 K 4,9 Cl 94
hiponatremia, Utami, SpOG(K) DPL
hipochlorida 5.4/15.8/6730/55
5.000
Ca cerviks stadium
III B dengan DPL
anemia ec riw dr. Andi Darma
206D Ade mulyat 47 4418778 5.8/17.6/11620/3
perdarahan, Putra, SpOG (K) 32000
hiponatremia, Ca
pain
2/10/19 DPL
7,7/23/9640/337
Ca ovarium 000 DPL
dengan anemia, Prof. Dr. dr. 6.4/18.9/8730/27
206 E Rengsi Hutapea 68 3369212 AKI dd/Acute on Andrijono, 6000 SGOT/SGPT
CKD, SpOG(K) 20/18 Ur/Cr
hiponatremia 59/2.3 Na/K/Cl
129/4.9/102 AFP
1.0
27/9/19:
Riwayat syok
e: 129/4/108,5
hipovolemik grade 26/9/19
3 ec intake sulit E : 122/3,7/107
pada ca ovarium
advanced stage Prof. Dr. dr.
DPL (23/9):
207A Ratna 40 4328944 post NAC 3x, Andrijono, 13.3/36.6/15450/
hiponatremia SpOG(K) 430000, E:
(116), 116/4.6/93,
hipoalbumin (2.2), Fibrinogen : 432,
AKI dd/ acute on
D-Dimer : 100,
CKD Albumin : 2.2
Lab 2/10/19 DPL
7,4/22/10480/21
8000 Lab
30/9/2019 DPL
8.0/23.7/10440/2
05000 Ur/Cr
Dr. dr. Hariyono W, 144/3,6 Na/K/Cl
ca cervix IIIB,
207B Diah Hastut 60 4379573 138/4.0/107
anemia, CKD SpOG (K) (23/9/19) :
13,1/36/4360/43
8000 Albumin
3,29 Na 118 K 2,3
Cl 82 SGOT 33
SGPT 36 Ur 25 Cr
0,6 GDS 124
LAB 1/10/19 DPL

11.3/34.2/9660/2
25000 Albumin
2.54 Na/K/Cl
129/4.1/107
29/9/19: DPL
8,8/26,9/6620/25
Ca cervix IV A, 2000 / albumin
hipoalbumin, 2,48 LAB
hiponatremia, Dr. dr. Hariyono W, 27/9/19: DPL:
207C Imelda Erni 40 4393735 hidronefrosis SpOG (K) 7,3/21,7/13740/2
bilateral on 89000//79,8/26,8
nefrostomi /33,6, alb: 2,
ur/cr: 31,8/1,8, e:
128/3,7/101,8,
PT/APTT:
1,1X/1,1X, hbSaG
NON REAKTIF,
ANTI hcv: NON
REAKTIF
Ca cervix susp
stadium IIIB 1/10/19 DPL
dengan intake 12.2/35.8/11270/
sulit, hidronefrosis 281000 PT/APTT
bilateral dan dr. Andi Darma 0.9/1.0
207D Rinem 50 4420003 hiponatremia,
hipoalbuminemia, Putra, SpOG (K) SGOT/SGPT
130/35 Ur/Cr
Ca pain, susp 45.9/0.8 Na/K/Cl
subakut 127/3.8/95
cutaneous lupus
eritematosus
Ca cervix stadium
IV dengan
metastasis paru, DPL
tulang, suspek 7,2/18,4/7810/30
metastasis hepar, 0000 SGOT 344
pasca radiasi Dr. dr. Fitriyadi K,
210A Ermiyat 62 4310305 SGPT 241 albumin
komplit, intake SpOG(K) 2,19 Ur 38 Cr 0,7
sulit, malnutrisi, GDS 76 Na 114 K
GERD, anemia, 2,9 Cl 91
hipoalbuminemia,
hiponatremia,
hipokalemia
30/9/19 DPL
11.7/36.2/8730/2
03000 PT/APTT
POD III post 1.0/1.2,
laparotomy SGOT/SGPT 18/17,
suboptmal Albumin 2,6
debulking ( residu Ur/Cr 34.2/0.5
tumor di Na/K/Cl
Dr. dr. Sigit P,
210 C Emiyat 54 4084401 mesenterium 134/3.5/106 Lab
SpOG(K)
difragma) ai ca (18/9/19)
ovarium residif 10,1/30/4020/59
Hipoalbuminemia 4000 Lab
2.67 11.7/8730/203.00
0
Albumin 2.67
EL 134/3.5/106
Lab 30/9/2019
DPL
10.1/30/6710/17
Ca endometrium 1000 29/9/19:
stadium IV, DPL
metastasis cervix 8,3/24,4/9120/20
on radias luar 6x, 6000 Lab
anemia, (28/9/19): DPL:
hipoalbuminemia, Dr. dr. Laila
211A Titk 49 4416543 hidronefrosis Nuranna, SpOG(K) 6,9/19,6/11500/2
51000//70/24,6/3
bilateral, 5,2, GDS 80,
hiponatremia, PT/APTT: 1/0,9X,
acute on CKD, ca sgot/sgpt: 12/13,
pain (VAS 3), ALB 1,4,
dyspepsia ureum/creatnin:
51,3/1, e:
130/4,7/107
Ca ovarium on DPL
kemoterapi, dr. Andi Darma 9,7/29,1/5870/39
211C Sit Rohamah 41 4366258 peningkatan Putra, SpOG (K) 6000 SGOT 67
enzim SGPT 185
transaminase
LAB 1/10/2019:
DPL
ILO superfisialis 7.9/21.9/27880/2
post laparotomi 38000 Na/K/Cl
histerektomi 143/2.7/113
subtotal 1 tahun (28/9/19): DPL:
yang lalu, 9/25/28,850/202
adenokarsinoma 000//79,1/28,5/3
serosum papiler dr. Andi Darma 6, e:
211D ANISAH SAADIYAH 55 4417942 progresif, sepsis, Putra, SpOG (K) 146/2,5/113,8
intake sulit, DPL (26/9/19) :
riwayat 7,2/19,8/41640/3
hematemesis 46000,
melena ec SGOT/SGPT:
gastrits erosif, 17/21, Ur/Cr :
hipokalemia 80,4/1,3, E :
141/2,1/107,3,
GDS 47,
26/9/2019
PT/APTT 1.0/1.3
Albumin 2.43
Na/K/Cl
Sarkoma uteri 129/3.9/104
post Dr. dr. Hariyono W, SGOT/SGPT 38/19
212D Lidya Duma 43 4333579 debulking,asites, SpOG (K) Ur/Cr 24/0.8 DPL
hipoalbuminemia (12/9/19) :
10.9/33.2/11140/
973000, Albumin :
2.47, E :
133/4/100
Lab 21/9/2019
10,6/32/9750/33
4000. Fibrinogen
414 d-Dimer
3440. LAB
13/9/2019
Ureum 25
Creatnin 0.7.
12/9/2019 LDH
1255. AFP 3. CEA
3.1 Ca 19-9 39.
Abdominam mass Ca 125 97 b hcg
suspek sarcoma 2.14. 11/9/2019
dd/ elektrolit
lymphoma,denga 11/32/19490/268
n akut on CKD 0007/9/19
Ny. Kresna Dr. dr. Laila
214D 53 4426537 post HD, DPL
Aritonang Nuranna, SpOG(K)
hidronefrosis 12,1/34/14.790/4
bilateral, 32.000
hiponatremia, OT/PT 29/15
hiperkalemia Alb 2,96
pasca koreksi Ur/Cr 193/15,2
GDS 75
e 121/7,4/86
8/9/19
Fosfat 2,95
e 121/5,6/91
Ur/Cr 135/10,4
LAB (10/9/19) e:
121/5,9/86,7,
ureum/creatnin:
169,6/13,3
1/10/2019 post
op DPL
9.8/30.4/16490/4
13000 PT/APTT
1.0/0.8 Albumin
2,61 Na/K/Cl
134/4,1/102
26/9/19
DPL
10,8/32,7/11900/
POD II post 613000//82,2/27,
laparatomi 1/33
surgical staging PT/APTT 0,9/0,9,
dr. T. Dewi
ERLINA atas indikasi Ca OT/PT 23/17
HCU 49 4427046 Anggraeni,
DAMIJANTI ovarium early Alb 3,64, Ur/Cr
SpOG(K)
stage, 25/0,6
hipoalbuminemia, e 136/4,4/105
Vertgo
(25/9/29) DPL
9,5/29,8/5620/23
2000 (18/9/19)
PT 0,8x/APTT
0,8x/ sgot 23/sgpt
24/albumin 3.6/ur
26,2/cr 0.6/ gds
113/ na 137/K
4,0/Cl 103/hbsag
non reaktf
dr. T. Dewi Dr. dr. Hariyono W,

Anggraeni, HCU SpOG (K)
SpOG(K)
211A, 214D
Nuranna, SpOG(K) Utami, SpOG(K)
Prof. Dr. dr.
Andrijono, 204 A, 206E, 207A Dr. dr. Gatot
Purwoto, SpOG(K)
SpOG(K)
Dr. dr. Fitriyadi K, 204D, 204E, 204F,
SpOG(K) 206A, 210A
Dr. dr. Sigit

Purbadi, SpOG(K)

Target
Kemoterapi
EMACO
Kemoterapi
Kemoterapi
rencana pulang
rencana pulang
rencana pulang
Perawatan post
op, GV
tranfusi albumin,
transfusi PRC
NEURO: rencana
MRI brain
(2/10/19), MRI
cervicotoracal
kontras (4/10/19)
Transfusi target
Hb> 10 gr/dL,
koreksi albumin
Transfusi target
Hb> 10 gr/dL
Transfusi target
Hb> 10gr/dL
Perbaikan KU,
koreksi elektrolit,
pasien sudah DNR
Perbaikan KU
koreksi elektrolit.
Urologi rencana
sistoskopi+RPG
bilateral+insersi DJ
stent bilateral
2/10/19, pasien
perburukan -->
DNR (+)
Konsul IPD dan

konsul gizi
Perbaikan KU,
rencana konsul
gizi
Perawataan post
op, drain(+),
stoma (+)
Ro thorax
1/10/19: efusi
pleura kanan,
aorta elongasi,
multpelkalsifikasi
di kedua paru
stqa, tdak tampak
nodul dikedua
paru, koreksi
elektrolit dan
albumin
Transfusi PRC
target Hb 10
Perbaikan KU,
DNR (+)
koreksi albumin,
rencana pungsi
asites post koreksi
albumin
Konsul Pulmo (Ro
thorax 1/10/19:
kedua hilus
tampak menebal
dan berlobulasi,
konsolidasi di
lapang tengah
paru kiri, opasitas
di laapng paru
kanan bawah)
VC: tumor
epithelial ganas
ovarium kiri
Perawatan post op
205A, 207B, 207C,

212D
206C
Ward Map Ginekologi Onkologi Rabu, 2 Oktober 2019
Dr. dr.
204A Sri Katmiatun 65 4309791 Ca cervix stadium IIB Fitriyadi K, DPL 12.2/35.5/3070/161000 rencana pulang
SpOG(K)
dr. Kartwa
204B Tya M 26 4309685 PTG Hadi N, DPL 10.7/32.2/5,750/377.000 Kemoterapi EMACO
SpOG(K)
dr. Kartwa
204C Sumiat 38 4381819 PTM High risk Hadi N, DPL 12.1/35.7/5040/333000 Kemoterapi
SpOG(K)
Dr. dr.
204D Supriyat 57 4388599 Ca cerviks stadium IIB Fitriyadi K, DPL 10,8/34/20380/669000 rencana pulang
SpOG(K)
Dr. dr.
204E Apriasih 58 4338362 Ca ovarium stadium IIIC Fitriyadi K, DPL 13/41/8720/432000 rencana pulang
SpOG(K)
Tutant Dr. dr.

204 F Sodikin 58 4416582 Ca cerviks stadium IIIB Fitriyadi K, DPL 12.5/36.2/7810/207000 rencana pulang
SpOG(K)
Lab 1/10/19: Na/K/Cl 129/4.5/103

30/9/19DPL 12.9/39.9/20510/459000
(26/9/2019):
POD II post laparotomi Dr. dr. DPL:11,9/38/8940/532000//76,6/24/31,3,
205 A Fauziah 43 4386889 optmal debulking ai ca Hariyono W, pt/aptt: 0,9x/0,9x, sgot/sgpt: 12/10, alb: 3,4, Perawatan post op
ovarium IIIC SpOG (K) ur/cr: 17/0,7, GDS: 87, e: 134/4,1/104,6 Lab
12.9/20.510/459.000
El 132/4.2/105.5
Lactat 3.4→ 1.8
Dr. dr. 1/10/19 DPL 9.6/30/14020/488000 Ca 125

206A Jarsit 50 4383501 ca ovarium Fitriyadi K, 56.4 DPL 7.1/23/13.000/526.000 OT/PT19/19 tranfusi albumin, transfusi PRC
SpOG(K) albumin 1.76
Ca cervix stadium IIIB, CKD on

DJ stent kanan, Anemia Lab 25/9/2019
normositk normokrom ec 8,2/24,3/13.900/140.000
dr. Kartwa Lab 21/9/2019 NEURO: rencana MRI brain
penyakit kronik, Ca pain (VAS Hadi N, 9.9/29/11620/188.000//85/28/33 LAB (2/10/19), MRI cervicotoracal
206B Mukliyani 45 4362795 3), suspek TB paru SpOG(K) 20/9/19 : DPL 7,6/22,5/11640/222000, kontras (4/10/19)
dd/metastasi paru, Intake PT/APTT 0,9x/1,1x, e: 136/4,7/101, SGOT/SGPT:
sulit, Cephalgia ec susp SOL,
paraparesis UMN 21/8, ureum/creatnin: 122/2,8, GDS: 99
Dr. dr. Tofan

206C Onih 52 439-29-40 Ca cervix stadium IIIB, anemia W Utami, DPL 5.4/15.8/6730/555.000 Transfusi target Hb> 10 gr/dL
SpOG(K)
Ca cerviks stadium III B dr. Andi

dengan anemia ec riw
206D Ade mulyat 47 4418778 perdarahan, hiponatremia, Ca Darma Putra, DPL 5.8/17.6/11620/332000 Transfusi target Hb> 10 gr/dL
pain SpOG (K)
Rengsi Ca ovarium dengan anemia, Prof. Dr. dr. DPL 6.4/18.9/8730/276000 SGOT/SGPT 20/18
206 E 68 3369212 AKI dd/Acute on CKD, Andrijono, Transfusi target Hb> 10gr/dL
Hutapea hiponatremia SpOG(K) Ur/Cr 59/2.3 Na/K/Cl 129/4.9/102 AFP 1.0
Riwayat syok hipovolemik 27/9/19: e: 129/4/108,5 26/9/19

grade 3 ec intake sulit pada ca Prof. Dr. dr. E : 122/3,7/107
ovarium advanced stage post Perbaikan KU, koreksi elektrolit,
207A Ratna 40 4328944 NAC 3x, hiponatremia (116), Andrijono, DPL (23/9): 13.3/36.6/15450/430000, E: pasien sudah DNR
hipoalbumin (2.2), AKI dd/ SpOG(K) 116/4.6/93, Fibrinogen : 432, D-Dimer : 100,
acute on CKD Albumin : 2.2
Lab 30/9/2019 DPL 8.0/23.7/10440/205000

Dr. dr. Ur/Cr 144/3,6 Na/K/Cl 138/4.0/107 (23/9/19)
207B Diah Hastut 60 4379573 ca cervix IIIB, anemia, CKD Hariyono W, : 13,1/36/4360/438000 Albumin 3,29 Na 118 K Koreksi elektrolit ~ TS IPD
SpOG (K) 2,3 Cl 82 SGOT 33 SGPT 36 Ur 25 Cr 0,6 GDS
124
LAB 1/10/19 DPL 11.3/34.2/9660/225000

Albumin 2.54 Na/K/Cl 129/4.1/107 29/9/19:
DPL 8,8/26,9/6620/252000 / albumin 2,48
Ca cervix IV A, hipoalbumin, Dr. dr. LAB 27/9/19: DPL: koreksi elektrolit. Urologi rencana
207C Imelda Erni 40 4393735 hiponatremia, hidronefrosis Hariyono W, sistoskopi+RPG bilateral+insersi DJ
bilateral on nefrostomi SpOG (K) 7,3/21,7/13740/289000//79,8/26,8/33,6, alb: stent bilateral 2/10/19
2, ur/cr: 31,8/1,8, e: 128/3,7/101,8, PT/APTT:
1,1X/1,1X, hbSaG NON REAKTIF, ANTI hcv: NON
REAKTIF
Ca cervix susp stadium IIIB

dengan intake sulit,
hidronefrosis bilateral dan dr. Andi 1/10/19 DPL 12.2/35.8/11270/281000
207D Rinem 50 4420003 hiponatremia, Darma Putra, PT/APTT 0.9/1.0 SGOT/SGPT 130/35 Ur/Cr Konsul IPD dan konsul gizi
hipoalbuminemia, Ca pain, SpOG (K) 45.9/0.8 Na/K/Cl 127/3.8/95
susp subakut cutaneous lupus
eritematosus
POD II post laparotomy 30/9/19 DPL 11.7/36.2/8730/203000 PT/APTT

suboptmal debulking ( residu 1.0/1.2, SGOT/SGPT 18/17, Albumin 2,6 Ur/Cr
tumor di mesenterium Dr. dr. Sigit P, 34.2/0.5 Na/K/Cl 134/3.5/106 Lab (18/9/19) Perawataan post op, drain(+), stoma
210 C Emiyat 54 4084401 difragma) ai ca ovarium SpOG(K) 10,1/30/4020/594000 Lab 11.7/8730/203.000 (+)
residif Albumin 2.67
Hipoalbuminemia 2.67 EL 134/3.5/106
Ca endometrium stadium IV, Lab 30/9/2019 DPL 10.1/30/6710/171000

metastasis cervix on radias 29/9/19: DPL 8,3/24,4/9120/206000 Lab Ro thorax 1/10/19: efusi pleura
luar 6x, anemia, Dr. dr. Laila kanan, aorta elongasi,
hipoalbuminemia, Nuranna, (28/9/19): DPL: multpelkalsifikasi di kedua paru
211A Titk 49 4416543 6,9/19,6/11500/251000//70/24,6/35,2, GDS
hidronefrosis bilateral, SpOG(K) stqa, tdak tampak nodul dikedua
hiponatremia, acute on CKD, 80, PT/APTT: 1/0,9X, sgot/sgpt: 12/13, ALB 1,4, paru, koreksi elektrolit dan albumin
ca pain (VAS 3), dyspepsia ureum/creatnin: 51,3/1, e: 130/4,7/107
ILO superfisialis post

laparotomi histerektomi LAB 1/10/2019: DPL 7.9/21.9/27880/238000
subtotal 1 tahun yang lalu, dr. Andi Na/K/Cl 143/2.7/113 (28/9/19): DPL:
211D ANISAH 55 4417942 adenokarsinoma serosum Darma Putra, 9/25/28,850/202000//79,1/28,5/36, e: Perbaikan KU
SAADIYAH papiler progresif, sepsis, intake SpOG (K) 146/2,5/113,8 DPL (26/9/19) :
sulit, riwayat hematemesis 7,2/19,8/41640/346000, SGOT/SGPT: 17/21,
melena ec gastrits erosif, Ur/Cr : 80,4/1,3, E : 141/2,1/107,3, GDS 47,
hipokalemia
26/9/2019 PT/APTT 1.0/1.3 Albumin 2.43

Sarkoma uteri post Dr. dr. Na/K/Cl 129/3.9/104 SGOT/SGPT 38/19 Ur/Cr koreksi albumin, rencana pungsi
212D Lidya Duma 43 4333579 debulking,asites, Hariyono W, 24/0.8 DPL (12/9/19) :
hipoalbuminemia SpOG (K) 10.9/33.2/11140/973000, Albumin : 2.47, E : asites post koreksi albumin
133/4/100
Lab 21/9/2019 10,6/32/9750/334000.

Fibrinogen 414 d-Dimer 3440. LAB
13/9/2019 Ureum 25 Creatnin 0.7.
12/9/2019 LDH 1255. AFP 3. CEA 3.1 Ca 19-9
39. Ca 125 97 b hcg 2.14. 11/9/2019
elektrolit 11/32/19490/2680007/9/19
Abdominam mass suspek DPL 12,1/34/14.790/432.000
sarcoma dd/ OT/PT 29/15 Konsul Pulmo (Ro thorax 1/10/19:
Dr. dr. Laila Alb 2,96 kedua hilus tampak menebal dan
Ny. Kresna lymphoma,dengan akut on Nuranna, Ur/Cr 193/15,2 berlobulasi, konsolidasi di lapang
214D Aritonang 53 4426537 CKD post HD, hidronefrosis SpOG(K) GDS 75 tengah paru kiri, opasitas di laapng
bilateral, hiponatremia, e 121/7,4/86 paru kanan bawah)
hiperkalemia pasca koreksi
8/9/19
Fosfat 2,95
e 121/5,6/91
Ur/Cr 135/10,4
LAB (10/9/19) e: 121/5,9/86,7,
ureum/creatnin: 169,6/13,3
1/10/2019 post op DPL

9.8/30.4/16490/413000 PT/APTT 1.0/0.8
Albumin 2,61 Na/K/Cl 134/4,1/102
26/9/19
DPL 10,8/32,7/11900/613000//82,2/27,1/33
POD I post laparatomi surgical dr. T. D. PT/APTT 0,9/0,9, OT/PT 23/17
ERLINA staging atas indikasi Ca Anggraeni, Alb 3,64, Ur/Cr 25/0,6 VC: tumor epithelial ganas ovarium
ICU Bed 5 DAMIJANTI 49 4427046 kiri Perawatan post op *
ovarium early stage SpOG(K) e 136/4,4/105
(25/9/29) DPL 9,5/29,8/5620/232000

(18/9/19) PT 0,8x/APTT 0,8x/ sgot 23/sgpt
24/albumin 3.6/ur 26,2/cr 0.6/ gds 113/ na
137/K 4,0/Cl 103/hbsag non reaktf
dr. T. Dewi Anggraeni, SpOG(K) Dr. dr. Hariyono W, SpOG (K) 204C, 204D, 204F
207D,211C,21
Dr. dr. Laila Nuranna, SpOG(K) 4D Dr. dr. Tofan W Utami, SpOG(K)
204E, 211B
Prof. Dr. dr. Andrijono, 204 A Dr. dr. Gatot Purwoto, SpOG(K)
SpOG(K)
Dr. dr. Fitriyadi K, SpOG(K) 207C
Dr. dr. Sigit Purbadi, SpOG(K) 205B
dr. Andi Darma Putra, SpOG
(K) 211D
Ward Map Ginekologi Onkologi Minggu, 29 September 2019
Dr. dr. Gatot 24/9/2019

204D Erniat 28 4417536 ptm high risk Purwoto, 13,1/40,5/3.720 kemoterapi,pulang
SpOG(K) /400.000
Dr. dr. Gatot DPL (27/9/19) : Transfusi PRC target

PTM High
205C Sumiat 38 4381819 Purwoto, 9.1/29/13150/3 hb>10
risk, anemia SpOG(K) 62000
DPL (23/9/10) :
12.3/39/22490/
dr. Andi
312000,
205E Sixse susana 30 4387778 Ca cervix Darma Putra, Perbaikan KU
SGOT/PT :
SpOG (K) 55/96, E :
138/5/197
POD II post
laparotomi
adesiolisis,
SOS-VC, SOD, DPL (27/9/10) :
omentektomi dr. Andi 10/29,8/21980/
205F Isnaini 41 4361522 ai Ca cervix Darma Putra, 262000//73/24, perawatan post op
stadium IIIB SpOG (K) 5/33,6,cAlb:2,8,
metastasis E : 133/3,9/100
ovarium
(adenocarcin
oma)
DPL
Ca cervix 4,6/16.8/14770/
stadium IIIC, Dr. dr. Gatot 406000 Na
anemia (4,6), Purwoto, transfusi PRC ,
206A Sumiat 50 4388592 135/K 3,3/cl
hiperglikemia koreksi kalium
dd DM tpe 2, SpOG(K) 105/ alb 3,3/gds
191/sgot 7/sgpt
dispepsia 7/ur 14.7/cr0,5
Lab 25/9/2019
8,2/24,3/13.900
Ca cervix /140.000
stadium IIIB, Lab 21/9/2019
CKD on DJ 9.9/29/11620/1
stent kanan,
88.000//85/28/
Anemia 33 LAB
normositk 20/9/19 : DPL Rencana RPG dari
normokrom dr. Kartwa 7,6/22,5/11640/ urologi. Rencana CT
206B Mukliyani 45 4362795 ec penyakit Hadi N,
kronik, Ca SpOG(K) 222000, UROGRAFI
PT/APTT
pain (VAS 3), 0,9x/1,1x, e:
suspek TB 136/4,7/101,
paru SGOT/SGPT:
dd/metastasi
21/8,
paru, Intake ureum/creatnin:
sulit 122/2,8, GDS:
99
Ca Cervix dr. Kartwa DPL (27/9/19) : Transfusi PRC target

206D Ipat Rusiani 39 4420224 stadium III B, Hadi N, 3.5/12/15380/7
anemia gravis SpOG(K) 74000 hb>10
26/9/2019
Ca Vulva DPL
stadium IIIB 10,2/29/480/46.
post ERBT 000
Marisi dr. Andi
25x, Perbaikan KU, konsul
206E simangunson 61 4387068 Darma Putra,
kemoterapi DPL (24/9/19) : IPD HOM
g SpOG (K)
4x, intake 8/22.6/610/510
sulit, 00, E :
pansitopenia 126/3.8/98,
Ur/Cr : 40.5/0.6
Ca cervix
stadium IIIC, LAB (28/9/19):
perdarahan 7,9/25,4/7010/5
pervaginam, 20000//68,3/21,
anemia ec 2/31,1, PT/APTT: evaluasi tampon roll
perdarahan Dr. dr. Laila 0,9x/0,9x, e:
206F Indriatun 42 4161780 dd/ chronic Nuranna, 1 buah pervaginam
133/3,6/100,
disease, DM SpOG(K) jam 11 siang
SGOT/SGPT:
tpe II on 14/18, ur/cr:
OAD, ca pain 22,2/0,4, GDS:
(VAS 3), 202, alb: 4,1
dyspepsia
Riwayat syok 27/9/19:

hipovolemik e:
grade 3 ec 129/4/108,5
intake sulit 26/9/19
pada ca E : 122/3,7/107
ovarium Prof. Dr. dr. Perbaikan KU, koreksi
advanced
207A Ratna 40 4328944 Andrijono, DPL (23/9): elektrolit, pasien
stage post SpOG(K) 13.3/36.6/1545 sudah DNR
NAC 3x, 0/430000, E:
hiponatremia 116/4.6/93,
(116), Fibrinogen : 432,
hipoalbumin D-Dimer : 100,
(2.2), AKI dd/ Albumin : 2.2
acute on CKD
Lab (23/9/19) :
13,1/36/4360/4
38000 Albumin
ca cervix IIIB, Dr. dr. 3,29 Na 118 K Koreksi elektrolit ~ TS
207B Diah Hastut 60 4379573 anemia, CKD Hariyono W, 2,3 Cl 82 SGOT IPD
SpOG (K) 33 SGPT 36 Ur
25 Cr 0,6 GDS
124
LAB 27/9/19:
DPL:
7,3/21,7/13740/
289000//79,8/2
6,8/33,6, alb: 2,
ur/cr: 31,8/1,8,
e:
207C Imelda Erni 40 4393735 Ca cervix
128/3,7/101,8,
PT/APTT:
1,1X/1,1X,
hbSaG NON
REAKTIF, ANTI
hcv: NON
REAKTIF
26/9/19
e : 119/3,2/96
Ca DPL
endometrium Dr. dr. Laila
Hoberthina 11.5/29.1/6470/ koreksi elektrolit
207D 61 4384464 , Nuranna,
De'fretes 360000 SGOT
hiponatremia, SpOG(K) 15/SGPT 14/ ur
hipokalemia 58.8/cr 1.6/gds
162/ na 102/ K
5.2/cl 71
26/9/19
DPL
10,8/32,7/11.90
Ca cervix 0/613.000//82/
dr. Andi pro laparotomi,
stadium II,
207F Legiat 49 4385818 Putra, 27/33
hiponatremia, Darma perioperatf dari
e 135/4,4/103,
hiperkalemia SpOG (K) ruangan
PT/APTT 1/1
GDS 121, OT/PT
22/17
Ur/Cr 15/0.7
26/9/19
DPL
10,8/32,7/1190
0/613000//82,2
/27,1/33
PT/APTT 0,9/0,9,
OT/PT 23/17
Alb 3,64, Ur/Cr
25/0,6
e 136/4,4/105
NOK suspek dr. T. D. rencana laparotomi
ERLINA maligna,
210B 49 4427046 Anggraeni, (25/9/29) DPL debulking senin
DAMIJANTI suspek kista SpOG(K) 9,5/29,8/5620/2 30/9/19
ruptur 32000
(18/9/19) PT
0,8x/APTT 0,8x/
sgot 23/sgpt
24/albumin
3.6/ur 26,2/cr
0.6/ gds 113/ na
137/K 4,0/Cl
103/hbsag non
reaktf
Dr. dr. Gatot Lab (18/9/19)

Ca ovarium,
210C Emiyat 4084401 Purwoto, 10,1/30/4020/5 Laparotomi
anemia debulking 26/9/19
SpOG(K) 94000
Ca
endometrium
stadium IV, Lab (28/9/19):
metastasis DPL:
cervix on 6,9/19,6/11500/
radias luar 6x, 251000//70/24,
6/35,2, GDS 80, tranfusi PRC hingga
anemia, Dr. dr. Laila
PT/APTT: 1/0,9X, Hb>10, koreksi
211A Titk 49 4416543 hipoalbumine Nuranna, elektrolit dan
mia, SpOG(K) sgot/sgpt:
hidronefrosis 12/13, ALB 1,4, albumin
bilateral, ureum/creatnin:
hiponatremia, 51,3/1, e:
acute on CKD, 130/4,7/107
ca pain (VAS
3), dyspepsia
26/9/19
DPL
7,2/19/41.640/3
46.000//78/28/
36
AGD : ph
7.659/pCO2
34/pO2
78/HCO3
38.7/BE 17,6/O2
97%
e 141/2,1/107,
GDS 47
Ur/Cr 80/1,3,
OT/PT 17/21
20/9/2019
10,6/29/29910/
437000 PCT 51
17/9/19
DPL
12,2/34,1/31.77
0/561.000//79/ raber IPD dan bedah
28/35
Dr. dr. Gatot plastk, perawatan
211B Sri Umiyatsih 61 4206729 Ca ovarium Purwoto, DPL 15/9/2019. luka. Rencana rawat
SpOG(K) 9.4/26/36260/4 jalan bila kalium
normal.
48000 PCT 8
9/9/19 dpl
5,9/17.4/21770/
318000 8/9/19
Alb 2,25
DPL 7/9/19
9,7/27,4/26950/
272000 albumin
1,84 DPL
5/9/2019
8.7/24/43540/2
79000 LAB
4/9/19 dpl
7.3/20.9/48800/
293000 PT
1.2X/APTT 1.5x/
PCT 0.79/ SGOT
21/SGPT 23/ ur
51.6/cr 0.9/ Na
124/K 3.6/cl
94.3/ albumin
1.71
ILO
superfisialis LAB (28/9/19):
post
DPL:
laparotomi 9/25/28,850/20
histerektomi 2000//79,1/28,5
subtotal 1 /36, e:
tahun yang
146/2,5/113,8
lalu, dr. Andi
ANISAH DPL (26/9/19) : Perbaikan KU,
211D 55 4417942 adenokarsino Darma Putra,
SAADIYAH 7,2/19,8/41640/ rencana pungsi asites
ma serosum SpOG (K) 346000,
papiler SGOT/SGPT:
progresif,
17/21, Ur/Cr :
sepsis, intake 80,4/1,3, E :
sulit, riwayat 141/2,1/107,3,
hematemesis GDS 47,
melena ec
gastrits erosif
Sarkoma uteri DPL (12/9/19) :

post 10.9/33.2/1114
debulking,asit Perbaikan KU,
212B Lidya Duma 43 4333579 0/973000,
es, Albumin : 2.47, E rencana pungsi asites
hipoalbumine : 133/4/100
mia
DPL (7/8/19) :
NOK suspek 13.8/39.7/1000
212D Lenah 50 4418243 maligna, 0/272000, Pro pungsi asites
hipoalbumin Albumin : 3.55, E
: 137/3.8/116
Lab 21/9/2019
10,6/32/9750/3
34000.
Fibrinogen 414
d-Dimer 3440.
LAB 13/9/2019
Ureum 25
Creatnin 0.7.
12/9/2019 LDH
1255. AFP 3.
CEA 3.1 Ca 19-
9 39. Ca 125 97
b hcg 2.14.
11/9/2019
elektrolit
11/32/19490/26
dr. Kartwa
Ca ovarium, 80007/9/19
212E Marmi 39 3897968 Hadi N, Pro pungsi asites
asites DPL
SpOG(K) 12,1/34/14.790/
432.000
OT/PT 29/15
Alb 2,96
Ur/Cr 193/15,2
GDS 75
e 121/7,4/86
8/9/19
Fosfat 2,95
e 121/5,6/91
Ur/Cr 135/10,4
LAB (10/9/19) e:
121/5,9/86,7,
ureum/creatinin
: 169,6/13,3
Lab
(26/9/2019):
DPL:11,9/38/89
40/532000//76,
6/24/31,3,
Ca ovarium Dr. dr. rencana
pt/aptt:
214C Fauziah 43 4386889 advance stage Hariyono W, lap.debulking
0,9x/0,9x,
SpOG (K) 30/9/19
sgot/sgpt:
12/10, alb: 3,4,
ur/cr: 17/0,7,
GDS: 87, e:
134/4,1/104,6
Abdominam
mass suspek
sarcoma dd/
lymphoma,de
ngan akut on Dr. dr. Laila
Ny. Kresna dr. Kartwa Hadi perawatan post op
214D 53 4426537 CKD post HD, Nuranna,
Aritonang N, SpOG(K) nefrostomi
hidronefrosis SpOG(K)
bilateral,
hiponatremia,
hiperkalemia
pasca koreksi
dr. T. Dewi
Dr. dr. Hariyono 204C, 204D, 204F
Anggraeni, W, SpOG (K)
SpOG(K)
Dr. dr. Laila 207D,211C,21 Dr. dr. Tofan W
Nuranna, 4D Utami, SpOG(K)
SpOG(K)
204E, 211B
Prof. Dr. dr. Dr. dr. Gatot
Andrijono, 204 A Purwoto,
SpOG(K) SpOG(K)
Dr. dr.
Fitriyadi K, 207C
SpOG(K)
Dr. dr. Sigit

Purbadi, 205B
SpOG(K)
dr. Andi
Darma Putra,
SpOG (K) 211D
Ward Map Ginekologi Onkologi Sabtu, 28 September 2019
DPL (25/9/19) :
Dr. dr. Laila 10.4/28.7/7610/ kemoterapi,pulan
204A Titn Hartni 61 3309401 Ca Ovarium Nuranna, 206000, E : g
SpOG(K) 128/4.6/96
DPL (16/9/19) :
dr. Kartwa Hadi 11.1/32.6/4140/ kemoterapi,pulan
204B Gusnarita 36 4380884 PTM High risk N, SpOG(K) 481000, E : g
138/4.2/106
Dr. dr. Gatot DPL (25/9/19) :

204C Rosina 42 4369253 Ca Ovarium Purwoto, 11.1/31.9/4160/ kemoterapi,pulan
g
SpOG(K) 164000
Dr. dr. Gatot 24/9/2019

204D Erniat 28 4417536 ptm high risk Purwoto, 13,1/40,5/3.720/ kemoterapi,pulan
g
SpOG(K) 400.000
DPL (26/9/19) :
dr. Kartwa Hadi
204E Desi mulyandari 23 4302772 PTM High risk 11.5/34.5/4810/ kemoterapi,pulan
N, SpOG(K) g
226000
DPL (27/9/19) :
dr. Kartwa Hadi
204F Edah saraswat 23 4392659 PTM High risk 11.5/34.5/9420/ kemoterapi,pulan
N, SpOG(K) g
181000
Dr. dr. Gatot DPL (27/9/19) :

PTM High risk, 9.1/29/13150/36 Transfusi PRC
205C Sumiat 38 4381819 Purwoto,
anemia target hb>10
SpOG(K) 2000
DPL (26/9/19) :
Dr. dr. Gatot 11.9/38/8940/53
205D Fauziah 44 4386889 Ca Ovarium Purwoto, 2000, Albumin : Kemoterapi
SpOG(K) 3.49, Ur/Cr :
17/0.7
DPL (23/9/10) :
12.3/39/22490/3
dr. Andi Darma
205E Sixse susana 30 4387778 Ca cervix 12000, SGOT/PT : Perbaikan KU
Putra, SpOG (K) 55/96, E :
138/5/197
DPL
Ca cervix stadium 4,6/16.8/14770/
IIIC, anemia (4,6), Dr. dr. Gatot 406000 Na
135/K 3,3/cl 105/ transfusi PRC ,
206A Sumiat 50 4388592 hiperglikemia dd Purwoto, koreksi kalium
DM tpe 2, SpOG(K) alb 3,3/gds
dispepsia 191/sgot 7/sgpt
7/ur 14.7/cr0,5
Lab 25/9/2019
8,2/24,3/13.900/
140.000
Ca cervix stadium Lab 21/9/2019
IIIB, CKD on DJ 9.9/29/11620/18
stent kanan,
8.000//85/28/33
Anemia LAB 20/9/19 : Rencana RPG dari
normositk
normokrom ec dr. Kartwa Hadi DPL
206B Mukliyani 45 4362795 7,6/22,5/11640/ urologi. Rencana
penyakit kronik, N, SpOG(K) 222000, PT/APTT CT UROGRAFI
Ca pain (VAS 3),
0,9x/1,1x, e:
suspek TB paru 136/4,7/101,
dd/metastasi SGOT/SGPT:
paru, Intake sulit 21/8,
ureum/creatnin:
122/2,8, GDS: 99
26/9/2019
6,9/22,5/15.770/
Ca cervix, anemia dr. Andi Darma 531.000 Transfusi PRC
206C Sapmi Novita 39 4388341 (4,8) Putra, SpOG (K) DPL target hb>10
4,8/16,8/10710/
522000
Ca Cervix DPL (27/9/19) : Transfusi PRC

dr. Kartwa Hadi
206D Ipat Rusiani 39 4420224 stadium III B, 3.5/12/15380/77 target hb>10
N, SpOG(K)
anemia gravis 4000
26/9/2019
DPL
Ca Vulva stadium 10,2/29/480/46.
IIIB post ERBT 000
Marisi dr. Andi Darma Perbaikan KU,
206E 61 4387068 25x, kemoterapi Putra, SpOG (K)
simangunsong 4x, intake sulit, DPL (24/9/19) : konsul IPD HOM
pansitopenia 8/22.6/610/5100
0, E : 126/3.8/98,
Ur/Cr : 40.5/0.6
26/9/2019
DPL
11,2/35//15.640
0/829.000
ca cervix, anemia Dr. dr. Gatot rencana konsul
(8,9), DPL
206F Jumilah 44 4418998 trombositosis ec Purwoto, 8.9/28.8/12620/ IPD HOM untuk
SpOG(K) trombositosinya?
malignancy 1051000 PT
0,9x/aptt
1,2x/sgot 29/sgpt
12/alb 2,85/ur
23,9/cr 0.6gds 89
Riwayat syok
hipovolemik 26/9/19
grade 3 ec intake E : 122/3,7/107
sulit pada ca
ovarium DPL (23/9): Perbaikan KU,
advanced stage 13.3/36.6/15450 koreksi elektrolit,
207A Ratna 40 4328944 post NAC 3x, /430000, E: pasien sudah
hiponatremia 116/4.6/93, DNR
(116), Fibrinogen : 432,
hipoalbumin D-Dimer : 100,
(2.2), AKI dd/ Albumin : 2.2
acute on CKD
26/9/19
DPL
11,7/35/14.650/
21.600
e : 137/4,9/104
Ur/Cr 233/7,80 Rencana konsul
ca cervix IIIB, Dr. dr. Hariyono
207B Diah Hastut 60 4379573 IPD ginjal
anemia, CKD W, SpOG (K) DPL (17/9/19) : hipertensi
10.4/31.8/9000/
228000 UR
206/CR 6.7 NA
145/K 5.0/ CL
106.9
Lab (23/9/19) :
13,1/36/4360/43
Ca endometrium, Dr. dr. Laila 8000 Albumin
Hoberthina 3,29 Na 118 K 2,3 Koreksi elektrolit
207D 61 4384464 hiponatremia,hip Nuranna,
De'fretes ~ TS IPD
okalemia SpOG(K) Cl 82 SGOT 33
SGPT 36 Ur 25 Cr
0,6 GDS 124
26/9/19
e : 119/3,2/96
DPL
Ca cervix stadium dr. Andi Darma 11.5/29.1/6470/ koreksi elektrolit
207F Legiat 49 4385818 II, hiponatremia, Putra, SpOG (K) 360000 SGOT
hiperkalemia 15/SGPT 14/ ur
58.8/cr 1.6/gds
162/ na 102/ K
5.2/cl 71
Endometrial DPL post OP :

stromal sarcoma Dr. dr. Sigit Perawatan post
210A Tan Lee Mie 55 4308003 post wide Purbadi, SpOG(K) 12.1/33.9/15000 op
/200000
exicision
26/9/19
DPL
10,8/32,7/11.90
0/613.000//82/2 pro laparotomi,
NOK suspek dr. T. D.
ERLINA 7/33
210B 49 4427046 maligna, suspek Anggraeni, e 135/4,4/103, perioperatf dari
DAMIJANTI kista ruptur SpOG(K) ruangan
PT/APTT 1/1
GDS 121, OT/PT
22/17
Ur/Cr 15/0.7
26/9/19
DPL
11,8/36/4.490/2
18.000//72/23/3
2
PT/APTT 0,9/0,9,
OT/PT 23/17
Alb 3,64, Ur/Cr
25/0,6
e 136/4,4/105 rencana
Dr. dr. Gatot
Ca ovarium, laparotomi
210C Emiyat 4084401 Purwoto, (25/9/29) DPL
anemia SpOG(K) 9,5/29,8/5620/2 debulking senin
30/9/19
32000
(18/9/19) PT
0,8x/APTT 0,8x/
sgot 23/sgpt
24/albumin
3.6/ur 26,2/cr
0.6/ gds 113/ na
137/K 4,0/Cl
103/hbsag non
reaktf
Dr. dr. Gatot Lab (18/9/19) Laparotomi

211B Sri Umiyatsih 61 4206729 Ca ovarium Purwoto, 10,1/30/4020/59 debulking
SpOG(K) 4000 26/9/19
26/9/19
DPL
7,2/19/41.640/3
46.000//78/28/3
6
AGD : ph
7.659/pCO2
34/pO2 78/HCO3
38.7/BE 17,6/O2
97%
e 141/2,1/107,
GDS 47
Ur/Cr 80/1,3,
OT/PT 17/21
20/9/2019
10,6/29/29910/4
37000 PCT 51
ILO superfisialis 17/9/19
post laparotomi DPL
histerektomi 12,2/34,1/31.77
subtotal 1 tahun 0/561.000//79/2 raber IPD dan
yang lalu, 8/35 bedah plastk,
adenokarsinoma dr. Andi Darma perawatan luka.
ANISAH
211D 55 4417942 serosum papiler Putra, SpOG (K) DPL 15/9/2019. Rencana rawat
SAADIYAH progresif, sepsis, 9.4/26/36260/44 jalan?IPD tropik
intake sulit, 8000 PCT 8 infeksi saran
riwayat 9/9/19 dpl rajal.
hematemesis 5,9/17.4/21770/
melena ec 318000 8/9/19
gastrits erosif Alb 2,25
DPL 7/9/19
9,7/27,4/26950/
272000 albumin
1,84 DPL
5/9/2019
8.7/24/43540/27
9000 LAB 4/9/19
dpl
7.3/20.9/48800/
293000 PT
1.2X/APTT 1.5x/
PCT 0.79/ SGOT
21/SGPT 23/ ur
51.6/cr 0.9/ Na
124/K 3.6/cl
94.3/ albumin
1.71
DPL (26/9/19) :
Sarkoma uteri 10/30.5/8470/37
post 3000, Ur/Cr :
212B Lidya Duma 43 4333579 Perbaikan KU
debulking,asites, 24.6/0.8, E :
hipoalbuminemia 129/3.9/104,
Albumin : 2.43
DPL (12/9/19) :
NOK suspek 10.9/33.2/11140
212D Lenah 50 4418243 maligna, /973000, Perbaikan KU
hipoalbumin Albumin : 2.47,
E : 133/4/100
DPL (7/8/19) :
13.8/39.7/10000
Ca ovarium, dr. Kartwa Hadi
212E Marmi 39 3897968 /272000, Pro pungsi asites
asites N, SpOG(K)
Albumin : 3.55,
E : 137/3.8/116
Post wide
excision dan
IIS SITI dr. T. D.
rekonstruksi Menunggu hasil perawatan post
212F ZUMROTUN 22 4386516 Anggraeni,
vulva ai tumor DPL post op op
WAKHIDAH SpOG(K)
vulva suspek
fibroma vulva kiri
DPL (20/9/19) :
7.7/23/9260/216
Benia Ca cervix stadium dr. Kartwa Hadi 000, E : Perbaikan KU,
214A 52 4419546
Rachmawat III B, anemia N, SpOG(K) 136/4.3/104, tranfusi PRC
Ur/Cr : 59.1/1.7,
eGFR : 34.4
Lab 21/9/2019
10,6/32/9750/33
4000. Fibrinogen
414 d-Dimer
3440. LAB
13/9/2019
Ureum 25
Creatnin 0.7.
12/9/2019 LDH
1255. AFP 3. CEA
3.1 Ca 19-9 39.
Abdominam Ca 125 97 b hcg
mass suspek 2.14. 11/9/2019
sarcoma dd/ elektrolit
lymphoma,denga 11/32/19490/26 urologi rencana
n akut on CKD Dr. dr. Laila 80007/9/19
Ny. Kresna sistoskopi+
214D 53 4426537 post HD, Nuranna, DPL
Aritonang pasang dj stent
hidronefrosis SpOG(K) 12,1/34/14.790/ hari ini
bilateral, 432.000
GDS 75
e 121/7,4/86
8/9/19
Fosfat 2,95
e 121/5,6/91
Ur/Cr 135/10,4
LAB (10/9/19) e:
121/5,9/86,7,
ureum/creatinin:
169,6/13,3
dr. T. Dewi
dr. Kartwa Hadi 206A, 206B,
Anggraeni, N, SpOG(K) 214A
SpOG(K)
Dr. dr. Laila
Nuranna, 207D,211C,214D Dr. dr. Hariyono
W, SpOG (K)
SpOG(K)
Prof. Dr. dr. Dr. dr. Tofan W
Andrijono, 204 A 204C, 204D, 204F
Utami, SpOG(K)
SpOG(K)
Dr. dr. Gatot
Dr. dr. Fitriyadi K, 207C Purwoto,
SpOG(K) 204E, 211B
SpOG(K)
Dr. dr. Sigit
Purbadi, SpOG(K) 205B
dr. Andi Darma

Ward Map Ginekologi Onkologi Kamis, 26 September 2019
Kamar Nama Usia RM Diagnosis DPJP
204A MAYENI 61 4387731 Ca cervix Dr. dr. Sigit Purbadi, SpOG(K)
204B Sandra 44 4417063 Ca cervix
Dr. dr. Laila Nuranna,

204C Hetty Atmadja 53 4240497 Ca cervix IIB
SpOG(K)
204D Erniat 28 4417536 ptm high risk
Dr. dr. Gatot Purwoto,

204E Nursima 45 4387992 Ca cervix SpOG(K)

204F Mulyani 43 4382773 Ca vagina SpOG(K)
205E Sixse susana 30 4387778 Ca cervix dr. Andi Darma Putra, SpOG
(K)
Ca cervix stadium IIIC, anemia (4,6),

206A Sumiat 50 4388592
hiperglikemia dd DM tpe 2, dispepsia
DR.dr.Gatot P, SpOG(K)
Ca cervix stadium IIIB, CKD on DJ stent

kanan, Anemia normositk normokrom ec dr. Kartwa Hadi N, SpOG(K)
206B Mukliyani 45 4362795
penyakit kronik, Ca pain (VAS 3), suspek TB
paru dd/metastasi paru, Intake sulit

206C Sapmi Novita 39 4388341 Ca cervix, anemia (4,8) (K)

206D Fauziah 44 4386889 ca ovarium SpOG(K)
Marisi Ca Vulva stadium IIIB post ERBT 25x,

206E 61 4387068
simangunsong kemoterapi 4x, intake sulit, pansitopenia
(K)
ca cervix, anemia (8,9), trombositosis ec

206F Jumilah 44 4418998 malignancy
DR. Dr. Gatot P, SpOG(K)
Riwayat syok hipovolemik grade 3 ec intake

sulit pada ca ovarium advanced stage post
207A Ratna 40 4328944 NAC 3x, hiponatremia (116), hipoalbumin
(2.2), AKI dd/ acute on CKD
207B Diah Hastut 60 4379573 ca cervix IIIB, anemia, CKD Dr. dr. Hariyono W, SpOG (K)
Neoplasma ovarium padat suspek maligna, Dr. dr. Fitriyadi K, SpOG(K)

207C Enli Midia Wat 43 4388715 dengan ascites masif
Hoberthina Ca endometrium, Dr. dr. Laila Nuranna,

207D 61 4384464
De'fretes hiponatremia,hipokalemia SpOG(K)
207E Marfuah 49 4418890 Ca ovarium residif Dr. dr. Sigit Purbadi, SpOG(K)
Ca cervix stadium II, hiponatremia,

207F Legiat 49 4385818
hiperkalemia

(K)
Endometrial stromal sarcoma post wide
210A Tan Lee Mie 55 4308003 Dr. dr. Sigit Purbadi, SpOG(K)
exicision
210B ERLINA DAMIJANTI 49 4427046 NOK suspek maligna, suspek kista ruptur dr. T. D. Anggraeni, SpOG(K)

210C Emiyat 4084401 Ca ovarium, anemia SpOG(K)
NOK suspek maligna, anemia perbaikan dr. Andi Darma Putra, SpOG
211A Frisca Yemima 23 4419687 (9,3), hiponatremia (131), hipokalemia (2,6) (K)

211B Sri Umiyatsih 61 4206729 Ca ovarium SpOG(K)
ILO superfisialis post laparotomi
histerektomi subtotal 1 tahun yang lalu,
adenokarsinoma serosum papiler progresif, dr. Andi Darma Putra, SpOG
211D ANISAH SAADIYAH 55 4417942 (K)
sepsis, intake sulit, riwayat hematemesis
melena ec gastrits erosif
ca cervix IIIB progresif, riwayat htsob diluar,

post radiasi lengkap, anemia (6,4), cancer
212A Sri 51 4336164 DR. dr gatot P, SpOG(K)
pain vas 3, AKI, hiponatremia (131),
hidronefrosis kanan
IIS SITI ZUMROTUN 22 Fibroma sarcoma vulva rencana vulvektomi dr. T. D. Anggraeni, SpOG(K)
212F 4386516
WAKHIDAH dan rekonstrusi
syok hipovolemik ec susp GI tract bleeding,

melena ec susp stress ulcer, NOK suspek
214A Dwi Widya 24 4337478 maligna, hipoalbumin, hiponatremia, intake dr. Kartwa Hadi N, SpOG(K)
sulit

214C Rosina 42 4369253 Ca ovarium, anemia SpOG(K)
Abdominam mass suspek sarcoma dd/
Ny. Kresna lymphoma,dengan akut on CKD post HD, Dr. dr. Laila Nuranna,
214D 53 4426537
Aritonang hidronefrosis bilateral, hiponatremia, SpOG(K)
dr. T. Dewi Anggraeni, SpOG(K)

Dr. dr. Laila Nuranna, SpOG(K) 207D,211C,214D
Prof. Dr. dr. Andrijono, SpOG(K) 204 A
dr. Andi Darma Putra, SpOG (K) 211D

Laboratorium Target
DPL 25/09/2019 kemoterapi,pulang
13,4/37/6.230/316.000
23/09/10 kemoterapi,pulang
DPL 13,3/39/5.010/189.000
DPL 10,1/29,5/3.800/140.000 kemoterapi,pulang
24/9/2019 kemoterapi,pulang
13,1/40,5/3.720/400.000
DPL 11,2/34,8/8.730/328.000 Kemoterapi, pulang
DPL 24/09/19 kemoterapi

10,0/29,5/7.850/327.000
DPL (23/9/10) :
12.3/39/22490/312000, SGOT/PT : Perbaikan KU
55/96, E : 138/5/197
DPL 4,6/16.8/14770/406000 Na
135/K 3,3/cl 105/ alb 3,3/gds transfusi PRC , koreksi kalium
191/sgot 7/sgpt 7/ur 14.7/cr0,5
Lab 25/9/2019
8,2/24,3/13.900/140.000
Lab 21/9/2019
9.9/29/11620/188.000//85/28/33 Rencana RPG dari urologi. Rencana CT
LAB 20/9/19 : DPL
UROGRAFI
7,6/22,5/11640/222000, PT/APTT
0,9x/1,1x, e: 136/4,7/101,
SGOT/SGPT: 21/8, ureum/creatnin:
122/2,8, GDS: 99
26/9/2019
6,9/22,5/15.770/531.000 Transfusi PRC target hb>10
DPL 4,8/16,8/10710/522000
DPL 12,6/29.4/7940/506000 NA koreksi elektrolit

133/K 3,8/CL 107/ ALB 3,6
26/9/2019
DPL 10,2/29/480/46.000
Perbaikan KU, konsul IPD HOM
DPL (24/9/19) : 8/22.6/610/51000, E
: 126/3.8/98, Ur/Cr : 40.5/0.6
26/9/2019
DPL 11,2/35//15.6400/829.000
rencana konsul IPD HOM untuk
DPL 8.9/28.8/12620/1051000 PT trombositosinya?
0,9x/aptt 1,2x/sgot 29/sgpt 12/alb
2,85/ur 23,9/cr 0.6gds 89
26/9/19
E : 122/3,7/107
Perbaikan KU, koreksi elektrolit, pasien sudah
DPL (23/9): DNR
13.3/36.6/15450/430000, E:
116/4.6/93, Fibrinogen : 432, D-
Dimer : 100, Albumin : 2.2
26/9/19
DPL 11,7/35/14.650/21.600
e : 137/4,9/104
Ur/Cr 233/7,80 Rencana konsul IPD ginjal hipertensi
DPL (17/9/19) :
10.4/31.8/9000/228000 UR 206/CR
6.7 NA 145/K 5.0/ CL 106.9
pro pungsi
Lab (23/9/19) :
13,1/36/4360/438000 Albumin 3,29 Koreksi elektrolit ~ TS IPD
Na 118 K 2,3 Cl 82 SGOT 33 SGPT 36
Ur 25 Cr 0,6 GDS 124
19/9/19 pro kemoterapi second line
DPL 11,4/33,8/11,870/552.000
26/9/19
e : 119/3,2/96
koreksi elektrolit
DPL 11.5/29.1/6470/360000 SGOT
15/SGPT 14/ ur 58.8/cr 1.6/gds 162/
na 102/ K 5.2/cl 71
DPL post OP : Perawatan post op

12.1/33.9/15000/200000
26/9/19
DPL
10,8/32,7/11.900/613.000//82/27/3
3 pro laparotomi, perioperatf dari ruangan
e 135/4,4/103, PT/APTT 1/1
GDS 121, OT/PT 22/17
Ur/Cr 15/0.7
26/9/19
DPL
11,8/36/4.490/218.000//72/23/32
PT/APTT 0,9/0,9, OT/PT 23/17
Alb 3,64, Ur/Cr 25/0,6
e 136/4,4/105
rencana laparotomi debulking senin 30/9/19
(25/9/29) DPL
9,5/29,8/5620/232000 (18/9/19)
PT 0,8x/APTT 0,8x/ sgot 23/sgpt
24/albumin 3.6/ur 26,2/cr 0.6/ gds
113/ na 137/K 4,0/Cl 103/hbsag non
reaktf
(25/9/29) dpl transfusi prc target hb> 10, koreksi elektrolit.

9.3/28.3/10150/399000 Na 131/K Cek dpl post transfusi+elektrolit post koreksi
2,6/Cl 77,6
Lab (18/9/19) 10,1/30/4020/594000 Laparotomi debulking 26/9/19

26/9/19
DPL
7,2/19/41.640/346.000//78/28/36
AGD : ph 7.659/pCO2 34/pO2
78/HCO3 38.7/BE 17,6/O2 97%
e 141/2,1/107, GDS 47
Ur/Cr 80/1,3, OT/PT 17/21
20/9/2019 10,6/29/29910/437000
PCT 51 17/9/19
DPL
12,2/34,1/31.770/561.000//79/28/
35 raber IPD dan bedah plastk, perawatan luka.
Rencana rawat jalan?IPD tropik infeksi saran
DPL 15/9/2019. rajal.
9.4/26/36260/448000 PCT 8
9/9/19 dpl 5,9/17.4/21770/318000
8/9/19
Alb 2,25
DPL 7/9/19 9,7/27,4/26950/272000

albumin 1,84 DPL 5/9/2019
8.7/24/43540/279000 LAB 4/9/19
dpl 7.3/20.9/48800/293000 PT
1.2X/APTT 1.5x/ PCT 0.79/ SGOT
21/SGPT 23/ ur 51.6/cr 0.9/ Na
124/K 3.6/cl 94.3/ albumin 1.71
DPL 6,4/19/12890/445000/Na 131K

4.4/Cl 99 SGOT 12/SGPT 14/ Ur transfusi PRC target hb>10, koreksi elektrolit
23,9/cr 1,2/gds 84
pro vulvektomi
23/9/19 albumin 2,12 Na 123 K 2,8

Cl 99 20/9/2019 Albumin 2.27.
19/9/2019 Albumin 2.24
15/9/2019 Albumin 1.99.
DPL (27/8/19) :
10.5/30/8940/478000, Alb : 2.21, E :
129/3.3/104
PLUS
8/9/19
DPL 8,5/24/10.220/646.000
e 121/3,5/94
GDS 74
Ur/Cr 68/1.0
Alb 1,79
OT/PT 6/6
26/9/2019
DPL 11,1/31,9/4.160/164.000
transfusi PRC target hb>10
DPL 9/26.3/3450/161000/ sgot
27/sgpt 55/alb 4,6/ ur 11,3/cr 0,4
Lab 21/9/2019
10,6/32/9750/334000. Fibrinogen
414 d-Dimer 3440. LAB 13/9/2019
Ureum 25 Creatnin 0.7. 12/9/2019
LDH 1255. AFP 3. CEA 3.1 Ca 19-9
39. Ca 125 97 b hcg 2.14.
11/9/2019 elektrolit
11/32/19490/2680007/9/19
DPL 12,1/34/14.790/432.000
OT/PT 29/15 urologi rencana sistoskopi+ pasang dj stent hari
Alb 2,96 ini
Ur/Cr 193/15,2
GDS 75
e 121/7,4/86
8/9/19
Fosfat 2,95
e 121/5,6/91
Ur/Cr 135/10,4
LAB (10/9/19) e: 121/5,9/86,7,
ureum/creatinin: 169,6/13,3
dr. Kartwa Hadi N, SpOG(K) 206A, 206B, 214A

Dr. dr. Hariyono W, SpOG (K)
Dr. dr. Tofan W Utami, SpOG(K) 204C, 204D, 204F
Dr. dr. Gatot Purwoto, SpOG(K) 204E, 211B
204A Mulyani 65 4388012 Ca cervix IIB, hiponatremia dr. Kartwa Hadi N, SpOG(K)
Prof. Dr. dr. Andrijono,

204B Sandra 42 4417063 Ca cervix SpOG(K)
Dr. dr. Tofan W Utami,
204C Yuni Triyani 38 4387834 PTM High Risk
SpOG(K)
204D Sit Rohamah 45 4366258 Ca Ovarium III C Dr. dr. Hariyono W, SpOG (K)
204E Sumarni 54 4386381 Ca cervix III B dr. Andi Darma Putra, SpOG
(K)

204F Yeni Cahya 50 4364662 Ca ovarium SpOG(K)
205E Sixse susana 30 4387778 Ca cervix dr. Andi Darma Putra, SpOG
(K)
205F Isnaini 41 4361522 Ca cervix III B, anemia dr. Andi Darma Putra, SpOG
(K)
Ca cervix stadium IIIC, anemia (4,6),

206A Sumiat 50 4388592 hiperglikemia dd DM tpe 2, dispepsia
DR.dr.Gatot P, SpOG(K)
Ca cervix stadium IIIB, CKD on DJ stent

kanan, Anemia normositk normokrom ec
206B Mukliyani 45 4362795 penyakit kronik, Ca pain (VAS 3), suspek TB dr. Kartwa Hadi N, SpOG(K)
paru dd/metastasi paru, Intake sulit

206C Sapmi Novita 39 4388341 Ca cervix, anemia (4,8)
(K)
206D Fauziah 44 4386889 ca ovarium SpOG(K)
Marisi Ca Vulva stadium IIIB post ERBT 25x, dr. Andi Darma Putra, SpOG
206E 61 4387068
simangunsong kemoterapi 4x, intake sulit, pansitopenia (K)
ca cervix, anemia (8,9), trombositosis ec

206F Jumilah 44 4418998 malignancy
DR. Dr. Gatot P, SpOG(K)
Riwayat syok hipovolemik grade 3 ec intake

sulit pada ca ovarium advanced stage post
207A Ratna 40 4328944 NAC 3x, hiponatremia (116), hipoalbumin
(2.2), AKI dd/ acute on CKD
207B Diah Hastut 60 4379573 ca cervix IIIB, anemia, CKD Dr. dr. Hariyono W, SpOG (K)
CA Cervix meta inguinal kiri,post laparotomi Dr. dr. Fitriyadi K, SpOG(K)

207C HJ. Nurul Huda 61 4379337
ileostomi
Hoberthina Ca endometrium, Dr. dr. Laila Nuranna,

207D 61 4384464
De'fretes hiponatremia,hipokalemia SpOG(K)
Ca cervix stadium II, hiponatremia,

207F Legiat 49 4385818
hiperkalemia dr. Andi Darma Putra, SpOG
(K)
Endometrial stromal sarcoma post wide
210A Tan Lee Mie 55 4308003 Dr. dr. Sigit Purbadi, SpOG(K)
exicision

210C Emiyat 4084401 Ca ovarium, anemia SpOG(K)
NOK suspek maligna, anemia perbaikan dr. Andi Darma Putra, SpOG
211A Frisca Yemima 23 4419687
(9,3), hiponatremia (131), hipokalemia (2,6) (K)
211B Sri Umiyatsih 61 4206729 Ca ovarium SpOG(K)

histerektomi subtotal 1 tahun yang lalu,
adenokarsinoma serosum papiler progresif, dr. Andi Darma Putra, SpOG
211D ANISAH SAADIYAH 55 4417942 (K)
sepsis, intake sulit, riwayat hematemesis
melena ec gastrits erosif
ca cervix IIIB progresif, riwayat htsob diluar,

post radiasi lengkap, anemia (6,4), cancer DR. dr gatot P, SpOG(K)
212A Sri 51 4336164 pain vas 3, AKI, hiponatremia (131),
hidronefrosis kanan
syok hipovolemik ec susp GI tract bleeding,

melena ec susp stress ulcer, NOK suspek
214A Dwi Widya 24 4337478 maligna, hipoalbumin, hiponatremia, intake dr. Kartwa Hadi N, SpOG(K)
sulit

214C Rosina 42 4369253 Ca ovarium, anemia SpOG(K)
Abdominam mass suspek sarcoma dd/
Ny. Kresna lymphoma,dengan akut on CKD post HD, Dr. dr. Laila Nuranna,
214D 53 4426537
Aritonang hidronefrosis bilateral, hiponatremia, SpOG(K)
dr. T. Dewi Anggraeni, SpOG(K)

Dr. dr. Laila Nuranna, SpOG(K) 207D,211C,214D
Prof. Dr. dr. Andrijono, SpOG(K) 204 A
dr. Andi Darma Putra, SpOG (K) 211D

Laboratorium Target
DPL (23/9/19):
10.2/29.4/8200/414000, Ur/Cr : kemoterapi,pulang
30.7/1.2, eGFR : 47.5 E :
126/4.1/89.5
DPL (20/9/19) :
12/34.9/5630/331000, Ur/Cr : kemoterapi
13.8/0.5, E : 136/4.7/100
DPL 11,3/35/6180/567000 kemoterapi,pulang
DPL (19/9/19) : kemoterapi,pulang
12.9/38/4290/252000
DPL (23/9/19) :
10.4/32/7030/503000, Ur/Cr : 37 / kemoterapi,pulang
1.1, eGFR : 57.9
Lab (20/9/19)
7,4/22,8/5590/241000 Na 128 K 2,7 kemoterapi,pulang
Cl 93,9 GDS 106 Ur 14,8 Cr 0,6
albumin 2,67 SGOT 12 SGPT 11
DPL (23/9/10) :
12.3/39/22490/312000, SGOT/PT : Perbaikan KU
55/96, E : 138/5/197
DPL (23/9/19) :
9.6/32/23860/506000, E : Rencana op hari ini
135/4.7/101
DPL 4,6/16.8/14770/406000 Na
135/K 3,3/cl 105/ alb 3,3/gds transfusi PRC , koreksi kalium
191/sgot 7/sgpt 7/ur 14.7/cr0,5
Lab 21/9/2019
9.9/29/11620/188.000//85/28/33
LAB 20/9/19 : DPL Rencana RPG dari urologi. Rencana CT
7,6/22,5/11640/222000, PT/APTT UROGRAFI
0,9x/1,1x, e: 136/4,7/101,
SGOT/SGPT: 21/8, ureum/creatnin:
122/2,8, GDS: 99
DPL 4,8/16,8/10710/522000 Transfusi PRC target hb>10
DPL 12,6/29.4/7940/506000 NA koreksi elektrolit

133/K 3,8/CL 107/ ALB 3,6
DPL (24/9/19) : 8/22.6/610/51000, E Perbaikan KU, konsul IPD HOM

: 126/3.8/98, Ur/Cr : 40.5/0.6
DPL 8.9/28.8/12620/1051000 PT rencana konsul IPD HOM untuk

0,9x/aptt 1,2x/sgot 29/sgpt 12/alb
2,85/ur 23,9/cr 0.6gds 89 trombositosinya?
DPL (23/9):
13.3/36.6/15450/430000, E: Perbaikan KU, koreksi elektrolit, pasien sudah
116/4.6/93, Fibrinogen : 432, D- DNR
Dimer : 100, Albumin : 2.2
DPL (17/9/19) :
10.4/31.8/9000/228000 UR 206/CR Rencana konsul IPD ginjal hipertensi
6.7 NA 145/K 5.0/ CL 106.9
Kultur dasar luka : Enterobacter
aerogenes, E coli Lab 9/9/19 DPL
10.8/33.4/15970/302000 Na 133/K pasca op ileostomi oleh TS Bedah. Pasien di ICU.
3.9/ Cl 110/ SGOT16/SGPT 11/
albumin 2,9/ ur 46/cr 0.9, LDH
327/GDS 111
Lab (23/9/19) :
13,1/36/4360/438000 Albumin 3,29 Koreksi elektrolit ~ TS IPD
Na 118 K 2,3 Cl 82 SGOT 33 SGPT 36
Ur 25 Cr 0,6 GDS 124
DPL 11.5/29.1/6470/360000 SGOT
15/SGPT 14/ ur 58.8/cr 1.6/gds 162/ koreksi elektrolit
na 102/ K 5.2/cl 71
DPL post OP : Perawatan post op
12.1/33.9/15000/200000
(25/9/29) DPL
9,5/29,8/5620/232000 (18/9/19)
PT 0,8x/APTT 0,8x/ sgot 23/sgpt
24/albumin 3.6/ur 26,2/cr 0.6/ gds rencana laparotomi debulking senin 30/9/19
113/ na 137/K 4,0/Cl 103/hbsag non
reaktf
(25/9/29) dpl transfusi prc target hb> 10, koreksi elektrolit.
9.3/28.3/10150/399000 Na 131/K Cek dpl post transfusi+elektrolit post koreksi
2,6/Cl 77,6
Lab (18/9/19) 10,1/30/4020/594000 Laparotomi debulking 26/9/19
20/9/2019 10,6/29/29910/437000
PCT 51 17/9/19
DPL
12,2/34,1/31.770/561.000//79/28/
35
DPL 15/9/2019.
9.4/26/36260/448000 PCT 8
9/9/19 dpl 5,9/17.4/21770/318000 raber IPD dan bedah plastk, perawatan luka.
8/9/19 Rencana rawat jalan?IPD tropik infeksi saran
Alb 2,25 rajal.
DPL 7/9/19 9,7/27,4/26950/272000

albumin 1,84 DPL 5/9/2019
8.7/24/43540/279000 LAB 4/9/19
dpl 7.3/20.9/48800/293000 PT
21/SGPT 23/ ur 51.6/cr 0.9/ Na
124/K 3.6/cl 94.3/ albumin 1.71
DPL 6,4/19/12890/445000/Na 131K

4.4/Cl 99 SGOT 12/SGPT 14/ Ur transfusi PRC target hb>10, koreksi elektrolit
23,9/cr 1,2/gds 84
23/9/19 albumin 2,12 Na 123 K 2,8

Cl 99 20/9/2019 Albumin 2.27.
19/9/2019 Albumin 2.24
15/9/2019 Albumin 1.99.
DPL (27/8/19) :
10.5/30/8940/478000, Alb : 2.21, E :
129/3.3/104 pasien dalam monitor ketat, dalam topangan NE
2,8 cc/jam; on terapi omeprazole bolus 80 mg iv,
8/9/19 maintenance 8 mg/jam; HCU penuh
DPL 8,5/24/10.220/646.000
e 121/3,5/94
GDS 74
Ur/Cr 68/1.0
Alb 1,79
OT/PT 6/6
DPL 9/26.3/3450/161000/ sgot transfusi PRC target hb>10

27/sgpt 55/alb 4,6/ ur 11,3/cr 0,4
Lab 21/9/2019
10,6/32/9750/334000. Fibrinogen
414 d-Dimer 3440. LAB 13/9/2019
Ureum 25 Creatnin 0.7. 12/9/2019
LDH 1255. AFP 3. CEA 3.1 Ca 19-9
39. Ca 125 97 b hcg 2.14.
11/32/19490/2680007/9/19
DPL 12,1/34/14.790/432.000
OT/PT 29/15 urologi rencana sistoskopi+ pasang dj stent hari
Alb 2,96 ini
Ur/Cr 193/15,2
GDS 75
e 121/7,4/86
8/9/19
Fosfat 2,95
e 121/5,6/91
Ur/Cr 135/10,4
LAB (10/9/19) e: 121/5,9/86,7,
dr. Kartwa Hadi N, SpOG(K) 206A, 206B, 214A

Dr. dr. Tofan W Utami, SpOG(K) 204C, 204D, 204F
Dr. dr. Gatot Purwoto, SpOG(K) 204E, 211B
Ward Map Ginekologi Onkologi Rabu, 25 September 2019
DPL (23/9/19):
10.2/29.4/8200/4
Ca cervix IIB, dr. Kartwa Hadi N, 14000, Ur/Cr :
204A Mulyani 65 4388012 hiponatremia SpOG(K) 30.7/1.2, eGFR : kemoterapi
47.5 E :
126/4.1/89.5
DPL (20/9/19) :
Prof. Dr. dr. 12/34.9/5630/33
204B Yuli Kadarsih 42 4385505 Ca Ovarium Andrijono, 1000, Ur/Cr : kemoterapi
SpOG(K) 13.8/0.5, E :
136/4.7/100
DPL
Dr. dr. Tofan W
204C Yuni Triyani 38 4387834 PTM High Risk 11,3/35/6180/56 kemoterapi
Utami, SpOG(K) 7000
DPL (19/9/19) :
Dr. dr. Hariyono W, 12.9/38/4290/25 kemoterapi
204D Ifa Masfufah 45 4368893 Ca Ovarium III C SpOG (K) 2000
DPL (23/9/19) :
10.4/32/7030/50
204E Sumarni 54 4386381 Ca cervix III B 3000, Ur/Cr : 37 / kemoterapi
dr. Andi Darma 1.1, eGFR : 57.9
Putra, SpOG (K)
dr. Kartwa Hadi N, DPL (24/9/19) :

204F Susi Listyawat 29 4382577 PTM High Risk 11.2/33.7/3950/2 kemoterapi
SpOG(K) 22000
lab post op: DPL

11.7/32.8/13090/
Wound break 218000 DPL
pada POD 14 post 6/9/2019
radikal 13/37/10530/237
hemivulvektomi, Dr. dr. Sigit 000 SGOT 15 SGPT
205B Emah 51 4367215 limfadenektomi 13 Albumin 3.78 Rawat luka
Purbadi, SpOG(K)
inguinal kiri dan Cr 0.7 Ureum 31
rekonstruksi vulva GDS 123 DPL
ai Ca vulva (10/8/19):
stadium IB 13.5/38/11.940/2
01.000, alb:4.1,
Ur/Cr :36.1/0.75
DPL (23/9/10) :
12.3/39/22490/3
205E Sixse susana 30 4387778 Ca cervix 12000, SGOT/PT : Perbaikan KU
55/96, E :
dr. Andi Darma 138/5/197
Putra, SpOG (K)
DPL (23/9/19) :
Ca cervix III B, 9.6/32/23860/50 Cek Ca125
205F Isnaini 41 4361522
anemia dr. Andi Darma 6000, E :
Putra, SpOG (K) 135/4.7/101
Lab 21/9/2019
Ca cervix stadium 9.9/29/11620/18
IIIB, CKD on DJ 8.000//85/28/33
stent kanan, LAB 20/9/19 :
Anemia
DPL
normositk dr. Kartwa Hadi N, 7,6/22,5/11640/2 Rencana RPG dari
206B Mukliyani 45 4362795 normokrom ec urologi. Rencana
SpOG(K) 22000, PT/APTT
penyakit kronik, CT UROGRAFI
0,9x/1,1x, e:
Ca pain (VAS 3), 136/4,7/101,
suspek TB paru
SGOT/SGPT: 21/8,
dd/metastasi ureum/creatnin:
paru, Intake sulit 122/2,8, GDS: 99
Ca Vulva stadium DPL (24/9/19) :

IIIB post ERBT 25x,
Marisi 8/22.6/610/5100 Perbaikan KU,
206E 61 4387068 kemoterapi 4x,
simangunsong 0, E : 126/3.8/98, konsul IPD HOM
intake sulit, Ur/Cr : 40.5/0.6
pansitopenia dr. Andi Darma
Putra, SpOG (K)
Riwayat syok
hipovolemik grade
3 ec intake sulit DPL (23/9):
pada ca ovarium 13.3/36.6/15450/
advanced stage 430000, E: Perbaikan KU,
207A Ratna 40 4328944 post NAC 3x, 116/4.6/93, koreksi elektrolit,
hiponatremia Fibrinogen : 432, pasien sudah DNR
(116), D-Dimer : 100,
hipoalbumin (2.2), Albumin : 2.2
AKI dd/ acute on
CKD
- hiponatremia
berat (116) on Dr. dr. Hariyono W, DPL (17/9/19) : Rencana
207B Diah Hastut 60 4379573 koreksi, 10.4/31.8/9000/2 laparotomi
SpOG (K)
hipokloremia (93) 28000 26/9/19
on koreksi
Kultur dasar luka :

Enterobacter
aerogenes, E coli
Follow up bedah
Lab 9/9/19 DPL digestf untuk
- hipoalbumin Dr. dr. Fitriyadi K, 10.8/33.4/15970/ keputusan
207C HJ. Nurul Huda 61 4379337 302000 Na 133/K
(2,22) SpOG(K) ileostomi, konsul
3.9/ Cl 110/
bedah vaskular
SGOT16/SGPT 11/ Senin
albumin 2,9/ ur
46/cr 0.9, LDH
327/GDS 111
Lab (23/9/19) :
13,1/36/4360/43
8000 Albumin
Hoberthina Dr. dr. Laila Na 118 K 2,3 Koreksi elektrolit ~
207D 61 4384464 Err:509
De'fretes Nuranna, SpOG(K) 3,29 TS IPD
Cl 82 SGOT 33
SGPT 36 Ur 25 Cr
0,6 GDS 124
207E Marfuah 49 4418890 Err:509 dr. Andi Darma

Putra, SpOG (K)
stromal sarcoma Dr. dr. Sigit
210A Tan Lee Mie 55 4308003 Purbadi, SpOG(K) 12.1/33.9/15000/ Perawatan post op
post wide 200000
exicision
NOK suspek
211A Frisca Yemima 23 maligna, anemia
Lab (18/9/19) Laparotomi
Dr. dr. Gatot
211B Sri Umiyatsih 61 4206729 Ca ovarium Purwoto, SpOG(K) 10,1/30/4020/59 debulking
4000 26/9/19
Lab (20/9/19)
7,4/22,8/5590/24
1000 Na 128 K 2,7 Transfusi PRC
Ca ovarium, Dr. dr. Laila
211C Yeni Cahya 50 4364662 Nuranna, SpOG(K) Cl 93,9 GDS 106 target Hb 10,
anemia Ur 14,8 Cr 0,6 koreksi elektrolit
albumin 2,67
SGOT 12 SGPT 11
20/9/2019
10,6/29/29910/4
37000 PCT 51
17/9/19
DPL
12,2/34,1/31.770
/561.000//79/28/
35
DPL 15/9/2019.
ILO superfisialis 9.4/26/36260/44
post laparotomi 8000 PCT 8
histerektomi 9/9/19 dpl Jawanban IPD
subtotal 1 tahun 5,9/17.4/21770/3 Jaga: Saran
yang lalu, 18000 8/9/19 debridement dan
adenokarsinoma Alb 2,25 konsul bedah
dr. Andi Darma
211D ANISAH SAADIYAH 55 4417942 serosum papiler plastk. Raber
Putra, SpOG (K)
progresif, sepsis, DPL 7/9/19 IPD Gastro, Rawat
intake sulit, 9,7/27,4/26950/2 luka, perbaikan
riwayat 72000 albumin KU, antbiotk
hematemesis 1,84 DPL sesuai hasil kultur
melena ec 5/9/2019
gastrits erosif 8.7/24/43540/27
9000 LAB 4/9/19
dpl
7.3/20.9/48800/2
93000 PT
1.2X/APTT 1.5x/
PCT 0.79/ SGOT
21/SGPT 23/ ur
51.6/cr 0.9/ Na
124/K 3.6/cl 94.3/
albumin 1.71
23/9/19 albumin
2,12 Na 123 K 2,8
Cl 99 20/9/2019
Albumin 2.27.
19/9/2019
Albumin 2.24
15/9/2019
Albumin 1.99.
DPL
NOK suspek (27/8/19) :
maligna, dr. Kartwa Hadi N, 10.5/30/8940/47 Koreksi elektrolit,
214A Dwi Widya 24 4337478 hipoalbumin, 8000, Alb : 2.21, E transfusi albumin,
SpOG(K)
hiponatremia, : 129/3.3/104 raber gizi klinik
intake sulit
8/9/19
DPL
8,5/24/10.220/64
6.000
e 121/3,5/94
GDS 74
Ur/Cr 68/1.0
Alb 1,79
OT/PT 6/6
Lab 21/9/2019
10,6/32/9750/33
4000. Fibrinogen
414 d-Dimer
3440. LAB
13/9/2019
Ureum 25
Creatnin 0.7.
12/9/2019 LDH
1255. AFP 3. CEA
3.1 Ca 19-9 39.
suspek 2.14. 11/9/2019
malignancy dd/ elektrolit Konsul bedah
mioma uteri, 11/32/19490/268 vaskular Senin,
dengan akut on 0007/9/19 Rencana family
214D 53 4426537 CKD post HD, Nuranna, SpOG(K) DPL meetng Senin,
Aritonang hidronefrosis 12,1/34/14.790/4 rencana
bilateral, 32.000 pertmbangan
hiponatremia, OT/PT 29/15 laparotomi biopsy
GDS 75
e 121/7,4/86
8/9/19
Fosfat 2,95
e 121/5,6/91
Ur/Cr 135/10,4
LAB (10/9/19) e:
121/5,9/86,7,
ureum/creatinin:
169,6/13,3
dr. T. Dewi dr. Kartwa Hadi N, 206A, 206B, 214A

Anggraeni, SpOG(K)
SpOG(K)
Dr. dr. Laila Dr. dr. Hariyono W,
Nuranna, SpOG(K) 207D,211C,214D SpOG (K)
Andrijono, 204 A 204C, 204D, 204F
Utami, SpOG(K)
SpOG(K)
Dr. dr. Fitriyadi K, 207C Dr. dr. Gatot
SpOG(K) Purwoto, SpOG(K) 204E, 211B
Dr. dr. Sigit 205B
Purbadi, SpOG(K)
dr. Andi Darma

Ward Map Ginekologi Onkologi Selasa, 24 September 2019
Prof. Dr. dr. DPL

204A Tutani Sodikin 58 4416582 Ca cervix IIIB Andrijono, 13/38/7920/2850
SpOG(K) 00
DPL
Dr. dr. Tofan W
204C Yuni Triyani 38 4387834 PTM High Risk 11,3/35/6180/56
Utami, SpOG(K) 7000
DPL
Dr. dr. Tofan W
204D Bonah 61 4387193 Ca cervix IIA 11,7/37/5080/34
Utami, SpOG(K) 9000
Dr. dr. Gatot DPL10,8/34/2038

204E Supriyat 57 4388599 Ca cervix Purwoto, SpOG(K) 0/669000
DPL
Dr. dr. Tofan W
204F Sri Katmiatun 65 4309791 Ca cervix 13,4/38/4300/20
Utami, SpOG(K) 2000
lab post op: DPL

11.7/32.8/13090/
radikal 13/37/10530/237
hemivulvektomi, 000 SGOT 15 SGPT
limfadenektomi Dr. dr. Sigit
205B Emah 51 4367215 13 Albumin 3.78
inguinal kiri dan Purbadi, SpOG(K) Cr 0.7 Ureum 31
stadium IB 13.5/38/11.940/2
01.000, alb:4.1,
Ur/Cr :36.1/0.75
Ca Ovarium DPL (10/9/19)

dengan ascites, on dr. Kartwa Hadi N, 10.9/35/5560/56
206A Icih 60 4387345 SpOG(K)
pigtail 0000
Lab 21/9/2019
Ca cervix stadium
9.9/29/11620/18
IIIB, CKD on DJ 8.000//85/28/33
Anemia DPL
normositk dr. Kartwa Hadi N, 7,6/22,5/11640/2
206B Mukliyani 45 4362795 normokrom ec
penyakit kronik, SpOG(K) 22000, PT/APTT
0,9x/1,1x, e:
Ca pain (VAS 3), 136/4,7/101,
suspek TB paru SGOT/SGPT: 21/8,
dd/metastasi
ureum/creatnin:
paru, Intake sulit 122/2,8, GDS: 99
Kultur dasar luka :

Enterobacter
Ca cervix residif aerogenes, E coli
dengan metastasis Lab 9/9/19 DPL
kulit regio inguinal 10.8/33.4/15970/
kiri, dengan luka Dr. dr. Fitriyadi K,
terbuka, SpOG(K) 3.9/ Cl 110/
hipoalbumin, SGOT16/SGPT 11/
leukositosis albumin 2,9/ ur
reaktf, susp DVT 46/cr 0.9, LDH
327/GDS 111
Ca endometrium Lab (23/9/19) :
on kemoterapi, ca 13,1/36/4360/43
pain, 8000 Albumin
Hoberthina Dr. dr. Laila
207D 61 4384464 hiponatremia, 3,29 Na 118 K 2,3
De'fretes Nuranna, SpOG(K)
hipokalemia, Cl 82 SGOT 33
hipochlorida, SGPT 36 Ur 25 Cr
intake sulit 0,6 GDS 124

stromal sarcoma Dr. dr. Sigit
210A Tan Lee Mie 55 4308003 post wide Purbadi, SpOG(K) 12.1/33.9/15000/
200000
exicision
Lab (18/9/19)
Dr. dr. Gatot
211B Sri Umiyatsih 61 4206729 Ca ovarium Purwoto, SpOG(K) 10,1/30/4020/59
4000
Lab (20/9/19)
7,4/22,8/5590/24
1000 Na 128 K 2,7
Ca ovarium, Dr. dr. Laila
211C Yeni Cahya 50 4364662 Nuranna, SpOG(K) Cl 93,9 GDS 106
anemia Ur 14,8 Cr 0,6
albumin 2,67
SGOT 12 SGPT 11
20/9/2019
10,6/29/29910/4
37000 PCT 51
17/9/19
DPL
12,2/34,1/31.770
/561.000//79/28/
35
DPL 15/9/2019.
histerektomi 9/9/19 dpl
subtotal 1 tahun 5,9/17.4/21770/3
yang lalu, 18000 8/9/19
adenokarsinoma Alb 2,25
dr. Andi Darma
211D ANISAH SAADIYAH 55 4417942 serosum papiler Putra, SpOG (K)
progresif, sepsis, DPL 7/9/19
intake sulit, 9,7/27,4/26950/2
riwayat 72000 albumin
hematemesis 1,84 DPL
melena ec 5/9/2019
9000 LAB 4/9/19
dpl
7.3/20.9/48800/2
93000 PT
1.2X/APTT 1.5x/
PCT 0.79/ SGOT
21/SGPT 23/ ur
51.6/cr 0.9/ Na
124/K 3.6/cl 94.3/
albumin 1.71
23/9/19 albumin
2,12 Na 123 K 2,8
Cl 99 20/9/2019
Albumin 2.27.
19/9/2019
Albumin 2.24
15/9/2019
Albumin 1.99.
DPL
NOK suspek (27/8/19) :
maligna, dr. Kartwa Hadi N, 10.5/30/8940/47
214A Dwi Widya 24 4337478 hipoalbumin, 8000, Alb : 2.21, E
SpOG(K)
hiponatremia, : 129/3.3/104
intake sulit
8/9/19
DPL
8,5/24/10.220/64
6.000
e 121/3,5/94
GDS 74
Ur/Cr 68/1.0
Alb 1,79
OT/PT 6/6
Lab 21/9/2019
10,6/32/9750/33
4000. Fibrinogen
414 d-Dimer
3440. LAB
13/9/2019
Ureum 25
Creatnin 0.7.
12/9/2019 LDH
1255. AFP 3. CEA
3.1 Ca 19-9 39.
suspek 2.14. 11/9/2019
malignancy dd/ elektrolit
mioma uteri, 11/32/19490/268
dengan akut on 0007/9/19
214D 53 4426537 CKD post HD, DPL
bilateral, 32.000
GDS 75
e 121/7,4/86
8/9/19
Fosfat 2,95
e 121/5,6/91
Ur/Cr 135/10,4
LAB (10/9/19) e:
121/5,9/86,7,
ureum/creatinin:
169,6/13,3
dr. T. Dewi dr. Kartwa Hadi N,

Anggraeni, SpOG(K)
SpOG(K)
Nuranna, SpOG(K) 207D,211C,214D SpOG (K)
Andrijono, 204 A Utami, SpOG(K)
SpOG(K)
Dr. dr. Fitriyadi K, 207C Dr. dr. Gatot
SpOG(K) Purwoto, SpOG(K)
Dr. dr. Sigit 205B
Purbadi, SpOG(K)
dr. Andi Darma

Target
pulang
kemoterapi
pulang
pulang
pulang
Rawat luka
Perbaikan KU
Rencana RPG dari

urologi. Rencana
CT UROGRAFI
Follow up bedah
digestf untuk
keputusan
ileostomi, konsul
bedah vaskular
Senin
Koreksi elektrolit ~
TS IPD
Perawatan post op
Laparotomi
debulking
26/9/19
Transfusi PRC
target Hb 10,
koreksi elektrolit
Jawanban IPD
Jaga: Saran
debridement dan
konsul bedah
plastk. Raber
IPD Gastro, Rawat
luka, perbaikan
KU, antbiotk
sesuai hasil kultur
Koreksi elektrolit,
transfusi albumin,
raber gizi klinik
Konsul bedah
vaskular Senin,
Rencana family
meetng Senin,
rencana
pertmbangan
laparotomi biopsy
206A, 206B, 214A

204C, 204D, 204F
204E, 211B
Ward Map Ginekologi Onkologi Senin, 23 September 2019
Prof. Dr. dr. DPL

204B Gusnarita 36 4380884 PTM High Risk Andrijono, 11,1/32,6/41 pulang
SpOG(K) 40/481000
POD II post
SOD (VC)
dilanjutkan
apendiktomi, DPL Post op
biopsi (20/9/2019)
omentum 12,7/36/9740 Perawatan
atas indikasi Dr. dr. /511000
Andwiananta 16 post op,
205A 4385870 tumor Hariyono W, Albumin 2.57
Ratunissa koreksi
ovarium SpOG (K) Ureum 20 albumin
musinosum Creatnin 0.5
borderline, elektrolit
hipoalbumin 128/3.9/98
(2.5)
hiponatremia
(129)
lab post op:

DPL
11.7/32.8/13
090/218000
Wound break
DPL 6/9/2019
pada POD 13 13/37/10530
post radikal /237000
hemivulvekto SGOT 15
mi,
limfadenekto Dr. dr. Sigit SGPT 13
205B Emah 51 4367215 Purbadi, Albumin 3.78 Rawat luka
mi inguinal SpOG(K) Cr 0.7 Ureum
kiri dan 31 GDS 123
rekonstruksi DPL
vulva ai Ca
(10/8/19):
vulva stadium 13.5/38/11.9
IB 40/201.000,
alb:4.1,
Ur/Cr :
36.1/0.75
rencana
DPL 15/9/19 histerektomi
205E Sixse Susana 30 4387778 ca cervix IB dr. Andi 11,8/37.8/71 radikal hari
Darma Putra, 80/316000 senin 23/9/19
SpOG (K)
Rencana
Ca Ovarium dr. Kartwa DPL (10/9/19) pasang
dengan
206A Icih 60 4387345 Hadi N, 10.9/35/5560 pleural drain
ascites, on SpOG(K) /560000 Senin
pigtail 23/9/2019
oleh pulmo
Lab
Ca cervix 21/9/2019
stadium IIIB, 9.9/29/11620
CKD on DJ /188.000//85
stent kanan,
/28/33 LAB
Anemia 20/9/19 : DPL
normositk 7,6/22,5/116 Rencana RPG
normokrom dr. Kartwa 40/222000, dari urologi.
206B Mukliyani 45 4362795 ec penyakit Hadi N, PT/APTT Rencana CT
kronik, Ca SpOG(K)
0,9x/1,1x, e: UROGRAFI
pain (VAS 3), 136/4,7/101,
suspek TB SGOT/SGPT:
paru 21/8,
dd/metastasi
ureum/creat
paru, Intake nin: 122/2,8,
sulit GDS: 99
16/9/19
Cairan
pleura : BTA
negatif, tidak
ditemukan
kuman
RBC 13.000
sel/uL,
mikroskopik
Ca cervix IIIB tampak
suspek eritrofagosito
progresif, sis, kesan
pasca radiasi exudat Raber Pulmo,
lengkap, dr. T. Dewi UL : kesan perawatan
206E Aty Murtat 54 4274490 dyspneu ec Anggraeni, tercemar paliatf, target
efusi pleura SpOG(K) homecare
bilateral post DPL
tapping, 15/9/2019
suspek meta 10/30/12630
paru /365000.
Albumin 3.8
GDS 151
elektrolit
135/4/95.
SGOT 28
SGPT
18Ureum 21
Creatnin 0.8
Kultur dasar
luka :
Ca cervix Enterobacter
residif dengan aerogenes, E Follow up
metastasis coli Lab bedah digestf
kulit regio 9/9/19 DPL
untuk
inguinal kiri, Dr. dr. 10.8/33.4/15
HJ. Nurul keputusan
207C 61 4379337 dengan luka Fitriyadi K, 970/302000
Huda ileostomi,
terbuka, SpOG(K) Na 133/K 3.9/ konsul bedah
hipoalbumin, Cl 110/
vaskular
leukositosis SGOT16/SGPT Senin
reaktf, susp 11/ albumin
DVT 2,9/ ur 46/cr
0.9, LDH
327/GDS 111
13/09/19
DPL
13,4/39,4/65 Operasi Wide
Endometrial 30/209000, excision dan
Stromal Dr. dr. Sigit PT/APTT: rekonstruksi
Sarcoma
210A Tan Lee Mie 55 4308003 Purbadi, 0,9x/0,9x, Join Bedah
residif di SpOG(K) sgot/pt: Plastk
dinding 22/13, ur/cr: tanggal
abdomen 19,9/0,6, alb: 23/9/2019
4,7, GDS:141,
Ca 125: 9,7
20/9/2019
10,6/29/2991
0/437000 PCT
51
17/9/19
DPL
12,2/34,1/31.
770/561.000/
/79/28/35
DPL
ILO 15/9/2019.
superfisialis 9.4/26/36260
post /448000 PCT Jawanban IPD
laparotomi 8 9/9/19 Jaga: Saran
histerektomi dpl debridement
subtotal 1 5,9/17.4/217 dan konsul
tahun yang 70/318000 bedah plastk.
lalu, dr. Andi 8/9/19
ANISAH Raber IPD
211D 55 4417942 adenokarsino Darma Putra, Alb 2,25
SAADIYAH Gastro, Rawat
ma serosum SpOG (K)
papiler DPL 7/9/19 luka,
perbaikan KU,
progresif, 9,7/27,4/269 antbiotk
sepsis, intake 50/272000
albumin 1,84 sesuai hasil
sulit, riwayat
hematemesis DPL 5/9/2019 kultur
melena ec 8.7/24/43540
gastrits erosif /279000 LAB
4/9/19 dpl
7.3/20.9/488
00/293000
PT 1.2X/APTT
1.5x/ PCT
0.79/ SGOT
21/SGPT 23/
ur 51.6/cr
0.9/ Na 124/K
3.6/cl 94.3/
albumin 1.71
20/9/2019
Albumin 2.27.
19/9/2019
Albumin 2.24
15/9/2019
Albumin 1.99.
DPL Senin cek
(27/8/19) :
NOK suspek elektrolit dan
10.5/30/8940
maligna, dr. Kartwa albumin.
/478000,
214A Dwi Widya 24 4337478 hipoalbumin, Hadi N, transfusi
Alb : 2.21, E :
hiponatremia, SpOG(K) albumin,
129/3.3/104
intake sulit raber gizi
klinik
8/9/19
DPL
8,5/24/10.22
0/646.000
e 121/3,5/94
GDS 74
Ur/Cr 68/1.0
Alb 1,79
OT/PT 6/6
Lab
21/9/2019
10,6/32/9750
/334000.
Fibrinogen
414 d-Dimer
3440. LAB
13/9/2019
Ureum 25
Creatnin 0.7.
12/9/2019
LDH 1255.
AFP 3. CEA
3.1 Ca 19-9
39. Ca 125
97 b hcg
Abdominam 2.14. Konsul bedah
mass suspek 11/9/2019 vaskular
malignancy elektrolit Senin,
dd/ mioma 11/32/19490 Rencana
uteri, dengan
akut on CKD Dr. dr. Laila /2680007/9/ family
Ny. Kresna
214D 53 4426537 Nuranna, 19 meetng
Aritonang post HD,
hidronefrosis SpOG(K) DPL Senin,
12,1/34/14.7 rencana
bilateral,
90/432.000 pertmbangan
hiponatremia, OT/PT 29/15 laparotomi
hiperkalemia Alb 2,96 biopsy
pasca koreksi Ur/Cr
193/15,2
GDS 75
e 121/7,4/86
8/9/19
Fosfat 2,95
e 121/5,6/91
Ur/Cr
135/10,4
LAB
(10/9/19) e:
121/5,9/86,7,
ureum/creati
nin:
169,6/13,3
dr. T. Dewi dr. Kartwa

206A, 206B,
Anggraeni, 206E Hadi N, 214A
SpOG(K) SpOG(K)
Dr. dr. Laila Dr. dr.

Nuranna, 214D Hariyono W,
SpOG(K) SpOG (K)
205A
Prof. Dr. dr. Dr. dr. Tofan
Andrijono, 204 B, 204C W Utami,
SpOG(K) SpOG(K)
Dr. dr. Dr. dr. Gatot

Fitriyadi K, 207C Purwoto,
SpOG(K) SpOG(K)
Dr. dr. Sigit

Purbadi, 205C, 210A
SpOG(K)
dr. Andi
Darma Putra,
SpOG (K) 205E, 211D
Prof. Dr. dr. DPL

204B Gusnarita 36 4380884 PTM High Risk Andrijono, 11,1/32,6/4140/4
SpOG(K) 81000
POD II post SOD

(VC) dilanjutkan DPL Post op
apendiktomi, (20/9/2019)
biopsi omentum 12,7/36/9740/51
atas indikasi
Andwiananta Dr. dr. Hariyono W, 1000 Albumin
205A 16 4385870 tumor ovarium
Ratunissa SpOG (K) 2.57 Ureum 20
musinosum Creatnin 0.5
borderline, elektrolit
hipoalbumin (2.5) 128/3.9/98
hiponatremia
(129)
lab post op: DPL

11.7/32.8/13090/
radikal 13/37/10530/237
Dr. dr. Sigit
205B Emah 51 4367215 limfadenektomi Purbadi, SpOG(K) 13 Albumin 3.78
inguinal kiri dan Cr 0.7 Ureum 31
stadium IB 13.5/38/11.940/2
01.000, alb:4.1,
Ur/Cr :36.1/0.75
DPL 15/9/19
205E Sixse Susana 30 4387778 ca cervix IB 11,8/37.8/7180/3
dr. Andi Darma 16000
Putra, SpOG (K)
Ca Ovarium dr. Kartwa Hadi N, DPL (10/9/19)

206A Icih 60 4387345 dengan ascites, on SpOG(K) 10.9/35/5560/56
pigtail 0000
Lab 21/9/2019
Ca cervix stadium
IIIB, CKD on DJ 9.9/29/11620/18
8.000//85/28/33
Anemia DPL
normositk dr. Kartwa Hadi N, 7,6/22,5/11640/2
206B Mukliyani 45 4362795 normokrom ec
penyakit kronik, SpOG(K) 22000, PT/APTT
0,9x/1,1x, e:
Ca pain (VAS 3), 136/4,7/101,
suspek TB paru SGOT/SGPT: 21/8,
dd/metastasi
paru, Intake sulit ureum/creatnin:
122/2,8, GDS: 99
16/9/19
Cairan pleura :
BTA negatif, tidak
ditemukan
kuman
RBC 13.000
sel/uL,
Ca cervix IIIB mikroskopik
suspek progresif, tampak
pasca radiasi eritrofagositosis,
lengkap, dyspneu dr. T. Dewi kesan exudat
206E Aty Murtat 54 4274490 Anggraeni,
ec efusi pleura UL : kesan
SpOG(K)
bilateral post tercemar
tapping, suspek
meta paru DPL 15/9/2019
10/30/12630/365
000.
Albumin 3.8 GDS
151 elektrolit
135/4/95. SGOT
28 SGPT 18Ureum
21 Creatnin 0.8
Kultur dasar luka :

Enterobacter
kulit regio inguinal 10.8/33.4/15970/
kiri, dengan luka Dr. dr. Fitriyadi K,
leukositosis albumin 2,9/ ur
reaktf, susp DVT 46/cr 0.9, LDH
327/GDS 111
13/09/19
DPL
13,4/39,4/6530/2
Endometrial 09000, PT/APTT:
Stromal Sarcoma Dr. dr. Sigit
210A Tan Lee Mie 55 4308003 0,9x/0,9x, sgot/pt:
residif di dinding Purbadi, SpOG(K) 22/13, ur/cr:
abdomen 19,9/0,6, alb: 4,7,
GDS:141, Ca 125:
9,7
20/9/2019
10,6/29/29910/4
37000 PCT 51
17/9/19
DPL
12,2/34,1/31.770
/561.000//79/28/
35
DPL 15/9/2019.
histerektomi 9/9/19 dpl
subtotal 1 tahun 5,9/17.4/21770/3
yang lalu, 18000 8/9/19
adenokarsinoma Alb 2,25
dr. Andi Darma
211D ANISAH SAADIYAH 55 4417942 serosum papiler Putra, SpOG (K)
progresif, sepsis, DPL 7/9/19
intake sulit, 9,7/27,4/26950/2
riwayat 72000 albumin
hematemesis 1,84 DPL
melena ec 5/9/2019
9000 LAB 4/9/19
dpl
7.3/20.9/48800/2
93000 PT
1.2X/APTT 1.5x/
PCT 0.79/ SGOT
21/SGPT 23/ ur
51.6/cr 0.9/ Na
124/K 3.6/cl 94.3/
albumin 1.71
20/9/2019
Albumin 2.27.
19/9/2019
Albumin 2.24
15/9/2019
Albumin 1.99.
DPL
(27/8/19) :
NOK suspek 10.5/30/8940/47
maligna, 8000, Alb : 2.21, E
dr. Kartwa Hadi N, : 129/3.3/104
214A Dwi Widya 24 4337478 hipoalbumin, SpOG(K)
hiponatremia,
intake sulit 8/9/19
DPL
8,5/24/10.220/64
6.000
e 121/3,5/94
GDS 74
Ur/Cr 68/1.0
Alb 1,79
OT/PT 6/6
Lab 21/9/2019
10,6/32/9750/33
4000. Fibrinogen
414 d-Dimer
3440. LAB
13/9/2019
Ureum 25
Creatnin 0.7.
12/9/2019 LDH
1255. AFP 3. CEA
3.1 Ca 19-9 39.
suspek 2.14. 11/9/2019
malignancy dd/ elektrolit
mioma uteri, 11/32/19490/268
dengan akut on 0007/9/19
214D 53 4426537 CKD post HD, DPL
bilateral, 32.000
GDS 75
e 121/7,4/86
8/9/19
Fosfat 2,95
e 121/5,6/91
Ur/Cr 135/10,4
LAB (10/9/19) e:
121/5,9/86,7,
ureum/creatinin:
169,6/13,3

Anggraeni, 206E SpOG(K)
SpOG(K)
214D
Nuranna, SpOG(K) SpOG (K)
Andrijono, 204 B, 204C
Utami, SpOG(K)
SpOG(K)
Dr. dr. Fitriyadi K, Dr. dr. Gatot
207C
Dr. dr. Sigit

Purbadi, SpOG(K) 205C, 210A
dr. Andi Darma

Putra, SpOG (K) 205E, 211D
Target
pulang
Perawatan post
op, koreksi
albumin
Rawat luka
rencana
histerektomi
radikal hari senin
23/9/19
Rencana pasang
pleural drain
Senin 23/9/2019
oleh pulmo
Rencana RPG dari

urologi. Rencana
CT UROGRAFI
Raber Pulmo,
perawatan paliatf,
target homecare
Follow up bedah
digestf untuk
keputusan
ileostomi, konsul
bedah vaskular
Senin
Operasi Wide
excision dan
rekonstruksi Join
Bedah Plastk
tanggal
23/9/2019
Jawanban IPD
Jaga: Saran
debridement dan
konsul bedah
plastk. Raber
IPD Gastro, Rawat
luka, perbaikan
KU, antbiotk
sesuai hasil kultur
Senin cek
elektrolit dan
albumin. transfusi
albumin, raber gizi
klinik
Konsul bedah
vaskular Senin,
Rencana family
meetng Senin,
rencana
pertmbangan
laparotomi biopsy
206A, 206B, 214A
205A
Ca cervix Dr. dr. Laila DPL
204A S.Hernawat 50 4267679 Kemoterapi, pulang
residif Nuranna, SpOG(K) 11,6/34,4/4400/232000
Prof. Dr. dr. DPL
204B Gusnarita 36 4380884 PTM High Risk Andrijono, Kemoterapi
11,1/32,6/4140/481000
SpOG(K)
Prof. Dr. dr. DPL (16/9/2019)
204C Desi Mulyandari 23 4417063 PTM High Risk Andrijono, Kemoterapi
13.6/41/4990/269000
SpOG(K)
dr. Hariyono W, 19/9/19
204D Sumiat 38 4381819 PTM High Risk Dr. DPL Kemoterapi, pulang
SpOG (K) 11,4/33,9/6750/176000
Ca ovarium Dr. dr. Laila 4/9/2019 DPL:
204E Tarumi 51 4368047 Kemoterapi, pulang
advance stage Nuranna, SpOG(K) 10,1/32,5/7200/429000
Ca ovarium Dr. dr. Tofan W 11/9/2019

204F Adni Nasuton 43 4399655 advance stage Utami, SpOG(K) DPL:12,1/37/5280/465000 Kemoterapi, pulang
POD 11 post
radikal lab post op: DPL
hemivulvekto 11.7/32.8/13090/218000
mi, DPL 6/9/2019
limfadenekto 13/37/10530/237000
mi inguinal Dr. dr. Sigit
205B Emah 51 4367215 SGOT 15 SGPT 13 Albumin Rawat luka
kiri dan Purbadi, SpOG(K) 3.78 Cr 0.7 Ureum 31 GDS
rekonstruksi 123 DPL (10/8/19):
vulva ai Ca 13.5/38/11.940/201.000,
vulva stadium alb:4.1, Ur/Cr :36.1/0.75
IB dengan
wound break
rencana histerektomi
dr. Andi Darma DPL 15/9/19
205E sixse susana 30 4387778 ca cervix IB radikal hari senin
Putra, SpOG (K) 11,8/37.8/7180/316000 23/9/19
Ca Ovarium pro torakosentesis

dengan dr. Kartwa Hadi N, DPL (10/9/19)
206A Icih 60 4387345 oleh pulmo, pro
ascites, on SpOG(K) 10.9/35/5560/560000 pungsi ascites
pigtail
Ca cervix
stadium IIIB,
CKD on DJ
stent kanan,
Anemia LAB 20/9/19 : DPL
normositk 7,6/22,5/11640/222000, Konsul IPD jaga,
normokrom dr. Kartwa Hadi N, PT/APTT 0,9x/1,1x, e:
206B Mukliyani 45 4362795 tranfusi PRC hingga
ec penyakit SpOG(K) 136/4,7/101, SGOT/SGPT: Hb>10
kronik, Ca 21/8, ureum/creatnin:
pain (VAS 3), 122/2,8, GDS: 99
TB paru
dd/metastasi
paru, Intake
sulit
16/9/19
Cairan pleura : BTA
negatif, tidak ditemukan
Ca cervix IIIB kuman
suspek RBC 13.000 sel/uL,
progresif, mikroskopik tampak
pasca radiasi
eritrofagositosis, kesan Rencana konsul
lengkap, dr. T. Dewi exudat paliatf, Raber pulmo,
206E Aty Murtat 54 4274490 dyspneu ec Anggraeni, UL : kesan tercemar kirim cairan pleura ke
efusi pleura SpOG(K) sitologi
bilateral post
DPL 15/9/2019
tapping, 10/30/12630/365000.
suspek meta Albumin 3.8
paru GDS 151 elektrolit
135/4/95. SGOT 28 SGPT
18Ureum 21 Creatnin 0.8
Ca cervix dd/
ca
endometrium
metastasis
post htSOS 7 17/09/2019
bulan lalu DPL :
diluar 4,3/15/21.740/618.000//6
- Anemia 7/19/28 perbaikan KU,
gravis hb 4,3 dr. Andi Darma PT/APTT : 0,9/1,1
207A Nurhayat 54 4382218 transfusi target
- ca pain vas 3 Putra, SpOG (K) e : 134/3.0/115 Hb>10g/dL
- Intake sulit OT/PT : 11/8
- Abses kulit Alb : 2,77
dd/ Ur/Cr : 29/0,5
metastasis GDS 90
kulit
- Hipokalemia
3.0
Ca cervix
residif dengan Kultur dasar luka : Raber digestf, Follow
metastasis Enterobacter aerogenes, E up CT abdomen,
kulit regio coli Lab 9/9/19 DPL
inguinal kiri, Dr. dr. Fitriyadi K, 10.8/33.4/15970/302000 pertmbangan
207C HJ. Nurul Huda 61 4379337 ileostomi dari Bedah
dengan luka SpOG(K) Na 133/K 3.9/ Cl 110/ digestf meropenem
terbuka, SGOT16/SGPT 11/ albumin sesuai kultur dasar
hipoalbumin, 2,9/ ur 46/cr 0.9, LDH luka
leukositosis 327/GDS 111
reaktf
13/09/19
Endometrial DPL Operasi Wide
Stromal 13,4/39,4/6530/209000, excision dan
Sarcoma Dr. dr. Sigit
210A Tan Lee Mie 55 4308003 Purbadi, SpOG(K) PT/APTT: 0,9x/0,9x, rekonstruksi Join
residif di sgot/pt: 22/13, ur/cr: Bedah Plastk
dinding 19,9/0,6, alb: 4,7, tanggal 23/9/2019
abdomen GDS:141, Ca 125: 9,7
DPL (19/9/19)
Ca ovarium Dr. dr. Hariyono W, 7,6/22,2/3190/117000, Transfusi PRC hingga
211B Endang 54 4365317 stadium IIIC SpOG (K) Lab 12/9/2019 Ca 125: Hb>10
15,4
17/9/19
DPL
12,2/34,1/31.770/561.00
0//79/28/35
ILO DPL 15/9/2019.
superfisialis 9.4/26/36260/448000 PCT
post 8 9/9/19 dpl
laparotomi 5,9/17.4/21770/318000
histerektomi 8/9/19 Raber IPD Gastro,
subtotal 1 Alb 2,25 Rawat luka,
ANISAH tahun yang dr. Andi Darma
211D 55 4417942 perbaikan KU,
SAADIYAH lalu, Putra, SpOG (K) DPL 7/9/19 antbiotk sesuai hasil
adenokarsino 9,7/27,4/26950/272000 kultur
ma serosum albumin 1,84 DPL
papiler 5/9/2019
progresif, 8.7/24/43540/279000 LAB
sepsis, intake 4/9/19 dpl
sulit, anemia 7.3/20.9/48800/293000
PT 1.2X/APTT 1.5x/ PCT
0.79/ SGOT 21/SGPT 23/
ur 51.6/cr 0.9/ Na 124/K
3.6/cl 94.3/ albumin 1.71
15/9/2019 Albumin 1.99.

DPL (27/8/19) :
10.5/30/8940/478000, Alb
: 2.21, E : 129/3.3/104
NOK suspek
maligna, 8/9/19
hipoalbumin, dr. Kartwa Hadi N, DPL transfusi albumin,
214A Dwi Widya 24 4337478 SpOG(K) raber gizi klinik
hiponatremia, 8,5/24/10.220/646.000
intake sulit e 121/3,5/94
GDS 74
Ur/Cr 68/1.0
Alb 1,79
OT/PT 6/6
LAB 13/9/2019 Ureum 25

Creatnin 0.7. 12/9/2019
LDH 1255. AFP 3. CEA 3.1
Ca 19-9 39. Ca 125 97 b
hcg 2.14. 11/9/2019
elektrolit
Abdominam 11/32/19490/2680007/9/
mass suspek 19
malignancy DPL
dd/ mioma 12,1/34/14.790/432.000
uteri, dengan OT/PT 29/15 Rencana CT Scan
Ny. Kresna akut on CKD Dr. dr. Laila Alb 2,96
214D 53 4426537 thorax, menunggu
Aritonang post HD, Nuranna, SpOG(K) Ur/Cr 193/15,2 hasil
hidronefrosis GDS 75
bilateral, e 121/7,4/86
hiponatremia,
hiperkalemia 8/9/19
pasca koreksi Fosfat 2,95
e 121/5,6/91
Ur/Cr 135/10,4
LAB (10/9/19) e:
121/5,9/86,7,
ureum/creatinin:
169,6/13,3
Anggraeni, 206D, 206E 206F, 214A
SpOG(K)
SpOG(K)
Dr. dr. Laila

204 D, 214B, 214D Dr. dr. Hariyono W, SpOG
Nuranna, (K)
SpOG(K)
205A, 210B
Prof. Dr. dr. 204 B, 204C, Dr. dr. Tofan W Utami,
Andrijono, 207B, 110B SpOG(K)
SpOG(K)
Dr. dr. Dr. dr. Gatot Purwoto,

Fitriyadi K, 207C, 211A SpOG(K)
SpOG(K)
204A, 204E
Dr. dr. Sigit
Purbadi, 205C, 205D
SpOG(K)
dr. Andi
Darma Putra, 206C, 207A, 211D,
SpOG (K) 519C
Dr. dr. Gatot

204A suwarni 43 4383415 Ca vulva Purwoto, DPL 10.3/31/9770/566000
SpOG(K)
Prof. Dr. dr.

204B Mulyani 43 4387992 Ca cer vix Andrijono, DPL 11.6/36/7870/281000
SpOG(K)
Prof. Dr. dr. DPL (16/9/2019)

204C Desi Mulyandari 23 4417063 PTM High Risk Andrijono, 13.6/41/4990/269000
SpOG(K)
13/9/19
Dr. dr. Laila DPL
204D Susi Listyawat 29 4382577 PTM High Risk Nuranna, 11,5/35/8/4.360/348.000/77/24/
SpOG(K) 32
Dr. dr. Gatot

204E Mayeni 61 4385898 ca cervix IIB Purwoto, 18/9/2019 13.9/40/3730/266.000
SpOG(K)
dr. Kartwa
204F Sung Phin Moy 60 4384464 Ca Endometrium Hadi N, 12.4/36/13200/314000
SpOG(K)
DPL (16/9/19)
Dr. dr.
NOK suspek maligna, 12,8/36,6/8250/518000 SGOT 25
205A Andwiananta R 16 4385870 Hariyono W,
hipoalbuminemia SGPT 16 albumin 2,14 Ur 15,5 cr
SpOG (K) 0,6 Na 130 K 3,7 C 102
17/09/19
POD 4 Post laparotomi adhesiolisis Dr. dr. Sigit e : 136/4,2/108, Alb : 1,98
surgical staging ai Ca ovarium clinically Purbadi,
205C Fathurohmah 49 4382139 DPL post op (16/9/2019)
early stage SpOG(K) 10,3/29,6/11.470/494.000//77/27
hipoalbuminemia (1,5) /34
lab post op: DPL

11.7/32.8/13090/218000 DPL
POD 11 post radikal hemivulvektomi, Dr. dr. Sigit 6/9/2019 13/37/10530/237000
limfadenektomi inguinal kiri dan SGOT 15 SGPT 13 Albumin 3.78 Cr
205D Emah 51 4367215 rekonstruksi vulva ai Ca vulva stadium Purbadi, 0.7 Ureum 31 GDS 123 DPL
SpOG(K)
IB dengan wound break (10/8/19):
13.5/38/11.940/201.000, alb:4.1,
Ur/Cr :36.1/0.75
dr. Andi
205E sixse susana 30 4387778 ca cervix IB Darma Putra, DPL 15/9/19
11,8/37.8/7180/316000
SpOG (K)
17/09/2019
Ca cerviks st IIB dengan NOK suspek DPL
maligna (RMI 25119), dengan : dr. Andi
206C Yant 39 4373107 - anemia ec riwayat perdarahan Darma Putra, 3,4/13,4/10.280/129.000//62/16/
- thrombocitopenia ec perdarahan SpOG (K) 25
OT/PT 36/11, Ur/Cr 13,7/0,6
ca pain VAS 3 GDS 104, LDH 891, Alb 3,74
DPL 16/9/19
11,5/34,5/21090/282000 DPL
(15/9/2019):
dr. T. Dewi
Ca cervix IIIB, anemia, hipoalbumin, 9.2/27/18990/257000
206D Selvia Yuliana 27 4383457 Anggraeni,
hiponatremia, hipokalemia DPL (14/9/19) :
SpOG(K)
8/23/20310/277000, Albumin :
1.4, SGOT/PT : 37/19, Ur/Cr :
19.5/0.8, E :129/3.1/98
16/9/19
Cairan pleura : BTA negatif, tidak
ditemukan kuman
RBC 13.000 sel/uL, mikroskopik
tampak eritrofagositosis, kesan
Ca cervix IIIB suspek progresif, pasca
dr. T. Dewi exudat
radiasi lengkap, dyspneu ec efusi
206E Aty Murtat 54 4274490 Anggraeni, UL : kesan tercemar
pleura bilateral post tapping, suspek SpOG(K)
10/30/12630/365000.
Albumin 3.8 GDS 151 elektrolit
135/4/95. SGOT 28 SGPT
18Ureum 21 Creatnin 0.8
dr. Kartwa DPL (10/9/19)

206A Icih 60 4387345 Ca Ovarium dengan ascites, on pigtail Hadi N, 10.9/35/5560/560000
SpOG(K)
17/09/2019
Ca cervix dd/ ca endometrium DPL :
metastasis post htSOS 7 bulan lalu 4,3/15/21.740/618.000//67/19/2
diluar
8
- Anemia gravis hb 4,3 dr. Andi
Darma Putra, PT/APTT : 0,9/1,1
207A Nurhayat 54 4382218 - ca pain vas 3 e : 134/3.0/115
- Intake sulit SpOG (K) OT/PT : 11/8
- Abses kulit dd/ metastasis kulit Alb : 2,77
- Hipokalemia 3.0
Ur/Cr : 29/0,5
GDS 90
ca ovarium advance stage post HTSOB Prof. Dr. dr. DPL (19/9/19 ):
207B Marfuah 49 4418890 surgical staging, asites, trombositosis Andrijono, 11,4/33,8/11870/552000 alb
SpOG(K) 3.38/Na 140/K 3,8/Cl 106
Kultur dasar luka : Enterobacter

Ca cervix residif dengan metastasis aerogenes, E coli Lab 9/9/19 DPL
Dr. dr.
kulit regio inguinal kiri, dengan luka 10.8/33.4/15970/302000 Na
207C HJ. Nurul Huda 61 4379337 Fitriyadi K,
terbuka, hipoalbumin, leukositosis 133/K 3.9/ Cl 110/ SGOT16/SGPT
SpOG(K)
reaktf 11/ albumin 2,9/ ur 46/cr 0.9, LDH
327/GDS 111
16/09/19
DPL
POD III post laparotomi SOS-VC, Dr. dr.
11,6/36/10.270/377.000//81/26/
210B Lie Evy 62 4363559 dilanjutkan complete surgical staging Hariyono W, 33
atas indikasi Ca ovarium IC SpOG (K) Alb : 2,63
e : 136/5.0/102
DPL (19/9/19)
9.1/26/6180/202000
(17/9/2019)
DPL :
Dr. dr.
Ca cervix residif, anemia, leukopenia, 7,5/21,5/8.900/87.000//84/29/3
211A S. Hernawat 50 4267679 Fitriyadi K,
trombositopenia 4
SpOG(K) Neutrofil 94,5
DPL (13/9/19)
10,8/31,8/2260/20000
17/9/19
DPL
12,2/34,1/31.770/561.000//79/2
8/35
DPL 15/9/2019.
9.4/26/36260/448000 PCT 8
9/9/19 dpl
ILO superfisialis post laparotomi dr. Andi 5,9/17.4/21770/318000 8/9/19
histerektomi subtotal 1 tahun yang
211D ANISAH SAADIYAH 55 4417942 lalu, adenokarsinoma serosum papiler Darma Putra, Alb 2,25
progresif, sepsis, intake sulit, anemia SpOG (K) DPL 7/9/19
9,7/27,4/26950/272000 albumin
1,84 DPL 5/9/2019
8.7/24/43540/279000 LAB 4/9/19
dpl 7.3/20.9/48800/293000 PT
21/SGPT 23/ ur 51.6/cr 0.9/ Na
124/K 3.6/cl 94.3/ albumin 1.71
15/9/2019 Albumin 1.99.

DPL (27/8/19) :
10.5/30/8940/478000, Alb : 2.21,
E : 129/3.3/104
dr. Kartwa
NOK suspek maligna, hipoalbumin, 8/9/19
214A Dwi Widya 24 4337478 Hadi N,
hiponatremia, intake sulit DPL 8,5/24/10.220/646.000
SpOG(K) e 121/3,5/94
GDS 74
Ur/Cr 68/1.0
Alb 1,79
OT/PT 6/6
DPL (4/9/19)
Dr. dr. Laila 12,8/38,2/5690/355000 Ur 33 Cr
214B Martana 74 4417869 Ca ovarium advanced stage, asites Nuranna, 0,7 albumin 3,24 SGOT 37 SGPT 13
SpOG(K) Ca 125 5781
LAB 13/9/2019 Ureum 25

Creatnin 0.7. 12/9/2019 LDH
1255. AFP 3. CEA 3.1 Ca 19-9 39.
Ca 125 97 b hcg 2.14.
11/32/19490/2680007/9/19
DPL 12,1/34/14.790/432.000
Abdominam mass suspek malignancy OT/PT 29/15
dd/ mioma uteri, dengan akut on CKD Dr. dr. Laila Alb 2,96
Ny. Kresna
214D 53 4426537 post HD, hidronefrosis bilateral, Nuranna, Ur/Cr 193/15,2
Aritonang hiponatremia, hiperkalemia pasca SpOG(K) GDS 75
koreksi e 121/7,4/86
8/9/19
Fosfat 2,95
e 121/5,6/91
Ur/Cr 135/10,4
LAB (10/9/19) e: 121/5,9/86,7,
DPL 10,9/30/8.030/485.000
Ca cervix stadium IIIB pasca radiasi GDS 117
lengkat 25+3, kemoterapi 3x terakhir e 128/3,8/98
6/19 dengan metastasi kulit, KBG dr. Andi
supraklavikula kiri dan KGB ingunal
519C ISWAHYUNINGSIH 45 4363647 Darma Putra, Ro : spondilorhtrosis lumbal
kanan, cancer pain VA 3-4 SpOG (K) dengan degeneratf disc 4-5
Paraplegia UMN, hipestesis T12 osteopenia
kebawah, propioseptf terganggu ec straight lumbal
suspek SOL dd/ metastasis spondilosis thorakalis
DPL (16/9/2019)
15/43/9490/396000 Ur/Cr 18/0.5
e 127/3.4/91 7/9/19 beta HCG
POD III post laparotomi SOS (VC) ai Prof. Dr. dr. <1,2 CEA 8,9 AFP 2,61 LDH 535
110B Mutara 14 4418294 teratoma matur kistk ovarium kiri Andrijono, DPL 5/9/19 9/27/9440/396000
dengan hipoalbumin (2.6) SpOG(K) albumin 3,46 Na 136 K 3,7 Cl 103
SGOT 15 SGPT 10 Ur 21,9 Cr 0,7
GDS 78
dr. T. Dewi Anggraeni, SpOG(K) 206D, 206E dr. Kartwa Hadi N, SpOG(K)
204 D, 214B, Dr. dr. Hariyono W, SpOG (K)
Dr. dr. Laila Nuranna, SpOG(K) 214D
204 B, 204C, Dr. dr. Tofan W Utami, SpOG(K)
Prof. Dr. dr. Andrijono, SpOG(K)
207B, 110B
Dr. dr. Fitriyadi K, SpOG(K) 207C, 211A Dr. dr. Gatot Purwoto, SpOG(K)
Dr. dr. Sigit Purbadi, SpOG(K) 205C, 205D
206C, 207A,
dr. Andi Darma Putra, SpOG (K) 211D, 519C
Target
Kemoterapi, pulang
Kemoterapi, pulang
Kemoterapi
Kemoterapi, pulang
Kemoterapi, pulang
Kemoterapi, pulang
R/ Laparotomi VC 20/9/19
picu sudah dapat
cek albumin, rencana pulang
Rawat luka
rencana histerektomi radikal hari senin 23/9/19
perbaikan KU, transfusi target Hb>10g/dL
Rencana pulang, rawat jalan dengan antbiotka

Rencana konsul paliatf, Raber pulmo, kirim cairan
pleura ke sitologi
pro torakosentesis oleh pulmo, pro pungsi ascites
perbaikan KU, transfusi target Hb>10g/dL
rencana pungsi asites
Raber digestf, Follow up CT abdomen,

pertmbangan ileostomi dari Bedah digestf
meropenem sesuai kultur dasar luka
perawatan post op
Transfusi PRC?
Raber IPD Gastro, Rawat luka, perbaikan KU,
antbiotk sesuai hasil kultur
transfusi albumin, raber gizi klinik
R/ Laparotomi VC 19/9/19
Rencana CT Scan thorax, menunggu hasil

Raber kapten neuro. Saat ini menjalani radiasi luar
paliatf
pulang
206F, 214A
205A, 210B
204A, 204E
DPL
Dr. dr. Gatot
204A Sit Rohamah 41 4366258 Ca Ovarium Purwoto, SpOG(K) 10.3/31/9770/56
6000
Prof. Dr. dr. DPL

204B Nursima 45 4387992 Ca cer vix Andrijono, 11.6/36/7870/28
SpOG(K) 1000
Prof. Dr. dr. DPL (16/9/2019)

Sandra Synthya Ca Cervix
204C 44 4417063 Andrijono, 13.6/41/4990/26
Devi Kemoterapi SpOG(K) 9000
13/9/19
DPL
Dr. dr. Laila
204D Susi Listyawat 29 4382577 PTM High Risk Nuranna, SpOG(K) 11,5/35/8/4.360/
348.000/77/24/3
2
18/9/2019
Dr. dr. Gatot
204E Diana Nur Sefa 31 4385898 PTM Purwoto, SpOG(K) 13.9/40/3730/26
6.000
Hoberthina Ca Endometrium dr. Kartwa Hadi N, 12.4/36/13200/3

204F 61 4384464
De'Fretes SpOG(K) 14000
DPL (16/9/19)
12,8/36,6/8250/5
NOK suspek 18000 SGOT 25
Dr. dr. Hariyono W,
205A Andwiananta R 16 4385870 maligna, SGPT 16 albumin
hipoalbuminemia SpOG (K) 2,14 Ur 15,5 cr 0,6
Na 130 K 3,7 C
102
POD 3 Post
17/09/19
laparotomi e : 136/4,2/108,
adhesiolisis Alb : 1,98
surgical staging ai Dr. dr. Sigit DPL post op
205C Fathurohmah 49 4382139 Ca ovarium
Purbadi, SpOG(K) (16/9/2019)
clinically early 10,3/29,6/11.470
stage /494.000//77/27/
hipoalbuminemia 34
(1,5)
lab post op: DPL

11.7/32.8/13090/
218000 DPL
POD X post radikal 6/9/2019
hemivulvektomi, 13/37/10530/237
limfadenektomi 000 SGOT 15 SGPT
inguinal kiri dan Dr. dr. Sigit
205D Emah 51 4367215 13 Albumin 3.78
rekonstruksi vulva Purbadi, SpOG(K) Cr 0.7 Ureum 31
ai Ca vulva GDS 123 DPL
stadium IB dengan (10/8/19):
wound break 13.5/38/11.940/2
01.000, alb:4.1,
Ur/Cr :36.1/0.75
Ca cerviks st IIB
dengan NOK 17/09/2019
suspek maligna
DPL
(RMI 25119), 3,4/13,4/10.280/
dengan : 129.000//62/16/2
- anemia ec dr. Andi Darma
206C Yant 39 4373107 5
riwayat Putra, SpOG (K)
OT/PT 36/11,
perdarahan Ur/Cr 13,7/0,6
- GDS 104, LDH
thrombocitopenia 891, Alb 3,74
ec perdarahan
ca pain VAS 3
DPL 16/9/19
11,5/34,5/21090/
282000 DPL
(15/9/2019):
Ca cervix IIIB,
9.2/27/18990/25
anemia, dr. T. Dewi 7000
206D Selvia Yuliana 27 4383457 hipoalbumin, Anggraeni, DPL (14/9/19) :
hiponatremia, SpOG(K) 8/23/20310/2770
hipokalemia
00, Albumin : 1.4,
SGOT/PT : 37/19,
Ur/Cr : 19.5/0.8, E
:129/3.1/98
16/9/19
Cairan pleura :
BTA negatif, tidak
ditemukan
kuman
RBC 13.000
sel/uL,
SpOG(K)
tapping, suspek
10/30/12630/365
000.
Albumin 3.8 GDS
151 elektrolit
135/4/95. SGOT
28 SGPT 18Ureum
21 Creatnin 0.8
DPL (10/9/19)
Ca Ovarium dr. Kartwa Hadi N, 10.9/35/5560/56
206F Icih 60 4387345 dengan ascites SpOG(K) 0000
Ca cervix dd/ ca
endometrium 17/09/2019
metastasis post DPL :
htSOS 7 bulan lalu 4,3/15/21.740/61
diluar 8.000//67/19/28
- Anemia gravis hb dr. Andi Darma PT/APTT : 0,9/1,1
207A Nurhayat 54 4382218 4,3 Putra, SpOG (K) e : 134/3.0/115
- ca pain vas 3 OT/PT : 11/8
- Intake sulit Alb : 2,77
- Abses kulit dd/ Ur/Cr : 29/0,5
metastasis kulit GDS 90
- Hipokalemia 3.0
12/9/19
DPL :
10,6/31,5/2.730/
Ca endometrium Prof. Dr. dr. 36.000//82/27/3
207B Sung Phin Moy 60 4386534 IIIC, Andrijono, 3
trombositopenia SpOG(K) OT/PT : 26/28
Ur/Cr : 31/1
GDS 137
e : 135/4,1/100
Kultur dasar luka :
Enterobacter
kulit regio inguinal Dr. dr. Fitriyadi K, 10.8/33.4/15970/
207C HJ. Nurul Huda 61 4379337 kiri, dengan luka SpOG(K) 302000 Na 133/K
terbuka, 3.9/ Cl 110/
leukositosis reaktf albumin 2,9/ ur
46/cr 0.9, LDH
327/GDS 111
POD III post 16/09/19

laparotomi SOS- DPL
VC, dilanjutkan Dr. dr. Hariyono W, 11,6/36/10.270/3
210B Lie Evy 62 4363559 complete surgical SpOG (K) 77.000//81/26/33
staging atas Alb : 2,63
indikasi Ca e : 136/5.0/102
ovarium IC
DPL (19/9/19)
9.1/26/6180/202
000 (17/9/2019)
DPL :
Ca cervix residif,
anemia, Dr. dr. Fitriyadi K, 7,5/21,5/8.900/8
211A S. Hernawat 50 4267679 7.000//84/29/34
leukopenia, SpOG(K) Neutrofil 94,5
trombositopenia
DPL (13/9/19)
10,8/31,8/2260/2
0000
17/9/19
DPL
12,2/34,1/31.770
/561.000//79/28/
35
DPL 15/9/2019.
9.4/26/36260/44
8000 PCT 8
9/9/19 dpl
ILO superfisialis 5,9/17.4/21770/3
post laparotomi 18000 8/9/19
histerektomi Alb 2,25
subtotal 1 tahun
yang lalu, dr. Andi Darma DPL 7/9/19
211D ANISAH SAADIYAH 55 4417942 adenokarsinoma Putra, SpOG (K) 9,7/27,4/26950/2
serosum papiler 72000 albumin
progresif, sepsis, 1,84 DPL
intake sulit, 5/9/2019
anemia 8.7/24/43540/27
9000 LAB 4/9/19
dpl
7.3/20.9/48800/2
93000 PT
1.2X/APTT 1.5x/
PCT 0.79/ SGOT
21/SGPT 23/ ur
51.6/cr 0.9/ Na
124/K 3.6/cl 94.3/
albumin 1.71
15/9/2019
Albumin 1.99.
DPL
(27/8/19) :
10.5/30/8940/47
8000, Alb : 2.21, E
NOK suspek : 129/3.3/104
maligna, dr. Kartwa Hadi N, 8/9/19
214A Dwi Widya 24 4337478 hipoalbumin, SpOG(K)
hiponatremia, DPL
intake sulit 8,5/24/10.220/64
6.000
e 121/3,5/94
GDS 74
Ur/Cr 68/1.0
Alb 1,79
OT/PT 6/6
DPL (4/9/19)
12,8/38,2/5690/3
Ca ovarium Dr. dr. Laila 55000 Ur 33 Cr
214B Martana 74 4417869 advanced stage, Nuranna, SpOG(K) 0,7 albumin 3,24
asites SGOT 37 SGPT 13
Ca 125 5781
LAB 13/9/2019
Ureum 25
Creatnin 0.7.
12/9/2019 LDH
1255. AFP 3. CEA
3.1 Ca 19-9 39.
Ca 125 97 b hcg
2.14. 11/9/2019
elektrolit
Abdominam mass 11/32/19490/268
suspek 0007/9/19
malignancy dd/ DPL
mioma uteri, 12,1/34/14.790/4
dengan akut on
Ny. Kresna Dr. dr. Laila 32.000
214D 53 4426537 CKD post HD,
Aritonang Nuranna, SpOG(K) OT/PT 29/15
hidronefrosis Alb 2,96
bilateral, Ur/Cr 193/15,2
hiponatremia, GDS 75
hiperkalemia e 121/7,4/86
pasca koreksi
8/9/19
Fosfat 2,95
e 121/5,6/91
Ur/Cr 135/10,4
LAB (10/9/19) e:
121/5,9/86,7,
ureum/creatinin:
169,6/13,3
Ca cervix stadium
IIIB pasca radiasi DPL
lengkat 25+3, 10,9/30/8.030/48
kemoterapi 3x 5.000
terakhir 6/19 GDS 117
dengan metastasi e 128/3,8/98
kulit, KBG
supraklavikula kiri Ro :
dan KGB ingunal dr. Andi Darma
519C ISWAHYUNINGSIH 45 4363647 spondilorhtrosis
kanan, cancer Putra, SpOG (K) lumbal dengan
pain VA 3-4 degeneratf disc 4-
Paraplegia UMN, 5
hipestesis T12 osteopenia
kebawah, straight lumbal
propioseptf spondilosis
terganggu ec thorakalis
suspek SOL dd/
metastasis
DPL (16/9/2019)
15/43/9490/3960
00 Ur/Cr 18/0.5 e
127/3.4/91
POD III post 7/9/19 beta HCG
laparotomi SOS
<1,2 CEA 8,9 AFP
(VC) ai teratoma Prof. Dr. dr. 2,61 LDH 535 DPL
110B Mutara 14 4418294 matur kistk Andrijono, 5/9/19
ovarium kiri SpOG(K) 9/27/9440/39600
dengan 0 albumin 3,46 Na
hipoalbumin (2.6)
136 K 3,7 Cl 103
SGOT 15 SGPT 10
Ur 21,9 Cr 0,7
GDS 78

Anggraeni, 206D, 206E SpOG(K)
SpOG(K)
Dr. dr. Laila 204 D, 214B, 214D Dr. dr. Hariyono W,
Prof. Dr. dr. 204 B, 204C, Dr. dr. Tofan W
Andrijono, 207B, 110B Utami, SpOG(K)
SpOG(K)
207C, 211A
Dr. dr. Sigit

Purbadi, SpOG(K) 205C, 205D
dr. Andi Darma 206C, 207A, 211D,

Putra, SpOG (K) 519C
Target
Kemoterapi,
pulang
Kemoterapi,
pulang
Kemoterapi,
pulang
Kemoterapi
Kemoterapi,
pulang
Kemoterapi,
pulang
R/ Laparotomi VC
19/9/19
HOM :
koreksi Albumin
(cek alb pagi ini)
koreksi nacl caps
3x1000mg, obat
kosong
Koreksi albumin,
perawatan post
op
Rawat luka
perbaikan KU,
transfusi target
Hb>10g/dL
Rencana pulang,
rawat jalan
dengan antbiotka
Rencana konsul
paliatf, Raber
pulmo, kirim
cairan pleura ke
sitologi
pro pungsi ascites
perbaikan KU,
transfusi target
Hb>10g/dL
perbaikan KU,
lanjut kemo
Raber digestf,
Follow up CT
abdomen,
pertmbangan
ileostomi dari
Bedah digestf
meropenem
sesuai kultur
dasar luka
perawatan post
op
Transfusi PRC?
Raber IPD Gastro,

Rawat luka,
perbaikan KU,
antbiotk sesuai
hasil kultur
transfusi albumin,
raber gizi klinik
R/ Laparotomi VC
19/9/19
Rencana CT Scan
thorax, menunggu
hasil
Raber kapten
neuro. Saat ini
menjalani radiasi
luar paliatf
Perawatan pasca
op
206F, 214A
205A, 210B
204A, 204E
12/9/19
DPL
10,9/29,9/4.310/
Ca ovarium 304.000//83/30/
stadium Ia pasca Dr dr Laila 36
204A Tut Linda 53 4082335 laparatomi Nuranna SpOG K OT/PT21/25, Alb :
surgical staging 4,16, Ur/Cr :
20/0,8
GDS : 91
e : 139/4,3/107
13/9/19
DPL
Ca ovarium, Dr dr Laila
204B HARYATI 40 43883-0 10,9/34,4/6.440/
advanced stage Nuranna SpOG K 184.000//70/22/
31
DPL (16/9/19)
10,4/31,1/5460/1
27000 DPL
14/9/2019
Ca ovarium, dr. Kartwa Hadi N, 7.7/22/5170/120
204C Maria Kiftia 43 4381302 anemia, 000.
SpOG(K)
trombositopenia DPL (11/9/19) :
6.7/20.3/4690/11
6000, Ur/Cr :
14.8/0.6, E :
133/3.8/97.9
13/9/19
DPL
Dr dr Laila
204D Susi Listyawat 29 4382577 PTM High Risk 11,5/35/8/4.360/
Nuranna SpOG K
348.000/77/24/3
2
16/9/19
Dr. dr. Sigit DPL
204E SUMARNI 52 4386381 Ca cervix st.IIIB Purbadi, SpOG(K) 10,5/33/5.120/37
1.000//75/23/31
DPL (16/9/19)
11,7/35/13390/1
90000 DPL
15/9/2019:
10.3/31/2040/15
Ca ovarium, dr. Andi Darma 4000.
204F Rahayu Dwi 56 3208025 anemia Putra, SpOG (K) DPL (12/9/19) :
8.9/26.6/3580/17
3000, SGOT/PT :
15/19, Albumin
4.2, Ur?cr :
29.4/0.7
DPL (16/9/19)
12,8/36,6/8250/5
dr. Kartwa Hadi N,
SpOG(K)
hipoalbuminemia 2,14 Ur 15,5 cr 0,6
Na 130 K 3,7 C
102
POD 2 Post
laparotomi 17/09/19
adhesiolisis e : 136/4,2/108,
surgical staging ai Dr. dr. Sigit Alb : 1,98
205C Fathurohmah 49 4382139 Ca ovarium DPL :
Purbadi, SpOG(K)
clinically early 10,3/29,6/11.470
stage /494.000//77/27/
hipoalbuminemia 34
(1,5)
lab post op: DPL

11.7/32.8/13090/
218000 DPL
POD VIII post 6/9/2019
radikal 13/37/10530/237
205D Emah 51 4367215 inguinal kiri dan Purbadi, SpOG(K) 13 Albumin 3.78
Cr 0.7 Ureum 31
stadium IB 13.5/38/11.940/2
01.000, alb:4.1,
Ur/Cr :36.1/0.75
NOK suspek ca DPL

ovarium advanced Dr. dr. Tofan W
206A Lenah 50 4418243 10/33/1140/9730
stage, Utami, SpOG(K) 00 Albumin 2.47
hipoalbumin
Ca cerviks st IIB
dengan NOK 17/09/2019
suspek maligna DPL
(RMI 25119), 3,4/13,4/10.280/
dengan :
- anemia ec dr. Andi Darma 129.000//62/16/
206C Yant 39 4373107 25
riwayat Putra, SpOG (K) OT/PT 36/11,
perdarahan Ur/Cr 13,7/0,6
- GDS 104, LDH
thrombocitopenia
891, Alb 3,74
ec perdarahan
ca pain VAS 3
DPL 16/9/19
11,5/34,5/21090/
282000 DPL
(15/9/2019):
Ca cervix IIIB, 9.2/27/18990/25
anemia, dr. T. Dewi
7000
hipokalemia 00, Albumin : 1.4,
SGOT/PT : 37/19,
Ur/Cr : 19.5/0.8, E
:129/3.1/98
16/9/19
Cairan pleura :
BTA negatif, tidak
ditemukan
kuman
RBC 13.000
sel/uL,
SpOG(K)
tapping, suspek
10/30/12630/365
000.
Albumin 3.8 GDS
151 elektrolit
135/4/95. SGOT
28 SGPT 18Ureum
21 Creatnin 0.8
17/09/2019
DPL
10,4/31,6/28.680
/234.000//78/25/
32
Ca cervix stadium
IIB dengan DPL (16/9/19)
masalah intake dr. T. Dewi 9,1/28/6290/286
206F Harmaiyulis 52 4360038 sulit, anemia (Hb Anggraeni, 000 DPL
4) SpOG(K) (15/9/2019) :
Leukositosis 4/13/5350/33500
reaktf dd/ infektf 0 Ur/Cr 15/0.6
GDS99
SGOT/SGPT 15/6
elektrolit
137/4/105
Ca cervix dd/ ca
endometrium 17/09/2019
metastasis post DPL :
htSOS 7 bulan lalu 4,3/15/21.740/61
diluar 8.000//67/19/28
- Anemia gravis hb dr. Andi Darma PT/APTT : 0,9/1,1
207A Nurhayat 54 4382218 4,3 Putra, SpOG (K) e : 134/3.0/115
- ca pain vas 3 OT/PT : 11/8
- Intake sulit Alb : 2,77
- Abses kulit dd/ Ur/Cr : 29/0,5
metastasis kulit GDS 90
- Hipokalemia 3.0
12/9/19
DPL :
10,6/31,5/2.730/
Ca endometrium Prof. Dr. dr. 36.000//82/27/3
207B Sung Phin Moy 60 4386534 IIIC, Andrijono, 3
trombositopenia SpOG(K) OT/PT : 26/28
Ur/Cr : 31/1
GDS 137
e : 135/4,1/100
Kultur dasar luka :
Enterobacter
207C HJ. Nurul Huda 61 4379337 kiri, dengan luka SpOG(K) 302000 Na 133/K
terbuka, 3.9/ Cl 110/
46/cr 0.9, LDH
327/GDS 111
Ca Cervix IIIB,
metastasis
endometrium, DPL 15/9/2019
ovarium dd NOK dr. T. Dewi 8.5/25/8550/260
suspek maligna
207F Diah Hastut 60 4379573 Anggraeni, 000 Ureum 72 Cr
(RMI 1653) dd SpOG(K) 1.7 elektrolit
double primer, 142/3.5/104
Anemia (Hb 8.5),
intake sulit on
NGT
POD II post 16/09/19

laparotomi SOS- DPL
VC, dilanjutkan DR.dr. Hariyono, 11,6/36/10.270/3
210B Lie Evy 62 4363559 complete surgical SpOG(K) 77.000//81/26/33
staging atas Alb : 2,63
indikasi Ca e : 136/5.0/102
ovarium IC
17/9/2019
DPL :
7,5/21,5/8.900/8
Ca cervix residif, 7.000//84/29/34
anemia, Dr. dr. Fitriyadi K, Neutrofil 94,5
211A S. Hernawat 50 4267679 leukopenia, SpOG(K)
trombositopenia DPL (13/9/19)
10,8/31,8/2260/2
0000
17/9/19
DPL
12,2/34,1/31.770
/561.000//79/28/
35
DPL 15/9/2019.
9.4/26/36260/44
8000 PCT 8
9/9/19 dpl
ILO superfisialis 5,9/17.4/21770/3
post laparotomi 18000 8/9/19
histerektomi Alb 2,25
subtotal 1 tahun
yang lalu, dr. Andi Darma DPL 7/9/19
211D ANISAH SAADIYAH 55 4417942 adenokarsinoma Putra, SpOG (K) 9,7/27,4/26950/2
serosum papiler 72000 albumin
progresif, sepsis, 1,84 DPL
intake sulit, 5/9/2019
anemia 8.7/24/43540/27
9000 LAB 4/9/19
dpl
7.3/20.9/48800/2
93000 PT
1.2X/APTT 1.5x/
PCT 0.79/ SGOT
21/SGPT 23/ ur
51.6/cr 0.9/ Na
124/K 3.6/cl 94.3/
albumin 1.71
15/9/2019
Albumin 1.99.
DPL
(27/8/19) :
10.5/30/8940/47
8000, Alb : 2.21, E
NOK suspek : 129/3.3/104
maligna, Dr. dr. Tofan W
214A Dwi Widya 24 4337478 hipoalbumin, 8/9/19
Utami, SpOG(K)
hiponatremia, DPL
intake sulit 8,5/24/10.220/64
6.000
e 121/3,5/94
GDS 74
Ur/Cr 68/1.0
Alb 1,79
OT/PT 6/6
DPL (4/9/19)
12,8/38,2/5690/3
asites SGOT 37 SGPT 13
Ca 125 5781
LAB 13/9/2019
Ureum 25
Creatnin 0.7.
12/9/2019 LDH
1255. AFP 3. CEA
3.1 Ca 19-9 39.
Ca 125 97 b hcg
2.14. 11/9/2019
elektrolit
suspek 0007/9/19
malignancy dd/ DPL
mioma uteri, 12,1/34/14.790/4
dengan akut on
214D 53 4426537 CKD post HD,
pasca koreksi
8/9/19
Fosfat 2,95
e 121/5,6/91
Ur/Cr 135/10,4
LAB (10/9/19) e:
121/5,9/86,7,
ureum/creatinin:
169,6/13,3
Ca cervix stadium
lengkat 25+3, 10,9/30/8.030/48
kemoterapi 3x 5.000
kulit, KBG
Paraplegia UMN, 5
suspek SOL dd/
metastasis
dr. T. Dewi 206D, 206E, 206F, dr. Kartwa Hadi N,

Anggraeni, 207F SpOG(K)
SpOG(K)
Dr. dr. Laila 205B, 214D Dr. dr. Hariyono W,
Andrijono, Utami, SpOG(K)
SpOG(K)
Dr. dr. Fitriyadi K, 204A, 204E, 204F,

207A, 207C, 207D, Dr. dr. Gatot
SpOG(K) 211A, 211B, 213C Purwoto, SpOG(K)
Dr. dr. Sigit

Purbadi, SpOG(K) 205D, 212A
dr. Andi Darma 211D, 214 C, 519
Putra, SpOG (K) C
Target
Kemoterapi,
pulang
Kemoterapi,
pulang
Kemoterapi,
pulang
Kemoterapi
Kemoterapi,
pulang
Kemoterapi,
pulang
R/ Laparotomi VC
19/9/19
HOM :
koreksi Albumin
(cek alb pagi ini)
koreksi nacl caps
3x1000mg, obat
kosong
Koreksi albumin,
perawatan post
op
Perawatan post op
koreksi albumin,
pungsi ascites
penelitan
perbaikan KU,
transfusi target
Hb>10g/dL
Rencana pulang,
rawat jalan
dengan antbiotka
Raber pulmo,
kirim cairan pleura
ke sitologi
Transfusi PRC
target HB> 10
gr/dl
perbaikan KU,
transfusi target
Hb>10g/dL
perbaikan KU,
lanjut kemo
Raber digestf,
hasil test norit (+),
antbiotka
meropenem
sesuai kultur
dasar luka
Konsul gizi, Cek Ur

Cr 3 hari,
Perbaikan KU,
tranfusi PRC target
Hb > 10 g/dL
perawatan post
op
ANC : 8.366
transfusi TC, pro
kemoterapi
Raber IPD Gastro,
Rawat luka,
perbaikan KU,
antbiotk sesuai
hasil kultur
transfusi albumin,
raber gizi klinik
R/ Laparotomi VC
19/9/19, rencana
pungsi asites
Rencana CT Scan
thorax, menunggu
hasil
Raber kapten
neuro. Saat ini
menjalani radiasi
luar paliatf
204B, 204D, 205A,

214A
204C, 206A, 213B,

214B
Dr. dr. Fitriyadi K, DPL (16/9/19)

204A Tya Maharani 26 4309685 PTM high risk 11,9/35,4/7320/3
SpOG(K) 93000
DPL (12/9/19)
dr. Kartwa Hadi N, 9,9/29,2/3210/16
204B Sumiyat 61 4310782 Ca cervix IB SpOG(K) 0000 neutrofil
62,2
DPL (2/9/19)
Ca endometrium Dr. dr. Tofan W
204C Budi Rahayu 57 4137700 9,2/27,2/6280/12
Utami, SpOG(K) 3000
DPL (12/9/19)
Marisi dr. Kartwa Hadi N, 10,5/31,4/3380/1
204D 61 4387068 Ca Cervix
Simangunsong SpOG(K) 04000 neutrofil
77,5
DPL(12/9/19)
Ca Cervix, Dr. dr. Fitriyadi K, 10,6/31,3/10510/
204E Tat 55 4386751 hiponatremia, SpOG(K) 403000 na 125 cl
hipochlorida
94

204F Mulyani 65 4388012 Ca Cervix 12,4/35/13560/3
SpOG(K) 54000
DPL (16/9/19)
12,8/36,6/8250/5
dr. Kartwa Hadi N,
SpOG(K)
hipoalbuminemia 2,14 Ur 15,5 cr 0,6
Na 130 K 3,7 C
102
DPL (4/9/19)
12,8/38,2/5690/3
asites
SGOT 37 SGPT 13
Ca 125 5781
lab post op: DPL

11.7/32.8/13090/
218000 DPL
POD VII post 6/9/2019
radikal 13/37/10530/237
Cr 0.7 Ureum 31
stadium IB 13.5/38/11.940/2
01.000, alb:4.1,
Ur/Cr :36.1/0.75
NOK suspek ca DPL

206A Lenah 50 4418243 10/33/1140/9730
hipoalbumin
DPL 16/9/19
11,5/34,5/21090/
282000 DPL
(15/9/2019):
Ca cervix IIIB,
9.2/27/18990/25
anemia, dr. T. Dewi 7000
hipokalemia
00, Albumin : 1.4,
SGOT/PT : 37/19,
Ur/Cr : 19.5/0.8, E
:129/3.1/98
Ca cervix IIIB DPL 15/9/2019

suspek progresif, 10/30/12630/365
pasca radiasi 000.
lengkap, dyspneu dr. T. Dewi Albumin 3.8 GDS
ec efusi pleura 151 elektrolit
SpOG(K)
bilateral post 135/4/95. SGOT
tapping, suspek 28 SGPT 18Ureum
meta paru 21 Creatnin 0.8
DPL (16/9/19)
9,1/28/6290/286
000 DPL
Ca cervix stadium (15/9/2019) :
IIB dengan dr. T. Dewi
4/13/5350/33500
206F Harmaiyulis 52 4360038 masalah intake Anggraeni, 0 Ur/Cr 15/0.6
sulit, anemia (Hb SpOG(K) GDS99
4) SGOT/SGPT 15/6
elektrolit
137/4/105
Ca cervix IIIB, Efusi

pleura suspek
metastasis paru, Dr. dr. Fitriyadi K, DPL (11/9/19)
207A Sri Mulyani 64 4417475 11,1/33,8/14340/
NOK dengan SpOG(K) 750000
bagian padat, CAP
dd/TB paru
Kultur dasar luka :

Enterobacter
207C HJ. Nurul Huda 61 4379337 kiri, dengan luka 302000 Na 133/K
46/cr 0.9, LDH
327/GDS 111
ILO post
laparotomi
adhesiolisis, DPL
debulking, Dr. dr. Fitriyadi K, 9,5/29,3/9130/10
207D Ngatni 44 4380141 harttman SpOG(K) 00.000 albumin
prosedur ai ca 3,1 GDS 103
ovarium III A,
anemia,
trombositosis
Ca Cervix IIIB,
metastasis
suspek maligna
Anemia (Hb 8.5),
intake sulit on
NGT
Ca cervix residif,
anemia,
211A S. Hernawat 50 4267679 10,8/31,8/2260/2
leukopenia, SpOG(K) 0000
trombositopenia
DPL (16/9/19)
Ca cervix suspek 11,2/34,8/9300/3
stadium III B, Dr. dr. Fitriyadi K, 35000 SGOT 20
211B Sri Rahayu 74 4418437 intake sulit, ca SpOG(K) SGPT 10 Ur 56 Cr
pain 0,7 GDS 90 Na
138 K 3,4 Cl 100
DPL 15/9/2019.
9.4/26/36260/44
8000 PCT 8
9/9/19 dpl
5,9/17.4/21770/3
18000 8/9/19
Alb 2,25
ILO superfisialis
post laparotomi DPL 7/9/19
histerektomi 9,7/27,4/26950/2
subtotal 1 tahun 72000 albumin
yang lalu, dr. Andi Darma 1,84 DPL
211D ANISAH SAADIYAH 55 4417942 adenokarsinoma Putra, SpOG (K) 5/9/2019
serosum papiler 8.7/24/43540/27
progresif, sepsis, 9000 LAB 4/9/19
intake sulit, dpl
anemia 7.3/20.9/48800/2
93000 PT
1.2X/APTT 1.5x/
PCT 0.79/ SGOT
21/SGPT 23/ ur
51.6/cr 0.9/ Na
124/K 3.6/cl 94.3/
albumin 1.71
DPL 16/9/19
11,2/30,5/8730/4
27000 DPL
14/9/2019.
NOK suspek 11/30/8730/4270
Dr. dr. Sigit
212A Hendra Febrina 49 4388538 maligna, anemia, Purbadi, SpOG(K) 00.
intake sulit DPL
8.5/24/14330/61
2000 hipoalbumin
1.7 Ureum 62 Cr
1.7
LAB 12/9/19 DPL
10.5/31.3/9240/2
66000 DPL
9/9/19:
Ca cervix IIIB 9.1/27.3/12320/2
progresif infiltrasi 75000
buli, anemia, Dr. dr. Tofan W DPL(7/9/19) :
213B Carsih 56 4336341 retensio urin ec Utami, SpOG(K) 7,522/8030/2890
obstruksi, 00 DPL (5/9/2019)
hematuria 6/17/8310/29900
0 Ureum 171 Cr
15 SGOT 10 SGPT
6 Albumin 3 e
119/4.8/87
LAB 11/9/19 DPL
Ca cervix IIIB meta 11.1/33.8/14340/
hepar dan paru, 750000 9/9/19
dengan NOK DPL
bagian padat, Dr. dr. Fitriyadi K,7.9/23.5/10660/6
213 C Sri Mulyani 49 4387634 cancer pain, SpOG(K) 55000/ albumin
anemia, efusi 2.55/ SGOT
pleura post 49/SGPT 8/ ur
pungsi, intake 43/cr 0.7/Na
sulit,hiponatremia DPL (16/9/19)
133/K 4.5/cl 98
10,4/31,1/5460/1
27000 DPL
14/9/2019
Ca ovarium, dr. Kartwa Hadi N, 7.7/22/5170/120
214A Maria kiftia 43 4381302 anemia, 000.
SpOG(K)
trombositopenia DPL (11/9/19) :
6.7/20.3/4690/11
6000, Ur/Cr :
14.8/0.6, E :
133/3.8/97.9
15/9/2019
Albumin 1.99.
DPL
(27/8/19) :
10.5/30/8940/47
8000, Alb : 2.21, E
NOK suspek : 129/3.3/104
214B Dwi Widya 24 4337478 hipoalbumin, 8/9/19
Utami, SpOG(K)
hiponatremia, DPL
intake sulit 8,5/24/10.220/64
6.000
e 121/3,5/94
GDS 74
Ur/Cr 68/1.0
Alb 1,79
OT/PT 6/6
DPL (16/9/19)
11,7/35/13390/1
90000 DPL
15/9/2019:
10.3/31/2040/15
Ca ovarium, dr. Andi Darma 4000.
214C Rahayu Dwi 56 3208025 anemia Putra, SpOG (K) DPL (12/9/19) :
8.9/26.6/3580/17
3000, SGOT/PT :
15/19, Albumin
4.2, Ur?cr :
29.4/0.7
LAB 13/9/2019
Ureum 25
Creatnin 0.7.
12/9/2019 LDH
1255. AFP 3. CEA
3.1 Ca 19-9 39.
Ca 125 97 b hcg
2.14. 11/9/2019
elektrolit
suspek 0007/9/19
malignancy dd/ DPL
mioma uteri, 12,1/34/14.790/4
dengan akut on
214D 53 4426537 CKD post HD,
pasca koreksi
8/9/19
Fosfat 2,95
e 121/5,6/91
Ur/Cr 135/10,4
LAB (10/9/19) e:
121/5,9/86,7,
ureum/creatinin:
169,6/13,3
Ca cervix stadium
lengkat 25+3, 10,9/30/8.030/48
kemoterapi 3x 5.000
kulit, KBG
Paraplegia UMN, 5
suspek SOL dd/
metastasis
dr. T. Dewi 206D, 206E, 206F, dr. Kartwa Hadi N,

SpOG(K)
Dr. dr. Laila 205B, 214D Dr. dr. Hariyono W,
SpOG(K)
Dr. dr. Fitriyadi K, 204A, 204E, 204F,

207A, 207C, 207D, Dr. dr. Gatot
SpOG(K) 211A, 211B, 213C Purwoto, SpOG(K)
Dr. dr. Sigit

Purbadi, SpOG(K) 205D, 212A
dr. Andi Darma 211D, 214 C, 519
Putra, SpOG (K) C
Target
kemoterapi.,
rencana pulang
kemoterapi.,
rencana pulang
kemoterapi.,
rencana pulang
kemoterapi.,
rencana pulang
kemoterapi.,
rencana pulang
kemoterapi.,
rencana pulang
R/ Laparotomi VC
19/9/19
R/ Laparotomi VC
19/9/19, rencana
pungsi asites
Perawatan post op
koreksi albumin,
pungsi ascites
Rencana pulang,
rawat jalan
dengan antbiotka
Raber pulmo,
kirim cairan pleura
ke sitologi
Transfusi PRC
target HB> 10
gr/dl
pasien DNR, Raber

IPD : Pungsi
pleura
dipertahankan,
dialirkan 1
liter/hari,
menunggu hasil
sitologi
Raber digestf,
hasil test norit (+),
antbiotka
meropenem
sesuai kultur
dasar luka
GV 3x/hari,
transfusi PRC
target Hb 10,
konsul IPD HOM
Konsul gizi, Cek Ur
Cr 3 hari,
Perbaikan KU,
tranfusi PRC target
Hb > 10 g/dL
Injeksi leucogen,
transfusi TC, pro
kemoterapi
perbaikan KU,
konsul gizi klinik
dan geriatri
Raber IPD Gastro,

Rawat luka,
perbaikan KU,
antbiotk sesuai
hasil kultur
koreksi albumin
Rencana lapor
urologi untuk
rawat jalan. target
Hb sudah
tercapai. Konsul
IPD : transfusi
dulu, jika sudah
transfusi rencana
HD, konsul
urologi: USG ginjal
buli, gant foley
catheter no 24,
drip NaCL 0,9%
60-80 tpm, injeksi
Vit K, konsul IPD
untuk HD
Pleural drain.
koreksi elektrolit
R/ pulang
transfusi albumin,
raber gizi klinik
kemoterapi
Rencana CT Scan
thorax
Raber kapten
neuro. Saat ini
menjalani radiasi
luar paliatf
204B, 204D, 205A,

214A
204C, 206A, 213B,

214B
Ward Map Ginekologi Onkologi Senin, 16 September 2019
Choriocarcinoma DR.dr. Laila N, DPL

204E Edah Saraswati 23 4392659 infiltrasi 11.2/33.3/4850/3
SpOG(K)
duodenum 22000
DPL (11/9/19) :
13.4/37.9/11630/
Ca ovarium, Dr. dr. Sigit
205C Fathurohmah 49 4382139 Purbadi, SpOG(K) 691000, Ur/Cr :
hiponatremia 37/9/0.8, OT/PT :
20/13
lab post op: DPL

11.7/32.8/13090/
218000 DPL
POD VI post 6/9/2019
radikal 13/37/10530/237
Cr 0.7 Ureum 31
stadium IB 13.5/38/11.940/2
01.000, alb:4.1,
Ur/Cr :36.1/0.75
NOK suspek ca DPL

206A Lenah 50 4418243 10/33/1140/9730
hipoalbumin
DPL (15/9/2019):
9.2/27/18990/25
Ca cervix IIIB, 7000
anemia, dr. T. Dewi DPL (14/9/19) :
206D Selvia Yuliana 27 4383457 hipoalbumin, Anggraeni, 8/23/20310/2770
hiponatremia, SpOG(K) 00, Albumin : 1.4,
hipokalemia SGOT/PT : 37/19,
Ur/Cr : 19.5/0.8, E
:129/3.1/98
Ca cervix IIIB DPL 15/9/2019

suspek progresif, 10/30/12630/365
pasca radiasi 000.
dr. T. Dewi
lengkap, dyspneu Anggraeni, Albumin 3.8 GDS
206E Aty Murtat 54 4274490 ec efusi pleura 151 elektrolit
SpOG(K)
bilateral post 135/4/95. SGOT
tapping, suspek 28 SGPT 18Ureum
meta paru 21 Creatnin 0.8
DPL (15/9/2019) :
Ca cervix stadium 4/13/5350/33500
IIB dengan dr. T. Dewi 0 Ur/Cr 15/0.6
206F Harmaiyulis 52 4360038 masalah intake Anggraeni, GDS99
sulit, anemia (Hb SpOG(K) SGOT/SGPT 15/6
4) elektrolit
137/4/105
NOK susp lab 9/9/19 DPL

maligna, dengan 5.9/17.3/9380/24
asites masif, CKD
on HD, anemia, 3000 Na
Dr. dr. Fitriyadi K, 132/K5.5/Cl 93 /
207B Ekamalasari 24 4380843 hipoalbumin, SpOG(K) SGOT 14/SGPT
hiponatremia, 13/ albumin
hipertensi, 2.25/ ur 315/cr
hepatomegali
18.9/ gds 103
susp kongestf
Lab 9/9/19 DPL
Ca cervix residif 10.8/33.4/15970/
dengan metastasis
302000 Na 133/K
kulit regio inguinal Dr. dr. Fitriyadi K, 3.9/ Cl 110/
207C HJ. Nurul Huda 61 4379337 kiri, dengan luka SpOG(K) SGOT16/SGPT 11/
terbuka, albumin 2,9/ ur
hipoalbumin, 46/cr 0.9, LDH
leukositosis reaktf
327/GDS 111
DPL (15/9/2019).
9.7/31/6890/284
000.
Ca cervix IIIB, Dr. dr. Tofan W DPL (13/9/19) :
207E Nursima 45 4387992 anemia Utami, SpOG(K) 6.1/19.4/7730/33
6000, Ur/Cr :
24.9/0.9,
SGOT/PT: 18/11
Ca Cervix IIIB,
metastasis
suspek maligna
Anemia (Hb 8.5),
intake sulit on
NGT
DPL 15/9/2019
11/33/31280/867
Ca cervix IIIB, 000.
anemia, LAB 13/9/19 DPL
trombositosis, Dr. dr. Hariyono W, 7.2/22.2/29750/9
210A Alfina Bya 51 4416882
peningkatan SpOG (K) 72000 SGOT
enzim 66/SGPT 99/ Ur
transaminase 24.7/Cr 0.7/GDS
102/ albumin
3.59
DPL (23/8/19) :
NOK suspek DR.dr. Hariyono, 8.4/27.2/6280/55
210B Lie Evy 62 4363559
maligna, anemia SpOG(K) 9000, albumin :
3.6
DPL 15/9/2019.
9.4/26/36260/44
8000 PCT 8
9/9/19 dpl
5,9/17.4/21770/3
18000 8/9/19
Alb 2,25
ILO superfisialis
post laparotomi DPL 7/9/19
histerektomi 9,7/27,4/26950/2
subtotal 1 tahun 72000 albumin
yang lalu, dr. Andi Darma 1,84 DPL
211D ANISAH SAADIYAH 55 4417942
adenokarsinoma Putra, SpOG (K) 5/9/2019
serosum papiler 8.7/24/43540/27
progresif, sepsis, 9000 LAB 4/9/19
intake sulit, dpl
anemia 7.3/20.9/48800/2
93000 PT
1.2X/APTT 1.5x/
PCT 0.79/ SGOT
21/SGPT 23/ ur
51.6/cr 0.9/ Na
124/K 3.6/cl 94.3/
albumin 1.71
DPL 14/9/2019.
11/30/8730/4270
00.
NOK suspek
maligna, anemia, Dr. dr. Sigit DPL
212A Hendra Febrina 49 4388538 Purbadi, SpOG(K) 8.5/24/14330/61
intake sulit 2000 hipoalbumin
1.7 Ureum 62 Cr
1.7
LAB 12/9/19 DPL

10.5/31.3/9240/2
66000 DPL
9/9/19:
Ca cervix IIIB 9.1/27.3/12320/2
buli, anemia, Dr. dr. Tofan W DPL(7/9/19) :
213B Carsih 56 4336341 retensio urin ec Utami, SpOG(K) 7,522/8030/2890
obstruksi, 00 DPL (5/9/2019)
hematuria 6/17/8310/29900
0 Ureum 171 Cr
15 SGOT 10 SGPT
6 Albumin 3 e
119/4.8/87
LAB 11/9/19 DPL

dengan NOK DPL
bagian padat,
Dr. dr. Fitriyadi K, 7.9/23.5/10660/6
213 C Sri Mulyani 49 4387634 cancer pain, SpOG(K) 55000/ albumin
anemia, efusi 2.55/ SGOT
pleura post 49/SGPT 8/ ur
pungsi, intake
43/cr 0.7/Na
sulit,hiponatremia 133/K 4.5/cl 98
DPL 14/9/2019
7.7/22/5170/120
000.
Ca ovarium,
dr. Kartwa Hadi N, DPL (11/9/19) :
214A Maria kiftia 43 4381302 anemia, SpOG(K) 6.7/20.3/4690/11
trombositopenia 6000, Ur/Cr :
14.8/0.6, E :
133/3.8/97.9
15/9/2019
Albumin 1.99.
DPL
(27/8/19) :
10.5/30/8940/47
8000, Alb : 2.21, E
NOK suspek : 129/3.3/104
214B Dwi Widya 24 4337478 hipoalbumin, 8/9/19
Utami, SpOG(K)
hiponatremia, DPL
intake sulit 8,5/24/10.220/64
6.000
e 121/3,5/94
GDS 74
Ur/Cr 68/1.0
Alb 1,79
OT/PT 6/6
DPL 15/9/2019:
10.3/31/2040/15
4000.
DPL (12/9/19) :
Ca ovarium, dr. Andi Darma
214C Rahayu Dwi 56 3208025 8.9/26.6/3580/17
anemia Putra, SpOG (K) 3000, SGOT/PT :
15/19, Albumin
4.2, Ur?cr :
29.4/0.7
LAB 13/9/2019
Ureum 25
Creatnin 0.7.
12/9/2019 LDH
1255. AFP 3. CEA
3.1 Ca 19-9 39.
Ca 125 97 b hcg
2.14. 11/9/2019
elektrolit
suspek 0007/9/19
malignancy dd/ DPL
mioma uteri, 12,1/34/14.790/4
dengan akut on
214D 53 4426537 CKD post HD,
pasca koreksi
8/9/19
Fosfat 2,95
e 121/5,6/91
Ur/Cr 135/10,4
LAB (10/9/19) e:
121/5,9/86,7,
ureum/creatinin:
169,6/13,3
7/9/19 beta HCG

<1,2 CEA 8,9 AFP
2,61 LDH 535 DPL
NOK Kiri dengan 5/9/19
bagian padat dr. Andi Darma 9/27/9440/39600
109B Mutara 14 4418294 suspek maligna, Putra, SpOG (K) 0 albumin 3,46 Na
pseudomyxoma, 136 K 3,7 Cl 103
anemia SGOT 15 SGPT 10
Ur 21,9 Cr 0,7
GDS 78
Ca cervix stadium
lengkat 25+3, 10,9/30/8.030/48
kemoterapi 3x 5.000
kulit, KBG
Paraplegia UMN, 5
suspek SOL dd/
metastasis

SpOG(K)
206A
Andrijono, 205E
Utami, SpOG(K)
SpOG(K)
Dr. dr. Fitriyadi K, 205B, 206D, 210A, Dr. dr. Gatot
SpOG(K) 211B Purwoto, SpOG(K)
Dr. dr. Sigit

Purbadi, SpOG(K) 205D, 206C
dr. Andi Darma 205C, 206E, 211D,

Putra, SpOG (K) 214 A, 519 C
Target
Pulang
Rencana operasi
hari senin 16/9/19
Perawatan post op
koreksi albumin,
pungsi ascites
Perbaikan KU,
tranfusi PRC target
Hb > 10 g/dL
Raber pulmo,
kirim cairan pleura
ke sitologi
Transfusi PRC
target HB> 10
gr/dl
Rencana HD
selasa Jumat,
tranfusi prc target
Hb > 10 g/dL,
perbaikan fungsi
ginjal
Raber digestf,
hasil test norit (+)
Perbaikan KU,
tranfusi PRC target
Hb > 10 g/dL
Konsul gizi, Cek Ur

Cr 3 hari,
Perbaikan KU,
tranfusi PRC target
Hb > 10 g/dL
Konsul IPD HOM,

Transfusi PRC
target HB> 10
gr/dl
rencana op Senin
16/9/2019
Raber IPD Gastro,

Rawat luka,
perbaikan KU,
antbiotk sesuai
hasil kultur
koreksi albumin
Rencana lapor
urologi untuk
rawat jalan. target
Hb sudah
tercapai. Konsul
IPD : transfusi
dulu, jika sudah
transfusi rencana
HD, konsul
urologi: USG ginjal
buli, gant foley
catheter no 24,
drip NaCL 0,9%
60-80 tpm, injeksi
Vit K, konsul IPD
untuk HD
Rencana Pasang
Pleural drain
16/9/2019. Target
Hb sudah
tercapai; koreksi
elektrolit
Perbaikan KU,
tranfusi PRC target
Hb > 10 g/dL
Koding albumin
senin 16/9/2019,
raber gizi klinik
cek dpl hari ini,
jika normal,
rencana kemo hari
ini
Rencana CT Scan
thorax
Rencana
laparotomi VC
tanggal 16/9/19,
rencana
perawatan post
op back up PICU
Raber kapten
neuro. Saat ini
menjalani radiasi
luar paliatf
206F, 210C, 213C,

213E
206B, 207D
207E, 212D, 213B,
214B
211A, 211C, 401G

Prof.dr andrijono, DPL

204C Sumiati 38 4381819 PTM high risk 10.5/30.7/3350/5 Kemoterapi,
SpOG(K) rencana pulang
76000
Choriocarcinoma DR.dr. Laila N, DPL

204E Edah Saraswati 23 4392659 infiltrasi 11.2/33.3/4850/3 Kemoterapi
SpOG(K)
duodenum 22000
DPL (11/9/19) :
13.4/37.9/11630/
Ca ovarium, Dr. dr. Sigit
205C Fathurohmah 49 4382139 Ur/Cr : Rencana operasi
hiponatremia Purbadi, SpOG(K) 691000,
37/9/0.8, OT/PT : hari senin 16/9/19
20/13
lab post op: DPL

11.7/32.8/13090/
218000 DPL
POD V post 6/9/2019
hemivulvektomi, 13/37/10530/237
limfadenektomi 000 SGOT 15 SGPT
Dr. dr. Sigit
205D Emah 51 4367215 inguinal kiri dan Purbadi, SpOG(K) 13 Albumin 3.78 Perawatan post op
rekonstruksi vulva Cr 0.7 Ureum 31
stadium IB (10/8/19):
13.5/38/11.940/2
01.000, alb:4.1,
Ur/Cr :36.1/0.75
13/9/2109 DPL
post op
12/38/12500/583
POD II post 000 7/9/19
laparotomi albumin 2,34 lab
suboptmal Prof. Dr. dr. DPL (5/9/19) : perawatan post
205E Ideh bint Ukat 55 4335448 debulking atas Andrijono, 10.5/31.2/9780/4 op
indikasi ca SpOG(K) 07.000, Alb : 1.78,
ovarium clincally Ur/Cr : 16.9/0.4,
IVB OT/PT: 11/6
8/9/19
Alb : 2,55
NOK suspek ca DPL

206A Lenah 50 4418243 10/33/1140/9730 koreksi albumin,
stage, Utami, SpOG(K) 00 Albumin 2.47 pungsi ascites
hipoalbumin
DPL
15/44,1/14040/2
01000//83/28/34
Na 136 K 4,1 Cl
104 PT 1,1x APTT
1,2x SGOT 19
SGPT 9 Ur 69 Cr
1,2 GDS 79 alb
Ca cervix IV A, 1,82 fibrinogen
Dispneu ec Suspek 251 d-dimer 1500
meta paru, edema
tungkai suspek 3/9/19 Paliatf care,
DVT, Asites ec Dr. dr. Hariyono W, Alb : 2,21
206B Rica 31 4393802 rencana cek PT
hipoalbuminemia, SpOG (K) Analisa cairan APTT
Acute kidney pleura :
injury, Intake Mesotel reaktf,
sulit, Ca pain, post singet ring cell (+),
pungsi kelompokan sel
dgn sitoplasma
kebiruan, dinding
sel ireguler, batas
antar sel tdak
tegas
PT/APTT :1,1/1.2
DPL (9/9/19) :
Ca cervix stadium 5.8/18.3/5350/56
206C Onih 52 4392940 IV B, anemia, Dr. dr. Sigit 3000, Ur/Cr : Perbaikan KU,
hipoalbuminemia, Purbadi, SpOG(K) 34.5/1, Albumin : tranfusi PRC
hiponatremia 2.7,
E:128/4.2/101
DPL (14/9/19) :
Ca cervix IIIB, 8/23/20310/2770 Perbaikan KU,
anemia, 00, Albumin : 1.4, tranfusi PRC target
206D Selvia Yuliana 27 4383457 hipoalbumin,
SGOT/PT : 37/19, Hb > 10 g/dL
hiponatremia, Ur/Cr : 19.5/0.8, E
hipokalemia :129/3.1/98
LAB 4/9/19 DPL

11/31.3/24420/2
79000 LAB Konsul urologi,
24/8/19 Konsul IPD GH :
DPL saran
9,4/28/13.090/42 cefoperazone 2x1
Ca cervix stadium 7.000 gram, bicnat
IIIB, CKD on Ur/Cr 91/5,6 3x500 mg,
RATNA NINGSIH nefrostomi, ca dr. Andi Darma e 131/3,2/101
206 E 57 4387033 nefrostomi
(DNR) pain vas 3, Putra, SpOG (K) sempat
hiperkalemia 7/9/19 macet,nefros
pasca koreksi e 125/6,6/97 tdak ada
produksi->sudah
8/9/19 dikonsul urologi
e 127/5,8/101 sudah pasang CVC
DPL
10,3/29/22.880/2
61.000
LAB 4/9/19: DPL
7.7/25.2/6700/32
2000 Na 138/K Transfusi PRC
Ca cervix IB1, dr. Andi Darma
207 A Sixse Susana 30 4387778 4.1/Cl 107 GDS target HB> 10
anemia (7.7) Putra, SpOG (K) 105/Ur 17/Cr 0.6/ gr/dl
Albumin 4.5/
SGOT 13/SGPT 14
NOK susp lab 9/9/19 DPL

maligna, dengan 5.9/17.3/9380/24
asites masif, CKD
3000 Na tranfusi prc target
on HD, anemia, Dr. dr. Fitriyadi K, 132/K5.5/Cl 93 / Hb > 10 g/dL,
207B Ekamalasari 24 4380843 hipoalbumin, SpOG(K) SGOT 14/SGPT perbaikan fungsi
hiponatremia, 13/ albumin ginjal
hipertensi, 2.25/ ur 315/cr
hepatomegali
18.9/ gds 103
susp kongestf
Lab 9/9/19 DPL

Ca cervix residif 10.8/33.4/15970/
dengan metastasis 302000 Na 133/K
kulit regio inguinal
kiri, dengan luka Dr. dr. Fitriyadi K, 3.9/ Cl 110/ Raber digestf,
207C HJ. Nurul Huda 61 4379337 SpOG(K) SGOT16/SGPT 11/ hasil test norit (+)
terbuka, albumin 2,9/ ur
hipoalbumin, 46/cr 0.9, LDH
leukositosis reaktf
327/GDS 111
DPL (6/9/2019)
6.7/19/18430/43
5000 Cr 14 Ureum
261 e
ca cervix stadium 126/5.6/105
IV A dengan
masalah: anemia 8/9/19
gravis, fistula
dr. Kartwa Hadi N, 8,9/25/16.890/38 Cek Ur Cr
207D Dewi Sant 49 4387634 rektovagina, SpOG(K) 88
intake sulit, Ur/Cr 166/10,8
hidronefrosis e 131/4,6/105
bilateral, acute on
CKD
9/9/19
7,6/22/18.690/36
7.000
DPL (13/9/19) :
6.1/19.4/7730/33 Perbaikan KU,
Ca cervix IIIB,
207E Nursima 45 4387992 6000, Ur/Cr : tranfusi PRC target
anemia 24.9/0.9, Hb > 10 g/dL
SGOT/PT: 18/11
LAB 11/9/19: DPL

9.3/27.3/3360/14
Ca endometrium, dr. Kartwa Hadi N, 1000 GDS 117/ Transfusi PRC
207F Widdet Munadir 56 4362002 Na 137/K 3.5/Cl target HB> 10
anemia (9.3) SpOG(K)
103/ Ur 24.5/Cr gr/dl
0.8/ albumin 3.9/
SGOT 19/SGPT 15
LAB 13/9/19 DPL

Ca cervix IIIB, 7.2/22.2/29750/9
anemia,
Dr. dr. Hariyono W, 72000 SGOT Transfusi PRC
trombositosis,
210A Alfina Bya 51 4416882 66/SGPT 99/ Ur target HB> 10
peningkatan SpOG (K) 24.7/Cr 0.7/GDS gr/dl
enzim 102/ albumin
transaminase 3.59
DPL (23/8/19) : perbaikan KU,
NOK suspek DR.dr. Hariyono, 8.4/27.2/6280/55 tranfusi PRC,
210B Lie Evy 62 4363559 maligna, anemia SpOG(K) 9000, albumin : rencan op Senin
3.6 16/9/2019
9/9/19 dpl
5,9/17.4/21770/3
18000 8/9/19
Alb 2,25
DPL 7/9/19
ILO superfisialis 9,7/27,4/26950/2
post laparotomi 72000 albumin
histerektomi 1,84 DPL
subtotal 1 tahun 5/9/2019 Raber IPD Gastro,
dr. Andi Darma
211D ANISAH SAADIYAH 55 4417942 yang lalu, 8.7/24/43540/27 Rawat luka,
Putra, SpOG (K)
adenokarsinoma 9000 LAB 4/9/19 perbaikan KU
serosum papiler dpl
progresif, intake 7.3/20.9/48800/2
sulit, anemia 93000 PT
1.2X/APTT 1.5x/
PCT 0.79/ SGOT
21/SGPT 23/ ur
51.6/cr 0.9/ Na
124/K 3.6/cl 94.3/
albumin 1.71
DPL
NOK suspek 8.5/24/14330/61 Transfusi PRC,
maligna, anemia, Dr. dr. Sigit
212A Hendra Febrina 49 4388538 2000 hipoalbumin koreksi albumin
Purbadi, SpOG(K)
intake sulit 1.7 Ureum 62 Cr
1.7
target Hb sudah
tercapai. Konsul
LAB 12/9/19 DPL IPD : transfusi
10.5/31.3/9240/2
dulu, jika sudah
66000 DPL transfusi rencana
9/9/19: HD, konsul
Ca cervix IIIB 9.1/27.3/12320/2 urologi: USG ginjal
buli, anemia, Dr. dr. Tofan W DPL(7/9/19) : buli, gant foley
213B Carsih 56 4336341 catheter no 24,
retensio urin ec Utami, SpOG(K) 7,522/8030/2890 drip NaCL 0,9%
obstruksi, 00 DPL (5/9/2019) 60-80 tpm, injeksi
hematuria 6/17/8310/29900 Vit K, konsul IPD
0 Ureum 171 Cr
untuk HD
15 SGOT 10 SGPT
6 Albumin 3 e Menunggu USG
119/4.8/87 GiBul di hari dan
jam kerja
LAB 11/9/19 DPL

dengan NOK Konsul pulmo
DPL
bagian padat, untuk tapping,
Dr. dr. Fitriyadi K, 7.9/23.5/10660/6
213 C Sri Mulyani 49 4387634 cancer pain, Target Hb sudah
SpOG(K) 55000/ albumin
anemia, efusi tercapai; koreksi
2.55/ SGOT
pleura post elektrolit
49/SGPT 8/ ur
pungsi, intake 43/cr 0.7/Na
sulit,hiponatremia
133/K 4.5/cl 98
DPL (11/9/19) :
Ca ovarium, 6.7/20.3/4690/11 Perbaikan KU,
dr. Kartwa Hadi N, 6000, Ur/Cr :
214A Maria kiftia 43 4381302 anemia, tranfusi PRC target
SpOG(K)
trombositopenia 14.8/0.6, E : Hb > 10 g/dL
133/3.8/97.9
DPL (27/8/19) :
10.5/30/8940/47
8000, Alb : 2.21, E
: 129/3.3/104
NOK suspek
8/9/19
maligna, Dr. dr. Tofan W DPL Koreksi albumin,
214B Dwi Widya 24 4337478 hipoalbumin, Utami, SpOG(K) 8,5/24/10.220/64 transfusi
hiponatremia, 6.000
intake sulit e 121/3,5/94
GDS 74
Ur/Cr 68/1.0
Alb 1,79
OT/PT 6/6
DPL (12/9/19) :
8.9/26.6/3580/17 Perbaikan KU,
Ca ovarium, dr. Andi Darma 3000, SGOT/PT : tranfusi PRC target
214C Rahayu Dwi 56 3208025 anemia Putra, SpOG (K) 15/19, Albumin Hb > 10 g/dL
4.2, Ur?cr :
29.4/0.7
7/9/19
DPL
12,1/34/14.790/4
32.000
Abdominam mass
OT/PT 29/15
suspek Alb 2,96
malignancy dd/ Ur/Cr 193/15,2
mioma uteri, GDS 75 Perawatan post
dengan akut on
Ny. Kresna Dr. dr. Laila e 121/7,4/86 nefrostomi, sudah
214D 53 4426537 CKD post HD,
Aritonang Nuranna, SpOG(K) MRI. Follow up
hidronefrosis 8/9/19 hasil MRI
bilateral, Fosfat 2,95
hiponatremia, e 121/5,6/91
hiperkalemia
Ur/Cr 135/10,4
pasca koreksi LAB (10/9/19) e:
121/5,9/86,7,
ureum/creatinin:
169,6/13,3
7/9/19 beta HCG

<1,2 CEA 8,9 AFP Rencana
2,61 LDH 535 DPL
NOK Kiri dengan laparotomi VC
5/9/19
bagian padat tanggal 16/9/19,
dr. Andi Darma 9/27/9440/39600
301E Mutara 14 4418294 suspek maligna, rencana
Putra, SpOG (K) 0 albumin 3,46 Na
pseudomyxoma, perawatan post
136 K 3,7 Cl 103
anemia op back up ICU
SGOT 15 SGPT 10 dewasa
Ur 21,9 Cr 0,7
GDS 78
Ca cervix stadium
lengkat 25+3, 10,9/30/8.030/48
kemoterapi 3x 5.000
kulit, KBG
supraklavikula kiri Raber kapten
Ro :
dan KGB ingunal dr. Andi Darma spondilorhtrosis neuro. Neurologi
519C ISWAHYUNINGSIH 45 4363647 kanan, cancer Putra, SpOG (K) meetng : radiasi
lumbal dengan
pain VA 3-4 degeneratf disc 4- paliatf
Paraplegia UMN, 5
suspek SOL dd/
metastasis
dr. T. Dewi dr. Kartwa Hadi N, 206F, 210C, 213C,

Anggraeni, 207F SpOG(K) 213E
SpOG(K)
206A
Nuranna, SpOG(K) SpOG (K) 206B, 207D
Prof. Dr. dr. Dr. dr. Tofan W 207E, 212D, 213B,
Andrijono, 205E
Utami, SpOG(K) 214B
SpOG(K)
SpOG(K) 211B Purwoto, SpOG(K) 211A, 211C, 401G
Dr. dr. Sigit


Ward Map Ginekologi Onkologi Jumat, 13 September 2019
204A Sri Umiyatsih 61 4206729 Ca ovarium SpOG(K)
204B Emilliana Yani Rahayu 44 4380164 Ca ovarium IIIC Dr. dr. Sigit Purbadi, SpOG(K)
204C Sumiati 38 4381819 PTM high risk Prof.dr andrijono, SpOG(K)

204D Diana Nur 31 4385898 PTM high risk
SpOG(K)
204E Edah Saraswati 23 4392659 Choriocarcinoma infiltrasi duodenum DR.dr. Laila N, SpOG(K)
204F Della Meiristia 25 4388809 Ca cervix II B Dr. dr. Sigit Purbadi, SpOG(K)
205A Kasinah 64 4388461 NOK susp maligna, intake sulit dr. Kartwa Hadi N, SpOG(K)
205C Fathurohmah 49 4382139 Ca ovarium, hiponatremia Dr. dr. Sigit Purbadi, SpOG(K)
POD V post hemivulvektomi,

limfadenektomi inguinal kiri dan
205D Emah 51 4367215 rekonstruksi vulva ai Ca vulva stadium Dr. dr. Sigit Purbadi, SpOG(K)
IB
POD II post laparotomi suboptmal Prof. Dr. dr. Andrijono,

205E Ideh bint Ukat 55 4335448 debulking atas indikasi ca ovarium SpOG(K)
clincally IVB
NOK suspek ca ovarium advanced Dr. dr. Tofan W Utami,

206A Lenah 50 4418243 stage, hipoalbumin SpOG(K)
Ca cervix IV A, Dispneu ec Suspek

meta paru, edema tungkai suspek
206B Rica 31 4393802 DVT, Asites ec hipoalbuminemia, Dr. dr. Hariyono W, SpOG (K)
Acute kidney injury, Intake sulit, Ca
pain, post pungsi
Ca cervix stadium IV B, anemia,

206C Onih 52 4392940 Dr. dr. Sigit Purbadi, SpOG(K)
hipoalbuminemia, hiponatremia
206D Sit Jahra 42 4407149 Ca ovarium advance stage Dr. dr. Hariyono W, SpOG (K)
Ca cervix stadium IIIB, CKD on dr. Andi Darma Putra, SpOG

206 E RATNA NINGSIH (DNR) 57 4387033 nefrostomi, ca pain vas 3, (K)
Ca ovarium residif post kemoterapi

206F Purwant 60 4381391 dengan masalah: anemia, dr. Kartwa Hadi N, SpOG(K)
trombositosis, Tb paru on OAT

207 A Sixse Susana 30 4387778 Ca cervix IB1, anemia (7.7) (K)
NOK susp maligna, dengan asites

masif, CKD on HD, anemia,
207B Ekamalasari 24 4380843 hipoalbumin, hiponatremia, Dr. dr. Fitriyadi K, SpOG(K)
hipertensi, hepatomegali susp
kongestf
Ca cervix residif dengan metastasis

kulit regio inguinal kiri, dengan luka
207C HJ. Nurul Huda 61 4379337 Dr. dr. Fitriyadi K, SpOG(K)
terbuka, hipoalbumin, leukositosis
reaktf
ca cervix stadium IV A dengan

masalah: anemia gravis, fistula
207D Dewi Sant 49 4387634 rektovagina, intake sulit, hidronefrosis dr. Kartwa Hadi N, SpOG(K)
bilateral, acute on CKD
207E Suhaedah 46 4360782 Ca vulva stadium II, abses inguinal kiri Dr. dr. Fitriyadi K, SpOG(K)
207F Widdet Munadir 56 4362002 Ca endometrium, anemia (9.3) dr. Kartwa Hadi N, SpOG(K)
Ca cervix IIIB, anemia, trombositosis,

210A Alfina Bya 51 4416882 Dr. dr. Hariyono W, SpOG (K)
peningkatan enzim transaminase
210B Lie Evy 62 4363559 NOK suspek maligna, anemia DR.dr. Hariyono, SpOG(K)

histerektomi subtotal 1 tahun yang dr. Andi Darma Putra, SpOG
211D ANISAH SAADIYAH 55 4417942 lalu, adenokarsinoma serosum papiler (K)
progresif, intake sulit, anemia
NOK suspek maligna, anemia, intake

212A Hendra Febrina 49 4388538 Dr. dr. Sigit Purbadi, SpOG(K)
sulit
213A SAPNAH 46 4308936 Ca cervix IIIB, anemia DR. dr,fitriyadi, SpOG(K)
Ca cervix IIIB progresif infiltrasi buli, Dr. dr. Tofan W Utami,

213B Carsih 56 4336341 anemia, retensio urin ec obstruksi,
hematuria SpOG(K)
Ca cervix IIIB meta hepar dan paru,

dengan NOK bagian padat, cancer
213 C Sri Mulyani 49 4387634 DR. dr.Fitriyadi K, SpOG(K)
pain, anemia, efusi pleura post
pungsi, intake sulit,hiponatremia
Ca endometrium advance stage,
213 F Hoberthina 61 4384464 elektrolit imbalance, intake sulit, DR. dr.Fitriyadi K, SpOG(K)
anemia
NOK suspek maligna, hipoalbumin, Dr. dr. Tofan W Utami,

214B Dwi Widya 24 4337478 hiponatremia, intake sulit SpOG(K)
Abdominam mass suspek malignancy

dd/ mioma uteri, dengan akut on CKD Dr. dr. Laila Nuranna,
214D Ny. Kresna Aritonang 53 4426537 post HD, hidronefrosis bilateral,
SpOG(K)
hiponatremia, hiperkalemia pasca
koreksi
NOK Kiri dengan bagian padat suspek dr. Andi Darma Putra, SpOG
301E Mutara 14 4418294 maligna, pseudomyxoma, anemia (K)
Ca cervix stadium IIIB pasca radiasi

lengkat 25+3, kemoterapi 3x terakhir
6/19 dengan metastasi kulit, KBG
supraklavikula kiri dan KGB ingunal dr. Andi Darma Putra, SpOG
519C ISWAHYUNINGSIH 45 4363647 kanan, cancer pain VA 3-4 (K)
Paraplegia UMN, hipestesis T12
kebawah, propioseptf terganggu ec
suspek SOL dd/ metastasis
dr. T. Dewi Anggraeni, SpOG(K) 207F

Dr. dr. Laila Nuranna, SpOG(K) 206A
Prof. Dr. dr. Andrijono, SpOG(K) 205E
Dr. dr. Fitriyadi K, SpOG(K) 205B, 206D, 210A, 211B
Dr. dr. Sigit Purbadi, SpOG(K) 205D, 206C
205C, 206E, 211D, 214 A,

dr. Andi Darma Putra, SpOG (K) 519 C
Laboratorium Target
DPL 10.5/32/10440/165000 sudah kemoterapi, pulang hari ini
DPL 11/33.4/6770/296000 sudah kemoterapi, pulang hari ini

DPL 10.5/30.7/3350/576000 Kemoterapi
DPL (10/9/19) :
13.2/38.1/3940/376000, Kemoterapi
Ur/Cr : 16.9/0.7, Alb : 4.73
DPL 11.2/33.3/4850/322000 kemoterapi, pulang hari ini

DPL 12/36.2/12280/585000 kemoterapi, pulang hari ini
DPL 10.8/31.9/6960/453000 perbaikan KU
DPL (11/9/19) :
13.4/37.9/11630/691000, Rencana operasi hari senin 16/9/19
Ur/Cr : 37/9/0.8, OT/PT : 20/13
lab post op: DPL

11.7/32.8/13090/218000 DPL
6/9/2019 13/37/10530/237000
SGOT 15 SGPT 13 Albumin 3.78 Perawatan post op
Cr 0.7 Ureum 31 GDS 123 DPL
(10/8/19):
13.5/38/11.940/201.000,
alb:4.1, Ur/Cr :36.1/0.75
13/9/2109 DPL post op

12/38/12500/583000 7/9/19
albumin 2,34 lab DPL (5/9/19) :
10.5/31.2/9780/407.000, Alb :
1.78, Ur/Cr : 16.9/0.4, OT/PT: perawatan post op
11/6
8/9/19
Alb : 2,55
DPL 10/33/1140/973000 koreksi albumin, pungsi ascites

Albumin 2.47
DPL
15/44,1/14040/201000//83/28
/34 Na 136 K 4,1 Cl 104 PT 1,1x
APTT 1,2x SGOT 19 SGPT 9 Ur
69 Cr 1,2 GDS 79 alb 1,82
fibrinogen 251 d-dimer 1500
3/9/19
Alb : 2,21 Paliatf care, rencana cek PT APTT
Analisa cairan pleura :
Mesotel reaktf, singet ring cell
(+), kelompokan sel dgn
sitoplasma kebiruan, dinding sel
ireguler, batas antar sel tdak
tegas
PT/APTT :1,1/1.2
DPL (9/9/19) :
5.8/18.3/5350/563000, Ur/Cr :
Perbaikan KU, tranfusi PRC
34.5/1, Albumin : 2.7,
E:128/4.2/101
Lab (5/9/19): DPL: kirim cairan ascites ke sitologi, koreksi
12,7/40,2/12310/472000, e: elektrolit
132/4/99, alb: 2,1, GDS 81
LAB 4/9/19 DPL

11/31.3/24420/279000 LAB
24/8/19
DPL 9,4/28/13.090/427.000 Konsul urologi, Konsul IPD GH : saran
Ur/Cr 91/5,6 cefoperazone 2x1 gram, bicnat 3x500
e 131/3,2/101 mg, nefrostomi sempat macet,nefros
tdak ada produksi->sudah dikonsul
7/9/19 urologi
8/9/19
e 127/5,8/101
DPL 10,3/29/22.880/261.000
DPL 7/9/19 6,2/20/8420/472000 DPL

6/9/2019 4.2/13/9230/567000 SGOT
14 SGPT 8 Albumin 1.6 Creatnin 1.1
Ureum 41 GDS 92 e 134/4.3/106
8/9/19
DPL 8,9/27/12.580/449.000
LAB 4/9/19: DPL

7.7/25.2/6700/322000 Na
138/K 4.1/Cl 107 GDS 105/Ur Transfusi PRC target HB> 10 gr/dl
17/Cr 0.6/ Albumin 4.5/ SGOT
13/SGPT 14
lab 9/9/19 DPL

5.9/17.3/9380/243000 Na
132/K5.5/Cl 93 / SGOT HD hari ini
14/SGPT 13/ albumin 2.25/ ur
315/cr 18.9/ gds 103
Lab 9/9/19 DPL

10.8/33.4/15970/302000 Na
133/K 3.9/ Cl 110/ Raber digestf, rencana test norit
SGOT16/SGPT 11/ albumin
2,9/ ur 46/cr 0.9, LDH 327/GDS
111
DPL (6/9/2019)
6.7/19/18430/435000 Cr 14
Ureum 261 e 126/5.6/105
8/9/19
8,9/25/16.890/3888 Cek Ur Cr
Ur/Cr 166/10,8
e 131/4,6/105
9/9/19
7,6/22/18.690/367.000
LAB 9/9/19 DPL

9.4/28.3/7600/516000 /SGOT Transfusi PRC target HB> 10 gr/Dl,
16/SGPT 53/albumin 3.4/ ur rawat luka
22/cr 0.8 gds 129/ Na 142/K
3.5Cl 106
LAB 11/9/19: DPL
9.3/27.3/3360/141000 GDS
117/ Na 137/K 3.5/Cl 103/ Ur Transfusi PRC target HB> 10 gr/dl
24.5/Cr 0.8/ albumin 3.9/
SGOT 19/SGPT 15
LAB 13/9/19 DPL

7.2/22.2/29750/972000 SGOT
Transfusi PRC target HB> 10 gr/dl
66/SGPT 99/ Ur 24.7/Cr
0.7/GDS 102/ albumin 3.59
DPL (23/8/19) :
perbaikan KU, tranfusi PRC, rencan op
8.4/27.2/6280/559000, Senin 16/9/2019
albumin : 3.6
9/9/19 dpl
5,9/17.4/21770/318000
8/9/19
Alb 2,25
DPL 7/9/19
9,7/27,4/26950/272000
Raber IPD Gastro, Rawat luka,
albumin 1,84 DPL 5/9/2019 perbaikan KU
8.7/24/43540/279000 LAB
4/9/19 dpl
7.3/20.9/48800/293000 PT
1.2X/APTT 1.5x/ PCT 0.79/
SGOT 21/SGPT 23/ ur 51.6/cr
0.9/ Na 124/K 3.6/cl 94.3/
albumin 1.71
DPL 8.5/24/14330/612000
hipoalbumin 1.7 Ureum 62 Cr Transfusi PRC, koreksi albumin
1.7
LAB 13/9/19 DPL

9.4/29.2/16950/739000 LAB
9/9/19 DPL Transfusi PRC target Hb>10. koreksi
6.9/21.4/16200/748000 Na elektrolit
131/K4.4/Cl97.7 SGOT 16/SGPT
28/ albumin 3.19/Ur 16/Cr
0.8/GDS112
LAB 12/9/19 DPL target Hb sudah tercapai. Konsul IPD :

10.5/31.3/9240/266000 DPL transfusi dulu, jika sudah transfusi
9/9/19: rencana HD, konsul urologi: USG ginjal
9.1/27.3/12320/275000 buli, gant foley catheter no 24, drip
DPL(7/9/19) : NaCL 0,9% 60-80 tpm, injeksi Vit K,
7,522/8030/289000 DPL konsul IPD untuk HD
(5/9/2019) 6/17/8310/299000
Ureum 171 Cr 15 SGOT 10 SGPT Menunggu USG GiBul di hari dan jam
6 Albumin 3 e 119/4.8/87 kerja
LAB 11/9/19 DPL

11.1/33.8/14340/750000
9/9/19 DPL Konsul pulmo untuk tapping, Target
7.9/23.5/10660/655000/ Hb sudah tercapai; koreksi elektrolit
albumin 2.55/ SGOT 49/SGPT 8/
ur 43/cr 0.7/Na 133/K 4.5/cl 98
LAB 13/9/19 DPL
12.3/35.6/8170/166000 Lab
(9/9/19): DPL
9,6/26,9/2690/137000,Pt/APTT koreksi elelktrolit, konsul IPD
0,9/1x, Ureum 26,8, Cr 0.7 GDS
98 e 120/2,9/86 SGOT 21 SGPT
18
DPL (27/8/19) :
10.5/30/8940/478000, Alb :
2.21, E : 129/3.3/104
8/9/19
DPL 8,5/24/10.220/646.000 Koreksi albumin, transfusi
e 121/3,5/94
GDS 74
Ur/Cr 68/1.0
Alb 1,79
OT/PT 6/6
7/9/19
DPL 12,1/34/14.790/432.000
OT/PT 29/15
Alb 2,96
Ur/Cr 193/15,2
GDS 75
e 121/7,4/86 Perawatan post nefrostomi, sudah
MRI. Follow up hasil MRI
8/9/19
Fosfat 2,95
e 121/5,6/91
Ur/Cr 135/10,4
LAB (10/9/19) e: 121/5,9/86,7,
7/9/19 beta HCG <1,2 CEA 8,9

AFP 2,61 LDH 535 DPL 5/9/19 Rencana laparotomi VC tanggal
9/27/9440/396000 albumin
3,46 Na 136 K 3,7 Cl 103 SGOT 16/9/19, rencana perawatan post op
back up ICU dewasa
15 SGPT 10 Ur 21,9 Cr 0,7 GDS
78
DPL 10,9/30/8.030/485.000
GDS 117
e 128/3,8/98
Raber kapten neuro. Neurologi
Ro : spondilorhtrosis lumbal meetng : radiasi paliatf
dengan degeneratf disc 4-5
osteopenia
straight lumbal
spondilosis thorakalis
dr. Kartwa Hadi N, SpOG(K) 206F, 210C, 213C, 213E

Dr. dr. Hariyono W, SpOG (K) 206B, 207D
Dr. dr. Tofan W Utami, SpOG(K) 207E, 212D, 213B, 214B
Dr. dr. Gatot Purwoto, SpOG(K) 211A, 211C, 401G
DPL (28/8/19) :
Dr. dr. Fitriyadi K, 12.2/37/8900/4
204A Sandra Synthya 44 4417063 Ca cervix 45000. Alb : Kemoterapi
SpOG(K) 4.14, Ur/Cr :
27/0.6
dpl
Dr. dr. Fitriyadi K, 11.6/34.8/6220 kemoterapi,
204B Tya Maharani 26 4309685 PTM SpOG(K) rencana pulang
/392000
dpl
8,8/25,5/5470/6
06000, e:
Prof. Dr. dr. 133/4,3/101,
PTM highrisk,
204C Sumiati 38 4381819 Andrijono, ureum/creatnin: kemoterapi,
hiperkalemia SpOG(K) 12,5/0,9bHCG: koreksi elektrolit
15958,
SGOT/SGPT:
20/21
DPL (10/9/19) :
Prof. Dr. dr. 13.2/38.1/3940/
204D Diana Nur 31 4385898 PTM high risk Andrijono, 376000, Ur/Cr : Kemoterapi
SpOG(K) 16.9/0.7, Alb :
4.73
DPL (6/9/19) :
11.7/35.2/8610/
Ca ovarium Dr. dr. Gatot 303000,
204E Nawiyah 36 4384146 advance stage Purwoto, SpOG(K) Albumin : 4.5, Kemoterapi
Ur/Cr : 18.5/0.5,
SGOT/PT : 19/32
DPL (10/9/19) :
Ca Ovarium pro Dr. dr. Tofan W
204F Bonah 61 4387193 10.8/33.5/6730/ Kemoterapi
Kemoterapi Utami, SpOG(K)
400000
DPL (11/9/19) :
13.4/37.9/1163 Rencana operasi
Ca ovarium,
205C Fathurohmah 49 4382139 0/691000, Ur/Cr hari senin 16/9/19
hiponatremia : 37/9/0.8,
OT/PT : 20/13
lab post op: DPL

11.7/32.8/1309
0/218000 DPL
6/9/2019
POD I post
13/37/10530/23
hemivulvektomi, 7000 SGOT 15
inguinal kiri dan Purbadi, SpOG(K) SGPT 13
205D Emah 51 4367215 Albumin 3.78 Cr Perawatan post op
rekonstruksi vulva
0.7 Ureum 31
stadium IB (10/8/19):
13.5/38/11.940/
201.000, alb:4.1,
Ur/Cr :36.1/0.75
7/9/19 albumin
2,34 lab DPL Perbaikan KU,
(5/9/19) : tranfusi Albumin,
10.5/31.2/9780/ rencana
Ca ovarium stable Prof. Dr. dr. 407.000, Alb : laparotomi
205E Ideh bint Ukat 55 4335448 disease post NACT Andrijono, 1.78, Ur/Cr : debulking
SpOG(K) 16.9/0.4, OT/PT:
11/6 MOD tdak ACC
coding koreksi
8/9/19 albu
Alb : 2,55
DPL
15/44,1/14040/
201000//83/28/
34 Na 136 K 4,1
Cl 104 PT 1,1x
APTT 1,2x SGOT
19 SGPT 9 Ur 69
Cr 1,2 GDS 79
alb 1,82
Ca cervix IV A, fibrinogen 251
Dispneu ec Suspek d-dimer 1500 Perbaikan KU,
meta paru, edema raber pulmo,
tungkai suspek 3/9/19
koreksi albumin,
DVT, Asites ec Dr. dr. Hariyono W, Alb : 2,21
206B Rica 31 4393802 rencana
hipoalbuminemia, SpOG (K) Analisa cairan heparinisasi,
Acute kidney pleura :
Mesotel reaktf, pungsi asites, cek
injury, Intake
sulit, Ca pain, post singet ring cell sitologi
pungsi (+), kelompokan
sel dgn
sitoplasma
kebiruan,
dinding sel
ireguler, batas
antar sel tdak
tegas
PT/APTT :1,1/1.2
DPL (9/9/19) :
Ca cervix stadium 5.8/18.3/5350/5
IV B, anemia, Dr. dr. Sigit 63000, Ur/Cr : Perbaikan KU,
206C Onih 52 4392940 hipoalbuminemia, Purbadi, SpOG(K) 34.5/1, tranfusi PRC
hiponatremia Albumin : 2.7,
E:128/4.2/101
Lab (5/9/19):
DPL:
Ca ovarium Dr. dr. Hariyono W, 12,7/40,2/1231 koreksi elektrolit
206D Sit Jahra 42 4407149 advance stage SpOG (K) 0/472000, e:
132/4/99, alb:
2,1, GDS 81
LAB 4/9/19 DPL
11/31.3/24420/
279000 LAB
DPL saran
9,4/28/13.090/4 cefoperazone 2x1
RATNA NINGSIH nefrostomi, ca dr. Andi Darma e 131/3,2/101 nefrostomi
206 E 57 4387033
(DNR) pain vas 3, Putra, SpOG (K) sempat
produksi->sudah
DPL
10,3/29/22.880/
261.000
DPL 7/9/19
6,2/20/8420/47
2000 DPL
6/9/2019 Transufusi PRC
4.2/13/9230/56 target HB>
Ca ovarium residif 7000 SGOT 14 10gr/dL, koreksi
post kemoterapi SGPT 8 Albumin albumin,
dengan masalah: dr. Kartwa Hadi N, 1.6 Creatnin 1.1
206F Purwant 60 4381391 penelitan dr.
anemia, SpOG(K) Ureum 41 GDS TWU, coding
trombositosis, Tb 92 e sudah dibuat
paru on OAT 134/4.3/106 belum ada
jaminan
8/9/19
DPL
8,9/27/12.580/4
49.000
7/9/19 DPL
11,5/34/8210/3
21000 Na 125 K
Penurunan 3,7 Cl 99 PT 1,2x perbaikan ku,
kesadaran ec APTT 1x SGOT Raber neuro
suspek metabolik 44 SGPT 30 Ur infeksi, rencana
dd/ metastasis, 22,9 Cr 1,36 GDS
Lidya Duma Br infiltrat paru dr. Andi Darma 129 Laktat 3,0 Lumbal pungsi
207 A 43 4333579
Tumorang suspek Putra, SpOG (K) dari neuro
albumin 2,87
pneumonia dd/ fibrinogen 167 IPD tdak ada
metastasis, d-dimer 1500
hiponatremia, AGD pH 7,525 tambahan terapi
hipoalbumin pCO2 22,7 pO2
171,4 HCO3 18,9
BE -1,8 SpO2 98
NOK susp lab 9/9/19 DPL cek lab hepatts

maligna, dengan 5.9/17.3/9380/ marker,Ca.Mg,Pho
asites masif, CKD 243000 Na spat (sudah
on HD, anemia, 132/K5.5/Cl
Dr. dr. Fitriyadi K, diamprah, tunggu
207B Ekamalasari 24 4380843 hipoalbumin, 93 / SGOT
SpOG(K) hasil). Transfusi
hiponatremia, 14/SGPT 13/ PRC target Hb>10,
hipertensi, albumin 2.25/ koreksi
hepatomegali ur 315/cr 18.9/
hiponatremia
susp kongestf gds 103
Lab 9/9/19 DPL
10.8/33.4/1597
Ca cervix residif 0/302000 Na
dengan metastasis
133/K 3.9/ Cl rencana konsul-
kulit regio inguinal Dr. dr. Fitriyadi K, 110/ konsul
207C HJ. Nurul Huda 61 4379337 kiri, dengan luka SpOG(K) SGOT16/SGPT perioperatf untuk
terbuka, 11/ albumin tndakan kamis.
hipoalbumin, 2,9/ ur 46/cr
leukositosis reaktf
0.9, LDH
327/GDS 111
DPL (6/9/2019)
6.7/19/18430/4
35000 Cr 14
Ureum 261 e
ca cervix stadium 126/5.6/105
IV A dengan
masalah: anemia 8/9/19
gravis, fistula dr. Kartwa Hadi N, 8,9/25/16.890/3 rencana
207D Dewi Sant 49 4387634 rektovagina, nefrostomi
SpOG(K) 888
intake sulit, Ur/Cr 166/10,8
bilateral, acute on
CKD 9/9/19
7,6/22/18.690/3
67.000
LAB 9/9/19 DPL

9.4/28.3/7600/
Ca vulva stadium Dr. dr. Fitriyadi K, 516000 /SGOT Transfusi PRC
16/SGPT
207E Suhaedah 46 4360782 II, abses inguinal target HB> 10
SpOG(K) 53/albumin 3.4/ gr/Dl, rawat luka
kiri ur 22/cr 0.8 gds
129/ Na 142/K
3.5Cl 106

IIIB on radiasi 5x, DPL
dengan : 7,5/20/13.720/5
Akut on CKD post 21.000
HD, Anemia post e : 120/8,1/87 koreksi elektrolit,
transfusi, Ca pain dr. Kartwa Hadi N, GDS 72 rencana
207F Suwarni 51 4388749
VAS 5, leukositosis SpOG(K) Ur/Cr 215/18,3 nefrostomi
reaktf, OT/PT 18/7
hiperkalemia post
HD, hiponatremia, Lab 8/9/19
hipertensi TD Ur/Cr 113/10,2
belum terkontrol e 127/5,5/94
Lab (9/9/19):
11,1/31/1970/9
6000//80,3/28,8
/35,8, e:
Ca cervix stadium Prof. Dr. dr. 134,3,5/96,6, rencana tranfusi
210D Beata Ida 41 3208133 IIB, Andrijono, GDS 134, trombosit hingga
trombositopenia SpOG(K) Ureum/creatnin >100000
29/1,2,
SGOT/SGPT
13/34, PT/APTT
0,9x/0,9x
DPL (23/8/19) :
NOK suspek DR.dr. Hariyono, 8.4/27.2/6280/5 perbaikan KU,
211C Lie Evy 62 4363559 maligna, anemia SpOG(K) 59000, albumin : tranfusi PRC
3.6
9/9/19 dpl
5,9/17.4/21770/
318000 8/9/19
Alb 2,25
DPL 7/9/19
9,7/27,4/26950/
ILO superfisialis 272000 albumin
post laparotomi
1,84 DPL Sampel penelitan
histerektomi 5/9/2019 dr Tofan, target
subtotal 1 tahun dr. Andi Darma 8.7/24/43540/2 transfusi PRC
211D ANISAH SAADIYAH 55 4417942 yang lalu, Putra, SpOG (K) 79000 LAB target Hb >10
adenokarsinoma
4/9/19 dpl g/dL konsul IPD
serosum papiler 7.3/20.9/48800/ koreksi elektrolit
progresif, intake 293000 PT
sulit, anemia 1.2X/APTT 1.5x/
PCT 0.79/ SGOT
21/SGPT 23/ ur
51.6/cr 0.9/ Na
124/K 3.6/cl
94.3/ albumin
1.71
Lab (6/9/2019):
9,3/28,4/5960/3
31000//72,6/23,
Ca cervix stadium 8/32,7, PT/APTT:
IIIB on radiasi
eksterna, anemia, Prof. Dr. dr. 0,9x/0,9x, rencana tranfusi
212C Wiwi 66 4386701 Andrijono, SGOT/SGPT:
hiponatremia, SpOG(K) 9/<6, alb 3,5e: hingga Hb>10
hiperglikemia 132/3,7/95,
dd/DM tpe II ureum/creatnin:
20,3/0,6, GDS
377
9/9/19 DPL
6.9/21.4/16200/
748000 Na Transfusi PRC
Ca cervix IIIB, DR. dr,fitriyadi, 131/K4.4/Cl97.7 target Hb>10.
213A SAPNAH 46 4308936 anemia SpOG(K) SGOT 16/SGPT koreksi elektrolit
28/ albumin
3.19/Ur 16/Cr
0.8/GDS112
Rencana transfusi
PRC target Hb 10
(masuk 2 kantong
lagi setelah itu
konsul anestesi
untuk pasang
DPL 9/9/19: akses dan IPD
9.1/27.3/12320/ ulang untuk HD).
275000 Konsul IPD :
Ca cervix IIIB DPL(7/9/19) : transfusi dulu, jika
progresif infiltrasi 7,522/8030/289 sudah transfusi
buli, anemia, Dr. dr. Tofan W 000 DPL rencana HD,
213B Carsih 56 4336341 retensio urin ec Utami, SpOG(K) (5/9/2019) konsul urologi:
obstruksi, 6/17/8310/2990 USG ginjal buli,
hematuria 00 Ureum 171 gant foley
Cr 15 SGOT 10 catheter no 24,
SGPT 6 Albumin drip NaCL 0,9%
3 e 119/4.8/87 60-80 tpm, injeksi
Vit K, konsul IPD
untuk HD
Menunggu USG
GiBul di hari dan
jam kerja
Ca cervix IIIB meta 9/9/19 DPL

hepar dan paru, 7.9/23.5/10660/
dengan NOK 655000/
bagian padat, tranfusi PRC target
DR. dr.Fitriyadi K, albumin 2.55/ hb >10; koreksi
213 C Sri Mulyani 49 4387634 cancer pain, SpOG(K) SGOT 49/SGPT elektrolit
anemia, efusi 8/ ur 43/cr
pleura post 0.7/Na 133/K
pungsi, intake 4.5/cl 98
sulit,hiponatremia
Lab (9/9/19):
DPL
Ca endometrium 9,6/26,9/2690/1
advance stage, DR. dr.Fitriyadi K, 37000,Pt/APTT koreksi elelktrolit,
213 F Hoberthina 61 4384464 elektrolit SpOG(K) 0,9/1x, Ureum konsul IPD
imbalance, intake 26,8, Cr 0.7 GDS
sulit, anemia 98 e 120/2,9/86
SGOT 21 SGPT
18
DPL (27/8/19) :
10.5/30/8940/4
78000, Alb :
2.21, E :
129/3.3/104 Pasien penelitan:
NOK suspek diet protein tnggi,
maligna, 8/9/19
Dr. dr. Tofan W koreksi natrium
214B Dwi Widya 24 4337478 hipoalbumin, DPL
Utami, SpOG(K)
hiponatremia, 8,5/24/10.220/
Rencana
intake sulit 646.000 perbaikan KU
e 121/3,5/94
GDS 74
Ur/Cr 68/1.0
Alb 1,79
OT/PT 6/6
7/9/19
DPL
12,1/34/14.790/
432.000
Abdominam mass OT/PT 29/15
suspek Alb 2,96
malignancy dd/ Ur/Cr 193/15,2
mioma uteri,
GDS 75
dengan akut on
Ny. Kresna Dr. dr. Laila e 121/7,4/86 Perawatan post
214D 53 4426537 CKD post HD,
Aritonang Nuranna, SpOG(K) nefrostomi
hidronefrosis 8/9/19
bilateral,
Fosfat 2,95
hiponatremia, e 121/5,6/91
hiperkalemia Ur/Cr 135/10,4
pasca koreksi LAB (10/9/19) e:
121/5,9/86,7,
ureum/creatinin
: 169,6/13,3
7/9/19 beta HCG

<1,2 CEA 8,9 AFP Rencana
2,61 LDH 535
NOK Kiri dengan laparotomi VC
DPL 5/9/19
bagian padat 9/27/9440/3960 tanggal 12/9/19,
dr. Andi Darma
301E Mutara 14 4418294 suspek maligna, Putra, SpOG (K) 00 albumin 3,46 rencana
pseudomyxoma, Na 136 K 3,7 Cl perawatan post
anemia op back up ICU
103 SGOT 15
SGPT 10 Ur 21,9 dewasa
Cr 0,7 GDS 78
Ca cervix stadium
lengkat 25+3, 10,9/30/8.030/4
kemoterapi 3x 85.000
kulit, KBG
supraklavikula kiri Raber kapten
Ro :
dan KGB ingunal dr. Andi Darma neuro. Neurologi
kanan, cancer Putra, SpOG (K) meetng : radiasi
lumbal dengan
pain VA 3-4 paliatf
degeneratf disc
Paraplegia UMN, 4-5
suspek SOL dd/
metastasis
dr. T. Dewi dr. Kartwa Hadi 206F, 210C, 213C,

Anggraeni, 207F N, SpOG(K) 213E
SpOG(K)
Dr. dr. Laila Dr. dr. Hariyono
206A
Nuranna, SpOG(K) W, SpOG (K) 206B, 207D
Andrijono, 205E Utami, SpOG(K) 214B
SpOG(K)
205B, 206D, 210A, Dr. dr. Gatot
Dr. dr. Fitriyadi K, Purwoto,
SpOG(K) 211B 211A, 211C, 401G
SpOG(K)
Dr. dr. Sigit

Dr. dr.
204A Suwarni 45 4383415 Ca vulva Fitriyadi K,
SpOG(K)
Dr. dr.
204B Tya Maharani 26 4309685 PTM Fitriyadi K,
SpOG(K)
Prof. Dr. dr.

204C Sumiati 38 4381819 PTM highrisk, hiperkalemia Andrijono,
SpOG(K)
Prof. Dr. dr.

204F Apriasih 58 4338362 Ca ovarium advance stage Andrijono,
SpOG(K)
POD I post hemivulvektomi, Dr. dr. Sigit

limfadenektomi inguinal kiri
205D Emah 51 4367215 Purbadi,
dan rekonstruksi vulva ai Ca SpOG(K)
vulva stadium IB
Prof. Dr. dr.

Ca ovarium stable disease
205E Ideh bint Ukat 55 4335448 Andrijono,
post NACT SpOG(K)
206A Carinah bint tarpan 4384395 Ca cervix IIIB on radiasi
Ca cervix IV A, Dispneu ec
Suspek meta paru, edema
tungkai suspek DVT, Asites ec Dr. dr.
206B Rica 31 4393802 Hariyono W,
hipoalbuminemia, Acute
kidney injury, Intake sulit, Ca SpOG (K)
pain, post pungsi
Dr. dr.
206C Salwat 53 4389926 Ca cervix post radiasi Hariyono W,
SpOG (K)
Dr. dr.
206D Sit Jahra 42 4407149 Ca ovarium advance stage Hariyono W,
SpOG (K)
Ca cervix stadium IIIB, CKD on dr. Andi
206 E RATNA NINGSIH (DNR) 57 4387033 nefrostomi, ca pain vas 3, Darma Putra,
hiperkalemia pasca koreksi SpOG (K)
Ca ovarium residif post

kemoterapi dengan masalah: dr. Kartwa
206F Purwant 60 4381391 Hadi N,
anemia, trombositosis, Tb SpOG(K)
paru on OAT
Penurunan kesadaran ec
suspek metabolik dd/ dr. Andi
Lidya Duma Br metastasis, infiltrat paru
207 A 43 4333579 Darma Putra,
Tumorang suspek pneumonia dd/ SpOG (K)
metastasis, hiponatremia,
hipoalbumin
NOK susp maligna, dengan

asites masif, CKD on HD, Dr. dr.
207B Ekamalasari 24 4380843 anemia, hipoalbumin, Fitriyadi K,
hiponatremia, hipertensi, SpOG(K)
hepatomegali susp kongestf
Ca cervix residif dengan

metastasis kulit regio inguinal Dr. dr.
207C HJ. Nurul Huda 61 4379337 kiri, dengan luka terbuka, Fitriyadi K,
hipoalbumin, leukositosis SpOG(K)
reaktf

masalah: anemia gravis, fistula dr. Kartwa
207D Dewi Sant 49 4387634 rektovagina, intake sulit, Hadi N,
hidronefrosis bilateral, acute SpOG(K)
on CKD
Dr. dr.
Ca vulva stadium II, abses
207E Suhaedah 46 4360782 Fitriyadi K,
inguinal kiri SpOG(K)
Ca cervix stadium IIIB on
radiasi 5x, dengan :
Akut on CKD post HD, Anemia
post transfusi, Ca pain VAS 5, dr. Kartwa
207F Suwarni 51 4388749 Hadi N,
leukositosis reaktf, SpOG(K)
hiperkalemia post HD,
hiponatremia, hipertensi TD
belum terkontrol
Prof. Dr. dr.

Ca cervix stadium IIB,
210D Beata Ida 41 3208133 Andrijono,
trombositopenia SpOG(K)
DR.dr.
Ca cervix III B, anemia (8,6),
211A Sri Rahayu 74 4418437 Hariyono,
hiponatremia,hipokalemia SpOG(K)

laparotomi histerektomi dr. Andi
subtotal 1 tahun yang lalu,
211D ANISAH SAADIYAH 55 4417942 Darma Putra,
adenokarsinoma serosum
papiler progresif, intake sulit, SpOG (K)
anemia
Ca cervix stadium IIIB on Prof. Dr. dr.

radiasi eksterna, anemia,
212C Wiwi 66 4386701 Andrijono,
hiponatremia, hiperglikemia SpOG(K)
dd/DM tpe II
DR.
213A SAPNAH 46 4308936 Ca cervix IIIB, anemia dr,fitriyadi,
SpOG(K)
Ca cervix IIIB progresif Dr. dr. Tofan

213B Carsih 56 4336341 infiltrasi buli, anemia, retensio W Utami,
urin ec obstruksi, hematuria SpOG(K)
Ca cervix IIIB meta hepar dan

paru, dengan NOK bagian DR.
213 C Sri Mulyani 49 4387634 padat, cancer pain, anemia, dr.Fitriyadi K,
efusi pleura post pungsi, SpOG(K)
intake sulit,hiponatremia
Ca endometrium advance DR.

213 F Hoberthina 61 4384464 stage, elektrolit imbalance, dr.Fitriyadi K,
intake sulit, anemia SpOG(K)
post kuretase endometrium dr. Andi
dan konisas atas indikasi
214A Khan Lay Chen 57 4395481 Darma Putra,
Suspek ca endometrium SpOG (K)
stadium II dd ca cervix
NOK suspek maligna, Dr. dr. Tofan

214B Dwi Widya 24 4337478 hipoalbumin, hiponatremia, W Utami,
intake sulit SpOG(K)
Abdominam mass suspek

malignancy dd/ mioma uteri, Dr. dr. Laila
dengan akut on CKD post HD, Nuranna,
214F Ny. Kresna Aritonang 53 4426537
hidronefrosis bilateral,
hiponatremia, hiperkalemia SpOG(K)
pasca koreksi
NOK Kiri dengan bagian padat dr. Andi

301E Mutara 14 4418294 suspek maligna, Darma Putra,
pseudomyxoma, anemia SpOG (K)
Ca cervix stadium IIIB pasca

radiasi lengkat 25+3,
kemoterapi 3x terakhir 6/19
dengan metastasi kulit, KBG
supraklavikula kiri dan KGB dr. Andi
519C ISWAHYUNINGSIH 45 4363647 ingunal kanan, cancer pain VA Darma Putra,
3-4 SpOG (K)
Paraplegia UMN, hipestesis
T12 kebawah, propioseptf
terganggu ec suspek SOL dd/
metastasis
Laboratorium Target
Lab (5/9/19): DPL 10,2/32,2/6410/374000 kemoterapi, rencana pulang
dpl 11.6/34.8/6220/392000 kemoterapi, rencana pulang
dpl 8,8/25,5/5470/606000, e:
133/4,3/101, ureum/creatnin: kemoterapi, koreksi elektrolit
12,5/0,9bHCG: 15958, SGOT/SGPT: 20/21
lab post op: DPL 11.7/32.8/13090/218000

DPL 6/9/2019 13/37/10530/237000
SGOT 15 SGPT 13 Albumin 3.78 Cr 0.7 Perawatan post op
Ureum 31 GDS 123 DPL (10/8/19):
13.5/38/11.940/201.000, alb:4.1, Ur/Cr :
36.1/0.75
7/9/19 albumin 2,34 lab DPL (5/9/19) : Perbaikan KU, tranfusi Albumin,
10.5/31.2/9780/407.000, Alb : 1.78, rencana laparotomi debulking
Ur/Cr : 16.9/0.4, OT/PT: 11/6
MOD tdak ACC coding koreksi
8/9/19 albu
Alb : 2,55
DPL 15/44,1/14040/201000//83/28/34 Na
136 K 4,1 Cl 104 PT 1,1x APTT 1,2x SGOT
19 SGPT 9 Ur 69 Cr 1,2 GDS 79 alb 1,82
3/9/19 Perbaikan KU, raber pulmo,

Alb : 2,21 koreksi albumin, rencana
Analisa cairan pleura : heparinisasi, pungsi asites, cek
Mesotel reaktf, singet ring cell (+), sitologi
kelompokan sel dgn sitoplasma kebiruan,
dinding sel ireguler, batas antar sel tdak
tegas
PT/APTT :1,1/1.2
Lab (10/9/19): DPL: 10,6/31/3520/214000 tranfusi PRC target hb >10
Lab (5/9/19): DPL: koreksi elektrolit

12,7/40,2/12310/472000, e: 132/4/99,
alb: 2,1, GDS 81
LAB 4/9/19 DPL 11/31.3/24420/279000
LAB 24/8/19
DPL 9,4/28/13.090/427.000 Konsul IPD GH : saran
Ur/Cr 91/5,6 cefoperazone 2x1 gram, bicnat
e 131/3,2/101 3x500 mg, nefrostomi sempat
macet,nefros tdak ada
7/9/19 produksi->sudah dikonsul
e 125/6,6/97 urologi
sudah pasang CVC
8/9/19
e 127/5,8/101
DPL 10,3/29/22.880/261.000
DPL 7/9/19 6,2/20/8420/472000 DPL

6/9/2019 4.2/13/9230/567000 SGOT 14 Transufusi PRC target HB>
SGPT 8 Albumin 1.6 Creatnin 1.1 Ureum 10gr/dL, koreksi albumin,
41 GDS 92 e 134/4.3/106 penelitan dr. TWU, coding
sudah dibuat belum ada
8/9/19 jaminan
DPL 8,9/27/12.580/449.000
7/9/19 DPL 11,5/34/8210/321000 Na 125 perbaikan ku, Raber neuro

K 3,7 Cl 99 PT 1,2x APTT 1x SGOT 44 SGPT infeksi, rencana Lumbal pungsi
30 Ur 22,9 Cr 1,36 GDS 129 Laktat 3,0 dari neuro
albumin 2,87 fibrinogen 167 d-dimer 1500
AGD pH 7,525 pCO2 22,7 pO2 171,4 HCO3 IPD tdak ada tambahan terapi
18,9 BE -1,8 SpO2 98
cek lab hepatts

lab 9/9/19 DPL 5.9/17.3/9380/243000 marker,Ca.Mg,Phospat (sudah
Na 132/K5.5/Cl 93 / SGOT 14/SGPT 13/ diamprah, tunggu hasil).
albumin 2.25/ ur 315/cr 18.9/ gds 103 Transfusi PRC target Hb>10,
koreksi hiponatremia
Lab 9/9/19 DPL 10.8/33.4/15970/302000 rencana konsul-konsul

Na 133/K 3.9/ Cl 110/ SGOT16/SGPT 11/ perioperatf untuk tndakan
albumin 2,9/ ur 46/cr 0.9, LDH 327/GDS kamis.
111
DPL (6/9/2019) 6.7/19/18430/435000 Cr

14 Ureum 261 e 126/5.6/105
8/9/19
8,9/25/16.890/3888 rencana nefrostomi
Ur/Cr 166/10,8
e 131/4,6/105
9/9/19
7,6/22/18.690/367.000
LAB 9/9/19 DPL

9.4/28.3/7600/516000 /SGOT 16/SGPT Transfusi PRC target HB> 10
53/albumin 3.4/ ur 22/cr 0.8 gds 129/ Na gr/Dl, rawat luka
142/K 3.5Cl 106
Lab 6/9/19
DPL 7,5/20/13.720/521.000
e : 120/8,1/87
GDS 72
koreksi elektrolit, rencana
Ur/Cr 215/18,3 nefrostomi
OT/PT 18/7
Lab 8/9/19
Ur/Cr 113/10,2
e 127/5,5/94
Lab (9/9/19):
11,1/31/1970/96000//80,3/28,8/35,8, e: rencana tranfusi trombosit
134,3,5/96,6, GDS 134, Ureum/creatnin hingga >100000
29/1,2, SGOT/SGPT 13/34, PT/APTT
0,9x/0,9x
9/9/19 DPL 8,6/26.9/7800/323000/ Na

Transfusi PRC target HB> 10
133/ K 3,2/cl 102/ albumin 2,5/SGOT gr/dL, koreksi elektrolit
12/SGPT 11/ Ur 19/cr 0.6
9/9/19 dpl 5,9/17.4/21770/318000

8/9/19
Alb 2,25
Sampel penelitan dr Tofan,
DPL 7/9/19 9,7/27,4/26950/272000
target transfusi PRC target Hb
albumin 1,84 DPL 5/9/2019 >10 g/dL konsul IPD koreksi
8.7/24/43540/279000 LAB 4/9/19 dpl elektrolit
7.3/20.9/48800/293000 PT 1.2X/APTT
1.5x/ PCT 0.79/ SGOT 21/SGPT 23/ ur
51.6/cr 0.9/ Na 124/K 3.6/cl 94.3/ albumin
1.71
Lab (6/9/2019):
9,3/28,4/5960/331000//72,6/23,8/32,7,
PT/APTT: 0,9x/0,9x, SGOT/SGPT: 9/<6, alb rencana tranfusi hingga Hb>10
3,5e: 132/3,7/95, ureum/creatnin:
20,3/0,6, GDS 377
9/9/19 DPL 6.9/21.4/16200/748000 Na Transfusi PRC target Hb>10.

131/K4.4/Cl97.7 SGOT 16/SGPT 28/
koreksi elektrolit
albumin 3.19/Ur 16/Cr 0.8/GDS112
Rencana transfusi PRC target

Hb 10 (masuk 2 kantong lagi
setelah itu konsul anestesi
untuk pasang akses dan IPD
ulang untuk HD). Konsul IPD :
DPL 9/9/19: 9.1/27.3/12320/275000 transfusi dulu, jika sudah
DPL(7/9/19) : 7,522/8030/289000 DPL transfusi rencana HD, konsul
(5/9/2019) 6/17/8310/299000 Ureum 171 urologi: USG ginjal buli, gant
Cr 15 SGOT 10 SGPT 6 Albumin 3 e foley catheter no 24, drip NaCL
119/4.8/87 0,9% 60-80 tpm, injeksi Vit K,
konsul IPD untuk HD
Menunggu USG GiBul di hari

dan jam kerja
9/9/19 DPL 7.9/23.5/10660/655000/ tranfusi PRC target hb >10;

albumin 2.55/ SGOT 49/SGPT 8/ ur 43/cr
0.7/Na 133/K 4.5/cl 98 koreksi elektrolit
Lab (9/9/19): DPL

9,6/26,9/2690/137000,Pt/APTT 0,9/1x, koreksi elelktrolit, konsul IPD
Ureum 26,8, Cr 0.7 GDS 98 e 120/2,9/86
SGOT 21 SGPT 18
DPL 7/9/19 12/36/4830/242000 Na 143 K
4,4 Cl 107,2 SGOT 13 SGPT 8 ALBUMIN
4,37 UR 14,5 CR 0,6 GDS 88 DPL perawatan post op
(2/7/2019) 12/35/5160/213000 e
140/3.3/104 SGOT 15 SGPT 16 Albumin
4.6ureum 15 Cr 0.6 GDS 94
DPL (27/8/19) : 10.5/30/8940/478000,

Alb : 2.21, E : 129/3.3/104
8/9/19 Pasien penelitan: diet protein

DPL 8,5/24/10.220/646.000 tnggi, koreksi natrium
e 121/3,5/94
GDS 74 Rencana perbaikan KU
Ur/Cr 68/1.0
Alb 1,79
OT/PT 6/6
7/9/19
DPL 12,1/34/14.790/432.000
OT/PT 29/15
Alb 2,96
Ur/Cr 193/15,2 Perbaikan KU.
GDS 75 Dr. dr. Laila minta dilakukan
e 121/7,4/86 USG Ke kencana hari rabu(oleh
dr. ADP), rencana nefrostomi
8/9/19 dari Urologi hari ini
Fosfat 2,95
e 121/5,6/91
Ur/Cr 135/10,4
LAB (10/9/19) e: 121/5,9/86,7,
7/9/19 beta HCG <1,2 CEA 8,9 AFP 2,61 Perbaikan KU sesuai TS anak,
LDH 535 DPL 5/9/19 9/27/9440/396000
albumin 3,46 Na 136 K 3,7 Cl 103 SGOT 15 rencana persiapan perioperatf
laparotomi VC
SGPT 10 Ur 21,9 Cr 0,7 GDS 78
DPL 10,9/30/8.030/485.000
GDS 117
e 128/3,8/98
Ro : spondilorhtrosis lumbal dengan meetng : radiasi paliatf
degeneratf disc 4-5
osteopenia
straight lumbal
Dr. dr.
204A Suwarni 45 4383415 Ca vulva Fitriyadi K,
SpOG(K)
Dr. dr.
204B Tya Maharani 26 4309685 PTM Fitriyadi K,
SpOG(K)
Prof. Dr. dr.

204C Sumiati 38 4381819 PTM highrisk, hiperkalemia Andrijono,
SpOG(K)
Prof. Dr. dr.

204F Apriasih 58 4338362 Ca ovarium advance stage Andrijono,
SpOG(K)
POD I post hemivulvektomi, Dr. dr. Sigit

limfadenektomi inguinal kiri
205D Emah 51 4367215 Purbadi,
dan rekonstruksi vulva ai Ca SpOG(K)
vulva stadium IB
Prof. Dr. dr.

Ca ovarium stable disease
205E Ideh bint Ukat 55 4335448 Andrijono,
post NACT SpOG(K)
206A Carinah bint tarpan 4384395 Ca cervix IIIB on radiasi
Ca cervix IV A, Dispneu ec
Suspek meta paru, edema
tungkai suspek DVT, Asites ec Dr. dr.
206B Rica 31 4393802 Hariyono W,
hipoalbuminemia, Acute
kidney injury, Intake sulit, Ca SpOG (K)
pain, post pungsi
Dr. dr.
206C Salwat 53 4389926 Ca cervix post radiasi Hariyono W,
SpOG (K)
Dr. dr.
206D Sit Jahra 42 4407149 Ca ovarium advance stage Hariyono W,
SpOG (K)
Ca cervix stadium IIIB, CKD on dr. Andi

206 E RATNA NINGSIH (DNR) 57 4387033 nefrostomi, ca pain vas 3, Darma Putra,
hiperkalemia pasca koreksi SpOG (K)
Ca ovarium residif post

kemoterapi dengan masalah: dr. Kartwa
206F Purwant 60 4381391 Hadi N,
anemia, trombositosis, Tb SpOG(K)
paru on OAT
Penurunan kesadaran ec
suspek metabolik dd/ dr. Andi
Lidya Duma Br metastasis, infiltrat paru
207 A Tumorang 43 4333579 suspek pneumonia dd/ Darma Putra,
SpOG (K)
metastasis, hiponatremia,
hipoalbumin
NOK susp maligna, dengan

asites masif, CKD on HD, Dr. dr.
207B Ekamalasari 24 4380843 anemia, hipoalbumin, Fitriyadi K,
hiponatremia, hipertensi, SpOG(K)
hepatomegali susp kongestf
Ca cervix residif dengan

metastasis kulit regio inguinal Dr. dr.
207C HJ. Nurul Huda 61 4379337 kiri, dengan luka terbuka, Fitriyadi K,
hipoalbumin, leukositosis SpOG(K)
reaktf

masalah: anemia gravis, fistula dr. Kartwa
207D Dewi Sant 49 4387634 rektovagina, intake sulit, Hadi N,
hidronefrosis bilateral, acute SpOG(K)
on CKD
Dr. dr.
Ca vulva stadium II, abses
207E Suhaedah 46 4360782 Fitriyadi K,
inguinal kiri
SpOG(K)

radiasi 5x, dengan :
Akut on CKD post HD, Anemia
post transfusi, Ca pain VAS 5, dr. Kartwa
207F Suwarni 51 4388749 Hadi N,
leukositosis reaktf, SpOG(K)
hiperkalemia post HD,
hiponatremia, hipertensi TD
belum terkontrol
Prof. Dr. dr.

210D Beata Ida 41 3208133 Andrijono,
DR.dr.
Ca cervix III B, anemia (8,6),
211A Sri Rahayu 74 4418437 Hariyono,
hiponatremia,hipokalemia SpOG(K)
laparotomi histerektomi dr. Andi
subtotal 1 tahun yang lalu,
211D ANISAH SAADIYAH 55 4417942 Darma Putra,
adenokarsinoma serosum
papiler progresif, intake sulit, SpOG (K)
anemia
Ca cervix stadium IIIB on Prof. Dr. dr.

radiasi eksterna, anemia,
212C Wiwi 66 4386701 Andrijono,
hiponatremia, hiperglikemia SpOG(K)
dd/DM tpe II
DR.
213A SAPNAH 46 4308936 Ca cervix IIIB, anemia dr,fitriyadi,
SpOG(K)
Ca cervix IIIB progresif Dr. dr. Tofan

213B Carsih 56 4336341 infiltrasi buli, anemia, retensio W Utami,
urin ec obstruksi, hematuria SpOG(K)
Ca cervix IIIB meta hepar dan

paru, dengan NOK bagian DR.
213 C Sri Mulyani 49 4387634 padat, cancer pain, anemia, dr.Fitriyadi K,
efusi pleura post pungsi, SpOG(K)
intake sulit,hiponatremia
Ca endometrium advance DR.

213 F Hoberthina 61 4384464 stage, elektrolit imbalance, dr.Fitriyadi K,
intake sulit, anemia SpOG(K)
post kuretase endometrium dr. Andi

dan konisas atas indikasi
214A Khan Lay Chen 57 4395481 Darma Putra,
Suspek ca endometrium SpOG (K)
stadium II dd ca cervix
NOK suspek maligna, Dr. dr. Tofan
214B Dwi Widya 24 4337478 hipoalbumin, hiponatremia, W Utami,
Abdominam mass suspek

malignancy dd/ mioma uteri, Dr. dr. Laila
dengan akut on CKD post HD, Nuranna,
214F Ny. Kresna Aritonang 53 4426537 hidronefrosis bilateral,
hiponatremia, hiperkalemia SpOG(K)
pasca koreksi
NOK Kiri dengan bagian padat dr. Andi

301E Mutara 14 4418294 suspek maligna, Darma Putra,
pseudomyxoma, anemia SpOG (K)
Ca cervix stadium IIIB pasca

radiasi lengkat 25+3,
kemoterapi 3x terakhir 6/19
dengan metastasi kulit, KBG
supraklavikula kiri dan KGB dr. Andi
519C ISWAHYUNINGSIH 45 4363647 ingunal kanan, cancer pain VA Darma Putra,
3-4 SpOG (K)
Paraplegia UMN, hipestesis
T12 kebawah, propioseptf
terganggu ec suspek SOL dd/
metastasis
Laboratorium Target
Lab (5/9/19): DPL 10,2/32,2/6410/374000 kemoterapi, rencana pulang
dpl 11.6/34.8/6220/392000 kemoterapi, rencana pulang
dpl 8,8/25,5/5470/606000, e:
133/4,3/101, ureum/creatnin: kemoterapi, koreksi elektrolit
12,5/0,9bHCG: 15958, SGOT/SGPT: 20/21
lab post op: DPL 11.7/32.8/13090/218000

DPL 6/9/2019 13/37/10530/237000
SGOT 15 SGPT 13 Albumin 3.78 Cr 0.7 Perawatan post op
Ureum 31 GDS 123 DPL (10/8/19):
13.5/38/11.940/201.000, alb:4.1, Ur/Cr :
36.1/0.75
7/9/19 albumin 2,34 lab DPL (5/9/19) : Perbaikan KU, tranfusi Albumin,
10.5/31.2/9780/407.000, Alb : 1.78, rencana laparotomi debulking
Ur/Cr : 16.9/0.4, OT/PT: 11/6
MOD tdak ACC coding koreksi
8/9/19 albu
Alb : 2,55
DPL 15/44,1/14040/201000//83/28/34 Na
136 K 4,1 Cl 104 PT 1,1x APTT 1,2x SGOT
19 SGPT 9 Ur 69 Cr 1,2 GDS 79 alb 1,82
3/9/19 Perbaikan KU, raber pulmo,

Alb : 2,21 koreksi albumin, rencana
Analisa cairan pleura : heparinisasi, pungsi asites, cek
Mesotel reaktf, singet ring cell (+), sitologi
kelompokan sel dgn sitoplasma kebiruan,
dinding sel ireguler, batas antar sel tdak
tegas
PT/APTT :1,1/1.2
Lab (10/9/19): DPL: 10,6/31/3520/214000 tranfusi PRC target hb >10

Lab (5/9/19): DPL: koreksi elektrolit
12,7/40,2/12310/472000, e: 132/4/99,
alb: 2,1, GDS 81
LAB 4/9/19 DPL 11/31.3/24420/279000

LAB 24/8/19
DPL 9,4/28/13.090/427.000 Konsul IPD GH : saran
Ur/Cr 91/5,6 cefoperazone 2x1 gram, bicnat
e 131/3,2/101 3x500 mg, nefrostomi sempat
macet,nefros tdak ada
7/9/19 produksi->sudah dikonsul
e 125/6,6/97 urologi
sudah pasang CVC
8/9/19
e 127/5,8/101
DPL 10,3/29/22.880/261.000
DPL 7/9/19 6,2/20/8420/472000 DPL

6/9/2019 4.2/13/9230/567000 SGOT 14 Transufusi PRC target HB>
SGPT 8 Albumin 1.6 Creatnin 1.1 Ureum 10gr/dL, koreksi albumin,
41 GDS 92 e 134/4.3/106 penelitan dr. TWU, coding
sudah dibuat belum ada
8/9/19 jaminan
DPL 8,9/27/12.580/449.000
7/9/19 DPL 11,5/34/8210/321000 Na 125 perbaikan ku, Raber neuro

K 3,7 Cl 99 PT 1,2x APTT 1x SGOT 44 SGPT infeksi, rencana Lumbal pungsi
30 Ur 22,9 Cr 1,36 GDS 129 Laktat 3,0
albumin 2,87 fibrinogen 167 d-dimer 1500 dari neuro
AGD pH 7,525 pCO2 22,7 pO2 171,4 HCO3 IPD tdak ada tambahan terapi
18,9 BE -1,8 SpO2 98
cek lab hepatts

lab 9/9/19 DPL 5.9/17.3/9380/243000 marker,Ca.Mg,Phospat (sudah
Na 132/K5.5/Cl 93 / SGOT 14/SGPT 13/ diamprah, tunggu hasil).
albumin 2.25/ ur 315/cr 18.9/ gds 103 Transfusi PRC target Hb>10,
koreksi hiponatremia
Lab 9/9/19 DPL 10.8/33.4/15970/302000 rencana konsul-konsul

Na 133/K 3.9/ Cl 110/ SGOT16/SGPT 11/ perioperatf untuk tndakan
albumin 2,9/ ur 46/cr 0.9, LDH 327/GDS kamis.
111
DPL (6/9/2019) 6.7/19/18430/435000 Cr

14 Ureum 261 e 126/5.6/105
8/9/19
8,9/25/16.890/3888 rencana nefrostomi
Ur/Cr 166/10,8
e 131/4,6/105
9/9/19
7,6/22/18.690/367.000
LAB 9/9/19 DPL
9.4/28.3/7600/516000 /SGOT 16/SGPT Transfusi PRC target HB> 10
53/albumin 3.4/ ur 22/cr 0.8 gds 129/ Na gr/Dl, rawat luka
142/K 3.5Cl 106
Lab 6/9/19
DPL 7,5/20/13.720/521.000
e : 120/8,1/87
GDS 72
koreksi elektrolit, rencana
Ur/Cr 215/18,3 nefrostomi
OT/PT 18/7
Lab 8/9/19
Ur/Cr 113/10,2
e 127/5,5/94
Lab (9/9/19):
11,1/31/1970/96000//80,3/28,8/35,8, e: rencana tranfusi trombosit
134,3,5/96,6, GDS 134, Ureum/creatnin
hingga >100000
29/1,2, SGOT/SGPT 13/34, PT/APTT
0,9x/0,9x
9/9/19 DPL 8,6/26.9/7800/323000/ Na

Transfusi PRC target HB> 10
133/ K 3,2/cl 102/ albumin 2,5/SGOT gr/dL, koreksi elektrolit
12/SGPT 11/ Ur 19/cr 0.6
9/9/19 dpl 5,9/17.4/21770/318000
8/9/19
Alb 2,25
Sampel penelitan dr Tofan,
DPL 7/9/19 9,7/27,4/26950/272000 target transfusi PRC target Hb
albumin 1,84 DPL 5/9/2019 >10 g/dL konsul IPD koreksi
8.7/24/43540/279000 LAB 4/9/19 dpl elektrolit
7.3/20.9/48800/293000 PT 1.2X/APTT
1.5x/ PCT 0.79/ SGOT 21/SGPT 23/ ur
51.6/cr 0.9/ Na 124/K 3.6/cl 94.3/ albumin
1.71
Lab (6/9/2019):
9,3/28,4/5960/331000//72,6/23,8/32,7,
PT/APTT: 0,9x/0,9x, SGOT/SGPT: 9/<6, alb rencana tranfusi hingga Hb>10
3,5e: 132/3,7/95, ureum/creatnin:
20,3/0,6, GDS 377
9/9/19 DPL 6.9/21.4/16200/748000 Na

Transfusi PRC target Hb>10.
131/K4.4/Cl97.7 SGOT 16/SGPT 28/ koreksi elektrolit
albumin 3.19/Ur 16/Cr 0.8/GDS112
Rencana transfusi PRC target

Hb 10 (masuk 2 kantong lagi
setelah itu konsul anestesi
untuk pasang akses dan IPD
ulang untuk HD). Konsul IPD :
DPL 9/9/19: 9.1/27.3/12320/275000 transfusi dulu, jika sudah
DPL(7/9/19) : 7,522/8030/289000 DPL
(5/9/2019) 6/17/8310/299000 Ureum 171 transfusi rencana HD, konsul
urologi: USG ginjal buli, gant
Cr 15 SGOT 10 SGPT 6 Albumin 3 e foley catheter no 24, drip NaCL
119/4.8/87 0,9% 60-80 tpm, injeksi Vit K,
konsul IPD untuk HD
Menunggu USG GiBul di hari

dan jam kerja
9/9/19 DPL 7.9/23.5/10660/655000/ tranfusi PRC target hb >10;

albumin 2.55/ SGOT 49/SGPT 8/ ur 43/cr koreksi elektrolit
0.7/Na 133/K 4.5/cl 98
Lab (9/9/19): DPL

9,6/26,9/2690/137000,Pt/APTT 0,9/1x, koreksi elelktrolit, konsul IPD
Ureum 26,8, Cr 0.7 GDS 98 e 120/2,9/86
SGOT 21 SGPT 18
DPL 7/9/19 12/36/4830/242000 Na 143 K

4,4 Cl 107,2 SGOT 13 SGPT 8 ALBUMIN
4,37 UR 14,5 CR 0,6 GDS 88 DPL perawatan post op
(2/7/2019) 12/35/5160/213000 e
140/3.3/104 SGOT 15 SGPT 16 Albumin
4.6ureum 15 Cr 0.6 GDS 94
DPL (27/8/19) : 10.5/30/8940/478000,
Alb : 2.21, E : 129/3.3/104
8/9/19 Pasien penelitan: diet protein

DPL 8,5/24/10.220/646.000 tnggi, koreksi natrium
e 121/3,5/94
GDS 74 Rencana perbaikan KU
Ur/Cr 68/1.0
Alb 1,79
OT/PT 6/6
7/9/19
DPL 12,1/34/14.790/432.000
OT/PT 29/15
Alb 2,96
Ur/Cr 193/15,2 Perbaikan KU.
GDS 75 Dr. dr. Laila minta dilakukan
e 121/7,4/86 USG Ke kencana hari rabu(oleh
dr. ADP), rencana nefrostomi
8/9/19 dari Urologi hari ini
Fosfat 2,95
e 121/5,6/91
Ur/Cr 135/10,4
LAB (10/9/19) e: 121/5,9/86,7,
7/9/19 beta HCG <1,2 CEA 8,9 AFP 2,61 Perbaikan KU sesuai TS anak,
LDH 535 DPL 5/9/19 9/27/9440/396000
albumin 3,46 Na 136 K 3,7 Cl 103 SGOT 15 rencana persiapan perioperatf
laparotomi VC
SGPT 10 Ur 21,9 Cr 0,7 GDS 78
DPL 10,9/30/8.030/485.000
GDS 117
e 128/3,8/98
Ro : spondilorhtrosis lumbal dengan
meetng : radiasi paliatf
degeneratf disc 4-5
osteopenia
straight lumbal
Ward Map Ginekologi Onkologi Minggu 8 September 2019
POD 4 post
laparotomi SOS 7/9/19
(VC) dilanjutkan DPL
Meilya Rahmi HTSOD ai tumor Dr. dr. Fitriyadi K, 8,8/26/9.210/263 Perawatan post
op, transfusi PRC
205 B Sujak 47 4381873 borderline SpOG(K) .000 target Hb> 10
musinosum e: 138/3,4/103
dengan anemia
dan DVT bilateral
DPL 6/9/2019
13/37/10530/237
000 SGOT 15 SGPT
13 Albumin 3.78 Rencanca
205D Emah 51 4367215 Ca vulva stadium Dr. dr. Sigit Cr 0.7 Ureum 31 hemivulvektomi
IB Purbadi, SpOG(K) GDS 123 DPL dan diseksi KGB
(10/8/19): Senin 9/9/2019
13.5/38/11.940/2
01.000, alb:4.1,
Ur/Cr :36.1/0.75
7/9/19 albumin Perbaikan KU,

2,34 lab DPL tranfusi Albumin,
(5/9/19) : rencana
10.5/31.2/9780/4
Ca ovarium stable Prof. Dr. dr. 07.000, Alb : 1.78, laparotomi
205E Ideh bint Ukat 55 4335448 disease post NACT Andrijono, Ur/Cr : 16.9/0.4, debulking
SpOG(K) OT/PT: 11/6
MOD tdak ACC
coding koreksi
8/9/19 albu
Alb : 2,55
7/9/19 albumin
2,42 DPL
6/9/2019
10.4/31/21640/6
55000 DPL
7/21.9/28500/75
7000 SGOT/SGPT
45/32
NOK Suspek Hipoalbumin 1.7 Koreksi albumin
maligna dengan Elektrolit lagi tdak acc
Anemia, Dr. dr. Laila 129/4.4/98 ca 125 MOD, alirkan
206A Sri Rustna 35 Hipoalbumin dan Nuranna, SpOG(K) 253 ascites
Ascites post 3/9/2019 2000cc/hari, cek
pungsi DPL sitologi
7,9/24/22.620/68
6.000
6/9/2019
DPL
10,4/31/21.640/6
55.000
Alb 2.42
DPL
15/44,1/14040/2
01000//83/28/34
Na 136 K 4,1 Cl
104 PT 1,1x APTT
1,2x SGOT 19
SGPT 9 Ur 69 Cr
Ca cervix IV A, 1,2 GDS 79 alb
Dispneu ec Suspek 1,82 fibrinogen
251 d-dimer 1500 Perbaikan KU,
meta paru, edema raber pulmo,
tungkai suspek 3/9/19 koreksi albumin,
DVT, Asites ec Dr. dr. Hariyono W, Alb : 2,21 rencana
206B Rica 31 4393802 hipoalbuminemia, SpOG (K)
Acute kidney Analisa cairan heparinisasi,
injury, Intake pleura : pungsi asites, cek
sulit, Ca pain, post Mesotel reaktf, sitologi
pungsi singet ring cell (+),
kelompokan sel
dgn sitoplasma
kebiruan, dinding
sel ireguler, batas
antar sel tdak
tegas
PT/APTT :1,1/1.2
Ca endomterium neuro : saran

meropenem
stadium IV B, sesuai IPD, asses
tetrapararese sepsis
UMN, cancer pain
Diah wahyuni VAS 4, Dr. dr. Fitriyadi K, IPD : tdak setuju
206D (DNR) 40 4389926 trombositosis ec SpOG(K)
malignansi, sepsis, rencana
leukositosis reaktf kultur, sudah
dilapor ke IPD
dd infeksi, akan di follow up
hiperkalemia
LAB 4/9/19 DPL

11/31.3/24420/2
79000 LAB
DPL saran
9,4/28/13.090/42 cefoperazone 2x1
RATNA NINGSIH nefrostomi, ca dr. Andi Darma e 131/3,2/101 nefrostomi
206 E (DNR) 57 4387033 pain vas 3, Putra, SpOG (K) sempat
produksi->sudah
DPL
10,3/29/22.880/2
61.000
DPL 7/9/19
6,2/20/8420/472
000 DPL 6/9/2019 Transufusi PRC
4.2/13/9230/567 target HB>
Ca ovarium residif 000 SGOT 14 SGPT 10gr/dL, koreksi
post kemoterapi 8 Albumin 1.6 albumin,
206F Purwant 60 4381391 dengan masalah: dr. Kartwa Hadi N, Creatnin 1.1
anemia, SpOG(K) Ureum 41 GDS 92 penelitan
TWU, coding
dr.
trombositosis, Tb e 134/4.3/106 sudah dibuat
paru on OAT
8/9/19 belum ada
DPL jaminan
8,9/27/12.580/44
9.000
7/9/19 DPL
11,5/34/8210/32
Penurunan 1000 Na 125 K 3,7
kesadaran ec Cl 99 PT 1,2x APTT perbaikan ku,
suspek metabolik 1x SGOT 44 SGPT Raber neuro
dd/ metastasis, 30 Ur 22,9 Cr 1,36 infeksi, rencana
Lidya Duma Br infiltrat paru dr. Andi Darma GDS 129 Laktat Lumbal pungsi
207 A Tumorang 43 4333579 suspek Putra, SpOG (K) 3,0 albumin 2,87 dari neuro
pneumonia dd/ fibrinogen 167 d-
metastasis, dimer 1500 AGD IPD tdak ada
hiponatremia, pH 7,525 pCO2 tambahan terapi
hipoalbumin 22,7 pO2 171,4
HCO3 18,9 BE -1,8
SpO2 98
7/9/19 albumin
3,09
lab 5/9/2019
10/30/11920/101
9000 PCT 0,36
29/08/19: DPL:
12.4/35.5/22.500
/1.067.000
27/8/19 DPL
7.2/21/48070/10
ILO pada Post 28000, GDS 93,
laparotomi Ur/Cr 24/0.5,
adhesiolisis, OT/PT 12/8, Cek DPL, PCT
debulking, albumin 2.33, (menunggu hasil).
hartmann's PT/APTT 1.2x/1.3x AB Cefepim 3x1
207 E Ngatni 44 4380141 procedure POD 19 Dr. dr. Tofan W
Utami, SpOG(K) elektrolit gram (5 hari),
ai Ca ovarium 128/3.6/92, laktat Metronidazole
advanced stage 1.9, CRP 565, PCT 3x500 mg IV,
dengan 10.01 , DPL Perawatan ILO
trombositosis, 10.7/33.2/9500/6
suspek DVT 31.000 OT/PT
28/32 albumin
2.85 ur/crec
21/0.7 elektrolit
133/4.4/97.5
16/08/19 :
Alb : 3,39
DPL Post Op :
10.2/30.7/9030/4
06000, Albumin
1.98
IIIB on radiasi 5x, DPL
dengan : 7,5/20/13.720/52
Akut on CKD post 1.000
HD, Anemia post e : 120/8,1/87 Perbaikan KU, IPD
transfusi, Ca pain dr. Kartwa Hadi N, GDS 72 saran nefrostomi,
207F Suwarni 51 4388749 VAS 5, leukositosis SpOG(K) Ur/Cr 215/18,3 ACC urologi akan
reaktf, OT/PT 18/7 follow up
hiperkalemia post
HD, hiponatremia, Lab 8/9/19
hipertensi TD Ur/Cr 113/10,2
belum terkontrol e 127/5,5/94
Lab 8/9/2019
DPL
8,4/23/4.220/37.
000
e: 126/2.5/96
OT/PT 16/7
Alb 2,17
Ur/Cr 140/3
GDS 114 Pasien penelitan
Ca ovarium LDH 139 albumin -
advanced stage pemberian
dengan ascites Lab 6/9/2019 protein.
210 A Nuraini 49 4300167 dan anemia, Dr. dr. Fitriyadi K, 11/32/5270/9300
leukopenia, dan SpOG(K) 0 LAB 4/9/19 DPL Rencana transfusi
trombositopenia 8.7/24.5/3080/12 target hb>10
Hipoalbuminemia, 8000 // DPL ulang?
hiponatremia 9.5/27/2560/60.0
00 Koreksi TC?
OT/PT : 15/7
Ur/Cr : 97/2.7
e: 128/3,4/92
Ca125 : 31
Alb : 2,45
8/9/19
DPL
9,2/29/12.710/20
8.000
Ca Cervix IIB
dengan masalah: dr. Kartwa Hadi N, 7/9/19 DPL Transfusi PRC
210C Yusmarni 43 4426501 anemia, cancer SpOG(K) 7,8/25,2/8490/22 target HB> 10
pain Aritmia (PVC 6000 DPL(6/9/19) gr/dL
frequent) 7.9/25/4880/242
000 SGOT 19 SGPT
22 Cr 0.5 ureum
11.4 GDS 103 e
138/4.1/103
8/9/19
Alb 2,25
DPL 7/9/19
9,7/27,4/26950/2
ILO superfisialis 72000 albumin
post laparotomi 1,84 DPL Sampel penelitan
histerektomi 5/9/2019 dr Tofan, target
subtotal 1 tahun dr. Andi Darma 8.7/24/43540/27 transfusi PRC
211D ANISAH SAADIYAH 55 4417942 yang lalu, Putra, SpOG (K) 9000 LAB 4/9/19 target Hb >10
adenokarsinoma dpl
serosum papiler 7.3/20.9/48800/2 g/dL konsul IPD
progresif, intake 93000 PT koreksi elektrolit
sulit, anemia 1.2X/APTT 1.5x/
PCT 0.79/ SGOT
21/SGPT 23/ ur
51.6/cr 0.9/ Na
124/K 3.6/cl 94.3/
albumin 1.71
DPL 7/9/19 Perbaikan KU

9/27/8400/29700
0 DPL (4/9/2019) transfusi PRC
target Hb>
Ca cervix IIIB, Dr. dr. Tofan W 6/19/9190/32100 10gr/dL
212D Imelda Erni 40 4393735 hipoalbumin Utami, SpOG(K) 0 DPL (29/8/19) : Amprah sudah,
10.7/31/9050/29
8000, Alb : 2.94, E darag belum
: 131/3.6/101, ready menunggu
acc (coomb (+))
Ur/Cr : 14/0.8
Rencana transfusi
PRC target Hb 10
(masuk 2 kantong
lagi setelah itu
konsul anestesi
untuk pasang
akses dan IPD
ulang untuk HD).
DPL(7/9/19) : Konsul IPD :
Ca cervix IIIB 7,522/8030/2890 transfusi dulu, jika
progresif infiltrasi 00 DPL (5/9/2019) sudah transfusi
213B Carsih 56 4336341 buli, anemia, Dr. dr. Tofan W 6/17/8310/29900 rencana HD,
retensio urin ec Utami, SpOG(K) 0 Ureum 171 Cr konsul urologi:
obstruksi, 15 SGOT 10 SGPT USG ginjal buli,
hematuria 6 Albumin 3 e gant foley
119/4.8/87 catheter no 24,
drip NaCL 0,9%
60-80 tpm, injeksi
Vit K, konsul IPD
untuk HD
Menunggu USG
GiBul di hari dan
jam kerja
DPL (6/9/2019)
6.7/19/18430/43 Post HD 1x,
5000 Cr 14 Ureum Rencana cek DPL,
ca cervix stadium 261 e elektrolit, ur cr
IV A dengan 126/5.6/105 ulang (menunggu
masalah: anemia 8/9/19 hasil), rencana
gravis, fistula dr. Kartwa Hadi N, 8,9/25/16.890/38 nefrostomi
213 C Dewi Sant 49 4387634 rektovagina, SpOG(K) 88 setelah perbaikan
intake sulit, Ur/Cr 166/10,8 KU
bilateral, acute on semalam
CKD perdarahan 3
9/9/19
7,6/22/18.690/36 pampers,
turun
Hb
7.000
Suspek DPL
synchronize 12/40/12310/472 Pasien penelitan
ovarian cancer dd Ureum 22 Cr albumin sedang
ca cervix stadium dr. Kartwa Hadi N, 000
0.4 GDS 81 e mendapat terapi
213 E Sit Jahra 42 4407149 IVA metastasis SpOG(K) diet albumin,
ovarium, 132/4/99 SGOT 21 rencana pungsi
hipoalbumin, SGPT 16 Albumin asciites
2.1
asites
DPL 7/9/19
12/36/4830/2420
00 Na 143 K 4,4 Cl
107,2 SGOT 13
SGPT 8 ALBUMIN
Suspek ca 4,37 UR 14,5 CR rencana konisasi
214A Khan Lay Chen 57 4395481 endometrium dr. Andi Darma 0,6 GDS 88 DPL dan kuretase
stadium II dd ca Putra, SpOG (K) (2/7/2019)
cervix 12/35/5160/2130 endometrium
00 e 140/3.3/104
SGOT 15 SGPT 16
Albumin
4.6ureum 15 Cr
0.6 GDS 94
DPL (27/8/19) :
10.5/30/8940/47
8000, Alb : 2.21, E
: 129/3.3/104
NOK suspek Pasien penelitan:
maligna, 8/9/19 diet protein tnggi,
hipoalbumin, Dr. dr. Tofan W DPL koreksi natrium
214B Dwi Widya 24 4337478 Utami, SpOG(K) 8,5/24/10.220/64
hiponatremia, 6.000 Rencana
intake sulit e 121/3,5/94 perbaikan KU
GDS 74
Ur/Cr 68/1.0
Alb 1,79
OT/PT 6/6
7/9/19
DPL
Abdominam mass 12,1/34/14.790/4
suspek 32.000
malignancy dd/ OT/PT 29/15
mioma uteri, Alb 2,96 Perbaikan KU.
Ny. Kresna dengan akut on Dr. dr. Laila Ur/Cr 193/15,2 Dr. dr. Laila minta
214F Aritonang 53 4426537 CKD post HD, Nuranna, SpOG(K) GDS 75 dilakukan USG
hidronefrosis e 121/7,4/86 Kintani
bilateral,
hiponatremia, 8/9/19
hiperkalemia Fosfat 2,95
pasca koreksi e 121/5,6/91
Ur/Cr 135/10,4
7/9/19 beta HCG

<1,2 CEA 8,9 AFP
NOK Kiri dengan 2,61 LDH 535 DPL Perbaikan KU
bagian padat 5/9/19 sesuai TS anak,
dr. Andi Darma 9/27/9440/39600
301E Mutara 14 4418294 suspek maligna, Putra, SpOG (K) 0 albumin 3,46 Na rencana persiapan
pseudomyxoma, 136 K 3,7 Cl 103 perioperatf
anemia SGOT 15 SGPT 10 laparotomi VC
Ur 21,9 Cr 0,7
GDS 78
Ca cervix stadium
lengkat 25+3, 10,9/30/8.030/48
kemoterapi 3x 5.000
dengan metastasi
kulit, KBG e 128/3,8/98
supraklavikula kiri Ro : Raber kapten
519C ISWAHYUNINGSIH 45 4363647 dan KGB ingunal dr. Andi Darma spondilorhtrosis neuro. Neurologi
kanan, cancer Putra, SpOG (K) lumbal dengan meetng : radiasi
pain VA 3-4 degeneratf disc 4- paliatf
Paraplegia UMN, 5
hipestesis T12
kebawah, osteopenia
propioseptf straight lumbal
spondilosis
suspek SOL dd/
metastasis
dr. T. Dewi dr. Kartwa Hadi N, 206F, 210C, 213C,

Anggraeni, 207F SpOG(K) 213E
SpOG(K)
Nuranna, SpOG(K) 206A SpOG (K) 206B, 207D
Prof. Dr. dr.
Andrijono, 205E Dr. dr. Tofan W 207E, 212D, 213B,
SpOG(K) Utami, SpOG(K) 214B
Dr. dr. Sigit

Ward Map Ginekologi Onkologi Minggu 8 September 2019
DPL 7/6/2019
8,8/26/9210/263
000 na 138 K 3,4
Cl 103,9 lab
6/9/2019
POD 3 post 8.5/25/9840/334
laparotomi SOS
(VC) dilanjutkan 000 laktat 2.3 DPL
Meilya Rahmi HTSOD ai tumor Dr. dr. Fitriyadi K, post op 5/9/19:
8.7/25.9/13300/3 Perawatan post op
205 B Sujak 47 4381873 borderline SpOG(K)
musinosum 31000 albumin
3.6 GDS
dengan anemia 107elektrolit
dan DVT bilateral 138/4.7/104SGOT
/SGPT
16/7Ureum/Cr
30/0.7 HbsAg non
reaktf
5/9/2019 biakan
urine steril 3/9/19
lab 2/9/2019 DPL
POD V Post post op
laparotomi 11.9/35/22050/3
Histerektomi 42000 GDS 212
radikal SOB, PLND Albumin 2.9
ai ca cervix SGOT/SGPT 18/12 raber digestf,
stadium IIA2, dr. Andi Darma Ureum/Cr 29/0.7 perawatan post
205 C Sit Huriah 46 4382935 repair laserasi Putra, SpOG (K) elektrolit op,rencana pulang
rektum dan 137/4.6/102 lab jika digestf acc
ileostomi dengan 29/08/19: DPL: pulang
masalah: 13.1/38.6/8.160/
hiperglikemia 357.000. Na/K/Cl:
reaktf, 137/3.8/107
hipoalbumin (2.9) SGOT/SGPT:
15/13. Alb: 3.87.
Ur/Cr: 15/0.7 GDS
102
DPL 6/9/2019
13/37/10530/237
000 SGOT 15 SGPT
13 Albumin 3.78 Rencanca
Ca vulva stadium Dr. dr. Sigit Cr 0.7 Ureum 31 hemivulvektomi
205D Emah 51 4367215 IB Purbadi, SpOG(K) GDS 123 DPL dan diseksi KGB
(10/8/19): Senin 9/9/2019
13.5/38/11.940/2
01.000, alb:4.1,
Ur/Cr :36.1/0.75
7/9/19 albumin
2,34 lab DPL Perbaikan KU,
Prof. Dr. dr. (5/9/19) : tranfusi Albumin,
Ca ovarium stable Andrijono, 10.5/31.2/9780/4 rencana
205E Ideh bint Ukat 55 4335448 disease post NACT SpOG(K) 07.000, Alb : 1.78, laparotomi
Ur/Cr : 16.9/0.4, debulking
OT/PT: 11/6
7/9/19 albumin
2,42 DPL
6/9/2019
10.4/31/21640/6
55000 DPL
7/21.9/28500/75
NOK Suspek 7000 SGOT/SGPT Koreksi albumin
45/32 lagi tdak acc
maligna dengan Dr. dr. Laila Hipoalbumin 1.7 MOD, rencana
206A Sri Rustna 35 4417820 Anemia,
Hipoalbumin dan Nuranna, SpOG(K) Elektrolit pungsi ascites hari
Ascites 129/4.4/98 ca 125 ini? Atau rencana
253 pulang?
3/9/2019
DPL
7,9/24/22.620/68
6.000
DPL
15/44,1/14040/2
01000//83/28/34
Na 136 K 4,1 Cl
104 PT 1,1x APTT
1,2x SGOT 19
SGPT 9 Ur 69 Cr
Dispneu ec Suspek 1,82 fibrinogen Perbaikan KU,
meta paru, edema 251 d-dimer 1500 raber pulmo,
tungkai suspek
DVT, Asites ec Dr. dr. Hariyono W, 3/9/19 koreksi albumin,
206B Rica 31 4393802
hipoalbuminemia, SpOG (K) Alb : 2,21 rencana
heparinisasi,
Acute kidney Analisa cairan
injury, Intake pleura : pungsi asites
sulit, Ca pain Mesotel reaktf,
singet ring cell (+),
kelompokan sel
dgn sitoplasma
kebiruan, dinding
sel ireguler, batas
antar sel tdak
tegas
DPL(7/9/19) DPL
10,9/32/9480/35
2000 DPL
Ca cervix IIIB, (6/9/2019)
anemia, Dr. dr. Sigit 9.2/27/8320/325 Tranfusi target Hb
> 10 g/dl, konsul
206C Ai Royani 46 4417174 Purbadi, SpOG(K) 000 DPL (5/9/19): IPD
hiponatremia 9.9/28.8/11020/3
51000, E:
134/4/101, OT/PT:
25/21
rencana konsul
IPD untuk koreksi
elektrolit (lembar
sudah dibuat),
rencana transfusi
PRC target Hb 10,
koreksi albumin,
7/9/19 DPL Sudah CT Scan
7,3/22,7/30540/4 kepala cito
Ca endomterium 6000//76/24/32 dengan kontras,
stadium IV B, albumin 1,99 GDS Paracetamol 4 x
tetrapararese 126 Na 130 K 5,7 1000 mg hasil
UMN, cancer pain Cl 104 PT 0,9x konsul neuro : A:
Diah wahyuni VAS 4, Dr. dr. Fitriyadi K, APTT 1x
fibrinogen 510,6
tetraparese UMN,
ca pain, hipestesi
206D (DNR) 40 4389926 trombositosis ec SpOG(K)
malignansi, d-dimer 12200 T6 kebawah,
leukositosis reaktf 11/8/19: DPL: retensio urin dan
dd infeksi, 11.6/35.4/41.690 alvi ec susp SOL
hiperkalemia /767.000 DPL kanalis spinalis
8.2/26.7/3.45/25. ekstradura susp
210/729.000 metastasis -->
albumin 3.76 plAnning: MIR 4x
10 mg.
konsul psikiatri :
depresi sedang -->
straline 1x25 mg
rencana bone
scan: sudah, MRI
abdomen sudah
Konsul IPD GH :
LAB 4/9/19 DPL saran
11/31.3/24420/2 cefoperazone 2x1
Ca cervix stadium 79000 LAB gram, bicnat
RATNA NINGSIH IIIB, CKD on dr. Andi Darma 24/8/19 3x500 mg,
206 E (DNR) 57 4387033 nefrostomi, ca Putra, SpOG (K) DPL nefrostomi
9,4/28/13.090/42 sempat
pain vas 3 7.000 macet,nefros
Ur/Cr 91/5,6 tdak ada
e 131/3,2/101 produksi->sudah
dikonsul urologi.
DPL 7/9/19
Ca ovarium residif 6,2/20/8420/472
000 DPL 6/9/2019
post kemoterapi Transufusi PRC
206F Purwant 60 4381391 dengan masalah: dr. Kartwa Hadi N, 4.2/13/9230/567
000 SGOT 14 SGPT target HB>
anemia, SpOG(K) 8 Albumin 1.6 10gr/dL, koreksi
trombositosis, Tb Creatnin 1.1 albumin
paru on OAT
Ureum 41 GDS 92
e 134/4.3/106
7/9/19 DPL
11,5/34/8210/32
1000 Na 125 K 3,7
Penurunan Cl 99 PT 1,2x APTT
kesadaran ec 1x SGOT 44 SGPT perbaikan ku,
intrakranial susp 30 Ur 22,9 Cr 1,36 Raber neuro
207 A Lidya Duma Br 43 4333579 SOL dd/ dr. Andi Darma GDS 129 Laktat infeksi, rencana
Tumorang metabolik, post Putra, SpOG (K) 3,0 albumin 2,87 Lumbal pungsi
laparotomi fibrinogen 167 d- dari neuro
debulkin ai dimer 1500 AGD
Sarkoma uteri, AKI pH 7,525 pCO2
22,7 pO2 171,4
HCO3 18,9 BE -1,8
SpO2 98
7/9/19 DPL
ca ovarium residif Dr. dr. Hariyono W, 10,9/34/7080/29
1000 neutrofil
Rencana
kemoterapi
207 D Dwita Koriwat 55 4116241 anemia (Hb 9,7 SpOG (K) 64,7 DPL (protokol kemo
g/dL) 9.7/30/7850/413 belum ada)
000
7/9/19 albumin
3,09 lab 5/9/2019
10/30/11920/101
9000 PCT 0,36
29/08/19: DPL:
12.4/35.5/22.500
/1.067.000
27/8/19 DPL
7.2/21/48070/10
28000, GDS 93,
ILO pada Post Ur/Cr 24/0.5,
laparotomi OT/PT 12/8,
adhesiolisis, albumin 2.33, Cek DPL, PCT
debulking, PT/APTT 1.2x/1.3x (menunggu hasil).
hartmann's Dr. dr. Tofan W elektrolit AB Cefepim 3x1
207 E Ngatni 44 4380141 procedure POD 19 Utami, SpOG(K) 128/3.6/92, laktat gram (5 hari),
ai Ca ovarium 1.9, CRP 565, PCT Metronidazole
advanced stage 10.01 , DPL 3x500 mg
dengan 10.7/33.2/9500/6 iv,Perawatan ILO
trombositosis, 31.000 OT/PT
suspek DVT 28/32 albumin
2.85 ur/crec
21/0.7 elektrolit
133/4.4/97.5
16/08/19 :
Alb : 3,39
DPL Post Op :
10.2/30.7/9030/4
06000, Albumin
1.98
LAB 4/9/19 dpl rencana koreksi

Ca ovarium, dr. T. Dewi 12.1/36/9320/45 albumin dahulu,
207 F Fathurohmah 49 4382139 ascites,hipoalbum Anggraeni, 1000 PT bila albumin >2.5
in SpOG(K) 0,8x/APTT 0,8x/ dilanjutkan pungsi
albumin 2.1 ascites
Lab 6/9/2019
11/32/5270/9300
Ca ovarium 0 LAB 4/9/19 DPL
advanced stage 8.7/24.5/3080/12
dengan ascites 8000 // DPL Pasien penelitan
dan anemia, Dr. dr. Fitriyadi K, 9.5/27/2560/60.0 albumin. Cek
210 A Nuraini 49 4300167 leukopenia, dan SpOG(K) 00 albumin 9/9/2019
Rencana transfusi
trombositopenia OT/PT : 15/7 target hb>10
Hipoalbuminemia, Ur/Cr : 97/2.7
hiponatremia
e: 128/3,4/92
Ca125 : 31
Alb : 2,45
7/9/19 DPL
7,8/25,2/8490/22
Ca Cervix IIB
dengan masalah: dr. Kartwa Hadi N, 6000 DPL(6/9/19)
7.9/25/4880/242 Transfusi PRC
210C Yusmarni 43 4426501 anemia, cancer SpOG(K) 000 SGOT 19 SGPT target HB> 10
pain Aritmia (PVC 22 Cr 0.5 ureum gr/dL
frequent)
11.4 GDS 103 e
138/4.1/103
7/9/19 DPL
Ca cervix III B, 10/29,6/29810/3 Urologi : tdak ada
hidronferosis 84000 DPL tatalaksana,
bilateral on 6/9/2019 spooling kedua
nefrostomi, Dr. dr. Gatot 8.4/24/27110/42 nefrostomi lancar,
211A Linda 38 3563501 anemia, Purwoto, SpOG(K) 0000 DPL : pertmbangkan
hiponatremia, 7.3/20.4/28110/3 antbiotka double
leukositosis 53000, E: drug oral, rencana
infektf 126/4.5/101, pulang
Ur/Cr : 91.6/1.7
DPL 6/9/2019
11/32/17650/749
ca cervix IIIB 000 Ureum 129 Cr
dengan cancer 4.1 DPL
pain, hidronefrosis 6/18/17480/8170
bilateral, 00 e 137/4.4/107
dispepsia, intake Dr. dr. Fitriyadi K, albumin 2.4 Urologi : cek Ur Cr
211B Tintn 40 4337500 sulit, retensio urin SpOG(K) SGOT/SGPT 10/8 9/9/19
ec obstruksi, Ureum/ Cr 157/
hipoalbumin, 6.1 GDS 87
acute on CKD,
trombositosis DPL :
9,3/28,4/23.140/
847.000
POD 3 Post DPL 5/9/2019

Laparotomi 10/33/12200/261
HTSOD ai 000 DPL
adenomyosis, 8.1/27.5/6710/36
Dr. dr. Gatot 9000 PT
211C Tiarni 38 3224394 mioma uteri, Purwoto, SpOG(K) 0,8x/APTT 0,8x / Rencana pulang
hidrosalping, albumin 4.3/ Na
riwayat 138/K 3.7/ 106.7 /
konservatf SGOT 19/SGPT
surgical staging
14/ Ur 15.8/Cr 0.5
DPL 7/9/19
9,7/27,4/26950/2
72000 albumin
ILO superfisialis 1,84 DPL
5/9/2019
post laparotomi 8.7/24/43540/27 Sampel penelitan
histerektomi 9000 LAB 4/9/19 dr Tofan, target
subtotal 1 tahun dr. Andi Darma dpl transfusi PRC
211D ANISAH SAADIYAH 55 4417942 yang lalu, Putra, SpOG (K) 7.3/20.9/48800/2 target Hb >10
adenokarsinoma
serosum papiler 93000 PT g/dL konsul IPD
progresif, intake 1.2X/APTT 1.5x/ koreksi elektrolit
PCT 0.79/ SGOT
sulit, anemia 21/SGPT 23/ ur
51.6/cr 0.9/ Na
124/K 3.6/cl 94.3/
albumin 1.71
DPL 7/9/19
9/27/8400/29700
0 DPL (4/9/2019) Perbaikan KU
6/19/9190/32100
Ca cervix IIIB, Dr. dr. Tofan W 0 DPL (29/8/19) : transfusi PRC
212D Imelda Erni 40 4393735 hipoalbumin Utami, SpOG(K) target Hb>
10.7/31/9050/29 10gr/dL
8000, Alb : 2.94, E
: 131/3.6/101,
Ur/Cr : 14/0.8
Rencana transfusi
PRC target Hb 10
(masuk 2 kantong
lagi setelah itu
konsul anestesi
untuk pasang
DPL(7/9/19) : akses dan IPD
Ca cervix IIIB 7,522/8030/2890 ulang untuk HD).
progresif infiltrasi 00 DPL (5/9/2019) Konsul IPD :
buli, anemia, Dr. dr. Tofan W 6/17/8310/29900 transfusi dulu, jika
213B Carsih 56 4336341 retensio urin ec Utami, SpOG(K) 0 Ureum 171 Cr sudah transfusi
obstruksi, 15 SGOT 10 SGPT rencana HD,
hematuria 6 Albumin 3 e konsul urologi:
119/4.8/87 USG ginjal buli,
gant foley
catheter no 24,
drip NaCL 0,9%
60-80 tpm, injeksi
Vit K, konsul IPD
untuk HD
ca cervix stadium Post HD 1x,

IV A dengan Rencana cek DPL,
masalah: anemia DPL (6/9/2019)
gravis, fistula elektrolit, ur cr
213 C Dewi Sant 49 4387634 rektovagina, dr. Kartwa Hadi N, 6.7/19/18430/43
5000 Cr 14 Ureum ulang (menunggu
intake sulit, SpOG(K) 261 e hasil), rencana
hidronefrosis 126/5.6/105 nefrostomi
setelah perbaikan
bilateral, acute on KU
CKD
Suspek DPL
synchronize 12/40/12310/472 Pasien penelitan
ovarian cancer dd 000 Ureum 22 Cr albumin sedang
ca cervix stadium dr. Kartwa Hadi N, mendapat terapi
213 E Sit Jahra 42 4407149 IVA metastasis SpOG(K) 0.4 GDS 81 e diet albumin,
ovarium, 132/4/99 SGOT 21 rencana pungsi
hipoalbumin, SGPT 16 Albumin asciites
asites 2.1
DPL 7/9/19
12/36/4830/2420
00 Na 143 K 4,4 Cl
107,2 SGOT 13
SGPT 8 ALBUMIN
Suspek ca 4,37 UR 14,5 CR rencana konisasi
endometrium dr. Andi Darma 0,6 GDS 88 DPL
214A Khan Lay Chen 57 4395481 stadium II dd ca Putra, SpOG (K) (2/7/2019) dan kuretase
endometrium
cervix 12/35/5160/2130
00 e 140/3.3/104
SGOT 15 SGPT 16
Albumin
4.6ureum 15 Cr
0.6 GDS 94
NOK suspek DPL (27/9/19) :

maligna, Dr. dr. Tofan W 10.5/30/8940/47 Pasien penelitan:
214B Dwi Widya 24 4337478 hipoalbumin, diet protein tnggi,
hiponatremia, Utami, SpOG(K) 8000, Alb : 2.21, E koreksi natrium
intake sulit : 129/3.3/104
7/9/19 beta HCG

<1,2 CEA 8,9 AFP
NOK Kiri dengan 2,61 LDH 535 DPL Perbaikan KU
5/9/19
bagian padat dr. Andi Darma 9/27/9440/39600 sesuai TS anak,
301E Mutara 14 4418294 suspek maligna, Putra, SpOG (K) 0 albumin 3,46 Na rencana persiapan
pseudomyxoma, 136 K 3,7 Cl 103 perioperatf
anemia SGOT 15 SGPT 10 laparotomi VC
Ur 21,9 Cr 0,7
GDS 78
31/8/19 DPL
10/30,3/13300/3
Penurunan 07000//86/28/33
kesadaran ec Na 150 K 3,1 cl
sepsis dd/ HIE, 115 lab 29 /
syok sepsis, Post 08/19. Alb: 2.57.
laparatomi Na/K/Cl: 149/2.8/
eksplorasi reseksi 116. ca darah.
ileum, 12.7. Ca ion 1.75. vascon 0,08
adhesiolisis, Lab 28/08/19: mcg/kgbb/menit,
inj amikasin 1x1,
debulking, end Dr. dr. Gatot DPL: inj metronidazole
401G Dina Meilinda 42 4330286 ileostomi atas Purwoto, SpOG(K) 6.4/19.5/12.660/ 3 x 500 mg,
indikasi ca 194.000. Alb:
ovarium residif 2.16. Na/K/Cl: paracetamol 3x1
dengan fistulasi 149/3.4/118. Lab gr. Raber
ileum dengan 26/8/19. DPL: digestve
permasalahan: 9.3/28.4/11.250/
anemia, 218.000.
hipernatremia, SGOT/SGPT: 9/<6.
hiperkloremia, Albumin: 1.65.
hipoalbuminemia Ur/Cr: 81/1. GDS
96. Na/K/Cl:
151/3.2/118
Ca cervix stadium
IIIB pasca radiasi
lengkat 25+3, DPL
kemoterapi 3x 10,9/30/8.030/48
terakhir 6/19 5.000
dengan metastasi GDS 117
e 128/3,8/98
kulit, KBG
supraklavikula kiri Ro : Raber kapten
dan KGB ingunal dr. Andi Darma spondilorhtrosis neuro. Neurologi
519C ISWAHYUNINGSIH 45 4363647 kanan, cancer Putra, SpOG (K) meetng : radiasi
pain VA 3-4 lumbal dengan paliatf
Paraplegia UMN, degeneratf disc 4-
hipestesis T12 5
osteopenia
suspek SOL dd/
metastasis
dr. T. Dewi
Anggraeni, 207F dr. Kartwa Hadi N, 206F, 210C, 213C,
SpOG(K) 213E
SpOG(K)
Nuranna, SpOG(K) 206A SpOG (K) 206B, 207D
Andrijono, 205E Utami, SpOG(K) 214B
SpOG(K)
Dr. dr. Sigit

Ward Map Ginekologi Onkologi Jumat 7 September 2019
DPL
Dr. dr. Tofan W
204 A Endang Prihwulan 54 4365317 Ca Ovarium IIIC 10/30/4910/1190
Utami, SpOG(K) 00
DPL
dr. Andi Darma
204 B Erniat 28 4417535 PTM high risk 11.5/35.1/6890/3
Putra, SpOG (K) 23000
DPL
dr. Andi Darma
204 C Hetty Atmadja 53 4240497 Ca cervix IIB 10.6/30.8/2790/1
DPL
Dr. dr. Tofan W
204 D Titn Hartni 61 3309401 Ca Ovarium 11.7/32/6000/14
Utami, SpOG(K) 1000
DPL
Dr. dr. Gatot
204 F Tet Rahmawat 43 4364622 Ca Ovarium Purwoto, SpOG(K) 10.4/30/5780/21
3000
DPL 6/9/2019
8.5/25/9840/334
000 laktat 2.3 DPL
POD 2 post post op 5/9/19:
laparotomi SOS 8.7/25.9/13300/3
(VC) dilanjutkan
HTSOD ai tumor Dr. dr. Fitriyadi K, 31000 albumin
Meilya Rahmi
HCU 47 4381873 3.6 GDS
Sujak borderline SpOG(K) 107elektrolit
musinosum 138/4.7/104SGOT
dengan anemia /SGPT
dan DVT bilateral 16/7Ureum/Cr
30/0.7 HbsAg non
reaktf
5/9/2019 biakan
urine steril 3/9/19
DPL
7.9/24.4/22620/6
86000 / albumin
POD IV Post
2.05 2/9/2019
laparotomi DPL post op
Histerektomi 11.9/35/22050/3
radikal SOB, PLND 42000 GDS 212
ai ca cervix Albumin 2.9
stadium IIA2,
dr. Andi Darma SGOT/SGPT 18/12
205 C Sit Huriah 46 4382935 repair laserasi Putra, SpOG (K) Ureum/Cr 29/0.7
rektum dan elektrolit
ileostomi dengan 137/4.6/102 lab
masalah:
29/08/19: DPL:
hiperglikemia 13.1/38.6/8.160/
reaktf, 357.000. Na/K/Cl:
hipoalbumin (2.9) 137/3.8/107
SGOT/SGPT:
15/13. Alb: 3.87.
Ur/Cr: 15/0.7 GDS
102
DPL 6/9/2019
13/37/10530/237
000 SGOT 15 SGPT
13 Albumin 3.78
Ca vulva stadium Dr. dr. Sigit Cr 0.7 Ureum 31
205D Emah 51 4367215 IB Purbadi, SpOG(K) GDS 123 DPL
(10/8/19):
13.5/38/11.940/2
01.000, alb:4.1,
Ur/Cr :36.1/0.75
DPL (5/9/19) :
Ca ovarium stable Prof. Dr. dr. 10.5/31.2/9780/4
205E Ideh bint Ukat 55 4335448 disease post NACT Andrijono, 07.000, Alb : 1.78,
SpOG(K) Ur/Cr : 16.9/0.4,
OT/PT: 11/6
DPL 6/9/2019
10.4/31/21640/6
55000 DPL
7/21.9/28500/75
7000 SGOT/SGPT
45/32
NOK Suspek Hipoalbumin 1.7
maligna dengan
Dr dr Laila Elektrolit
Hipoalbumin dan Nuranna SpOG K 129/4.4/98 ca 125
253
Ascites
3/9/2019
DPL
7,9/24/22.620/68
6.000
DPL
15/44,1/14040/2
01000//83/28/34
Na 136 K 4,1 Cl
104 PT 1,1x APTT
1,2x SGOT 19
SGPT 9 Ur 69 Cr
meta paru, edema 251 d-dimer 1500
tungkai suspek
Dr. dr. Hariyono W, 3/9/19
206B Rica 31 4393802 DVT, Asites ec
hipoalbuminemia, SpOG (K) Alb : 2,21
Acute kidney Analisa cairan
injury, Intake pleura :
kelompokan sel
dgn sitoplasma
kebiruan, dinding
sel ireguler, batas
antar sel tdak
tegas
DPL (6/9/2019)
9.2/27/8320/325
Ca cervix IIIB, 000 DPL (5/9/19):
Dr. dr. Sigit
206C Ai Royani 46 4417174 anemia, 9.9/28.8/11020/3
Purbadi, SpOG(K) 51000, E:
hiponatremia
134/4/101, OT/PT:
25/21
Ca endomterium
stadium IV B, 11/8/19: DPL:
tetrapararese
11.6/35.4/41.690
UMN, cancer pain Dr. dr. Fitriyadi K, /767.000 DPL
206D Diah wahyuni 40 4389926 VAS 4,
trombositosis ec SpOG(K) 8.2/26.7/3.45/25.
210/729.000
malignansi, albumin 3.76
leukositosis reaktf
dd infeksi
LAB 4/9/19 DPL

11/31.3/24420/2
79000 LAB
Ca cervix stadium 24/8/19
RATNA NINGSIH IIIB, CKD on dr. Andi Darma
206 E 57 4387033 DPL
(DNR) nefrostomi, ca Putra, SpOG (K) 9,4/28/13.090/42
pain vas 3 7.000
Ur/Cr 91/5,6
e 131/3,2/101
DPL 6/9/2019
Ca ovarium residif 4.2/13/9230/567
post kemoterapi
dengan masalah: dr. Kartwa Hadi N, 000 SGOT 14 SGPT
206F Purwant 60 4381391 8 Albumin 1.6
anemia, SpOG(K) Creatnin 1.1
trombositosis, Tb Ureum 41 GDS 92
paru on OAT e 134/4.3/106
lab 5/9/2019
10/32/18300/103
000 Cr 1,1 Ureum
54 e 148/2.9/121
lab 1/9/19 DPL
ca cervix stadium 9,6/28,7/21270/1
IIIB dengan ca 32000//
ovarium, anemia, 85/28/33, lab
intake sulit, 30/8/19 DPL
elektrolit Dr. dr. Gatot 8.2/24/34.900/22
207 B Harlina 58 426-85-54 imbalance, ca Purwoto, SpOG(K) 4.000 laktat 0.8
pain, stress ulcer, albumin 2.15 GDS
thrombositopenia, 131 elektrolit
leukositosis reaktf 139/3.2/110
dd/infektf OT/PT 117 ur/crec
171/4.9
2/9/2019
12,3/37,3/21.750
/113.000
ca ovarium residif DPL

Dr. dr. Hariyono W, 9.7/30/7850/413
207 D Dwita Koriwat 55 4116241 anemia (Hb 9,7 SpOG (K)
g/dL) 000
5/9/2019
10/30/11920/101
9000 PCT 0,36
29/08/19: DPL:
12.4/35.5/22.500
/1.067.000
27/8/19 DPL
7.2/21/48070/10
28000, GDS 93,
Ur/Cr 24/0.5,
ILO pada Post OT/PT 12/8,
laparotomi albumin 2.33,
adhesiolisis, PT/APTT 1.2x/1.3x
debulking, elektrolit
hartmann's
procedure POD 19 Dr. dr. Tofan W 128/3.6/92, laktat
207 E Ngatni 44 4380141 Utami, SpOG(K) 1.9, CRP 565, PCT
ai Ca ovarium 10.01 , DPL
advanced stage 10.7/33.2/9500/6
dengan 31.000 OT/PT
trombositosis, 28/32 albumin
suspek DVT 2.85 ur/crec
21/0.7 elektrolit
133/4.4/97.5
16/08/19 :
Alb : 3,39
DPL Post Op :
10.2/30.7/9030/4
06000, Albumin
1.98
LAB 4/9/19 dpl

Ca ovarium, dr. T. Dewi 12.1/36/9320/45
207 F Fathurohmah 49 4382139 ascites,hipoalbum Anggraeni, 1000 PT
in SpOG(K) 0,8x/APTT 0,8x/
albumin 2.1
Lab 6/9/2019
11/32/5270/9300
0 LAB 4/9/19 DPL
Ca ovarium 8.7/24.5/3080/12
advanced stage 8000 // DPL
dengan ascites
dan anemia, Dr. dr. Fitriyadi K, 9.5/27/2560/60.0
210 A Nuraini 49 4300167 00
leukopenia, dan SpOG(K)
trombositopenia OT/PT : 15/7
Hipoalbuminemia, Ur/Cr : 97/2.7
hiponatremia
e: 128/3,4/92
Ca125 : 31
Alb : 2,45
DPL
Ca Cervix IIB 7.9/25/4880/242
dengan masalah:
dr. Kartwa Hadi N, 000 SGOT 19 SGPT
210C Yusmarni 43 4426501 anemia, cancer
pain Aritmia (PVC SpOG(K) 22 Cr 0.5 ureum
11.4 GDS 103 e
frequent) 138/4.1/103
Ca cervix III B, DPL 6/9/2019

hidronferosis 8.4/24/27110/42
bilateral on 0000 DPL :
nefrostomi, Dr. dr. Gatot
211A Linda 38 3563501 anemia, Purwoto, SpOG(K) 7.3/20.4/28110/3
53000, E:
hiponatremia, 126/4.5/101,
leukositosis Ur/Cr : 91.6/1.7
infektf
DPL 6/9/2019
11/32/17650/749
ca cervix IIIB 000 Ureum 129 Cr
dengan cancer 4.1 DPL
bilateral, 00 e 137/4.4/107
dispepsia, intake Dr. dr. Fitriyadi K, albumin 2.4
211B Tintn 40 4337500 sulit, retensio urin SpOG(K) SGOT/SGPT 10/8
hipoalbumin, 6.1 GDS 87
acute on CKD,
trombositosis DPL :
9,3/28,4/23.140/
847.000
DPL 5/9/2019
POD 2 Post 10/33/12200/261
Laparotomi 000 DPL
HTSOD ai 8.1/27.5/6710/36
adenomyosis, Dr. dr. Gatot 9000 PT
211C Tiarni 38 3224394 mioma uteri, Purwoto, SpOG(K) 0,8x/APTT 0,8x /
hidrosalping, albumin 4.3/ Na
riwayat 138/K 3.7/ 106.7 /
surgical staging 14/ Ur 15.8/Cr 0.5
DPL 5/9/2019
8.7/24/43540/27
ILO superfisialis 9000 LAB 4/9/19
post laparotomi dpl
histerektomi 7.3/20.9/48800/2
subtotal 1 tahun dr. Andi Darma 93000 PT
211D ANISAH SAADIYAH 55 4417942 yang lalu, Putra, SpOG (K) 1.2X/APTT 1.5x/
adenokarsinoma PCT 0.79/ SGOT
serosum papiler 21/SGPT 23/ ur
progresif, intake 51.6/cr 0.9/ Na
sulit, anemia 124/K 3.6/cl 94.3/
albumin 1.71

212A Rumanah 57 4416897 advanced ovarian Dr. dr. Tofan W 8.7/25/8760/238
Utami, SpOG(K)
tumor, anemia 000
DPL (4/9/2019)
6/19/9190/32100
0 DPL (29/8/19) :
Ca cervix IIIB, Dr. dr. Tofan W
212D Imelda Erni 40 4393735 10.7/31/9050/29
hipoalbumin Utami, SpOG(K) 8000, Alb : 2.94, E
: 131/3.6/101,
Ur/Cr : 14/0.8
DPL (6/9/2019)
10/29/10870/576
Ca cervix IV A, Dr. dr. Tofan W 000 DPL (5/9/19) :
213A Sarsinah 70 4270294
anemia Utami, SpOG(K) 7.8/22.9/9720/61
2000, Alb : 2.56,
Ur/Cr : 17.9/0.5
Ca cervix IIIB DPL (5/9/2019)

progresif infiltrasi 6/17/8310/29900
buli, anemia, Dr. dr. Tofan W 0 Ureum 171 Cr
213B Carsih 56 4336341
retensio urin ec Utami, SpOG(K) 15 SGOT 10 SGPT
obstruksi, 6 Albumin 3 e
hematuria 119/4.8/87
ca cervix stadium
IV A dengan
masalah: anemia DPL (6/9/2019)
gravis, fistula 6.7/19/18430/43
dr. Kartwa Hadi N,
213 C Dewi Sant 49 4387634 rektovagina, 5000 Cr 14 Ureum
SpOG(K)
intake sulit, 261 e
hidronefrosis 126/5.6/105
bilateral, acute on
CKD
Suspek DPL
synchronize 12/40/12310/472
ovarian cancer dd
ca cervix stadium dr. Kartwa Hadi N, 000 Ureum 22 Cr
213 E Sit Jahra 42 4407149 0.4 GDS 81 e
IVA metastasis SpOG(K) 132/4/99 SGOT 21
ovarium, SGPT 16 Albumin
hipoalbumin, 2.1
asites
DPL (2/7/2019)
12/35/5160/2130
Suspek ca 00 e 140/3.3/104
endometrium dr Andi Darma
214A Khan Lay Chen 57 4395481 SGOT 15 SGPT 16
stadium II dd ca Putra SpOG (K) Albumin
cervix 4.6ureum 15 Cr
0.6 GDS 94
NOK suspek
DPL (27/9/19) :
maligna, Dr. dr. Tofan W 10.5/30/8940/47
214B Dwi Widya 24 4337478 hipoalbumin, Utami, SpOG(K) 8000, Alb : 2.21, E
hiponatremia, : 129/3.3/104
intake sulit
NOK Kiri dengan

bagian padat
dr. Kartwa Hadi N,
301E Mutara 14 suspek maligna, SpOG(K)
pseudomyxoma,
anemia
1/9/19 DPL
9,7/28,1/8700/20
3000//83/28/34,
Na 131 K 3,2 Cl
105, lab 28/8/19
DPL
7.2/21/21560/16
7000, Lab
post menopausal 26/8/19: DPL:
bleeding ec 9.1/26.4/10.540/
suspek ca Dr. dr. Gatot
308A Yunilas Wahidi 89 4069981 endometrum dd Purwoto, SpOG(K) 157.000.
Na/K/CL:
endometrits 131/3.4/107. lab
dengan Hipertensi 25/8/19 DPL
7.1/20/10740/15
4000, DPL
7.6/20.9/13.05/1
89.000 elektrolit
125/4.4/97 OT/PT
16/10. albumin tgl
24: 2.43
1/9/19
10,4/32,1/9750/3
Ca cervix IIIB post 04000//81/26/32
radiasi lengkap , lab 27/8/19 DPL
dengan anemia, 9.6/29/8200/337
hematoschezia ec dr. T. Dewi 000, Lab 24/8/19
802C Patana Naibaho 66 2646802 colits radiasi, Anggraeni, DPL:
hidronefrosis SpOG(K) 10/31/9810/3620
bilateral on 00, Lab 21/8/19
nefrostomi, Ca DP
pain 7.8/23/14650/43
3000
31/8/19 DPL
10/30,3/13300/3
07000//86/28/33
Na 150 K 3,1 cl
Post laparatomi 115 lab 29 /
eksplorasi reseksi 08/19. Alb: 2.57.
ileum, Na/K/Cl: 149/2.8/
adhesiolisis, 116. ca darah.
debulking, end 12.7. Ca ion 1.75.
ileostomi atas Lab 28/08/19:
indikasi ca DPL:
Dr. dr. Gatot
401G Dina Meilinda 42 4330286 ovarium residif 6.4/19.5/12.660/
Purwoto, SpOG(K)
dengan fistulasi 194.000. Alb:
ileum dengan 2.16. Na/K/Cl:
permasalahan: 149/3.4/118. Lab
anemia, 26/8/19. DPL:
hipernatremia, 9.3/28.4/11.250/
hiperkloremia, 218.000.
hipoalbuminemia SGOT/SGPT: 9/<6.
Albumin: 1.65.
Ur/Cr: 81/1. GDS
96. Na/K/Cl:
151/3.2/118
Ca cervix stadium
lengkat 25+3, 10,9/30/8.030/48
kemoterapi 3x 5.000
kulit, KBG
Paraplegia UMN, 5
suspek SOL dd/
metastasis

Anggraeni, 206C, 802 SpOG(K)
SpOG(K)
SpOG(K)
Dr. dr. Fitriyadi K, 206D Dr. dr. Gatot
Dr. dr. Sigit

Purbadi, SpOG(K)
dr. Andi Darma

Target
Kemoterapi,
rencana pulang
Kemoterapi,
rencana pulang
Kemoterapi
Kemoterapi
Kemoterapi
Perawatn post op
rencana pindah ke
ruangan
raber digestf,
perawatan post
op
Rencanca
hemivulvektomi
dan diseksi KGB
Senin 9/9/2019
Perbaikan KU,
tranfusi Albumin,
rencana
laparotomi
debulking
cek albumin hari

ini, rencana
pungsi ascites dan
USG
FM/ginekologi
Perbaikan KU,
raber pulmo,
koreksi albumin,
rencana
heparinisasi
Tranfusi target Hb
> 10 g/dl,
persiapan radiasi
eksterna
Sudah CT Scan
kepala cito
dengan kontras,
Paracetamol 4 x
1000 mg hasil
konsul neuro : A:
tetraparese UMN,
ca pain, hipestesi
T6 kebawah,
retensio urin dan
alvi ec susp SOL
kanalis spinalis
ekstradura susp
metastasis -->
plAnning: MIR 4x
10 mg.
konsul psikiatri :
depresi sedang -->
straline 1x25 mg
rencana bone
scan: sudah, MRI
abdomen sudah
Konsul IPD GH :
saran
cefoperazone 2x1
gram, bicnat
3x500 mg,
nefrostomi
sempat
macet,nefros
tdak ada
produksi->sudah
dikonsul urologi.
Transufusi PRC
target HB>
10gr/dL, koreksi
albumin
perbaikan ku,
transfusi PRC,
konsul IPD GH,
saran pulang
Transufusi PRC
target HB>
10gr/dL
Hari ini cek dpl,
PCT. AB Cefepim
3x1 gram (5 hari),
Metronidazole
3x500 mg
iv,Perawatan ILO.
Rencana cek
DPL,PT/APTT,fibrin
ogen, d-dimer,
PCT
rencana koreksi
albumin dahulu,
bila albumin >2.5
dilanjutkan pungsi
ascites
Pasien penelitan
albumin. Cek
albumin 9/9/2019
Rencana transfusi
target hb>10
Transufusi PRC
target HB> 10
gr/dL
Perbaikan KU
transfusi PRC
target Hb >
10gr/dL, USG
ginjal Buli, konsul
Urologi
Saran pulang
Perawatan post op
Sampel penelitan
dr Tofan, target
transfusi PRC
target Hb >10
g/dL konsul IPD
koreksi elektrolit
Perbaikan KU
transfusi PRC
target Hb>
10gr/dL
Perbaikan KU
transfusi PRC
target Hb>
10gr/dL
saran pulang
Konsul IPD, USG

ginjal buli lalu
konsul urologi
Rencana HD,
rencana transfusi
on HD, rencana
nefrostomi
setelah perbaikan
KU
Pasien penelitan
albumin sedang
mendapat terapi
diet albumin,
rencana pungsi
asciites
Cek lab ulang,

rencana konisasi
dan kuretase
endometrium
Pasien penelitan:
diet protein tnggi,
koreksi natrium
Perbaikan KU
sesuai TS anak
perbaikan KU,
raber dengan
geriatri, rencana
pulang jika Hb 10
g/dl
Rencana
perbaikan KU
dengan kapten
IPD
perawatan post
operasi, rencana
pindah ruangan,
clear fluid, inj
amikasin 1x1, inj
metronidazole 3 x
500 mg,
paracetamol 3x1
gr. Raber
digestve
follow up
210B
206B
206F, 207 D, 207E,
211A
205A, 207B, 308A,

401G
DPL
DR.dr. Gatot P,
204 A Mulyani 43 4382773 Ca Vagina 11.1/33.2/9710/6 Kemoterapi
SpOG(K) 08000//78/26/33
DPL
dr. Andi Darma
204 B Erniat 28 4417535 PTM high risk 11.5/35.1/6890/3 Kemoterapi,
Putra, SpOG (K) rencana pulang
23000
DPL
dr. Andi Darma
204 C Rosina 42 4369253 Ca ovarium IC 10.2/30.4/5900/1 Kemoterapi
DPL
Dr. dr. Tofan W
204 D Sri katmiatun 65 4309791 Ca cervix IIB 12.9/37.7/6430/2 Kemoterapi
Utami, SpOG(K) 51000
DPL
Dr. dr. Tofan W
204 E Hetty Atmadja 53 4240497 Ca cervix IIB 10.6/30.8/2790/1 Kemoterapi
2/9/2019 DPL
POD III Post Post op
laparotomi HTSOB 13/38/17840/414
ai teratoma matur 000 29/08/19.
kistk dengan DPL:
Dr. dr. Gatot 11.9/36.1/7.540/ perawatan post
205 A Rohimah 61 4381603 kistadenoma Purwoto, SpOG(K)
musinosum 395.000. Na?K?cl: op
ovarium kanan 140/3,8/107.
dan mioma uteri SGOT/SGPT: 9/9.
multpel Alb: 3.75. Ur/Cr:
16/0.8. GDS 125.
DPL post op
5/9/19:
8.7/25.9/13300/3
31000 albumin
3.6 GDS Perawatn post op
Meilya Rahmi NOK Suspek Dr. dr. Fitriyadi K, 107elektrolit
ICU 47 4381873 rencana pindah ke
Sujak maligna SpOG(K) 138/4.7/104SGOT ruangan
/SGPT
16/7Ureum/Cr
30/0.7 HbsAg non
reaktf
3/9/19 DPL
7.9/24.4/22620/6
86000 / albumin
2.05 2/9/2019
POD III Post DPL post op
laparotomi 11.9/35/22050/3
Histerektomi 42000 GDS 212
radikal SOB, PLND Albumin 2.9
ai ca cervix SGOT/SGPT 18/12
stadium IIA2, dr. Andi Darma Ureum/Cr 29/0.7 raber digestf,
205 C Sit Huriah 46 4382935 repair laserasi perawatan post
Putra, SpOG (K) elektrolit
rektum dan 137/4.6/102 lab op
ileostomi dengan 29/08/19: DPL:
masalah: 13.1/38.6/8.160/
hiperglikemia 357.000. Na/K/Cl:
reaktf, 137/3.8/107
hipoalbumin (2.9) SGOT/SGPT:
15/13. Alb: 3.87.
Ur/Cr: 15/0.7 GDS
102
DPL (10/8/19):
Ca vulva stadium Dr. dr. Sigit 13.5/38/11.940/2
205D Emah 51 4367215 IB Purbadi, SpOG(K) 01.000, alb:4.1, Rencanca operasi
Ur/Cr :36.1/0.75
DPL (5/9/19) :
Prof. Dr. dr. 10.5/31.2/9780/4
07.000, Alb : 1.78, Perbaikan KU,
205E Ideh bint Ukat 55 4335448 Ca ovarium Andrijono,
SpOG(K) Ur/Cr : 16.9/0.4, tranfusi Albumin
OT/PT: 11/6
DPL
7/21.9/28500/75
7000 SGOT/SGPT
45/32
Hipoalbumin 1.7 rencana transfusi
NOK Suspek Elektrolit target Hb
maligna dengan Dr dr Laila 129/4.4/98 ca 125 >10g/dL, koreksi
Hipoalbumin dan Nuranna SpOG K 253 albumin, pungsi
ascites dan USG
Ascites 3/9/2019 FM/ginekologi
DPL
7,9/24/22.620/68
6.000
DPL
15/44,1/14040/2
01000//83/28/34
Na 136 K 4,1 Cl
104 PT 1,1x APTT
1,2x SGOT 19
SGPT 9 Ur 69 Cr
meta paru, edema 251 d-dimer 1500 perbaikan KU,
tungkai suspek pasien penelitan
Dr. dr. Hariyono W,
206B Rica 31 4393802 DVT, Asites ec 3/9/19 dr.Tofan, inf
SpOG (K)
hipoalbuminemia, Alb : 2,21 albumer 20%
Acute kidney Analisa cairan 100ml/hari
injury, Intake pleura :
kelompokan sel
dgn sitoplasma
kebiruan, dinding
sel ireguler, batas
antar sel tdak
tegas
DPL (5/9/19): Tranfusi target Hb

Ca cervix IIIB, 9.9/28.8/11020/3 > 10 g/dl,
206C Ai Royani 46 4417174 anemia, 51000, E: persiapan radiasi
hiponatremia 134/4/101, OT/PT: eksterna
25/21
Rencana family
meetng oleh
dept.psikiatri,
Paracetamol 4 x
1000 mg hasil
konsul neuro : A:
tetraparese UMN,
Ca cervix stadium ca pain, hipestesi
IV A, 11/8/19: DPL: T6 kebawah,
tetrapararese
UMN, cancer pain Dr. dr. Fitriyadi K, 11.6/35.4/41.690 retensio urin dan
/767.000 DPL alvi ec susp SOL
trombositosis ec SpOG(K) 8.2/26.7/3.45/25. kanalis spinalis
210/729.000 ekstradura susp
malignansi, albumin 3.76 metastasis -->
leukositosis reaktf
plAnning: MIR 4x
dd infeksi 10 mg.
konsul psikiatri :
depresi sedang -->
straline 1x25 mg
rencana bone
scan: sudah, MRI
abdomen sudah
LAB 4/9/19 DPL

11/31.3/24420/2 nefrostomi
79000 LAB
Ca cervix stadium sempat
24/8/19
IIIB, CKD on dr. Andi Darma macet,nefros
206 E RATNA NINGSIH 57 4387033 DPL
nefrostomi, ca Putra, SpOG (K) tdak ada
9,4/28/13.090/42
pain vas 3 produksi->sudah
7.000 dikonsul urologi.
Ur/Cr 91/5,6
e 131/3,2/101
Rencana
DPL (5/9/19) :
Ca ovarium, Dr. dr. Gatot perbaikan KU,
206F Tet Rahmawat 43 4364622 10.4/30.4/5780/2
anemia Purwoto, SpOG(K) 13000 tranfusi target Hb
> 10 g/dl
DPL (3/9/19) :
Ca ovarium, Dr. dr. Tofan W 9.3/26.9/6370/20 Perbaikan KU,
207 A Titn Hartni 61 Ca ovarium anemia Utami, SpOG(K) 2000, OT/PT: tranfusi traget Hb
17/16, Alb : 3.82 > 10 g/dl
lab 1/9/19 DPL

9,6/28,7/21270/1
32000//
ca cervix stadium 85/28/33, lab
IIIB dengan ca 30/8/19 DPL
ovarium, anemia, 8.2/24/34.900/22
intake sulit, 4.000 laktat 0.8 perbaikan ku,
elektrolit Dr. dr. Gatot albumin 2.15 GDS transfusi PRC,
207 B Harlina 58 426-85-54 imbalance, ca Purwoto, SpOG(K) 131 elektrolit konsul IPD GH
pain, stress ulcer, 139/3.2/110
thrombositopenia, OT/PT 117 ur/crec
leukositosis reaktf 171/4.9
dd/infektf
2/9/2019
12,3/37,3/21.750
/113.000
LAB 4/9/19 DPL
9.4/28.6/10480/5
91000 Lab
Ca cervix 30/8/2019 Perbaikan KU
metastasis kulit, dr. Andi Darma 7,9/24/10850/33 transfusi PRC
207 C HJ. NURUL HUDA 61 4379337 anemia,
hiponatremia, ca Putra, SpOG (K) 4.000 target Hb>
Alb 3,26 10gr/dL
pain vas 3 e 133/4,2/104
Ur/Cr 21/0,8
OT/PT 10/8
DPL
9,5/28/13.820/57
6.000
Ca cervix IIB on Prof. Dr. dr. Transufusi PRC
GDS 107
207 D TATI 55 4386751 radias, anemia, Andrijono, target HB>
ALB 3,79
hiponatremia SpOG(K) 10gr/dL
OT/PT 19/10
Ur/Cr 14,5/0,5
E 124/4,3/94
29/08/19: DPL:
12.4/35.5/22.500
/1.067.000
27/8/19 DPL
7.2/21/48070/10
28000, GDS 93,
Ur/Cr 24/0.5,
OT/PT 12/8,
albumin 2.33,
ILO pada Post PT/APTT 1.2x/1.3x AB Cefepim 3x1
laparotomi elektrolit gram,
adhesiolisis, 128/3.6/92, laktat Metronidazole
debulking, 1.9, CRP 565, PCT 3x500 mg
hartmann's Dr. dr. Tofan W
207 E Ngatni 44 4380141 10.01 , DPL iv,Perawatan ILO.
procedure ai Ca Utami, SpOG(K) 10.7/33.2/9500/6 Rencana cek
ovarium advanced 31.000 OT/PT DPL,PT/APTT,fibrin
stage dengan 28/32 albumin ogen, d-dimer,
trombositosis, 2.85 ur/crec PCT
suspek DVT 21/0.7 elektrolit
133/4.4/97.5
16/08/19 :
Alb : 3,39
DPL Post Op :
10.2/30.7/9030/4
06000, Albumin
1.98
LAB 4/9/19 dpl rencana koreksi

Ca ovarium, dr. T. Dewi 12.1/36/9320/45 albumin dahulu,
207 F Fathurohmah 49 4382139 ascites,hipoalbum Anggraeni, 1000 PT bila albumin >2.5
in SpOG(K) 0,8x/APTT 0,8x/ dilanjutkan pungsi
albumin 2.1 ascites
LAB 4/9/19 DPL
8.7/24.5/3080/12
Ca ovarium 8000 // DPL
advanced stage 9.5/27/2560/60.0 Transfusi albumin
dengan ascites 00 menunggu tm
dan anemia, Dr. dr. Fitriyadi K,
210 A Nuraini 49 4300167 penelitan dr.
leukopenia, dan SpOG(K) OT/PT : 15/7 tofan. Rencana
trombositopenia Ur/Cr : 97/2.7 transfusi target
Hipoalbuminemia, e: 128/3,4/92 hb>10
hiponatremia Ca125 : 31
Alb : 2,45
Ca cervix III B,
hidronferosis Perbaikan KU
DPL :
bilateral on transfusi PRC
nefrostomi, Dr. dr. Gatot 7.3/20.4/28110/3 target Hb>
211A Linda 38 3563501 Purwoto, SpOG(K) 53000, E:
anemia, 10gr/dL, USG
126/4.5/101,
hiponatremia, ginjal Buli, konsul
Ur/Cr : 91.6/1.7
leukositosis Urologi
infektf
DPL
ca cervix IIIB Transfusi PRC
6/18/17480/8170
dengan cancer target Hb>10,
00 e 137/4.4/107
pain, hidronefrosis konsul urologi,
albumin 2.4
bilateral, koreksi albumin
SGOT/SGPT 10/8
dispepsia, intake Dr. dr. Fitriyadi K,
211B Tintn 40 4337500 Ureum/ Cr 157/
sulit, retensio urin SpOG(K) IPD saran tunda
6.1 GDS 87
ec obstruksi, HD tapi minta
hipoalbumin, tatalaksana dari
DPL :
acute on CKD, 9,3/28,4/23.140/ urologi untuk
trombositosis release obstruksi
847.000
Post Laparotomi DPL

HTSOD ai 8.1/27.5/6710/36
adenomyosis, 9000 PT
mioma uteri, Dr. dr. Gatot 0,8x/APTT 0,8x / Perawatan post op
211C Tiarni 38 3224394
hidrosalping, Purwoto, SpOG(K) albumin 4.3/ Na
riwayat 138/K 3.7/ 106.7 /
surgical staging 14/ Ur 15.8/Cr 0.5
GV 2x/hari dgn
NaCl
ILO superfisialis LAB 4/9/19 dpl Kultur dasar luka
post laparotomi 7.3/20.9/48800/2 tdak bisa karena
histerektomi 93000 PT tabung kultur
subtotal 1 tahun 1.2X/APTT 1.5x/ tdak tersedia di
dr. Andi Darma
211D ANISAH SAADIYAH 55 4417942 yang lalu, PCT 0.79/ SGOT lab,
Putra, SpOG (K)
adenokarsinoma 21/SGPT 23/ ur rencana lapor
serosum papiler 51.6/cr 0.9/ Na dr.tofan untuk
progresif, intake 124/K 3.6/cl 94.3/ sample penelitan
sulit, anemia albumin 1.71 terapi
hipoalbumin atau
tdak
Perbaikan KU
advanced ovarian Dr. dr. Tofan W transfusi PRC
212A Rumanah 57 4416897 8.7/25/8760/238
Utami, SpOG(K) target Hb>
tumor, anemia 000 10gr/dL
DPL (29/8/19) :
10.7/31/9050/29
Ca cervix IIIB, Dr. dr. Tofan W
212D Imelda Erni 40 4393735 8000, Alb : 2.94, E Perbaikan KU
hipoalbumin Utami, SpOG(K) : 131/3.6/101,
Ur/Cr : 14/0.8
DPL (5/9/19) : Perbaikan KU
Ca cervix IV A, Dr. dr. Tofan W 7.8/22.9/9720/61 transfusi PRC
213A Sarsinah 70 4270294 anemia Utami, SpOG(K) 2000, Alb : 2.56, target Hb>
Ur/Cr : 17.9/0.5 10gr/dL
Ca cervix IIIB, Cek DPL, Ur/Cr,

intake sulit, klinis Dr. dr. Tofan W Belum ada Lab
213B Carsih 56 4336341 Ot/Pt, alb,
Utami, SpOG(K) terbaru
anemia Elektrolit
DPL (27/9/19) :
NOK suspek Dr. dr. Tofan W 10.5/30/8940/47 Perbaikan KU,
214B Dwi Widya 24 4337478 maligna, Utami, SpOG(K) 8000, Alb : 2.21, E tranfusi Albumin
hipoalbumin : 129/3.3/104
1/9/19 DPL
9,7/28,1/8700/20
3000//83/28/34,
Na 131 K 3,2 Cl
105, lab 28/8/19
DPL
7.2/21/21560/16
7000, Lab
post menopausal 26/8/19: DPL: perbaikan KU,
bleeding ec
suspek ca Dr. dr. Gatot 9.1/26.4/10.540/ raber dengan
308A Yunilas Wahidi 89 4069981 endometrum dd Purwoto, SpOG(K) 157.000. geriatri, rencana
Na/K/CL: pulang jika Hb 10
endometrits 131/3.4/107. lab g/dl
7.1/20/10740/15
4000, DPL
7.6/20.9/13.05/1
89.000 elektrolit
125/4.4/97 OT/PT
16/10. albumin tgl
24: 2.43
1/9/19
10,4/32,1/9750/3
dengan anemia, 9.6/29/8200/337 Rencana
hematoschezia ec dr. T. Dewi 000, Lab 24/8/19 perbaikan KU
802C Patana Naibaho 66 2646802 colits radiasi, Anggraeni, DPL: dengan kapten
hidronefrosis SpOG(K) 10/31/9810/3620 IPD
nefrostomi, Ca DP
pain 7.8/23/14650/43
3000
31/8/19 DPL
10/30,3/13300/3
07000//86/28/33
Na 150 K 3,1 cl
ileum, Na/K/Cl: 149/2.8/ perawatan post
adhesiolisis, 116. ca darah. operasi, rencana
debulking, end 12.7. Ca ion 1.75. pindah ruangan,
clear fluid, inj
indikasi ca DPL:
Dr. dr. Gatot amikasin 1x1, inj
Purwoto, SpOG(K) metronidazole 3 x
dengan fistulasi 194.000. Alb: 500 mg,
ileum dengan 2.16. Na/K/Cl: paracetamol 3x1
gr. Raber
anemia, 26/8/19. DPL: digestve
Albumin: 1.65.
Ur/Cr: 81/1. GDS
96. Na/K/Cl:
151/3.2/118
Ca cervix stadium
lengkat 25+3, 10,9/30/8.030/48
kemoterapi 3x 5.000
kulit, KBG
519C ISWAHYUNINGSIH 45 4363647 spondilorhtrosis follow up
Paraplegia UMN, 5
suspek SOL dd/
metastasis
dr. T. Dewi dr. Kartwa Hadi N, 210B

Anggraeni, 206C, 802 SpOG(K)
SpOG(K)
Nuranna, SpOG(K) SpOG (K) 206B
Prof. Dr. dr. Dr. dr. Tofan W 206F, 207 D, 207E,
Andrijono, Utami, SpOG(K) 211A
SpOG(K)
Dr. dr. Fitriyadi K, 206D Dr. dr. Gatot 205A, 207B, 308A,
SpOG(K) Purwoto, SpOG(K) 401G
Dr. dr. Sigit

Purbadi, SpOG(K)
dr. Andi Darma

DR.dr. Gatot P,
204 A eli ernawat 34 4219273 PTM highrisk SpOG(K)
dr. Andi Darma
204 B Erniat 28 4417535 PTM
Putra, SpOG (K)
dr. Andi Darma
204 C Khoiriyah 54 3415475 Ca ovarium
Putra, SpOG (K)
Dr dr Laila
204 D Yuni Triyant 38 4387834 PTM High Risk Nuranna SpOG K
DR.dr. Gatot P,
204 E Gusnarita 36 4380884 PTM High Risk SpOG(K)
dr. Andi Darma

204 F SITI ROHMAH 41 4366258 Ca Ovarium Putra, SpOG (K)
POD III Post laparotomi HTSOB ai

teratoma matur kistk dengan Dr. dr. Gatot
205 A Rohimah 61 4381603 kistadenoma musinosum ovarium Purwoto, SpOG(K)
kanan dan mioma uteri multpel
Meilya Rahmi Dr. dr. Fitriyadi K,

205 B 47 4381873 NOK Suspek maligna
Sujak SpOG(K)
POD III Post laparotomi Histerektomi

radikal SOB, PLND ai ca cervix stadium
IIA2, repair laserasi rektum dan dr. Andi Darma
205 C Sit Huriah 46 4382935
ileostomi dengan masalah: Putra, SpOG (K)
hiperglikemia reaktf, hipoalbumin
(2.9)
NOK Suspek maligna dengan Anemia, Dr dr Laila

206A Sri Rustna 35 4417820 Hipoalbumin dan Ascites Nuranna SpOG K
Ca cervix IV A, Dispneu ec Suspek meta

paru, edema tungkai suspek DVT, Dr. dr. Hariyono W,
206B Rica 31 4393802
Asites ec hipoalbuminemia, Acute SpOG (K)
kidney injury, Intake sulit, Ca pain
Ca cervix stadium IV A, tetrapararese
UMN, cancer pain VAS 4, Dr. dr. Fitriyadi K,
206D Diah wahyuni 40 4389926 trombositosis ec malignansi, SpOG(K)
leukositosis reaktf dd infeksi
Ca cervix stadium IIIB, CKD on dr. Andi Darma

206 E RATNA NINGSIH 57 4387033 nefrostomi, ca pain vas 3 Putra, SpOG (K)
ca cervix stadium IIIB dengan ca

ovarium, anemia, intake sulit, elektrolit Dr. dr. Gatot
207 B Harlina 58 426-85-54 imbalance, ca pain, stress ulcer,
thrombositopenia, leukositosis reaktf Purwoto, SpOG(K)
dd/infektf
Ca cervix metastasis kulit, anemia, dr. Andi Darma

207 C HJ. NURUL HUDA 61 4379337 hiponatremia, ca pain vas 3 Putra, SpOG (K)
Prof. Dr. dr.

Ca cervix IIB on radias, anemia,
207 D TATI 55 4386751 Andrijono,
hiponatremia SpOG(K)
ILO pada Post laparotomi adhesiolisis,

debulking, hartmann's procedure ai Ca Dr. dr. Tofan W
207 E Ngatni 44 4380141 ovarium advanced stage dengan Utami, SpOG(K)
trombositosis, suspek DVT
dr. T. Dewi
207 F Fathurohmah 49 4382139 Ca ovarium, ascites,hipoalbumin Anggraeni,
SpOG(K)
Ca ovarium advanced stage dengan

ascites dan anemia, leukopenia, dan Dr. dr. Fitriyadi K,
210 A Nuraini 49 4300167 trombositopenia SpOG(K)
Hipoalbuminemia, hiponatremia
ca cervix IIIB dengan cancer pain,

hidronefrosis bilateral, dispepsia,
211B Tintn 40 4337500 intake sulit, retensio urin ec obstruksi, Dr. dr. Fitriyadi K,
SpOG(K)
hipoalbumin, acute on CKD,
trombositosis
Ca ovarium post NAC 6x, mioma uteri Dr. dr. Gatot

211C Tiarni 38 3224394 Purwoto, SpOG(K)

histerektomi subtotal 1 tahun yang dr. Andi Darma
211D ANISAH SAADIYAH 55 4417942 lalu, adenokarsinoma serosum papiler Putra, SpOG (K)
progresif, intake sulit, anemia
post menopausal bleeding ec suspek Dr. dr. Gatot

308A Yunilas Wahidi 89 4069981 ca endometrum dd endometrits Purwoto, SpOG(K)
dengan Hipertensi
Ca cervix IIIB post radiasi lengkap dr. T. Dewi

dengan anemia, hematoschezia ec
802C Patana Naibaho 66 2646802 colits radiasi, hidronefrosis bilateral on Anggraeni,
SpOG(K)
nefrostomi, Ca pain
Post laparatomi eksplorasi reseksi

ileum, adhesiolisis, debulking, end
401G Dina Meilinda 42 4330286 ileostomi atas indikasi ca ovarium Dr. dr. Gatot
residif dengan fistulasi ileum dengan Purwoto, SpOG(K)
permasalahan: anemia, hipernatremia,
hiperkloremia, hipoalbuminemia
Ca cervix stadium IIIB pasca radiasi
lengkat 25+3, kemoterapi 3x terakhir
6/19 dengan metastasi kulit, KBG
supraklavikula kiri dan KGB ingunal dr. Andi Darma
519C ISWAHYUNINGSIH 45 4363647 kanan, cancer pain VA 3-4 Putra, SpOG (K)
Paraplegia UMN, hipestesis T12
kebawah, propioseptf terganggu ec
suspek SOL dd/ metastasis
dr. T. Dewi Anggraeni, SpOG(K) 206C, 802

Dr. dr. Laila Nuranna, SpOG(K)
Dr. dr. Fitriyadi K, SpOG(K) 206D
Dr. dr. Sigit Purbadi, SpOG(K)
dr. Andi Darma Putra, SpOG (K) 205C

Laboratorium Target
DPL 10.2/28.8/6490/169000 Kemoterapi, pulang
DPL 11.5/35.1/6890/323000 Kemoterapi
DPL 10.6/31.3/5720/239000 Kemoterapi, pulang
DPL 12.1/38.3/9050/530000 Kemoterapi,pulang
DPL 11.7/33/10200/256000 SGOT Kemoterapi, pulang

32/SGPT 25/ ur 27/cr 0.7
D{: 1-.8326.650/681.000, Ur/Cr Kemoterapi,pulang

14/0,6
2/9/2019 DPL Post op

13/38/17840/414000 29/08/19.
DPL: 11.9/36.1/7.540/395.000. Na? perawatan post op
K?cl: 140/3,8/107. SGOT/SGPT: 9/9.
Alb: 3.75. Ur/Cr: 16/0.8. GDS 125.
DPL 2/9/19: 8.7/27/8160/488000

albumin 3.6 GDS 107elektrolit
138/4.7/104SGOT/SGPT rencana operasi laparotomi VC hari ini
16/7Ureum/Cr 30/0.7 HbsAg non
reaktf
3/9/19 DPL 7.9/24.4/22620/686000

/ albumin 2.05 2/9/2019 DPL post
op 11.9/35/22050/342000 GDS 212
Albumin 2.9 SGOT/SGPT 18/12
Ureum/Cr 29/0.7 elektrolit raber digestf, perawatan post op
137/4.6/102 lab 29/08/19: DPL:
13.1/38.6/8.160/357.000. Na/K/Cl:
137/3.8/107 SGOT/SGPT: 15/13.
Alb: 3.87. Ur/Cr: 15/0.7 GDS 102
DPL 7/21.9/28500/757000
SGOT/SGPT 45/32 Hipoalbumin 1.7
Elektrolit 129/4.4/98 ca 125 253 rencana transfusi target Hb >10g/dL, koreksi albumin,
pungsi ascites dan USG FM/ginekologi
3/9/2019
DPL 7,9/24/22.620/686.000
DPL
15/44,1/14040/201000//83/28/34
Na 136 K 4,1 Cl 104 PT 1,1x APTT
1,2x SGOT 19 SGPT 9 Ur 69 Cr 1,2
GDS 79 alb 1,82 fibrinogen 251 d-
dimer 1500
perbaikan KU, pasien penelitan dr.Tofan, inf albumer
3/9/19 20% 100ml/hari
Alb : 2,21
Analisa cairan pleura :
Mesotel reaktf, singet ring cell (+),
kelompokan sel dgn sitoplasma
kebiruan, dinding sel ireguler, batas
antar sel tdak tegas
Rencana family meetng oleh dept.psikiatri,
Paracetamol 4 x 1000 mg hasil konsul neuro : A:
11/8/19: DPL: tetraparese UMN, ca pain, hipestesi T6 kebawah,
11.6/35.4/41.690/767.000 DPL
retensio urin dan alvi ec susp SOL kanalis spinalis
8.2/26.7/3.45/25.210/729.000 ekstradura susp metastasis --> plAnning: MIR 4x 10 mg.
albumin 3.76 konsul psikiatri : depresi sedang --> straline 1x25 mg
rencana bone scan: sudah, MRI abdomen sudah
LAB 4/9/19 DPL

11/31.3/24420/279000 LAB
24/8/19 nefrostomi sempat macet,nefros tdak ada produksi-
DPL 9,4/28/13.090/427.000 >sudah dikonsul urologi.
Ur/Cr 91/5,6
e 131/3,2/101
lab 1/9/19 DPL

9,6/28,7/21270/132000// 85/28/33,
lab 30/8/19 DPL
8.2/24/34.900/224.000 laktat 0.8
albumin 2.15 GDS 131 elektrolit perbaikan ku, transfusi PRC, konsul IPD GH
139/3.2/110 OT/PT 117 ur/crec
171/4.9
2/9/2019
12,3/37,3/21.750/113.000
LAB 4/9/19 DPL

9.4/28.6/10480/591000 Lab
30/8/2019
7,9/24/10850/334.000 Perbaikan KU transfusi PRC target Hb> 10gr/dL
Alb 3,26
e 133/4,2/104
Ur/Cr 21/0,8
OT/PT 10/8
DPL 9,5/28/13.820/576.000
GDS 107
ALB 3,79 Transufusi PRC target HB> 10gr/dL
OT/PT 19/10
Ur/Cr 14,5/0,5
E 124/4,3/94
29/08/19: DPL:
12.4/35.5/22.500/1.067.000
27/8/19 DPL
7.2/21/48070/1028000, GDS 93,
Ur/Cr 24/0.5, OT/PT 12/8, albumin
2.33, PT/APTT 1.2x/1.3x elektrolit
128/3.6/92, laktat 1.9, CRP 565, PCT
AB Cefepim 3x1 gram, Metronidazole 3x500 mg
10.01 , DPL iv,Perawatan ILO. Rencana cek DPL,PT/APTT,fibrinogen,
10.7/33.2/9500/631.000 OT/PT
28/32 albumin 2.85 ur/crec 21/0.7 d-dimer, PCT
elektrolit 133/4.4/97.5
16/08/19 :
Alb : 3,39 DPL Post Op :
10.2/30.7/9030/406000, Albumin
1.98
LAB 4/9/19 dpl rencana koreksi albumin dahulu, bila albumin >2.5
12.1/36/9320/451000 PT dilanjutkan pungsi ascites
0,8x/APTT 0,8x/ albumin 2.1
LAB 4/9/19 DPL

8.7/24.5/3080/128000 // DPL
9.5/27/2560/60.000
OT/PT : 15/7 Transfusi albumin menunggu tm penelitan dr. tofan.

Ur/Cr : 97/2.7 Rencana transfusi target hb>10
e: 128/3,4/92
Ca125 : 31
Alb : 2,45
DPL 6/18/17480/817000 e Transfusi PRC target Hb>10, konsul urologi, koreksi

137/4.4/107 albumin 2.4 SGOT/SGPT albumin
10/8 Ureum/ Cr 157/ 6.1 GDS 87
IPD saran tunda HD tapi minta tatalaksana dari urologi
DPL : 9,3/28,4/23.140/847.000 untuk release obstruksi
DPL 8.1/27.5/6710/369000 PT Rencana operasi laparotomi miomektomi s/d HT hari

0,8x/APTT 0,8x / albumin 4.3/ Na ini. Sudah masuk PRC 500cc, rencana cek DPL post
138/K 3.7/ 106.7 / SGOT 19/SGPT transfusi
14/ Ur 15.8/Cr 0.5
LAB 4/9/19 dpl GV 2x/hari dgn NaCl

7.3/20.9/48800/293000 PT Kultur dasar luka tdak bisa karena tabung kultur tdak
1.2X/APTT 1.5x/ PCT 0.79/ SGOT tersedia di lab,
21/SGPT 23/ ur 51.6/cr 0.9/ Na rencana lapor dr.tofan untuk sample penelitan terapi
124/K 3.6/cl 94.3/ albumin 1.71 hipoalbumin atau tdak
1/9/19 DPL
9,7/28,1/8700/203000//83/28/34,
Na 131 K 3,2 Cl 105, lab 28/8/19
DPL 7.2/21/21560/167000, Lab
26/8/19: DPL:
9.1/26.4/10.540/157.000. Na/K/CL: perbaikan KU, raber dengan geriatri, rencana pulang
jika Hb 10 g/dl
131/3.4/107. lab 25/8/19 DPL
7.1/20/10740/154000, DPL
7.6/20.9/13.05/189.000 elektrolit
125/4.4/97 OT/PT 16/10. albumin
tgl 24: 2.43
1/9/19
10,4/32,1/9750/304000//81/26/32,
lab 27/8/19 DPL
9.6/29/8200/337000, Lab 24/8/19 Rencana perbaikan KU dengan kapten IPD
DPL: 10/31/9810/362000, Lab
21/8/19 DP 7.8/23/14650/433000
31/8/19 DPL
10/30,3/13300/307000//86/28/33
Na 150 K 3,1 cl 115 lab 29 /08/19.
Alb: 2.57. Na/K/Cl: 149/2.8/ 116. ca
darah. 12.7. Ca ion 1.75. Lab perawatan post operasi, rencana pindah ruangan, clear
28/08/19: DPL: fluid, inj amikasin 1x1, inj metronidazole 3 x 500 mg,
6.4/19.5/12.660/194.000. Alb: 2.16. paracetamol 3x1 gr. Raber digestve
Na/K/Cl: 149/3.4/118. Lab 26/8/19.
DPL: 9.3/28.4/11.250/218.000.
SGOT/SGPT: 9/<6. Albumin: 1.65.
Ur/Cr: 81/1. GDS 96. Na/K/Cl:
151/3.2/118
DPL 10,9/30/8.030/485.000
GDS 117
e 128/3,8/98
Ro : spondilorhtrosis lumbal dengan follow up

degeneratf disc 4-5
osteopenia
straight lumbal
dr. Kartwa Hadi N, SpOG(K) 210B

Dr. dr. Hariyono W, SpOG (K) 206B
Dr. dr. Tofan W Utami, SpOG(K) 206F, 207 D, 207E, 211A
Dr. dr. Gatot Purwoto, SpOG(K) 205A, 207B, 308A, 401G
dpl 2/9/19 :
Dr dr Laila
204 A Susi Listyawat 29 4382577 PTM High Risk 12.5/38.5/6680/2
Nuranna SpOG K 55000
DPL
Dr dr Laila
204 B Nuraini 78 4371648 ca ovarium IIIC 11/34.5/4530/22
Nuranna SpOG K 3000
DPL
Dr dr Laila
204 C Ifa Masfufah 45 4368893 ca ovarium IIIC 14.1/42.2/6200/3
DPL
Dr dr Laila
204 D Yuni Triyant 38 4387834 PTM High Risk 12.1/38.3/9050/5
DPL 2/9/19:
8.7/27/8160/488
000 albumin 3.6
NOK Suspek Dr. dr. Fitriyadi K, GDS 107elektrolit
Meilya Rahmi
205 B 47 4381873 maligna dengan 138/4.7/104SGOT
Sujak SpOG(K)
Anemia /SGPT
16/7Ureum/Cr
30/0.7 HbsAg non
reaktf
DPL
7/21.9/28500/75
NOK Suspek 7000 SGOT/SGPT
maligna dengan Dr dr Laila 45/32
Hipoalbumin dan Nuranna SpOG K Hipoalbumin 1.7
Elektrolit
Ascites 129/4.4/98 ca 125
253
DPL
Ca cervix IV A, 15/44,1/14040/2
Dispneu ec Suspek 01000//83/28/34
meta paru, edema Na 136 K 4,1 Cl
tungkai suspek
Dr. dr. Hariyono W, 104 PT 1,1x APTT
206B Rica 31 4393802 DVT, Asites ec
hipoalbuminemia, SpOG (K) 1,2x SGOT 19
SGPT 9 Ur 69 Cr
Acute kidney 1,2 GDS 79 alb
injury, Intake
1,82 fibrinogen
sulit, Ca pain 251 d-dimer 1500
2/9/2019 DPL
8.8/26/430/9000/
/86/28/33 laktat
12.8 PCT 2.6
1/9/19 AGD
pH7,273/pCO2
20,7/ pO2 179,1/
HCO3 9,7/ BE
-14,8/ SpO2 98,7,
Ca serviks III B on Ur 49 Cr 1,7 Na
radiasi eksterna 125 K 6,4 Cl 101,
25 kali, lab 31/8/19
kemoterapi 3x, 8.9/24/530/14.00
dengan febrile 0 29/08/19 PCT:
neutropeni, 0.33. Ur/Cr:
pansitopenia ec 25/0.8. Na/K/Cl:
radiasi dd 129/2.8/104.
dr. T. Dewi
perdarahan, DPL:
206C Want 40 4382441 Anggraeni,
elektrolit 10.3/28/330/67.0
imbalance, aki dd SpOG(K) 0027/8/19 DPL
akut on ckd, 9.7/26/320/3900
riwayat 0, elektrolit
hematoschezia ec 129/2.5/101, lab
kolits radiasi, 25/8/19 DPL
hiperglikemia 10.8/28/280/770
reaktf, asidosis 00, lab 23/8
metabolik 9.3/25.4/190/56.
000 21/8/19
DPL :
4.9/13/410/1200
0, PT/APTT
1.0x/0.9x, OT/PT
14/19, Ur/Cr :
27/1.2, GDS 151,
elektrolit
111/2.7/81
Ca cervix stadium
IV A, 11/8/19: DPL:
tetrapararese 11.6/35.4/41.690
210/729.000
leukositosis reaktf
dd infeksi
Ca cerviks stadium 2/9/2019
IIIB dengan 11.6/35/11400/6
permasalahan: 10000 LAB 1/9/19
anemia DPL
normositk
8,9/28,3/13140/6
normokromik, Dr. dr. Tofan W 87000//79/24/31,
206 F Anih Bt Naman 40 4311859 hidronefrosis Utami, SpOG(K) LAB 29/8/19 DPL
bilateral on 8/25.7/16540/81
nefrostomi,
7000 SGOT
hiponatremia, 16/SGPT 8/Ur
leukositosis 14/cr 0.9 Na 131/
reaktf, ca pain K 3.9/Cl 101.6
VAS 4, dispepsia
1/9/2019
Ca Cervix IB1 11.2/32/16750/6
pasca 16000 Albumin
Histerektomi Dr dr Laila 3.02 elektrolit
207 A Ny Nurhalimah 30 4326307 Radikal, ascites Nuranna SpOG K 127/3.4/92
masih on cystofix, SGOT/SGPT 86/11
suspek metastasis Ureum/Cr 13/0.6
liver GDS 130
lab 1/9/19 DPL

9,6/28,7/21270/1
32000//
ca cervix stadium 85/28/33, lab
IIIB dengan ca 30/8/19 DPL
ovarium, anemia, Dr. dr. Gatot 8.2/24/34.900/22
207 B Harlina 58 426-85-54 intake sulit, Purwoto, SpOG(K) 4.000 laktat 0.8
elektrolit albumin 2.15 GDS
imbalance, ca 131 elektrolit
pain, stress ulcer 139/3.2/110
OT/PT 117 ur/crec
171/4.9
29/08/19: DPL:
12.4/35.5/22.500
/1.067.000
27/8/19 DPL
7.2/21/48070/10
28000, GDS 93,
Ur/Cr 24/0.5,
OT/PT 12/8,
albumin 2.33,
ILO pada Post PT/APTT 1.2x/1.3x
laparotomi elektrolit
adhesiolisis, 128/3.6/92, laktat
debulking, 1.9, CRP 565, PCT
hartmann's Dr. dr. Tofan W
207 E Ngatni 44 4380141 10.01 , DPL
procedure ai Ca Utami, SpOG(K) 10.7/33.2/9500/6
ovarium advanced 31.000 OT/PT
stage dengan 28/32 albumin
trombositosis, 2.85 ur/crec
suspek DVT 21/0.7 elektrolit
133/4.4/97.5
16/08/19 :
Alb : 3,39
DPL Post Op :
10.2/30.7/9030/4
06000, Albumin
1.98
Ca ovarium
advanced stage
dengan ascites Dr. dr. Fitriyadi K, DPL
210 A Nuraini 49 4300167 9.5/27/2560/600
dan anemia, SpOG(K) 00
leukopenia, dan
trombositopenia
3/9/2019
11.8/34/28300/4
91.000 lab 1/9/19
ca cerviks stadium DPL
IIIB dengan 9/27/29760/4490
anemia, ca pain 00//84/28/33, lab
VAS 2-3, 31/8/19 8.2/
hidronefrosis Dr. dr. Tofan W 24/27.220/613.00
211 A Linda Fatmawat 38 4416961 bilateral on Utami, SpOG(K) 0lab 29/08/19.
nefrostomi, DPL:
hipokalemia, 8.7/26.3/23.250/
hipernatremia, 617.000.
AKI dd akut on SGOT/SGPT:
CKD 15/11. Ur/Cr:
34/1.13. GDS
129. LDH 371
ca cervix IIIB
dengan cancer DPL
bilateral,
00 e 137/4.4/107
dispepsia, intake Dr. dr. Fitriyadi K,
211B Tintn 40 4337500 albumin 2.4
sulit, retensio urin SpOG(K) SGOT/SGPT 10/8
hipoalbumin,
acute on CKD, 6.1 GDS 87
trombositosis
1/9/19 DPL
9,7/28,1/8700/20
3000//83/28/34,
Na 131 K 3,2 Cl
105, lab 28/8/19
DPL
7.2/21/21560/16
7000, Lab
post menopausal 26/8/19: DPL:
bleeding ec
suspek ca Dr. dr. Gatot 9.1/26.4/10.540/
308A Yunilas Wahidi 89 4069981 endometrum dd Purwoto, SpOG(K) 157.000.
Na/K/CL:
endometrits 131/3.4/107. lab
7.1/20/10740/15
4000, DPL
7.6/20.9/13.05/1
89.000 elektrolit
125/4.4/97 OT/PT
16/10. albumin tgl
24: 2.43
1/9/19
10,4/32,1/9750/3
dengan anemia, 9.6/29/8200/337
hematoschezia ec dr. T. Dewi 000, Lab 24/8/19
802C Patana Naibaho 66 2646802 colits radiasi, Anggraeni, DPL:
hidronefrosis SpOG(K) 10/31/9810/3620
nefrostomi, Ca DP
pain 7.8/23/14650/43
3000
31/8/19 DPL
10/30,3/13300/3
07000//86/28/33
Na 150 K 3,1 cl
ileum, Na/K/Cl: 149/2.8/
adhesiolisis, 116. ca darah.
debulking, end 12.7. Ca ion 1.75.
indikasi ca DPL:
Dr. dr. Gatot
Purwoto, SpOG(K)
dengan fistulasi 194.000. Alb:
ileum dengan 2.16. Na/K/Cl:
anemia, 26/8/19. DPL:
Albumin: 1.65.
Ur/Cr: 81/1. GDS
96. Na/K/Cl:
151/3.2/118
2/9/2019 DPL
post op
11.9/35/22050/3
Post laparotomi
42000 GDS 212
Histerektomi Albumin 2.9
radikal SOB, PLND SGOT/SGPT 18/12
ai ca cervix Ureum/Cr 29/0.7
stadium IIA2,
repair laserasi dr. Andi Darma elektrolit
ICU Sit Huriah 46 4382935 137/4.6/102 lab
rektum dan Putra, SpOG (K) 29/08/19: DPL:
ileostomi dengan 13.1/38.6/8.160/
masalah: 357.000. Na/K/Cl:
hiperglikemia
137/3.8/107
reaktf, SGOT/SGPT:
hipoalbumin (2.9) 15/13. Alb: 3.87.
Ur/Cr: 15/0.7 GDS
102
2/9/2019 DPL
Post laparotomi Post op
HTSOB ai 13/38/17840/414
teratoma matur 000 29/08/19.
kistk dengan DPL:
Dr. dr. Gatot
ICU Rohimah 61 4381603 kistadenoma Purwoto, SpOG(K) 11.9/36.1/7.540/
musinosum 395.000. Na?K?cl:
ovarium kanan 140/3,8/107.
dan mioma uteri SGOT/SGPT: 9/9.
multpel Alb: 3.75. Ur/Cr:
16/0.8. GDS 125.

Anggraeni, 206C, 802
SpOG(K)
SpOG(K)
SpOG(K)
Dr. dr. Fitriyadi K, 206D Dr. dr. Gatot
Dr. dr. Sigit

Purbadi, SpOG(K)
dr. Andi Darma

Target
Kemoterapi,
pulang
Kemoterapi,
pulang
Kemoterapi,
pulang
Kemoterapi.
rencana operasi
laparotomi VC
5/9/2019,
rencana transfusi
PRC
rencana transfusi
target Hb
>10g/dL, koreksi
albumin, pungsi
ascites dan USG
FM/ginekologi
perbaikan KU, inf

albumer 20%
100ml/hari,
rencana konsul
IPD pulmo,
urologi, Bedah
Vaskular di hari
dan jam kerja
konsul IPD GH:
rencana USG
abdomen ginjal,
pemberian lasix,
saran konsul
krdiologi, konsul
HOM: saran
konsul IPD infeksi,
kultur darah dan
feses, transfusi tc,
koreksi elektrolit,
leukogen injeksi.
IPD tropik infeksi:
inj levofloxasine
1x 750 mg, inj
flukonazol
Rencana family
meetng oleh
neurologi,
Paracetamol 4 x
1000 mg hasil
konsul neuro : A:
tetraparese UMN,
ca pain, hipestesi
T6 kebawah,
retensio urin dan
alvi ec susp SOL
kanalis spinalis
ekstradura susp
metastasis -->
plAnning: MRI
whole spine +
kontras, raber
neuro, morphne
10 mg/24 jam.
Rencana MRI
whole abdomen
konsul psikiatri :
depresi sedang -->
straline 1x25 mg
rencana bone
scan: sudah, MRI
abdomen sudah
Perbaikan KU,
transfusi hingga
Hb>10
perbaikan ku,
transfusi PRC,
konsul urologi,
USG Ginjal buli
dan rencana
konsul IPD GH
Jawaban IPD
Tropik: Cefepim
3x1 gram,
Metronidazole
3x500 mg
iv,Perawatan ILO.
konsul HOM hari
ini, Bedah
vaskular di jam
dan hari kerja
rencana pungsi
ascites, cek ca
125, MRI, thorax
PA
perbaikan kondisi
umum, rencana
konsul ginjal
hipertensi di
ruangan (oleh
urologi, form (+),
tampon lebas tgl
2/9/19
Transfusi PRC,
konsul urologi,
koreksi albumin
perbaikan KU,
raber dengan
geriatri, rencana
pulang jika Hb 10
g/dl
Rencana
perbaikan KU
dengan kapten
IPD
perawatan post
operasi, rencana
pindah ruangan,
clear fluid, inj
amikasin 1x1, inj
metronidazole 3 x
500 mg,
paracetamol 3x1
gr. Raber
digestve
Rencana pindah
ruangan, raber
digestf
Rencana pindah
ruangan
210B
206B
206F, 207 D, 207E,
211A
205A, 207B, 308A,

401G
29/08/19. DPL: 11.9/36.1/7.540/395.000. Na?K?cl:

Dr. dr. Gatot
205A Rohimah 61 4381603 NOK suspek maligna Purwoto, SpOG(K) 140/3,8/107. SGOT/SGPT: 9/9. Alb: 3.75. Ur/Cr: 16/0.8. rencana laparatomi VC senin 2/09/19
GDS 125.
lab 29/08/19: DPL: 13.1/38.6/8.160/357.000. Na/K/Cl:

dr. Andi Darma
205 C Sit Huriah 46 4382935 Ca cerviks IIA 137/3.8/107 SGOT/SGPT: 15/13. Alb: 3.87. Ur/Cr: 15/0.7 rencana operasi HT radikal senin 02/09/19
Putra, SpOG (K)
GDS 102
Ca cervix IV A, Dispneu ec Suspek meta paru, DPL 15/44,1/14040/201000//83/28/34 Na 136 K 4,1 Cl 104 perbaikan KU, inf albumer 20% 100ml/hari, rencana
edema tungkai suspek DVT, Asites ec Dr. dr. Hariyono W, PT 1,1x APTT 1,2x SGOT 19 SGPT 9 Ur 69 Cr 1,2 GDS 79 alb konsul IPD pulmo, urologi, Bedah Vaskular di hari dan
206B Rica 31 4393802 hipoalbuminemia, Acute kidney injury, Intake SpOG (K)
1,82 fibrinogen 251 d-dimer 1500 jam kerja
sulit, Ca pain
1/9/19 AGD pH7,273/pCO2 20,7/ pO2 179,1/ HCO3 9,7/ BE

-14,8/ SpO2 98,7, Ur 49 Cr 1,7 Na 125 K 6,4 Cl 101, lab
Ca serviks III B on radiasi eksterna 25 kali, 31/8/19 8.9/24/530/14.000 29/08/19 PCT: 0.33. Ur/Cr:
kemoterapi 3x, dengan febrile neutropeni, konsul HOM: saran konsul IPD infeksi, kultur darah dan
dr. T. Dewi 25/0.8. Na/K/Cl: 129/2.8/104. DPL:
pansitopenia ec radiasi dd perdarahan, feses, transfusi tc, koreksi elektrolit, leukogen injeksi.
206C Want 40 4382441 Anggraeni, 10.3/28/330/67.00027/8/19 DPL 9.7/26/320/39000,
elektrolit imbalance, aki dd akut on ckd, IPD tropik infeksi: inj levofloxasine 1x 750 mg, inj
SpOG(K) elektrolit 129/2.5/101, lab 25/8/19 DPL
riwayat hematoschezia ec kolits radiasi, flukonazol
10.8/28/280/77000, lab 23/8 9.3/25.4/190/56.000
hiperglikemia reaktf, asidosis metabolik 21/8/19 DPL : 4.9/13/410/12000, PT/APTT 1.0x/0.9x, OT/PT
14/19, Ur/Cr : 27/1.2, GDS 151, elektrolit 111/2.7/81
Rencana family meetng oleh neurologi, Paracetamol 4

x 1000 mg hasil konsul neuro : A: tetraparese UMN, ca
pain, hipestesi T6 kebawah, retensio urin dan alvi ec
Ca cervix stadium IV A, tetrapararese UMN,
Dr. dr. Fitriyadi K, 11/8/19: DPL: 11.6/35.4/41.690/767.000 DPL susp SOL kanalis spinalis ekstradura susp metastasis -->
206D Diah wahyuni 40 4389926 cancer pain VAS 4, trombositosis ec SpOG(K) 8.2/26.7/3.45/25.210/729.000 albumin 3.76 plAnning: MRI whole spine + kontras, raber neuro,
malignansi, leukositosis reaktf dd infeksi
morphne 10 mg/24 jam. Rencana MRI whole abdomen
konsul psikiatri : depresi sedang --> straline 1x25 mg
rencana bone scan: sudah, MRI abdomen sudah
Ca cerviks stadium IIIB dengan permasalahan:

anemia normositk normokromik, LAB 1/9/19 DPL 8,9/28,3/13140/687000//79/24/31, LAB
Dr. dr. Tofan W
206 F Anih Bt Naman 40 4311859 hidronefrosis bilateral on nefrostomi, 29/8/19 DPL 8/25.7/16540/817000 SGOT 16/SGPT 8/Ur Perbaikan KU, transfusi hingga Hb>10
hiponatremia, leukositosis reaktf, ca pain VAS Utami, SpOG(K) 14/cr 0.9 Na 131/ K 3.9/Cl 101.6
4, dispepsia
ca cervix stadium IIIB dengan ca ovarium, lab 1/9/19 DPL 9,6/28,7/21270/132000// 85/28/33, lab
Dr. dr. Gatot
207 B Harlina 58 426-85-54 anemia, intake sulit, elektrolit imbalance, ca Purwoto, SpOG(K) 30/8/19 DPL 8.2/24/34.900/224.000 laktat 0.8 albumin 2.15 perbaikan ku, transfusi PRC, konsul urologi
pain, stress ulcer GDS 131 elektrolit 139/3.2/110 OT/PT 117 ur/crec 171/4.9
lab 31/8/19 DPL 10,1/29,1/20770/382000//83/28/34, GDS

Ca cerviks IIIB dengan anemia, fistula recto Dr. dr. Tofan W 354, lab 28/08/19 DPL: 4.4/12.4/17.340/441.000. GDS Sliding scale oleh IPD endokrin, Rencana pulang jika
207 D Sri Lestari 58 4254369 vagina, DM gula darah belum terkontrol Utami, SpOG(K) 252. SGOT/SGPT: 8/10. Ur/Cr: 52/0/6. Na/K/Cl: endokrin acc pulang
126/4.5/100
29/08/19: DPL: 12.4/35.5/22.500/1.067.000 27/8/19 DPL
7.2/21/48070/1028000, GDS 93, Ur/Cr 24/0.5, OT/PT 12/8,
albumin 2.33, PT/APTT 1.2x/1.3x elektrolit 128/3.6/92, laktat
ILO pada Post laparotomi adhesiolisis, 1.9, CRP 565, PCT 10.01 , DPL 10.7/33.2/9500/631.000
debulking, hartmann's procedure ai Ca Dr. dr. Tofan W OT/PT 28/32 albumin 2.85 ur/crec 21/0.7 elektrolit Perawatan ILO, konsul HOM, Bedah vaskular di jam dan
207 E Ngatni 44 4380141 ovarium advanced stage dengan Utami, SpOG(K) 133/4.4/97.5 hari kerja
trombositosis, suspek DVT
16/08/19 :
Alb : 3,39 DPL Post Op : 10.2/30.7/9030/406000,
Albumin 1.98
Lab 1/9/19 Na 132 K 4,2 Cl 111,LAB 30/8/19 DPL koreksi natrium; Rencana konsul urologi dan GH ulang.
NOP suspek maligna, suspek ca vulva, intake
dr. Kartwa Hadi N, 11.8/35.3/16780/739000 Ur 120/cr 3.5 Na 129/K4.1/Cl konsul GH: saran konsul urologi untuk evaluasi
210 B Wina Amir 47 4391441 sulit, trombositosis, hiponatremia, akut on SpOG(K) 106.3 28/8/19 DPL 8.5/24/19760/879000, DPL nefrostomi kanan, saat ini belum perlu HD, cek ulang
CKD, pasien dengan nefrostomi bilateral 5.8/16.9/29.160/1.157.000, albumin 3.37 ur/crec 5/158 ur/cr setelah evaluasi nefrostomi oleh urologi
ca cerviks stadium IIIB dengan anemia, ca pain lab 1/9/19 DPL 9/27/29760/449000//84/28/33, lab 31/8/19 perbaikan kondisi umum, rencana konsul ginjal
VAS 2-3, hidronefrosis bilateral on nefrostomi, Dr. dr. Tofan W 8.2/ 24/27.220/613.000lab 29/08/19. DPL:
211 A Linda Fatmawat 38 4416961 hipertensi di ruangan (oleh urologi, form (+), tampon
hipokalemia, hipernatremia, AKI dd akut on Utami, SpOG(K) 8.7/26.3/23.250/ 617.000. SGOT/SGPT: 15/11. Ur/Cr: lebas tgl 2/9/19
CKD 34/1.13. GDS 129. LDH 371
1/9/19 DPL 9,7/28,1/8700/203000//83/28/34, Na 131 K

3,2 Cl 105, lab 28/8/19 DPL 7.2/21/21560/167000, Lab
post menopausal bleeding ec suspek ca Dr. dr. Gatot 26/8/19: DPL: 9.1/26.4/10.540/157.000. Na/K/CL: perbaikan KU, raber dengan geriatri, rencana pulang
308A Yunilas Wahidi 89 4069981 endometrum dd endometrits dengan Purwoto, SpOG(K) 131/3.4/107. lab 25/8/19 DPL 7.1/20/10740/154000, DPL jika Hb 10 g/dl
Hipertensi
7.6/20.9/13.05/189.000 elektrolit 125/4.4/97 OT/PT 16/10.
albumin tgl 24: 2.43
Ca cervix IIIB post radiasi lengkap dengan dr. T. Dewi 1/9/19 10,4/32,1/9750/304000//81/26/32, lab 27/8/19
802C Patana Naibaho 66 2646802 anemia, hematoschezia ec colits radiasi, Anggraeni, DPL 9.6/29/8200/337000, Lab 24/8/19 DPL: Rencana perbaikan KU dengan kapten IPD
hidronefrosis bilateral on nefrostomi, Ca pain SpOG(K) 10/31/9810/362000, Lab 21/8/19 DP 7.8/23/14650/433000
31/8/19 DPL 10/30,3/13300/307000//86/28/33 Na 150 K

Post laparatomi eksplorasi reseksi ileum, 3,1 cl 115 lab 29 /08/19. Alb: 2.57. Na/K/Cl: 149/2.8/ 116.
adhesiolisis, debulking, end ileostomi atas
ca darah. 12.7. Ca ion 1.75. Lab 28/08/19: DPL: perawatan post operasi, rencana pindah ruangan, clear
indikasi ca ovarium residif dengan fistulasi Dr. dr. Gatot
401G Dina Meilinda 42 4330286 6.4/19.5/12.660/194.000. Alb: 2.16. Na/K/Cl: 149/3.4/118. fluid, inj amikasin 1x1, inj metronidazole 3 x 500 mg,
ileum dengan permasalahan: anemia, Purwoto, SpOG(K) Lab 26/8/19. DPL: 9.3/28.4/11.250/218.000. SGOT/SGPT: paracetamol 3x1 gr. Raber digestve
hipernatremia, hiperkloremia, 9/<6. Albumin: 1.65. Ur/Cr: 81/1. GDS 96. Na/K/Cl:
hipoalbuminemia 151/3.2/118
dr. T. Dewi Anggraeni, SpOG(K) 206C, 802 dr. Kartwa Hadi N, SpOG(K) 210B
Dr. dr. Laila Nuranna, SpOG(K) Dr. dr. Hariyono W, SpOG (K) 206B
Prof. Dr. dr. Andrijono, SpOG(K) Dr. dr. Tofan W Utami, SpOG(K) 206F, 207 D, 207E, 211A
Dr. dr. Fitriyadi K, SpOG(K) 206D Dr. dr. Gatot Purwoto, SpOG(K) 205A, 207B, 308A, 401G
dr. Andi Darma Putra, SpOG (K) 205C

LAB 30/8/19 DPL

11.4/33.1/2560/1
79000 Lab
26/08/19. DPL:
Ca ovarium, Dr. dr. Sigit 9.3/26.7/2.460/5 pasca kemoterapi,
204 B Tarsih 26 4364464 leukopenia Purbadi, SpOG(K) 8.000. rencana pulang
SGOT/SGPT:
22/21. Ur/Cr:
18/0.6. Na/K/CL:
132/4.1/102
28/08/19. DPL: .
Dr. dr. Sigit 9/28.8/5.930/213 pasca kemoterapi,
204 C Sumiat 38 4381819 PTM high risk Purbadi, SpOG(K) .000. beta HCG. rencana pulang
196702
LAB 30/8/19 DPL

ca ovarium 9,3/38.7/6470/15 rencana transfusi
advanced stage Dr. dr. Sigit
204 D Maria Silalily 46 4384708 7000 DPL: PRC, dilanjutkan
dengan Purbadi, SpOG(K) 11/33/7.730/88.0 kemoterapi ke II
ttrombositopenia 00
29/08/19. DPL:
11.9/36.1/7.540/
395.000. Na?K?cl: rencana
NOK suspek Dr. dr. Gatot
205A Rohimah 61 4381603 Purwoto, SpOG(K) 140/3,8/107. laparatomi VC
maligna SGOT/SGPT: 9/9. senin 2/09/19
Alb: 3.75. Ur/Cr:
16/0.8. GDS 125.
lab 29/08/19:
DPL:
13.1/38.6/8.160/
357.000. Na/K/Cl: rencana operasi
dr. Andi Darma
205 C Sit Huriah 46 4382935 Ca cerviks IIA 137/3.8/107 HT radikal senin
Putra, SpOG (K) SGOT/SGPT: 02/09/19
15/13. Alb: 3.87.
Ur/Cr: 15/0.7 GDS
102
31/8/19
8.9/24/530/14.00
0 29/08/19 PCT:
0.33. Ur/Cr:
Ca serviks III B on 25/0.8. Na/K/Cl:
radiasi eksterna 129/2.8/104.
25 kali, DPL:
kemoterapi 3x, 10.3/28/330/67.0 konsul HOM:
dengan febrile 0027/8/19 DPL saran konsul IPD
neutropeni, 9.7/26/320/3900 infeksi, kultur
pansitopenia ec 0, elektrolit darah dan feses,
radiasi dd dr. T. Dewi 129/2.5/101, lab transfusi tc,
206C Want 40 4382441 perdarahan, Anggraeni, 25/8/19 DPL koreksi elektrolit,
elektrolit SpOG(K) 10.8/28/280/770 leukogen injeksi.
imbalance, aki dd 00, lab 23/8 IPD tropik infeksi:
akut on ckd, 9.3/25.4/190/56. inj levofloxasine
riwyat 000 21/8/19 1x 750 mg, inj
hematoschezia ec DPL : flukonazol
kolits radiasi, 4.9/13/410/1200
hiperglikemia 0, PT/APTT
reaktf 1.0x/0.9x, OT/PT
14/19, Ur/Cr :
27/1.2, GDS 151,
elektrolit
111/2.7/81
Paracetamol 4 x
1000 mg hasil
konsul neuro : A:
tetraparese UMN,
ca pain, hipestesi
T6 kebawah,
retensio urin dan
alvi ec susp SOL
Ca cervix stadium kanalis spinalis
IV A, 11/8/19: DPL: ekstradura susp
tetrapararese 11.6/35.4/41.690 metastasis -->
UMN, cancer pain
206D Diah wahyuni 40 4389926 VAS 4, Dr. dr. Fitriyadi K, /767.000 DPL plAnning: MRI
trombositosis ec SpOG(K) 8.2/26.7/3.45/25. whole spine +
210/729.000 kontras, raber
malignansi, albumin 3.76 neuro, morphne
leukositosis reaktf 10 mg/24 jam.
dd infeksi
Rencana MRI
whole abdomen
konsul psikiatri :
depresi sedang -->
straline 1x25 mg
rencana bone
scan: sudah, MRI
abdomen sudah
DPL
Ca cervix stadium 7.3/21.5/13.08/6 perbaikan ku
IIIB, anemia, Dr. dr. Gatot 63.000 OT/PT
206 E Diah Suminar 69 438-67-42 intake sulit, ca tranfusi target hb
Purwoto, SpOG(K) 56/32 ur/crec
pain, elektolit 27/0.81 GDS 93 10g/dL
imbalance elektolit 121/4/96
Ca cerviks stadium
IIIB dengan
permasalahan:
anemia LAB 29/8/19 DPL
normositk
8/25.7/16540/81 Perbaikan KU,
normokromik, Dr. dr. Tofan W 7000 SGOT
206 F Anih Bt Naman 40 4311859 hidronefrosis transfusi hingga
Utami, SpOG(K) 16/SGPT 8/Ur
bilateral on 14/cr 0.9 Na 131/ Hb>10
nefrostomi,
K 3.9/Cl 101.6
hiponatremia,
leukositosis
reaktf, ca pain
VAS 4, dispepsia
DPL
ca cervix stadium 8.2/24/34.900/22
IIIB dengan ca 4.000 laktat 0.8
albumin 2.15 GDS perbaikan ku,
ovarium, anemia, Dr. dr. Gatot
207 B Harlina 58 426-85-54 transfusi PRC,
intake sulit, Purwoto, SpOG(K) 131 elektrolit konsul urologi
elektrolit 139/3.2/110
imbalance, ca pain OT/PT 117 ur/crec
171/4.9
lab 28/08/19
DPL:
4.4/12.4/17.340/
perbaikan KU,
Ca cerviks IIIB Dr. dr. Tofan W 441.000. GDS
207 D Sri Lestari 58 4254369 252. SGOT/SGPT: transfusi target
dengan anemia Utami, SpOG(K) hb>10
8/10. Ur/Cr:
52/0/6. Na/K/Cl:
126/4.5/100
29/08/19: DPL:
12.4/35.5/22.500
/1.067.000
27/8/19 DPL
7.2/21/48070/10
28000, GDS 93,
Ur/Cr 24/0.5,
OT/PT 12/8,
albumin 2.33,
debulking, 1.9, CRP 565, PCT Perawatan ILO,
Dr. dr. Tofan W
207 E Ngatni 44 4380141 hartmann's 10.01 , DPL konsul HOM di
procedure ai Ca Utami, SpOG(K) 10.7/33.2/9500/6 jam dan hari kerja
trombositosis 2.85 ur/crec
21/0.7 elektrolit
133/4.4/97.5
16/08/19 :
Alb : 3,39
DPL Post Op :
10.2/30.7/9030/4
06000, Albumin
1.98
1/9/19
10.2/31.1/3.590/
157.000 29/8/19
ptm high DPL
6.2/17.9/5260/10 Perbaikan KU,
risk,anemia,tromb DR. dr. Hariyono
207F Erniat 28 4417536 2/000 beta-hcg: transfusi PRC
ositopenia, W, SpOG(K)
hiponatremia 25992.3/ alb 2.3/ target hb>10
FT4 0.74/TSH
1.15/ SI 12/TIBC
176
LAB 29/8/19 DPL

8.3/26/9110/624
Ca cervix susp 000 sgot 20/sgpt
advance stage, G1 dr. Kartwa Hadi N, 13/ ur 9/cr 0.4/alb Transfusi PRC
210A Nehemia Diah Ayu 25 4391167 hamil 20 minggu, SpOG(K) target hb>10
3.49 Na 133/K
anemia (8.3) 4.1/Cl 103.8 GDS
73
LAB 30/8/19 DPL

koreksi natrum;
11.8/35.3/16780/ konsul GH: saran
739000 Ur 120/cr
NOP suspek konsul urologi
3.5 Na
maligna, intake untuk evaluasi
129/K4.1/Cl 106.3
sulit, dr. Kartwa Hadi N, 28/8/19 DPL nefrostomi kanan,
210 B Wina Amir 47 4391441 trombositosis, saat ini belum
SpOG(K) 8.5/24/19760/87
NOP suspek perlu HD, cek
9000, DPL
maligna,hiponatre ulang ur/cr
5.8/16.9/29.160/
mia setelah evaluasi
1.157.000,
nefrostomi oleh
albumin 3.37 urologi
ur/crec 5/158
ca cerviks stadium
31/8/19 8.2/
IIIB dengan 24/27.220/613.00 perbaikan kondisi
anemia, ca pain 0lab 29/08/19. umum, rencana
VAS 2-3, DPL: konsul ginjal
hidronefrosis
Dr. dr. Tofan W 8.7/26.3/23.250/ hipertensi di
211 A Linda Fatmawat 38 4416961 bilateral on Utami, SpOG(K) 617.000. ruangan (oleh
nefrostomi, SGOT/SGPT: urologi, form (+),
hipokalemia, 15/11. Ur/Cr: tampon lebas tgl
hipernatremia, 34/1.13. GDS 2/9/19
AKI dd akut on
129. LDH 371
CKD
Post laparatomi
eksplorasi,
adhesiolisis, SOD- 29/08/19. DPL:
VC, HT SOS, 10.6/33.4/13.360
limfadenektomi /413.000.
pelvic bilateral, Dr. dr. Fitriyadi K, SGOT/SGPT: 12/7. perawatan post
214B Lilis Hartni 53 4390561 limfadenektomi SpOG(K) op
Ur/Cr: 21/0.7.
paraaorta, Na/K/Cl:
omentektomi, 138/3.8/108
apendiktomi ai ca
ovarium clinically
early stage
22/8/19 DPL
14/42/7190/3560
00, PT/APTT
1.1x/1.1x, AFP
Post laparatomi, 0.72, Ca 125 903,
SOD ai tumor dr. Kartwa Hadi N, OT/PT 23/19, alb perawatan post
214 D Erika Apriyana 21 4383628 mesenkimal SpOG(K) 4.74, Ur/Cr : operasi
ovarium kanan 14/0.6, GDS 83,
LDH 180,
elektrolit
137/3.9/103,
estradiol 94
28/8/19 DPL
7.2/21/21560/16
7000, Lab
26/8/19: DPL:
9.1/26.4/10.540/
post menopausal 157.000.
bleeding ec Na/K/CL:
suspek ca perbaikan KU,
endometrum dd Purwoto, SpOG(K) 131/3.4/107.
Dr. dr. Gatot lab raber dengan
308A Yunilas Wahidi 89 4069981 25/8/19 DPL
endometrits 7.1/20/10740/15 geroatri
dengan HT, O, 4000, DPL
hipnutre
7.6/20.9/13.05/1
89.000 elektrolit
125/4.4/97 OT/PT
16/10. albumin tgl
24: 2.43
suspek Ca
endometrium
advanced stage
dengan metastasis 27/8/19 Elektrolit
paru dengan 133/3.4/93, lab
permasalahan: 24/8/19 DPL:
ancaman gagal 12.4/34/19620/7 Rencana
napas tpe I ec 76000, PT/APTT:
Dr. dr. Sigit perbaikan KU
508B Farida Sofiani 58 4386113 efusi pleura 0.9x/0.8x,
Purbadi, SpOG(K) dengan kapten
bilateral post elektolit
thoracocentesis, 127/3.7/88, alb IPD
trombositopenia, 3,27, Ur/Cr:
leukositosis, AKI 82/2.1, OT/PT
dd acute on CKD, 15/11, GDS 427
hiperglikemia
reaktf dd DM tpe
II, hiponatremia
Ca cervix IIIB post 27/8/19 DPL

radiasi lengkap 9.6/29/8200/337
dengan anemia, 000, Lab 24/8/19 Rencana
hematoschezia ec dr. T. Dewi DPL: perbaikan KU
802C Patana Naibaho 66 2646802 colits radiasi, Anggraeni, 10/31/9810/3620
dengan kapten
hidronefrosis SpOG(K) 00, Lab 21/8/19 IPD
bilateral on DP
nefrostomi, Ca 7.8/23/14650/43
pain 3000
29 /08/19. Alb:
2.57. Na/K/Cl:
Post laparatomi 149/2.8/ 116. ca
eksplorasi reseksi
darah. 12.7. Ca
ileum, ion 1.75. Lab perawatan post
adhesiolisis, 28/08/19: DPL: operasi, rencana
debulking, end 6.4/19.5/12.660/ pindah ruangan,
ileostomi atas
194.000. Alb: clear fluid, inj
indikasi ca Dr. dr. Gatot 2.16. Na/K/Cl: amikasin 1x1, inj
401 Dina Meilinda 42 4330286 ovarium residif
dengan fistulasi Purwoto, SpOG(K) 149/3.4/118. Lab metronidazole 3 x
26/8/19. DPL: 500 mg,
ileum dengan 9.3/28.4/11.250/ paracetamol 3x1
permasalahan:
218.000. gr. Raber
anemia, SGOT/SGPT: 9/<6. digestve
hipernatremia, Albumin: 1.65.
hiperkloremia, Ur/Cr: 81/1. GDS
hipoalbuminemia
96. Na/K/Cl:
151/3.2/118
dr. T. Dewi dr. Kartwa Hadi N, 205B, 207D,107

Anggraeni, 716C SpOG(K)
SpOG(K)
Andrijono, 207C
Utami, SpOG(K)
SpOG(K)
Dr. dr. Fitriyadi K, 205F, 206A, 206D Dr. dr. Gatot 205B, 211 C, 210
SpOG(K) Purwoto, SpOG(K) C
Dr. dr. Sigit

Purbadi, SpOG(K)
dr. Andi Darma

Putra, SpOG (K) 205E
Ward Map Ginekologi Onkologi Jumat 30 Agustus 2019
26/08/19: DPL:
11.5/34.8/14.570
Prof. Dr. dr. /539.000.
204 A Mulyani 43 4382773 Ca vagina Andrijono, SGOT/SGPT:
SpOG(K) 14/14. Ur/Cr:
24/0.6 GDS 101
26/8/19 DPL
10/28/4350/3190
00, alb 4.14, Ur/Cr
dr. Andi Darma 31/1, GDS 98,
204 B Eli ernawat 34 4219273 ptm high risk Putra, SpOG (K) elektrolit
135/4.3/102,
OT/PT 28/55, b-
hcg 1113
29/08/19. DPL:
11.2/33.4/12.180
choriocarcinoma /148.00028/8/19
dengan infiltrasi Prof. Dr. dr. DPL
204 C Edah Saraswat 23 4392659 Andrijono,
massa di 9.5/28/9410/177
SpOG(K)
duodenum 000, DPL
7.7/22.9/7.820/2
02.000
20/8/19 DPL
11.4/33/5790/50
6000, OT/PT
Dr. dr. Gatot
204 D Gusnarita 36 4380884 ptm high risk Purwoto, SpOG(K) 32/25, alb 4.49,
Ur/Cr 27/0.7,
elektrolit
137/4.5/105
28/8/19 DPL
Marisi dr. Kartwa Hadi N, 11.2/32/10360/2
204 E 61 4387068 ca vulva, anemia 62000, DPL
Simangunsung SpOG(K) 9.1/27.1/10150/1
90.000
Lab 23/08/19:
DPL:
Ca Cerviks IIB, Ca 12.9/37.2/6.490/
mammae sinistra Dr. dr. Tofan W
204F Sri Katmiatun 65 4309791 233.000.
post mastektomi Utami, SpOG(K) SGOT/SGPT:
radikal 2018 14/12. Ur/Cr:
17/0.8 GDS: 98
29/08/19. DPL:
11.9/36.1/7.540/
395.000. Na?K?cl:
NOK suspek Dr. dr. Gatot
205A Rohimah 61 4381603 maligna Purwoto, SpOG(K) 140/3,8/107.
SGOT/SGPT: 9/9.
Alb: 3.75. Ur/Cr:
16/0.8. GDS 125.
lab 29/08/19:
DPL:
13.1/38.6/8.160/
357.000. Na/K/Cl:
205 C Sit Huriah 46 4382935 Ca cerviks IIA 137/3.8/107
SGOT/SGPT:
15/13. Alb: 3.87.
Ur/Cr: 15/0.7 GDS
dr. Andi Darma 102
Putra, SpOG (K)
Lab 26/08/19.
DPL:
9.3/26.7/2.460/5
Ca ovarium Dr. dr. Sigit 8.000.
206 A Tarsih 26 4364464 dengan Purbadi, SpOG(K) SGOT/SGPT:
pansitopenia 22/21. Ur/Cr:
18/0.6. Na/K/CL:
132/4.1/102
29/08/19 PCT:
0.33. Ur/Cr:
25/0.8. Na/K/Cl:
Ca serviks III B on 129/2.8/104.
radiasi eksterna DPL:
25 kali, 10.3/28/330/67.0
kemoterapi 3x, 0027/8/19 DPL
dengan febrile 9.7/26/320/3900
neutropeni, 0, elektrolit
pansitopenia ec 129/2.5/101, lab
radiasi dd dr. T. Dewi 25/8/19 DPL
206C Want 40 4382441 perdarahan, Anggraeni, 10.8/28/280/770
elektrolit SpOG(K) 00, lab 23/8
imbalance, aki dd 9.3/25.4/190/56.
akut on ckd, 000 21/8/19
riwyat DPL :
hematoschezia ec 4.9/13/410/1200
kolits radiasi, 0, PT/APTT
hiperglikemia 1.0x/0.9x, OT/PT
reaktf 14/19, Ur/Cr :
27/1.2, GDS 151,
elektrolit
111/2.7/81
Ca cervix stadium
IV A, 11/8/19: DPL:
UMN, cancer pain
Dr. dr. Fitriyadi K, /767.000 DPL
210/729.000
leukositosis reaktf
dd infeksi
29/08/19. DPL:
12.1/36/15.370/7
04.000. 28/8/19
DPL
9.7/34/15600/62
Suspek ca ovarium dr. Kartwa Hadi N, 2000, 27/7/19
DPL
206 E Juminah 53 4388850 dengan anemia
dan hiponatremia SpOG(K) 8/24/16.000/748.
000 DPL:
7.9/14.900/
926.000. ca125:
41.8. ur/cr:
55/0.7alb 3.21.
na/k/cl: 129/4/96
Ca cerviks stadium
IIIB dengan
permasalahan:
anemia
normositk
normokromik, Dr. dr. Tofan W
206 F Anih Bt Naman 40 4311859 hidronefrosis Utami, SpOG(K)
bilateral on
nefrostomi,
hiponatremia,
leukositosis
reaktf, ca pain
VAS 4, dispepsia
Neoplasma lab 26/08/19:

ovarium padat DPL:
suspek maligna,
10.7/31.1/9.170/
dengan ascites Dr. dr. Laila 679.000 Na/K/CL:
207 A Enli Midia Wat 43 4388715 masif, dengan Nuranna, SpOG(K) 130/4.4/98.
hiponatremia, SGOT/SGPT:
hipoalbuminemia, 38/11. Ur/Cr:
AKI dd acute on
107/3.60 GDS 96
CKD
28/8/19
11.1/33/11180/6
Ca cervix IVB dr. Kartwa Hadi N, 69000, alb 3.16,
207B Nuryaningsih 54 4384651 dengan asites SpOG(K) elektrolit
130/5.1/98
28/08/19. DPL: .
Dr. dr. Sigit 9/28.8/5.930/213
207C Sumiat 38 4381819 PTM high risk Purbadi, SpOG(K) .000. beta HCG.
196702
lab 28/08/19
DPL:
4.4/12.4/17.340/
Ca cerviks IIIB Dr. dr. Tofan W 441.000. GDS
207 D Sri Lestari 58 4254369 dengan anemia Utami, SpOG(K) 252. SGOT/SGPT:
8/10. Ur/Cr:
52/0/6. Na/K/Cl:
126/4.5/100
29/08/19: DPL:
12.4/35.5/22.500
/1.067.000
27/8/19 DPL
7.2/21/48070/10
28000, GDS 93,
Ur/Cr 24/0.5,
OT/PT 12/8,
albumin 2.33,
debulking, 1.9, CRP 565, PCT
Dr. dr. Tofan W
207 E Ngatni 44 4380141 hartmann's 10.01 , DPL
procedure ai Ca Utami, SpOG(K) 10.7/33.2/9500/6
trombositosis 2.85 ur/crec
21/0.7 elektrolit
133/4.4/97.5
16/08/19 :
Alb : 3,39
DPL Post Op :
10.2/30.7/9030/4
06000, Albumin
1.98
28/8/19 DPL
NOP suspek 8.5/24/19760/87
maligna, intake
dr. Kartwa Hadi N, 9000, DPL
sulit, anemia,
210 B Wina Amir 47 4391441 5.8/16.9/29.160/
trombositosis, SpOG(K) 1.157.000,
NOP suspek albumin 3.37
maligna ur/crec 5/158
ca ovarium
advanced stage Dr. dr. Sigit DPL:
210 D Maria Silalily 46 4384708 dengan Purbadi, SpOG(K) 11/33/7.730/88.0
00
ttrombositopenia
ca cerviks stadium
IIIB dengan lab 29/08/19.
anemia, ca pain DPL:
VAS 2-3, 8.7/26.3/23.250/
hidronefrosis
Dr. dr. Tofan W 617.000.
211 A Linda Fatmawat 38 4416961 bilateral on Utami, SpOG(K) SGOT/SGPT:
nefrostomi, 15/11. Ur/Cr:
hipokalemia, 34/1.13. GDS
hipernatremia, 129. LDH 371
AKI dd akut on
CKD
28/8/19 DPL :
7.1/20/9770/164
000 Lab 26/08/19:
DPL:
8.6/24.7/9.620/1
82.000.
Post laparatomi SGOT/SGPT:
surgical staging ai 21/13. Albumin
ca endometrium dr. Kartwa Hadi N, 2.33. Ur/Cr:
211B Nurbahri 60 4035810 dengan SpOG(K) 20/0.5. Na/K/Cl:
neoplasma 134.3,8/104. Lab
ovarium kiri (14/8/19) CEA: 1,
Ca 125: 10.1, Ca
19-9 :2.4. DPL
(3/7/19):
12.4/37.3/5800/3
46000
28/8/19 DPL
8.4/24/4850/197
000, PT/APTT :
Ca cervix IV B, 1.2x/1.2x, LAB
dyspnea ec efusi 22/8/19 DPL
pleura, DVT 10.4/29.5/7240/1
Prof. Dr. dr.
tungkai bilateral, 21000 GDS
211C Sufniyet 48 3208141 Andrijono,
anemia, 103/Na 137/K
SpOG(K)
hipokalemia, 3.0/Cl 97/ trop-T
hipoalbumin, 60/CK 50/CK-MB
trombositopenia 17.4/ SGOT
18/SGPT 8/alb
2.5/ur 21/cr
0.8/d-dimer 2900
Lab 26/8/19:
12.7/37.9/7.460/
746.000.
SGOT/SGPT:
Post laparatomi 50/31. Ur/Cr:
eksplorasi, 14/0.3. Na/K/Cl:
debulking massa 136/4.2/104. ca
ovarium kanan,
darah 8.3. ca ion
biopsi peritoneum Dr. dr. Sigit
212 A Waridah 59 4379205 dan omentum ai Purbadi, SpOG(K) 1.06 Mg 1.81 Lab
21/8/19 DPL
ca ovarium 8.4/25/5650/830
advanced stage dd
000, PT/APTT
ca appendiks dd 1x/1.2x, elektrolit
ca pankreas 133/3.4/98, GDS
141, Ur/Cr 12/0.5,
albumin 2.66,
OT/PT 14/6
28/8/19 DPL
8/23/15590/7050
00, DPL
ca cervix stadiuam Dr. dr. Tofan W
214A Hj.Ainah 68 4388001 5.8/17.2/15040/7
IVA, anemia Utami, SpOG(K) 67.000 elektrolit
129/4.6/101
ur/crec 75/1.5
22/8/19 DPL
14/42/7190/3560
00, PT/APTT
1.1x/1.1x, AFP
Post laparatomi, 0.72, Ca 125 903,
SOD ai tumor dr. Kartwa Hadi N, OT/PT 23/19, alb
214 D Erika Apriyana 21 4383628 mesenkimal SpOG(K) 4.74, Ur/Cr :
ovarium kanan 14/0.6, GDS 83,
LDH 180,
elektrolit
137/3.9/103,
estradiol 94
28/8/19 DPL
7.2/21/21560/16
7000, Lab
26/8/19: DPL:
9.1/26.4/10.540/
suspek ca
endometrum dd Dr. dr. Gatot 131/3.4/107. lab
308A Yunilas Wahidi 89 4069981
Purwoto, SpOG(K) 25/8/19 DPL
endometrits 7.1/20/10740/15
hipnutre 7.6/20.9/13.05/1
89.000 elektrolit
125/4.4/97 OT/PT
16/10. albumin tgl
24: 2.43
suspek Ca
endometrium
advanced stage
ancaman gagal 12.4/34/19620/7
napas tpe I ec 76000, PT/APTT:
Dr. dr. Sigit
Purbadi, SpOG(K)
thoracocentesis, 127/3.7/88, alb
hiperglikemia
reaktf dd DM tpe
II, hiponatremia

dengan anemia, 000, Lab 24/8/19
hematoschezia ec dr. T. Dewi DPL:
802C Patana Naibaho 66 2646802 colits radiasi, Anggraeni, 10/31/9810/3620
hidronefrosis SpOG(K) 00, Lab 21/8/19
bilateral on DP
pain 3000
Post laparatomi
eksplorasi,
adhesiolisis, SOD- 29/08/19. DPL:
VC, HT SOS, 10.6/33.4/13.360
limfadenektomi /413.000.
pelvic bilateral, Dr. dr. Fitriyadi K,
ICU bed I Lilis Hartni 53 4390561 SGOT/SGPT: 12/7.
limfadenektomi SpOG(K) Ur/Cr: 21/0.7.
paraaorta, Na/K/Cl:
omentektomi, 138/3.8/108
apendiktomi ai ca
ovarium clinically
early stage
29 /08/19. Alb:
2.57. Na/K/Cl:
Post laparatomi 149/2.8/ 116. ca
eksplorasi reseksi darah. 12.7. Ca
ileum,
adhesiolisis, ion 1.75. Lab
28/08/19: DPL:
debulking, end 6.4/19.5/12.660/
ileostomi atas 194.000. Alb:
indikasi ca Dr. dr. Gatot 2.16. Na/K/Cl:
HCU Dina Meilinda 42 4330286 ovarium residif
dengan fistulasi Purwoto, SpOG(K) 149/3.4/118. Lab
26/8/19. DPL:
ileum dengan 9.3/28.4/11.250/
permasalahan: 218.000.
anemia,
hipernatremia, SGOT/SGPT: 9/<6.
Albumin: 1.65.
hiperkloremia, Ur/Cr: 81/1. GDS
hipoalbuminemia 96. Na/K/Cl:
151/3.2/118

SpOG(K)
SpOG(K)
Dr. dr. Fitriyadi K, 205F, 206A, 206D Dr. dr. Gatot
Dr. dr. Sigit

Purbadi, SpOG(K)
dr. Andi Darma

Target
kemoterapi
kemoterapi
Rencana
kemoterapi
kemoterapi
Kemoterapi
Kemoterapi
rencana
laparatomi VC
senin 2/09/19
rencana operasi
HT radikal senin
02/09/19
perbaikan KU
dilanjtkan
kemoterapi
konsul HOM:
saran konsul IPD
infeksi, kultur
darah dan feses,
transfusi tc,
koreksi elektrolit,
leukogen injeksi.
IPD tropik infeksi:
inj levofloxasine
1x 750 mg, inj
flukonazol
Paracetamol 4 x
1000 mg hasil
konsul neuro : A:
tetraparese UMN,
ca pain, hipestesi
T6 kebawah,
retensio urin dan
alvi ec susp SOL
kanalis spinalis
ekstradura susp
metastasis -->
plAnning: MRI
whole spine +
kontras, raber
neuro, morphne
10 mg/24 jam.
Rencana MRI
whole abdomen
konsul psikiatri :
depresi sedang -->
straline 1x25 mg
rencana bone
scan: sudah, MRI
abdomen sudah
Target tercapai
Perbaikan KU,
transfusi hingga
Hb>10
perbaikan KU,
pungsi ascites di
ruangan, konsul
pulmo di ruangan
rencana pungsi
asites dan sitologi
perbaikan KU
dilanjutkan
kemoterapi
perbaikan kondisi
umum
Perawatan ILO,
konsul HOM di
jam dan hari kerja
Transfusi PRC
target hb 10,
konsul GH: saran
konsul urologi
untuk evaluasi
nefrostomi kanan,
saat ini belum
perlu HD, cek
ulang ur/cr
setelah evaluasi
nefrostomi oleh
urologi
transfusi TC
dilanjutkan
kemoterapi ke II
perbaikan kondisi
umum, rencana
konsul ginjal
hipertensi di
ruangan (oleh
urologi, form (+))
transfusi prc
target hb 10,
perawatan post
operasi
paliatf care,
radiasi paliatf,
konsul pulmo
senin, Jawaban
PULMO: A: Ca
cerviks stadium IV
B on radiasi
dengan efusi plura
kanan, DVT
tungkai bilateral,
hipokalemia.
Saran: Ro Thorax
bila efusi banyak
rencana USG
untuk pungsi
perawatan post
operasi
transfusi, koreksi
elektrolit
perawatan post
operasi
perbaikan KU,
raber dengan
geroatri
Rencana
perbaikan KU
dengan kapten
IPD
Rencana
perbaikan KU
dengan kapten
IPD
rencana pindah
ruangan
perawatan post
operasi, rencana
pindah ruangan,
clear fluid, inj
amikasin 1x1, inj
metronidazole 3 x
500 mg,
paracetamol 3x1
gr. Raber
digestve
205B, 207D,107
207C
205B, 211 C, 210
C
Ward Map Ginekologi Onkologi Kamis 29 Agustus 2019
28/8/19 DPL
Ca ovarium 11.6/33/13500/3
clinically stage IIIC 17000, Lab
post laparatomi dr. Kartwa Hadi N, 27/8/19 DPL
204 A Sung Phin Moy 60 4386534 suboptmal 9.5/28.8/17.790/ kemoterapi,
debulking, dengan SpOG(K) 286.00021/08/19. pulang
trombositopenia, DPL:
leukopenia 10.3/30.6/3020/
80.000
26/8/19 DPL
10/28/4350/3190
00, alb 4.14, Ur/Cr
dr. Andi Darma 31/1, GDS 98,
204 B Eli ernawat 34 4219273 ptm high risk kemoterapi
135/4.3/102,
OT/PT 28/55, b-
hcg 1113
28/8/19 DPL
Dr. dr. Tofan W
204 C Diana nur sefa 31 4385898 ptm high risk 13.6/39/5370/20 kemoterapi
Utami, SpOG(K) 3000
20/8/19 DPL
11.4/33/5790/50
6000, OT/PT
Dr. dr. Gatot
204 D Gusnarita 36 4380884 ptm high risk Purwoto, SpOG(K) 32/25, alb 4.49, kemoterapi
Ur/Cr 27/0.7,
elektrolit
137/4.5/105
DPL 21/08/19:
11.9/36.3/4.290/
386.000.
dr. Kartwa Hadi N, SGOT/SGPT: 17/12 kemoterapi
204 F Susi Listiyawati 29 4382577 ptm high risk SpOG(K) Na/K/Cl:
136/3.9/108 beta
hcg 35.8
27/8/19 DPL
10.5/30.4/48.940
/478.000 albumin
2.21 elektrolit
129/3.3/104.725/
8/19 DPL Rencana operasi 2
NOP suspek
Dwi Widya dr. Kartwa Hadi N, 9.5/28/7460/464 september 2019,
205 D 24 4337478 maligna, dengan
Ningsih SpOG(K) 000 15/08/2019 transfusi target
ascites DPL : hb>10
10,5/33/8.080/41
4.000
CEA : 23,3
CA 125 : 24,1
CA 19-9 : > 12000
28/8/19 DPL
choriocarcinoma Prof. Dr. dr. 9.5/28/9410/177 Rencana
dengan infiltrasi
206 B Edah Saraswat 23 4392659 Andrijono, 000, DPL kemoterapi,
massa di SpOG(K) 7.7/22.9/7.820/2 transfusi
duodenum 02.000
27/8/19 DPL
Ca serviks III B on 9.7/26/320/3900
radiasi eksterna 0, elektrolit
25 kali, 129/2.5/101, lab
kemoterapi 3x, 25/8/19 DPL
dengan 10.8/28/280/770 konsul HOM:
pansitopenia ec 00, lab 23/8 saran konsul IPD
radiasi dd dr. T. Dewi 9.3/25.4/190/56. infeksi, kultur
perdarahan,
206C Want 40 4382441 Anggraeni, 000 21/8/19 darah dan feses,
elektrolit
imbalance, aki dd SpOG(K) DPL : transfusi tc,
4.9/13/410/1200 koreksi elektrolit,
akut on ckd, 0, PT/APTT leukogen injeksi
riwyat 1.0x/0.9x, OT/PT
hematoschezia ec 14/19, Ur/Cr :
kolits radiasi, 27/1.2, GDS 151,
hiperglikemia elektrolit
reaktf 111/2.7/81
Paracetamol 4 x
1000 mg hasil
konsul neuro : A:
tetraparese UMN,
ca pain, hipestesi
T6 kebawah,
retensio urin dan
alvi ec susp SOL
Ca cervix stadium kanalis spinalis
IV A, 11/8/19: DPL: ekstradura susp
tetrapararese
UMN, cancer pain 11.6/35.4/41.690 metastasis -->
Dr. dr. Fitriyadi K, /767.000 DPL plAnning: MRI
trombositosis ec SpOG(K) 8.2/26.7/3.45/25. whole spine +
210/729.000 kontras, raber
malignansi, albumin 3.76 neuro, morphne
leukositosis reaktf
10 mg/24 jam.
dd infeksi Rencana MRI
whole abdomen
konsul psikiatri :
depresi sedang -->
straline 1x25 mg
rencana bone
scan: sudah, MRI
abdomen sudah
28/8/19 DPL
9.7/34/15600/62
2000, 27/7/19
DPL
Suspek ca ovarium dr. Kartwa Hadi N, 8/24/16.000/748. transfusi prc
206 E Juminah 53 4388850 dengan anemia 000 DPL:
dan hiponatremia SpOG(K) target hb >10
7.9/14.900/
926.000. ca125:
41.8. ur/cr:
55/0.7alb 3.21.
na/k/cl: 129/4/96
Neoplasma lab 26/08/19:

ovarium padat DPL:
suspek maligna, 10.7/31.1/9.170/ perbaikan KU,
dengan ascites Dr. dr. Laila 679.000 Na/K/CL: pungsi ascites di
207 A Enli Midia Wat 43 4388715 masif, dengan
Nuranna, SpOG(K) 130/4.4/98. ruangan, konsul
hiponatremia, SGOT/SGPT: pulmo di ruangan
AKI dd acute on 107/3.60 GDS 96
CKD
28/8/19
Ca cervix IVB dr. Kartwa Hadi N, 11.1/33/11180/6
69000, alb 3.16, rencana pungsi
207B Nuryaningsih 54 4384651 dengan asites SpOG(K) asites dan sitologi
elektrolit
130/5.1/98
28/8/19 DPL
11.2/32/10360/2
Marisi dr. Kartwa Hadi N, 62000, DPL
207C 61 4387068 ca vulva, anemia Kemoterapi
Simangunsung SpOG(K) 9.1/27.1/10150/1
90.000
27/8/19 DPL
7.2/21/48070/10
28000, GDS 93,
Ur/Cr 24/0.5,
OT/PT 12/8,
albumin 2.33,
PT/APTT 1.2x/1.3x
elektrolit
ILO pada Post 128/3.6/92, laktat
laparotomi 1.9, CRP 565, PCT
adhesiolisis, 10.01 , DPL
debulking, Dr. dr. Tofan W 10.7/33.2/9500/6 Perawatan ILO
207 E Ngatni 44 4380141
hartmann's Utami, SpOG(K) 31.000 OT/PT
procedure ai Ca 28/32 albumin
ovarium advanced 2.85 ur/crec
stage 21/0.7 elektrolit
133/4.4/97.5
16/08/19 :
Alb : 3,39
DPL Post Op :
10.2/30.7/9030/4
06000, Albumin
1.98
Transfusi PRC
target hb 10,
28/8/19 DPL konsul GH: saran
NOP suspek 8.5/24/19760/87 konsul urologi
maligna, intake untuk evaluasi
9000, DPL
sulit, anemia, dr. Kartwa Hadi N, 5.8/16.9/29.160/ nefrostomi kanan,
210 B Wina Amir 47 4391441 trombositosis, SpOG(K) saat ini belum
1.157.000,
NOP suspek perlu HD, cek
albumin 3.37
maligna ulang ur/cr
ur/crec 5/158 setelah evaluasi
nefrostomi oleh
urologi
28/8/19 DPL :
7.1/20/9770/164
000 Lab 26/08/19:
DPL:
8.6/24.7/9.620/1
82.000.
Post laparatomi SGOT/SGPT:
surgical staging ai Albumin transfusi prc
ca endometrium dr. Kartwa Hadi N, 21/13. target hb 10,
211B Nurbahri 60 4035810 2.33. Ur/Cr:
dengan SpOG(K) 20/0.5. Na/K/Cl: perawatan post
neoplasma 134.3,8/104. Lab operasi
ovarium kiri (14/8/19) CEA: 1,
Ca 125: 10.1, Ca
19-9 :2.4. DPL
(3/7/19):
12.4/37.3/5800/3
46000
paliatf care,
28/8/19 DPL radiasi paliatf,
8.4/24/4850/197 konsul pulmo
000, PT/APTT : senin, Jawaban
Ca cervix IV B, 1.2x/1.2x, LAB PULMO: A: Ca
dyspnea ec efusi 22/8/19 DPL cerviks stadium IV
pleura, DVT 10.4/29.5/7240/1
Prof. Dr. dr. B on radiasi
tungkai bilateral, 21000 GDS
211C Sufniyet 48 3208141 Andrijono, dengan efusi plura
anemia, 103/Na 137/K
SpOG(K) kanan, DVT
hipokalemia, 3.0/Cl 97/ trop-T tungkai bilateral,
hipoalbumin, 60/CK 50/CK-MB hipokalemia.
trombositopenia 17.4/ SGOT Saran: Ro Thorax
18/SGPT 8/alb bila efusi banyak
2.5/ur 21/cr rencana USG
0.8/d-dimer 2900 untuk pungsi
Konsul IPD: tx: inj

Levofloxasine
28/8/19 DPL 1x500 mg,
9.1/25/12480/14 fluimucyl 3x200
Ca ovarium IIIC, 3000, 22/08/19: mg. saran cek:
dr. Kartwa Hadi N, DPL:
211 D Endang Prihwulan 54 4365317 suspek febrile DPL, diffcount,
SpOG(K) 11.8/35/1090/14
netropenia Ur/Cr, elektrolit,
9.000 diff urinaria, kultur
count:1/2/1/34/6 darah, ro thorax.
0/2. ANC 381 --> konsul IPD
tropik infeksi
Lab 26/8/19:
12.7/37.9/7.460/
746.000.
SGOT/SGPT:
ovarium kanan,
darah 8.3. ca ion perawatan post
212 A Waridah 59 4379205 dan omentum ai Purbadi, SpOG(K) 1.06 Mg 1.81 Lab operasi
21/8/19 DPL
ca ovarium 8.4/25/5650/830
advanced stage dd 000, PT/APTT
ca appendiks dd
1x/1.2x, elektrolit
141, Ur/Cr 12/0.5,
albumin 2.66,
OT/PT 14/6
22/8/19 DPL
14/42/7190/3560
00, PT/APTT
1.1x/1.1x, AFP
0.72, Ca 125 903,
NOK suspek dr. Kartwa Hadi N, OT/PT 23/19, alb rencana
212B Erika Apriyana 21 4383628 laparotomi VC
maligna SpOG(K) 4.74, Ur/Cr :
14/0.6, GDS 83, 29/8/19
LDH 180,
elektrolit
137/3.9/103,
estradiol 94
28/8/19 DPL
8/23/15590/7050
ca cervix stadiuam Dr. dr. Tofan W 00, DPL transfusi, koreksi
214A Hj.Ainah 68 4388001 5.8/17.2/15040/7 elektrolit
IVA, anemia Utami, SpOG(K) 67.000 elektrolit
129/4.6/101
ur/crec 75/1.5
Lab 22/08/19:
DPL:
10.6/33.5/8.420/
508.000.
SGOT/SGPT: 10/6
NOK suspek Dr. dr. Fitriyadi K, albumin 4.66 Ur / rencana
214B Lilis Hartni 53 4390561 laparatomi VC
maligna SpOG(K) Cr: 25/0.7. Kamis 29/08/19
Na/K/Cl:
136/3.7/107.
Ca19.9 11.5. Ca
125: 194.9 Ca
15.3 20.2
28/8/19 DPL
7.2/21/21560/16
7000, Lab
26/8/19: DPL:
9.1/26.4/10.540/
suspek ca 131/3.4/107. lab perbaikan KU,
308A Yunilas Wahidi 89 4069981 endometrum dd Dr. dr. Gatot raber dengan
Purwoto, SpOG(K) 25/8/19 DPL
endometrits 7.1/20/10740/15 geroatri
hipnutre 7.6/20.9/13.05/1
89.000 elektrolit
125/4.4/97 OT/PT
16/10. albumin tgl
24: 2.43
suspek Ca
endometrium
advanced stage
ancaman gagal 12.4/34/19620/7
napas tpe I ec 76000, PT/APTT: Rencana
Dr. dr. Sigit perbaikan KU
Purbadi, SpOG(K) dengan kapten
thoracocentesis, 127/3.7/88, alb IPD
hiperglikemia
reaktf dd DM tpe
II, hiponatremia

dengan anemia, 000, Lab 24/8/19 Rencana
hematoschezia ec dr. T. Dewi DPL:
perbaikan KU
802C Patana Naibaho 66 2646802 colits radiasi, Anggraeni, 10/31/9810/3620 dengan kapten
hidronefrosis SpOG(K) 00, Lab 21/8/19 IPD
bilateral on DP
pain 3000
Post laparatomi
eksplorasi reseksi perawatan post
ileum,
adhesiolisis, operasi, rencana
Lab 26/8/19. DPL: pindah ruangan,
debulking, end 9.3/28.4/11.250/ clear fluid, inj
ileostomi atas 218.000. amikasin 1x1, inj
indikasi ca Dr. dr. Gatot SGOT/SGPT: 9/<6. metronidazole 3 x
ICU Dina Meilinda 42 4330286 ovarium residif
dengan fistulasi Purwoto, SpOG(K) Albumin: 1.65. 500 mg,
Ur/Cr: 81/1. GDS paracetamol 3x1
ileum dengan 96. Na/K/Cl: gr, miloz 2 ng NE
permasalahan: 151/3.2/118 0.1
anemia,
hipernatremia, mcg/kgbb/jam.
Raber digestve
hiperkloremia,
hipoalbuminemia
dr. T. Dewi dr. Kartwa Hadi N, 205B, 207D,107

SpOG(K)
Andrijono, 207C
Utami, SpOG(K)
SpOG(K)
Dr. dr. Fitriyadi K, 205F, 206A, 206D Dr. dr. Gatot 205B, 211 C, 210
SpOG(K) Purwoto, SpOG(K) C
Dr. dr. Sigit
Purbadi, SpOG(K)
dr. Andi Darma

Ward Map Ginekologi Onkologi Selasa 27 Agustus 2019
DPL:
10.7/31.8/2.680/
dr. Kartwa Hadi N, 180.000. SGOT/
204 A Siti Rohamah 41 4366258 ca ovarium SpOG(K) SGPT: 19/18
Ur/Cr: 18/0.6
DPL:
dr. Kartwa Hadi N, 12.6/36.5/3.460/
204 B Hoberthina 61 4384464 ca endometrium SpOG(K) 136.000. Ur/Cr:
41/1.6
Dr. dr. Tofan W

204 C Haryati 50 4388309 ca cervix
Utami, SpOG(K)
23/08/19: DPL:
9.8/28.8/2.220/1
12.000.
Ca cerviks stadium dr. Kartwa Hadi N, SGOT/SGPT:
204 D S. Hernawat 50 4267679 18/18. Albumin:
IIIB residif SpOG(K)
4.07. Ur/Cr:
19/0.8. GDS 100.
Na/K/Cl:
133/4.5/101
Prof. Dr. dr.
204 E Suparsih 57 4386456 Ca cervix Andrijono,
SpOG(K)
DPL 21/08/19:
11.9/36.3/4.290/
dr. Kartwa Hadi N, 386.000.
204 F Susi Listiyawati 29 4382577 ptm high risk SGOT/SGPT: 17/12
SpOG(K) Na/K/Cl:
136/3.9/108 beta
hcg 35.8
27/8/19 DPL
10.5/30.4/48.940
/478.000 albumin
2.21 elektrolit
129/3.3/104.725/
8/19 DPL
NOP suspek
Dwi Widya dr. Kartwa Hadi N, 9.5/28/7460/464
Ningsih SpOG(K) 000 15/08/2019
ascites DPL :
10,5/33/8.080/41
4.000
CEA : 23,3
CA 125 : 24,1
CA 19-9 : > 12000
choriocarcinoma Prof. Dr. dr. DPL

dengan infiltrasi
206 B Edah Saraswat 23 4392659 Andrijono, 7.7/22.9/7.820/2
massa di SpOG(K) 02.000
duodenum
Ca serviks III B on
radiasi eksterna lab 25/8/19 DPL
25 kali, 10.8/28/280/770
kemoterapi 3x, 00, lab 23/8
dengan 9.3/25.4/190/56.
pansitopenia ec 000 21/8/19
radiasi dd dr. T. Dewi DPL :
perdarahan,
206C Want 40 4382441 Anggraeni, 4.9/13/410/1200
elektrolit
imbalance, aki dd SpOG(K) 0, PT/APTT
1.0x/0.9x, OT/PT
akut on ckd, 14/19, Ur/Cr :
riwyat 27/1.2, GDS 151,
hematoschezia ec elektrolit
kolits radiasi, 111/2.7/81
hiperglikemia
reaktf
Ca cervix stadium
IV A, 11/8/19: DPL:
tetrapararese
UMN, cancer pain 11.6/35.4/41.690
210/729.000
leukositosis reaktf
dd infeksi
27/7/19 DPL
8/24/16.000/748.
000 DPL:
Suspek ca ovarium
206 E Juminah 53 4388850 dengan anemia dr. Kartwa Hadi N, 7.9/14.900/
dan hiponatremia SpOG(K) 926.000. ca125:
41.8. ur/cr:
55/0.7alb 3.21.
na/k/cl: 129/4/96
Neoplasma
lab 26/08/19:
ovarium padat DPL:
suspek maligna, 10.7/31.1/9.170/
dengan ascites Dr. dr. Laila 679.000 Na/K/CL:
207 A Enli Midia Wat 43 4388715 masif, dengan
Nuranna, SpOG(K) 130/4.4/98.
hiponatremia, SGOT/SGPT:
AKI dd acute on 107/3.60 GDS 96
CKD
Marisi dr. Kartwa Hadi N, DPL

207C 61 4387068 ca vulva, anemia 9.1/27.1/10150/1
Simangunsung SpOG(K) 90.000
Lab 24/8/19 DPL

10.7/29/15470/2
2000 D dimer
35200 fibrinogen
Ca cervix dengan dr. Andi Darma 271 Lab 21/8/19
207 D Sit Sopiah 40 4364940 anemia Putra, SpOG (K) DPL
10.8/30.5/16120/
66000, DPL
9,4/28/12.900/12
8.000
DPL
10.7/33.2/9500/6
31.000 OT/PT
ILO pada Post 28/32 albumin
laparotomi 2.85 ur/crec
adhesiolisis, 21/0.7 elektrolit
debulking, Dr. dr. Tofan W 133/4.4/97.5
207 E Ngatni 44 4380141 hartmann's Utami, SpOG(K)
procedure ai Ca 16/08/19 :
ovarium advanced Alb : 3,39
stage DPL Post Op :
10.2/30.7/9030/4
06000, Albumin
1.98
Ca ovarium Lab 27/8/19 DPL

clinically stage IIIC 9.5/28.8/17.790/
post laparatomi dr. Kartwa Hadi N, 286.00021/08/19.
207 F Sung Phin Moy 60 4386534 suboptmal
debulking, dengan SpOG(K) DPL:
10.3/30.6/3020/
trombositopenia, 80.000
leukopenia
NOP suspek DPL

maligna, intake 5.8/16.9/29.160/
sulit, anemia, dr. Kartwa Hadi N, 1.157.000,
210 B Wina Amir 47 4391441 trombositosis, SpOG(K) albumin 3.37
NOP suspek ur/crec 5/158
maligna
Lab 26/08/19:
DPL:
8.6/24.7/9.620/1
82.000.
SGOT/SGPT:
Post laparatomi 21/13. Albumin
surgical staging ai 2.33. Ur/Cr:
ca endometrium dr. Kartwa Hadi N, 20/0.5. Na/K/Cl:
211B Nurbahri 60 4035810 dengan SpOG(K) 134.3,8/104. Lab
neoplasma (14/8/19) CEA: 1,
ovarium kiri Ca 125: 10.1, Ca
19-9 :2.4. DPL
(3/7/19):
12.4/37.3/5800/3
46000
LAB 22/8/19 DPL

Ca cervix IV B, 10.4/29.5/7240/1
dyspnea ec efusi 21000 GDS
pleura, DVT 103/Na 137/K
Prof. Dr. dr.
tungkai bilateral, 3.0/Cl 97/ trop-T
211C Sufniyet 48 3208141 Andrijono,
anemia, 60/CK 50/CK-MB
SpOG(K)
hipokalemia, 17.4/ SGOT
hipoalbumin, 18/SGPT 8/alb
trombositopenia 2.5/ur 21/cr
0.8/d-dimer 2900
22/08/19: DPL:
Ca ovarium IIIC, dr. Kartwa Hadi N, 11.8/35/1090/14
211 D Endang Prihwulan 54 4365317 suspek febrile 9.000 diff
SpOG(K)
netropenia count:1/2/1/34/6
0/2. ANC 381
Lab 26/8/19:
12.7/37.9/7.460/
746.000.
SGOT/SGPT:
ovarium kanan,
darah 8.3. ca ion
212 A Waridah 59 4379205 dan omentum ai Purbadi, SpOG(K) 1.06 Mg 1.81 Lab
21/8/19 DPL
ca ovarium 8.4/25/5650/830
advanced stage dd
000, PT/APTT
ca appendiks dd 1x/1.2x, elektrolit
141, Ur/Cr 12/0.5,
albumin 2.66,
OT/PT 14/6
Lab 22/08/19:
DPL:
10.6/33.5/8.420/
508.000.
SGOT/SGPT: 10/6
NOK suspek Dr. dr. Fitriyadi K, albumin 4.66 Ur /
212 F Lilis Hartni 53 4390561 maligna SpOG(K) Cr: 25/0.7.
Na/K/Cl:
136/3.7/107.
Ca19.9 11.5. Ca
125: 194.9 Ca
15.3 20.2
DPL
5.8/17.2/15040/7
ca cervix stadiuam Dr. dr. Tofan W
214A Hj.Ainah 68 4388001 67.000 elektrolit
IVA, anemia Utami, SpOG(K) 129/4.6/101
ur/crec 75/1.5
Lab 26/8/19: DPL:

9.1/26.4/10.540/
157.000.
post menopausal Na/K/CL:
bleeding ec 131/3.4/107. lab
suspek ca 25/8/19 DPL
Dr. dr. Gatot
308A Yunilas Wahidi 89 4069981 endometrum dd 7.1/20/10740/15
Purwoto, SpOG(K) 4000, DPL
endometrits
dengan HT, O, 7.6/20.9/13.05/1
hipnutre 89.000 elektrolit
125/4.4/97 OT/PT
16/10. albumin tgl
24: 2.43
suspek Ca
endometrium
advanced stage
dengan metastasis
paru dengan lab 24/8/19 DPL:
permasalahan: 12.4/34/19620/7
ancaman gagal 76000, PT/APTT:
napas tpe I ec 0.9x/0.8x,
Dr. dr. Sigit
508B Farida Sofiani 58 4386113 efusi pleura elektolit
Purbadi, SpOG(K)
bilateral post 127/3.7/88, alb
thoracocentesis, 3,27, Ur/Cr:
trombositopenia, 82/2.1, OT/PT
leukositosis, AKI 15/11, GDS 427
dd acute on CKD,
hiperglikemia
reaktf dd DM tpe
II, hiponatremia
Ca cervix IIIB post

radiasi lengkap Lab 24/8/19 DPL:
dengan anemia, 10/31/9810/3620
hematoschezia ec dr. T. Dewi
00, Lab 21/8/19
803F Patana Naibaho 66 2646802 colits radiasi, Anggraeni, DP
hidronefrosis SpOG(K) 7.8/23/14650/43
bilateral on 3000
nefrostomi, Ca
pain
Post laparatomi
eksplorasi reseksi
ileum,
adhesiolisis, Lab 26/8/19.
debulking, end DPL:
ileostomi atas 9.3/28.4/11.250/
indikasi ca 218.000.
Dr. dr. Gatot
ICU Dina Meilinda 42 4330286 ovarium residif SGOT/SGPT: 9/<6.
dengan fistulasi Purwoto, SpOG(K) Albumin: 1.65.
ileum dengan Ur/Cr: 81/1. GDS
permasalahan: 96. Na/K/Cl:
anemia, 151/3.2/118
hipernatremia,
hiperkloremia,
hipoalbuminemia

SpOG(K)
SpOG(K)
Dr. dr. Sigit
Purbadi, SpOG(K)
dr. Andi Darma

Target
kemoterapi,
pulang
kemoterapi,
pulang
kemoterapi,
pulang
kemoterapi,
pulang
kemoterapi,
pulang
kemoterapi
Rencana operasi
29 agustus 2019,
transfusi target
hb>10
Rencana
kemoterapi,
transfusi
transfusi prc
target hb >10,
koreksi elektrolit,
leukogen injeksi
Paracetamol 4 x
1000 mg hasil
konsul neuro : A:
tetraparese UMN,
ca pain, hipestesi
T6 kebawah,
retensio urin dan
alvi ec susp SOL
kanalis spinalis
ekstradura susp
metastasis -->
plAnning: MRI
whole spine +
kontras, raber
neuro, morphne
10 mg/24 jam.
Rencana MRI
whole abdomen
konsul psikiatri :
depresi sedang -->
straline 1x25 mg
rencana bone
scan: sudah, MRI
abdomen sudah
transfusi prc
target hb >10
perbaikan KU,
pungsi ascites di
ruangan, konsul
pulmo di ruangan
transfusi.
Kemoterapi
Rencana USG
abdomen: massa
kist, USG thorax:
cairan, rencana
pungsi bila
traombosit
>50.000
Perawatan post
operasi
perbaikan KU,
kemo
perbaikan KU,
transfusi (sedang
cek DPL pasca
transfusi), saran
IPD--> kosul HOM,
koreksi natrium
pasca ekstubasi,
rencana pindah
ruangan
paliatf care,
radiasi paliatf,
konsul pulmo
senin, Jawaban
PULMO: A: Ca
cerviks stadium IV
B on radiasi
dengan efusi plura
kanan, DVT
tungkai bilateral,
hipokalemia.
Saran: Ro Thorax
bila efusi banyak
rencana USG
untuk pungsi
Konsul IPD: tx: inj
Levofloxasine
1x500 mg,
fluimucyl 3x200
mg. saran cek:
DPL, diffcount,
Ur/Cr, elektrolit,
urinaria, kultur
darah, ro thorax.
--> konsul IPD
tropik infeksi
rencana pindah
ruangan
rencana
laparatomi VC
Kamis 29/08/19
transfusi, koreksi
elektrolit
perbaikan KU,
raber dengan
geroatri
Rencana
perbaikan KU
dengan kapten
IPD
Rencana
perbaikan KU
dengan kapten
IPD
clear fluid, inj

amikasin 1x1, inj
metronidazole 3 x
500 mg,
paracetamol 3x1
gr, miloz 2 ng NE
0.1
mcg/kgbb/jam.
Raber digestve
205B, 207D,107
207C
205B, 211 C, 210

C
Ward Map Ginekologi Onkologi Senin 26 Agustus 2019
25/8/19 DPL 9.5/28/7460/464000

15/08/2019
dr. Kartwa
NOP suspek maligna, dengan DPL : 10,5/33/8.080/414.000
205 D Dwi Widya Ningsih 24 4337478 Hadi N,
ascites CEA : 23,3
SpOG(K) CA 125 : 24,1
CA 19-9 : > 12000
Ca cervix stadium III B on radiasi 25/8/19 DPL 9.4/26/14120/46600,

Dr. dr. Sigit
luar 3 kali dengan anemia ec OT/PT 9/6, Albumin 3.28, Ur/CCR
206C Heriyah 60 4385773 Purbadi,
perdarahan, ca pain vas 4, 29/0.7, GDS 106, elektrolit
SpOG(K)
dispepsia dan hipokalmeia 136/2.7/102, PT/APTT 0.9x/0.9x
Ca serviks III B on radiasi lab 25/8/19 DPL 10.8/28/280/77000,

eksterna 25 kali, kemoterapi 3x, lab 23/8 9.3/25.4/190/56.000
dengan pansitopenia ec radiasi dr. T. Dewi 21/8/19 DPL : 4.9/13/410/12000,
206C Want 40 4382441 dd perdarahan, elektrolit Anggraeni, PT/APTT 1.0x/0.9x, OT/PT 14/19, Ur/Cr
imbalance, aki dd akut on ckd, SpOG(K) : 27/1.2, GDS 151, elektrolit
riwyat hematoschezia ec kolits 111/2.7/81
radiasi, hiperglikemia reaktf
Ca cervix stadium IV A, 11/8/19: DPL:

tetrapararese UMN, cancer pain Dr. dr. 11.6/35.4/41.690/767.000 DPL
206D Diah wahyuni 40 4389926 VAS 4, trombositosis ec Fitriyadi K,
malignansi, leukositosis reaktf SpOG(K) 8.2/26.7/3.45/25.210/729.000
albumin 3.76
dd infeksi
Ca cervix IIIB (klinis) dengan 19/8/19 elektrolit 126/3.7/90.7

hiponatremia, hiperkalemia, dr. Kartwa 17/8/19 DPL 10.5/28/23440/275000,
207B Rina Iriani 41 4383250 hipokloremia, CKD, leukositosisi Hadi N, elektrolit 108/5.1/81, Ur/Cr 83/4.8,
reaktf, hidronefrosis bilateral, SpOG(K) alb 3.2
intake sulit
Lab 24/8/19 DPL

dr. Andi 10.7/29/15470/22000, Lab 21/8/19
207 D Sit Sopiah 40 4364940 Ca cervix dengan anemia Darma Putra, DPL 10.8/30.5/16120/66000, DPL
SpOG (K) 9,4/28/12.900/128.000
lab 21/8/19 DPL
Ca cervix stadium II B, hipertensi 11.7/32/12010/251000, elektrolit
st II, dyspneu ec efusi pleura DD Dr. dr. Laila 121/3.4/80, analisa cairan pleura
pneumonia, anemia ec peny eksudat kemungkinan sel ganas, BTA
210A Megawat 56 4383974 Nuranna,
kronik, DM tpe II, intake sulit, negatf, DPL (18/8/19) :
hipokloremia, hipoalbuminemi, SpOG(K) 9.5/25.3/13350/270000, E:
Ca pain VAS 3 111/3.3/74, Ur/Cr : 39/0.68, SGOT/PT :
35/17, Albumin : 3.39
DPL 25/8/19 11.4/34/6760/354000,

dr. Kartwa LAB 9/26.9/7540/351.000 22/8/19
210D Yeni Cahya 50 4364662 Ca ovarium,anemia Hadi N, DPL 8.2/24.7/6870/350000/ sgot
SpOG(K) 10/sgpt 8/ alb 2.9/ur 16/cr 0.5/Na
133/ K 3.2/Cl 101
dr. Kartwa Lab (14/8/19) CEA: 1, Ca 125: 10.1, Ca

211 B Nurbahri 60 4035810 Ca endometrium high risk Hadi N, 19-9 :2.4. DPL (3/7/19):
SpOG(K) 12.4/37.3/5800/346000
LAB 22/8/19 DPL

Ca cervix IV B, dyspnea ec efusi Dr. dr. Gatot 10.4/29.5/7240/121000 GDS 103/Na
pleura, DVT tungkai bilateral,
211C Sufniyet 48 3208141 Purwoto, 137/K 3.0/Cl 97/ trop-T 60/CK 50/CK-
anemia, hipokalemia, SpOG(K) MB 17.4/ SGOT 18/SGPT 8/alb 2.5/ur
hipoalbumin, trombositopenia 21/cr 0.8/d-dimer 2900
Lab 21/8/19 DPL

Dr. dr. Sigit 8.4/25/5650/830000, PT/APTT
NOK musinosum suspek
212E Waridah 59 4379205 Purbadi, 1x/1.2x, elektrolit 133/3.4/98, GDS
maligna, anemia SpOG(K) 141, Ur/Cr 12/0.5, albumin 2.66,
OT/PT 14/6
post menopausal bleeding ec Dr. dr. Gatot lab 25/8/19 DPL

suspek ca endometrum dd 7.1/20/10740/154000, DPL
308A Yunilas Wahidi 889 4069981 Purwoto,
endometrits dengan HT, O, 7.6/20.9/13.05/189.000 elektrolit
SpOG(K)
hipnutre 125/4.4/97 OT/PT 16/10
suspek Ca endometrium
advanced stage dengan
metastasis paru dengan lab 24/8/19 DPL:
permasalahan: ancaman gagal Dr. dr. Sigit 12.4/34/19620/776000, PT/APTT:
napas tpe I ec efusi pleura
508B Farida Sofiani 58 4386113 Purbadi, 0.9x/0.8x, elektolit 127/3.7/88, alb
bilateral post thoracocentesis, SpOG(K) 3,27, Ur/Cr: 82/2.1, OT/PT 15/11, GDS
trombositopenia, leukositosis, 427
AKI dd acute on CKD,
hiperglikemia reaktf dd DM tpe
II, hiponatremia
Ca cervix IIIB post radiasi lengkap dr. T. Dewi Lab 24/8/19 DPL:
dengan anemia, hematoschezia Anggraeni,
803F Patana Naibaho 66 2646802 10/31/9810/362000, Lab 21/8/19 DP
ec colits radiasi, hidronefrosis
bilateral on nefrostomi, Ca pain SpOG(K) 7.8/23/14650/433000
dr. T. Dewi Anggraeni, SpOG(K) 716C dr. Kartwa Hadi N, SpOG(K)

Dr. dr. Laila Nuranna, SpOG(K) Dr. dr. Hariyono W, SpOG (K)
Prof. Dr. dr. Andrijono, SpOG(K) Dr. dr. Tofan W Utami, SpOG(K)
Dr. dr. Fitriyadi K, SpOG(K) 205F, 206A, Dr. dr. Gatot Purwoto, SpOG(K)
206D
dr. Andi Darma Putra, SpOG (K) 205E

Target
Rencana operasi 29 agustus 2019, transfusi

target hb>10
transfusi PRC, target Hb>10 g/dL, aff tampon

26/8/19 jam 07.00, koreksi elektrolit
transfusi prc target hb >10, koreksi elektrolit,

leukogen injeksi

tetraparese UMN, ca pain, hipestesi T6
kebawah, retensio urin dan alvi ec susp SOL
kanalis spinalis ekstradura susp metastasis -->
plAnning: MRI whole spine + kontras, raber
neuro, morphne 10 mg/24 jam. Rencana MRI
whole abdomen
konsul psikiatri : depresi sedang --> straline 1x25
mg
rencana bone scan: sudah, MRI abdomen
sudah
cek elektrolit post koreksi, Urologi : rencana

nefrostomi bilateral setelah perbaikan keadaan
umum
Rencana USG dan pungsi oleh hepatologi, saat

ini tdak perlu tranfusi trombosit
sudah pungsi pleura, menunggu sitologi cairan
pleura, koreksi elektrolit, family meetng
rencana kemoterapi
Rencana Laparotomi surgical staging hari senin

26/8/19
paliatf care, radiasi paliatf, konsul pulmo senin
transfusi PRC target hb >10, rencana laparotomi

VC senin 26/8/19
perbaikan KU, raber dengan geroatri
Rencana perbaikan KU dengan kapten IPD

205B, 207D,107
207C
205B, 211 C, 210 C

Ward Map Ginekologi Onkologi Minggu 25 Agustus 2019
LAB 19/8/19 DPL
Dr. dr. Gatot
Ca endometrium residif, 11.5/33.6/3490/170000 GDS
204A Widdet Munadir 56 4362002 Purwoto,
leukopenia 121/SGOT 33/SGPT 43/ ur 29/cr
SpOG(K) 1,0/alb 4.1/Na 134/K 3.8/Cl 102.5
Dr. dr. Tofan

204 B Budi Rahayu 57 4137700 Ca Ovarium, trombositopenia W Utami, DPL (21/8/19): 10/29.4/4220/61000
SpOG(K)
dr. Andi Lab 19/8/19 DPL

204C Rahayu Dwi Riyant 56 3208025 Ca endometrium,leukopenia Darma Putra, 10.7/31.6/2150/161000 sgot 18/sgpt
SpOG (K) 17/ ur 26/cr 0.6/ alb 4.2
Dr. dr. Tofan

Ca Ovarium advanced stage,
204D Nuraini 49 4300167 W Utami, DPL : 10.6/31.2/6470/69000
Dr. dr. Tofan

204 E Sumiat 38 4381819 PTG High risk W Utami, DPL 11.3/32.6/7750/275000
SpOG(K)
Lab 21/8/19 DPL :

Dr. dr. Gatot 7.2/23/4540/821000, OT/PT : 10/13,
204F Yuni Triyant 38 4387834 PTM high risk dengan anemia Purwoto, Ur/Cr 17/0.4, GDS 114, elektrolit :
SpOG(K) 135/4.5/106, BHCG 8163
DPL 12.3/35.3/10.210/521.000,
OT/PT 13/8 albumin 1.72 ur/crec
16/0.6 GDS 110elektrolit
POD 3 Post laparotomi Dr. dr. 128/4.5/101.3
adhesiolisis, SOD (VC),
205 A Sit Zaetun 38 4382260 appendektomi ai Tumor ovarium Fitriyadi K,
SpOG(K) 16/08/19 13.35
musinosum borderline Albumin : 2.15 DPL Post op :
12/34.5/13420/399000, Albumin:
1.55, elektrolit : 128/3.5/97
DPL Post OP : 12.9/39/15660/616000.

16/08/19
DPL : 11,8/37/9.660/487.000
OT/PT : 16/13
Alb : 2,7
Post laparotomi SOS (VC) Ur/Cr : 22/0,8
dilanjutkan HTSOD, Dr. dr. Gatot GDS : 77
205 B Elizabeth 45 4322095 appendektomi, reseksi omentum Purwoto,
LDH : 260
ai tumor ovarium musinosum SpOG(K) e : 134/4/100
borderline PT/APTT : 0,9/1,1
AFP : 1,68
CEA 3,0
CA 19-9: < 2,0
Ca 125 : 142
DPL Post OP : 14.3/42/21790/150000

Post laparotomi SOD (VC) ai Dr. dr. DPL (19/8/19) :
205 C Nurhayat 58 4380023 kistadenoma musinosum Fitriyadi K, 14.1/41.9/19360/232000, CA 125 :
ovarium kanan SpOG(K) 44.4, CEA 2.5, CA 19-9 : 34, Ur/Cr :
23/0.8, Albumin : 4.4, SGOT/PT : 17/17
15/08/2019
dr. Kartwa DPL : 10,5/33/8.080/414.000
NOP suspek maligna, dengan
205 D Dwi Widya Ningsih 24 4337478 Hadi N, CEA : 23,3
ascites SpOG(K) CA 125 : 24,1
CA 19-9 : > 12000
DPL 10.7/33.2/9500/631.000 OT/PT
28/32 albumin 2.85 ur/crec 21/0.7
POD 4 Post laparotomi dr. Andi elektrolit 133/4.4/97.5
adhesiolisis, debulking,
205 E Ngatni 44 4380141 Darma Putra,
hartmann's procedure ai Ca SpOG (K) 16/08/19 :
ovarium advanced stage Alb : 3,39 DPL Post Op :
10.2/30.7/9030/406000, Albumin 1.98
Ca serviks III B on radiasi

eksterna 25 kali, kemoterapi 3x, lab 23/8 9.3/25.4/190/56.000
dengan pansitopenia ec radiasi dr. T. Dewi 21/8/19 DPL : 4.9/13/410/12000,
206C Want 40 4382441 dd perdarahan, elektrolit Anggraeni, PT/APTT 1.0x/0.9x, OT/PT 14/19, Ur/Cr
imbalance, aki dd akut on ckd, SpOG(K) : 27/1.2, GDS 151, elektrolit
riwyat hematoschezia ec kolits 111/2.7/81
radiasi, hiperglikemia reaktf
Ca cervix stadium IV A,
11/8/19: DPL:
tetrapararese UMN, cancer pain Dr. dr. 11.6/35.4/41.690/767.000 DPL
206D Diah wahyuni 40 4389926 VAS 4, trombositosis ec Fitriyadi K, 8.2/26.7/3.45/25.210/729.000
malignansi, leukositosis reaktf SpOG(K) albumin 3.76
dd infeksi
Ca cervix IIIB (klinis) dengan 19/8/19 elektrolit 126/3.7/90.7

hiponatremia, hiperkalemia, dr. Kartwa 17/8/19 DPL 10.5/28/23440/275000,
207B Rina Iriani 41 4383250 hipokloremia, CKD, leukositosisi Hadi N, elektrolit 108/5.1/81, Ur/Cr 83/4.8,
reaktf, hidronefrosis bilateral, SpOG(K) alb 3.2
intake sulit
Dr. dr. Tofan DPL 12.2/35.4/13840/311.000 DPL

207 C Sri Lestari 58 4254369 Ca cervix IIIB, anemia W Utami, 4.3/13.5/29880/633000, E :
SpOG(K) 130/4.4/102
dr. Andi Lab 21/8/19 DPL

207 D Sit Sopiah 40 4364940 Ca cervix dengan anemia Darma Putra, 10.8/30.5/16120/66000, DPL
SpOG (K) 9,4/28/12.900/128.000
lab 21/8/19 DPL
Ca cervix stadium II B, hipertensi 11.7/32/12010/251000, elektrolit
st II, dyspneu ec efusi pleura DD Dr. dr. Laila 121/3.4/80, analisa cairan pleura
pneumonia, anemia ec peny eksudat kemungkinan sel ganas, BTA
210A Megawat 56 4383974 Nuranna,
kronik, DM tpe II, intake sulit, negatf, DPL (18/8/19) :
hipokloremia, hipoalbuminemi, SpOG(K) 9.5/25.3/13350/270000, E:
Ca pain VAS 3 111/3.3/74, Ur/Cr : 39/0.68, SGOT/PT :
35/17, Albumin : 3.39
LAB 9/26.9/7540/351.000 22/8/19

dr. Kartwa DPL 8.2/24.7/6870/350000/ sgot
210D Yeni Cahya 50 4364662 Ca ovarium,anemia Hadi N, 10/sgpt 8/ alb 2.9/ur 16/cr 0.5/Na
SpOG(K) 133/ K 3.2/Cl 101
dr. Kartwa Lab (14/8/19) CEA: 1, Ca 125: 10.1, Ca

211 B Nurbahri 60 4035810 Ca endometrium high risk Hadi N, 19-9 :2.4. DPL (3/7/19):
SpOG(K) 12.4/37.3/5800/346000
LAB 22/8/19 DPL

Ca cervix IV B, dyspnea ec efusi Dr. dr. Gatot 10.4/29.5/7240/121000 GDS 103/Na
pleura, DVT tungkai bilateral,
211C Sufniyet 48 3208141 Purwoto, 137/K 3.0/Cl 97/ trop-T 60/CK 50/CK-
anemia, hipokalemia, SpOG(K) MB 17.4/ SGOT 18/SGPT 8/alb 2.5/ur
hipoalbumin, trombositopenia 21/cr 0.8/d-dimer 2900
post menopausal bleeding ec Dr. dr. Gatot

suspek ca endometrum dd DPL 7.6/20.9/13.05/189.000 elektrolit
211 D Yunilas Wahidi 889 4069981 Purwoto,
endometrits dengan HT, O, 125/4.4/97 OT/PT 16/10
SpOG(K)
hipnutre
Lab 21/8/19 DPL

Dr. dr. Sigit 8.4/25/5650/830000, PT/APTT
NOK musinosum suspek
212E Waridah 59 4379205 Purbadi, 1x/1.2x, elektrolit 133/3.4/98, GDS
maligna, anemia SpOG(K) 141, Ur/Cr 12/0.5, albumin 2.66,
OT/PT 14/6
Ca cervix IIIB post radiasi lengkap dr. T. Dewi

dengan anemia, hematoschezia Anggraeni,
803F Patana Naibaho 66 2646802 Lab 21/8/19 DP 7.8/23/14650/433000
ec colits radiasi, hidronefrosis
bilateral on nefrostomi, Ca pain SpOG(K)
NOK dengan bagian padat 9/8/19 DPL 11.1/33/8950/463000,
suspek maligna dengan dispneu dr. T. Dewi PT/APTT 0.9x/1.1x, OT/PT 17/7,
716C Icih 60 4387345 ec efusi pleura bilateral post wsd Anggraeni, ALBUMIN 3.03, Ur/Cr 31.3/0.81,
SpOG(K)
bilateral elektrolit 138/4.4/116, GDS 105
dr. T. Dewi Anggraeni, SpOG(K) 716C dr. Kartwa Hadi N, SpOG(K)

205F, 206A,
Dr. dr. Fitriyadi K, SpOG(K) Dr. dr. Gatot Purwoto, SpOG(K)
206D

Target
Post kemoterapi, rencana pulang.
Perawatan post operasi, koreksi natrium, follow

up jawaban konsul digestve, rencana pulang,
obat sudah oral, rencana aff cvc
Perawatan post operasi, rencana GV, aff CVC
Perawatan post operasi, rencana GV, aff CVC
Rencana penjadwalan ulang operasi, tranfusi

albumin, tranfusi PRC
Perawatan post operasi, luka rembes serous,
obat oral, kosul tropik: ceftri 1x2 gram dan
metro 3x500 mg
transfusi prc target hb >10, koreksi elektrolit,

leukogen injeksi

tetraparese UMN, ca pain, hipestesi T6
kebawah, retensio urin dan alvi ec susp SOL
kanalis spinalis ekstradura susp metastasis -->
plAnning: MRI whole spine + kontras, raber
neuro, morphne 10 mg/24 jam. Rencana MRI
whole abdomen
konsul psikiatri : depresi sedang --> straline 1x25
mg
Konsul ortho belum dijawab, rencana bone
scan: sudah, MRI abdomen sudah
cek elektrolit post koreksi, Urologi : rencana

nefrostomi bilateral setelah perbaikan keadaan
umum
Perbaikan KU, tranfusi PRC target Hb > 10 g/dl,

rencana pulang
Konsul HOM dan hepatologi, rencana USG senin

sudah pungsi pleura, menunggu sitologi cairan
pleura, koreksi elektrolit
transfusi PRC, target Hb>10 g/dL
Rencana Laparotomi surgical staging hari senin

26/8/19
paliatf care, radiasi paliatf, konsul pulmo senin
perbaikan KU, raber dengan geroatri
transfusi PRC target hb >10, rencana laparotomi

VC senin 26/8/19

raber dengan kapten IPD, rencana MRI whole
abdomen dengan kontras dan pemeriksaan
tumor marker
205B, 207D,107
207C
205B, 211 C, 210 C

choriocarcinoma DPL
dengan infiltrasi Dr. dr. Laila
204A Edah Saraswat 23 4392659 massa di Nuranna, SpOG(K) 10.3/30.2/8.510/
203.000
duodenum
DPL
dr. Andi Darma
204 B Diana Nur Sefa 31 4385898 PTM high risk 14.2/38/3480/39
DPL
Dr. dr. Tofan W
204 E Sumiat 38 4381819 PTG High risk 11.3/32.6/7750/2
DPL
12.3/35.3/10.210
/521.000, OT/PT
13/8 albumin 1.72
POD 3 Post ur/crec 16/0.6
laparotomi GDS 110elektrolit
adhesiolisis, SOD
(VC), Dr. dr. Fitriyadi K, 128/4.5/101.3
205 A Sit Zaetun 38 4382260 appendektomi ai SpOG(K) 16/08/19 13.35
Tumor ovarium Albumin : 2.15
musinosum DPL Post op :
borderline 12/34.5/13420/3
99000, Albumin:
1.55, elektrolit :
128/3.5/97
DPL Post OP :
12.9/39/15660/6
16000.
16/08/19
DPL :
Post laparotomi 11,8/37/9.660/48
SOS (VC) 7.000
dilanjutkan
OT/PT : 16/13
HTSOD, Dr. dr. Gatot Alb : 2,7
ICU Elizabeth 45 4322095 appendektomi,
reseksi omentum Purwoto, SpOG(K) Ur/Cr : 22/0,8
GDS : 77
ai tumor ovarium LDH : 260
musinosum
e : 134/4/100
borderline PT/APTT : 0,9/1,1
AFP : 1,68
CEA 3,0
CA 19-9: < 2,0
Ca 125 : 142
DPL Post OP :
14.3/42/21790/1
50000
Post laparotomi DPL (19/8/19) :
SOD (VC) ai 14.1/41.9/19360/
Dr. dr. Fitriyadi K, 232000, CA 125 :
ICU Nurhayat 58 4380023 kistadenoma SpOG(K)
musinosum 44.4, CEA 2.5, CA
ovarium kanan 19-9 : 34, Ur/Cr :
23/0.8, Albumin :
4.4, SGOT/PT :
17/17
15/08/2019
DPL :
NOP suspek
Dwi Widya dr. Kartwa Hadi N, 10,5/33/8.080/41
205 D 24 4337478 maligna, dengan 4.000
Ningsih SpOG(K)
ascites CEA : 23,3
CA 125 : 24,1
CA 19-9 : > 12000
DPL
10.7/33.2/9500/6
31.000 OT/PT
POD 3 Post 28/32 albumin
laparotomi 2.85 ur/crec
debulking, dr. Andi Darma 133/4.4/97.5
205 E Ngatni 44 4380141 hartmann's Putra, SpOG (K)
procedure ai Ca 16/08/19 :
stage DPL Post Op :
10.2/30.7/9030/4
06000, Albumin
1.98
Lab 21/8/19 DPL :

7.2/23/4540/821
000, OT/PT :
PTM high risk Dr. dr. Gatot 10/13, Ur/Cr
206A Yuni Triyant 38 4387834 dengan anemia Purwoto, SpOG(K) 17/0.4, GDS 114,
elektrolit :
135/4.5/106,
BHCG 8163
Lab 21/8/19
8.4/24/13970/25
1000, DPL
Ca endometrium 6.8/19/3.19/26.8
stadium IV B
dengan ca pain, dr. Andi Darma 50/382.000
206B Titk Sumingart 49 4416543
intae sulit dan 128/5.1/107
anemia OT/PT 22/10
ur/crec 122/1.5
GDS 76
Ca serviks III B on
radiasi eksterna
25 kali,
kemoterapi 3x,
dengan lab 21/8/19 DPL :
pansitopenia ec 4.9/13/410/1200
radiasi dd 0, PT/APTT
dr. T. Dewi
perdarahan, 1.0x/0.9x, OT/PT
206C Want 4382441 Anggraeni,
elektrolit SpOG(K) 14/19, Ur/Cr :
imbalance, aki dd 27/1.2, GDS 151,
akut on ckd, elektrolit
riwyat 111/2.7/81
hematoschezia ec
kolits radiasi,
hiperglikemia
reaktf
Ca cervix stadium
IV A, 11/8/19: DPL:
210/729.000
leukositosis reaktf
dd infeksi
NOK dengan DPL :

bagian padat Dr. dr. Tofan W
206 E Hendra Febrina 49 4388538 10.2/28.2/11160/
suspek maligna, Utami, SpOG(K) 806000
ascites
Ca Ovarium DPL :
Dr. dr. Tofan W
206 F Nuraini 49 4300167 advanced stage, 10.6/31.2/6470/6
Utami, SpOG(K)
trombositopenia 9000
Ca cervix IIIB
(klinis) dengan 19/8/19 elektrolit
hiponatremia, 126/3.7/90.7
hiperkalemia,
dr. Kartwa Hadi N, 17/8/19 DPL
hipokloremia,
207B Rina Iriani 41 4383250 10.5/28/23440/2
CKD, leukositosisi SpOG(K) 75000, elektrolit
reaktf, 108/5.1/81, Ur/Cr
hidronefrosis
83/4.8, alb 3.2
bilateral, intake
sulit
DPL :
Ca cervix IIIB, Dr. dr. Tofan W 4.3/13.5/29880/6
207 C Sri Lestari 58 4254369 anemia Utami, SpOG(K) 33000, E :
130/4.4/102
Lab 21/8/19 DPL

10.8/30.5/16120/
Ca cervix dengan dr. Andi Darma
207 D Sit Sopiah 40 4364940 66000, DPL
anemia Putra, SpOG (K) 9,4/28/12.900/12
8.000
lab 21/8/19 DPL
11.7/32/12010/2
Ca cervix stadium 51000, elektrolit
II B, hipertensi st 121/3.4/80,
II, dyspneu ec analisa cairan
efusi pleura DD pleura eksudat
pneumonia, kemungkinan sel
Dr. dr. Laila
210A Megawat 56 4383974 anemia ec peny Nuranna, SpOG(K) ganas, BTA negatf,
kronik, DM tpe II, DPL (18/8/19) :
intake sulit, 9.5/25.3/13350/2
hipokloremia, 70000, E:
hipoalbuminemi, 111/3.3/74, Ur/Cr
Ca pain VAS 3 : 39/0.68,
SGOT/PT : 35/17,
Albumin : 3.39
Lab 19/8/19 DPL

8.5/25/6580/161
000, OT/PT :
Ca ovarium Dr. dr. Gatot
210B Sri Umiyatsh 61 4206729 Purwoto, SpOG(K) 35/27, Ur/Cr :
dengan anemia 21/0.5, GDS 113,
elektrolit
134/3.7/100
DPL (21/8/19):
Ca Ovarium, Dr. dr. Tofan W
210 C Budi Rahayu 57 4137700 10/29.4/4220/61
trombositopenia Utami, SpOG(K) 000
Lab 15/8/19 DPL:

7.6/24/6310/445
Ca ovarium residif 000, OT/PT :
dengan anemia, Dr. dr. Gatot 17/11, Albumin
210D Dwita Koriwat 55 4116241 SNMT post total Purwoto, SpOG(K) 4.3, Ur/Cr 37/0.8,
troidektomi dan GDS 103,
hipertensi elektrolit
135/4.3/103
Lab (14/8/19)
CEA: 1, Ca 125:
Ca endometrium dr. Kartwa Hadi N, 10.1, Ca 19-9 :2.4.
211 B Nurbahria 60 4035810 high risk SpOG(K) DPL (3/7/19):
12.4/37.3/5800/3
46000
Lab 21/8/19 DPL

8.4/25/5650/830
000, PT/APTT
NOK musinosum
Dr. dr. Sigit 1x/1.2x, elektrolit
212E Waridah 59 4379205 suspek maligna, Purbadi, SpOG(K) 133/3.4/98, GDS
anemia 141, Ur/Cr 12/0.5,
albumin 2.66,
OT/PT 14/6
Lab (19/8/19):
Albumin : 2.44, E :
127/4.7/8911/ag
ustus 2019. DPL:
Ca endometrium 10/30.7/5.180/86
residif, metastasis dr. Kartwa Hadi N, .000//DPL9/8/19
107 Nurul Qomar 61 4303930 paru, anemia, SpOG(K) DPL
hiponatremia 10.1/30.2/4.990/
43.000 (7/8/19) :
8.9/26/6990/720
00
Ca cervix IIIB post
radiasi lengkap
dengan anemia,
hematoschezia ec dr. T. Dewi Lab 21/8/19 DP
803F Patana Naibaho 66 2646802 colits radiasi, Anggraeni, 7.8/23/14650/43
hidronefrosis SpOG(K) 3000
bilateral on
nefrostomi, Ca
pain
9/8/19 DPL
11.1/33/8950/46
NOK dengan 3000, PT/APTT
bagian padat 0.9x/1.1x, OT/PT
suspek maligna dr. T. Dewi 17/7, ALBUMIN
716C Icih 60 4387345 dengan dispneu Anggraeni, 3.03, Ur/Cr
ec efusi pleura SpOG(K) 31.3/0.81,
bilateral post wsd elektrolit
bilateral 138/4.4/116, GDS
105

Anggraeni, 716C
SpOG(K)
SpOG(K)
SpOG(K)
Dr. dr. Sigit

Purbadi, SpOG(K)
dr. Andi Darma

Target
Rencana
kemoterapi
Rencana
kemoterapi
Rencana
kemoterapi
Perawatan post
operasi, koreksi
natrium, follow up
jawaban konsul
digestve
Perawatan post
operasi, rencana
pindah ke ruangan
Perawatan post
operasi, rencana
pindah ke ruangan
Rencana
penjadwalan
ulang operasi
Perawatan post
operasi
transfusi prc
target hb> 10
Transfusi PRC
target hb >10, cek
Ur/Cr per 3 hari,
koreksi elektrolit,
konsul IPD-GH,
urologi
transfusi prc
target hb >10,
koreksi elektrolit
Paracetamol 4 x
1000 mg hasil
konsul neuro : A:
tetraparese UMN,
ca pain, hipestesi
T6 kebawah,
retensio urin dan
alvi ec susp SOL
kanalis spinalis
ekstradura susp
metastasis -->
plAnning: MRI
whole spine +
kontras, raber
neuro, morphne
10 mg/24 jam.
Rencana MRI
whole abdomen
konsul psikiatri :
depresi sedang -->
straline 1x25 mg
Konsul ortho
belum dijawab,
rencana bone
scan: sudah, MRI
abdomen
24/8/19
Rencana pungsi
ascites (pro
sitologi cairan
ascites)
Tranfusi TC,
rencana
kemoterapi
cek elektrolit post

koreksi, Urologi :
rencana
nefrostomi
bilateral setelah
perbaikan
keadaan umum
Perbaikan KU,
tranfusi PRC target
Hb > 10 g/dl
tranfusi TC
sudah pungsi
pleura, menunggu
sitologi cairan
pleura, koreksi
elektrolit
rencana transfusi
PRC target hb >10
tranfusi TC,
rencana
kemoterapi
rencana transfusi
PRC target hb >10
Rencana
Laparotomi
surgical staging
hari senin 26/8/19
transfusi PRC
target hb >10,
rencana
laparotomi VC
senin 26/8/19
Perbaikan KU,
transfusi TC GIZI:
boleh pulang,
menunggu hasil
CT-scan thorax
Rencana
perbaikan KU
dengan kapten
IPD
raber dengan
kapten IPD,
rencana MRI
whole abdomen
dengan kontras
dan pemeriksaan
tumor marker
205B, 207D,107
207C
205B, 211 C, 210

C
choriocarcinoma dengan infiltrasi massa Dr. dr. Laila Nuranna,
204A Edah Saraswat 23 4392659 di duodenum SpOG(K)
dr. Andi Darma Putra,
204 B Diana Nur Sefa 31 4385898 PTM high risk
SpOG (K)
204 C Tya maharani 26 4309685 PTM high risk
SpOG(K)
Marisi dr. Andi Darma Putra,
204 D 61 4387068 Ca vulva
Simangunsong SpOG (K)
POD 3 Post laparotomi adhesiolisis, SOD

205 A Sit Zaetun 38 4382260 (VC), appendektomi ai Tumor ovarium Dr. dr. Fitriyadi K, SpOG(K)
musinosum borderline
NOK suspek maligna, (borderline ovarian Dr. dr. Gatot Purwoto,

205 B Elizabeth 45 4322095 tumor) SpOG(K)

205 C Nurhayat 58 4380023 NOK suspek maligna SpOG(K)
Dwi Widya dr. Kartwa Hadi N,

205 D 24 4337478 NOP suspek maligna, dengan ascites
Ningsih SpOG(K)
POD 3 Post laparotomi adhesiolisis, dr. Andi Darma Putra,

205 E Ngatni 44 4380141 debulking, hartmann's procedure ai Ca SpOG (K)
ovarium advanced stage
206A Yuni Triyant 38 4387834 PTM high risk dengan anemia SpOG(K)
Ca endometrium stadium IV B dengan ca dr. Andi Darma Putra,

206B Titk Sumingart 49 4416543 pain, intae sulit dan anemia SpOG (K)
Ca serviks III B on radiasi eksterna 25

kali, kemoterapi 3x, dengan
pansitopenia ec radiasi dd perdarahan, dr. T. Dewi Anggraeni,
206C Want 4382441 elektrolit imbalance, aki dd akut on ckd, SpOG(K)
riwyat hematoschezia ec kolits radiasi,
hiperglikemia reaktf
Ca cervix stadium IV A, tetrapararese

UMN, cancer pain VAS 4, trombositosis Dr. dr. Fitriyadi K, SpOG(K)
206D Diah wahyuni 40 4389926 ec malignansi, leukositosis reaktf dd
infeksi
Ca cervix stadium III B pasca radiasi

lengkap, anemia, cancaer pain,
207A Dessy theresia 39 4274415 hidronefrosis bilateral, intake sulit, acute Dr. dr. Fitriyadi K, SpOG(K)
on CKD
Ca cervix IIIB (klinis) dengan

hiponatremia, hiperkalemia, dr. Kartwa Hadi N,
207B Rina Iriani 41 4383250 hipokloremia, CKD, leukositosisi reaktf, SpOG(K)
hidronefrosis bilateral, intake sulit
207 D Sit Sopiah 40 4364940 Ca cervix dengan anemia SpOG (K)
Ca cervix stadium II B, hipertensi st II,

dyspneu ec efusi pleura DD pneumonia,
anemia ec peny kronik, DM tpe II, intake Dr. dr. Laila Nuranna,
210A Megawat 56 4383974
sulit, hipokloremia, hipoalbuminemi, Ca SpOG(K)
pain VAS 3

210B Sri Umiyatsh 61 4206729 Ca ovarium dengan anemia
SpOG(K)
Ca ovarium residif dengan anemia, Dr. dr. Gatot Purwoto,

210D Dwita Koriwat 55 4116241 SNMT post total troidektomi dan SpOG(K)
hipertensi
NOK musinosum suspek maligna, Dr. dr. Sigit Purbadi,

212E Waridah 59 4379205 anemia SpOG(K)
Ca cervix stadium IB progresif, post HT Dr. dr. Laila Nuranna,

214 D Nurhalimah 30 4326307 radikal, post radiasi lengkap, intake sulit SpOG(K)
Ca endometrium residif, metastasis dr. Kartwa Hadi N,

107 Nurul Qomar 61 4303930
paru, anemia, hiponatremia SpOG(K)
Ca cervix IIIB post radiasi lengkap

dengan anemia, hematoschezia ec colits dr. T. Dewi Anggraeni,
803F Patana Naibaho 66 2646802 radiasi, hidronefrosis bilateral on SpOG(K)
nefrostomi, Ca pain
NOK dengan bagian padat suspek
maligna dengan dispneu ec efusi pleura dr. T. Dewi Anggraeni,
716C Icih 60 4387345 SpOG(K)
bilateral post wsd bilateral
dr. T. Dewi Anggraeni, SpOG(K) 716C

Dr. dr. Fitriyadi K, SpOG(K) 205F, 206A, 206D

Laboratorium Target
DPL 10.3/30.2/8.510/203.000 Rencana kemoterapi
DPL 14.2/38/3480/3950000 Rencana kemoterapi
DPL 12.6/37.3/5.31/368.000 Rencana kemoterapi
DPL 20/8/19 Rencana kemoterapi

9.6/29/11020/323000
DPL
12.3/35.3/10.210/521.000,
OT/PT 13/8 albumin 1.72
ur/crec 16/0.6 GDS
110elektrolit 128/4.5/101.3
Perawatan post operasi,
koreksi natrium
16/08/19 13.35
Albumin : 2.15 DPL Post op :
12/34.5/13420/399000,
Albumin: 1.55, elektrolit :
128/3.5/97
16/08/19
DPL : 11,8/37/9.660/487.000
OT/PT : 16/13
Alb : 2,7
Ur/Cr : 22/0,8
GDS : 77
LDH : 260 pro operasi 22/08/2019,
e : 134/4/100
PT/APTT : 0,9/1,1
AFP : 1,68
CEA 3,0
CA 19-9: < 2,0
Ca 125 : 142
DPL (19/8/19) :
14.1/41.9/19360/232000, CA Rencana operasi tanggal
125 : 44.4, CEA 2.5, CA 19-9 : 22/8/19
34, Ur/Cr : 23/0.8, Albumin :
4.4, SGOT/PT : 17/17
15/08/2019
DPL : 10,5/33/8.080/414.000 Rencana penjadwalan ulang
CEA : 23,3 operasi
CA 125 : 24,1
CA 19-9 : > 12000
DPL 10.7/33.2/9500/631.000
OT/PT 28/32 albumin 2.85
ur/crec 21/0.7 elektrolit
133/4.4/97.5
Perawatan post operasi
16/08/19 :
Alb : 3,39 DPL Post
Op : 10.2/30.7/9030/406000,
Albumin 1.98
Lab 21/8/19 DPL :
7.2/23/4540/821000, OT/PT :
10/13, Ur/Cr 17/0.4, GDS 114, transfusi prc target hb> 10
elektrolit : 135/4.5/106, BHCG
8163
Lab 21/8/19 Transfusi PRC target hb >10,

8.4/24/13970/251000, DPL cek Ur/Cr per 3 hari, koreksi
6.8/19/3.19/26.850/382.000 elektrolit, konsul IPD-GH,
elektrolit 128/5.1/107 OT/PT urologi
22/10 ur/crec 122/1.5 GDS 76
lab 21/8/19 DPL :

4.9/13/410/12000, PT/APTT
1.0x/0.9x, OT/PT 14/19, Ur/Cr : transfusi prc target hb >10,
koreksi elektrolit
27/1.2, GDS 151, elektrolit
111/2.7/81
Paracetamol 4 x 1000 mg
hasil konsul neuro : A:
tetraparese UMN, ca pain,
hipestesi T6 kebawah,
retensio urin dan alvi ec
susp SOL kanalis spinalis
ekstradura susp metastasis
11/8/19: DPL: --> plAnning: MRI whole
11.6/35.4/41.690/767.000 DPL spine + kontras, raber
8.2/26.7/3.45/25.210/729.000 neuro, morphne 10 mg/24
albumin 3.76 jam. Rencana MRI whole
abdomen
konsul psikiatri : depresi
sedang --> straline 1x25 mg
Konsul ortho belum
dijawab, rencana bone
scan: sudah, MRI abdomen
24/8/19
DPL (19/8/19) :
8.2/22.4/15690/174000, Perbaikan KU, transfusi PRC
Ur/Cr : 33.9/1.41, E : target Hb > 10 g/dl
129/3.3/103
19/8/19 elektrolit 126/3.7/90.7 cek elektrolit post koreksi,

17/8/19 DPL Urologi : rencana
10.5/28/23440/275000, nefrostomi bilateral setelah
elektrolit 108/5.1/81, Ur/Cr
perbaikan keadaan umum
83/4.8, alb 3.2
Lab 21/8/19 DPL
10.8/30.5/16120/66000, DPL tranfusi TC
9,4/28/12.900/128.000
lab 21/8/19 DPL

11.7/32/12010/251000,
elektrolit 121/3.4/80, analisa
cairan pleura eksudat sudah pungsi pleura,
kemungkinan sel ganas, BTA menunggu sitologi cairan
negatf, DPL (18/8/19) : pleura, koreksi elektrolit
9.5/25.3/13350/270000, E:
111/3.3/74, Ur/Cr : 39/0.68,
SGOT/PT : 35/17, Albumin : 3.39
Lab 19/8/19 DPL

8.5/25/6580/161000, OT/PT : rencana transfusi PRC target
35/27, Ur/Cr : 21/0.5, GDS 113, hb >10
Lab 15/8/19 DPL:

7.6/24/6310/445000, OT/PT : rencana transfusi PRC target
17/11, Albumin 4.3, Ur/Cr hb >10
37/0.8, GDS 103, elektrolit
135/4.3/103
Lab 21/8/19 DPL

8.4/25/5650/830000, PT/APTT transfusi PRC target hb >10,
1x/1.2x, elektrolit 133/3.4/98, rencana laparotomi VC
GDS 141, Ur/Cr 12/0.5, albumin senin 26/8/19
2.66, OT/PT 14/6
LAB 21/8/19 elektrolit

134/3.7/97, DPL (19/8/19) :
11.8/34.9/12000/306000, Perbaikan KU
Albumin : 3.36, E: 132/3.7/95.3,
SGOT/PT : 27/11, Ur/Cr : 9/0.5
Lab (19/8/19): Albumin : 2.44,

E : 127/4.7/8911/agustus 2019. Perbaikan KU, transfusi TC
DPL: GIZI: boleh pulang,
10/30.7/5.180/86.000//DPL9/8
menunggu hasil CT-scan
/19 DPL thorax
10.1/30.2/4.990/43.000
(7/8/19) : 8.9/26/6990/72000
Lab 21/8/19 DP Rencana perbaikan KU

7.8/23/14650/433000 dengan kapten IPD
9/8/19 DPL raber dengan kapten IPD,
11.1/33/8950/463000, PT/APTT
rencana MRI whole
0.9x/1.1x, OT/PT 17/7, abdomen dengan kontras
ALBUMIN 3.03, Ur/Cr dan pemeriksaan tumor
31.3/0.81, elektrolit marker
138/4.4/116, GDS 105
dr. Kartwa Hadi N, SpOG(K) 205B, 207D,107

Dr. dr. Tofan W Utami, SpOG(K) 207C
Dr. dr. Gatot Purwoto, SpOG(K) 205B, 211 C, 210 C
choriocarcinoma DPL
204A Edah Saraswat 23 4392659 massa di Nuranna, SpOG(K) 10.3/30.2/8.510/
203.000
duodenum
DPL
Dr. dr. Laila
204 C Tya maharani 26 4309685 PTM high risk Nuranna, SpOG(K) 12.6/37.3/5.31/3
68.000
DPL 19/8/19
ca cervix dr. Andi Darma
204 D Suparsih 57 4386456 13.3/37.4/9.100/
prokemoterapi Putra, SpOG (K) 301.000
DPL
12.3/35.3/10.210
/521.000, OT/PT
13/8 albumin 1.72
Post laparotomi ur/crec 16/0.6
adhesiolisis, SOD GDS 110elektrolit
(VC), Dr. dr. Fitriyadi K, 128/4.5/101.3
205 A Sit Zaetun 38 4382260 appendektomi ai SpOG(K)
Tumor ovarium 16/08/19 13.35
musinosum Albumin : 2.15
borderline DPL Post op :
12/34.5/13420/3
99000, Albumin:
1.55
16/08/19
DPL :
11,8/37/9.660/48
7.000
OT/PT : 16/13
Alb : 2,7
NOK suspek Ur/Cr : 22/0,8
maligna, Dr. dr. Gatot
205 B Elizabeth 45 4322095 Purwoto, SpOG(K) GDS : 77
(borderline LDH : 260
ovarian tumor) e : 134/4/100
PT/APTT : 0,9/1,1
AFP : 1,68
CEA 3,0
CA 19-9: < 2,0
Ca 125 : 142
DPL (19/8/19) :
14.1/41.9/19360/
232000, CA 125 :
NOK suspek Dr. dr. Gatot 44.4, CEA 2.5, CA
205 C Nurhayat 58 4380023 maligna Purwoto, SpOG(K) 19-9 : 34, Ur/Cr :
23/0.8, Albumin :
4.4, SGOT/PT :
17/17
15/08/2019
DPL :
NOP suspek
Dwi Widya dr. Kartwa Hadi N, 10,5/33/8.080/41
205 D 24 4337478 maligna, dengan 4.000
Ningsih SpOG(K)
ascites CEA : 23,3
CA 125 : 24,1
CA 19-9 : > 12000
DPL
10.7/33.2/9500/6
31.000 OT/PT
28/32 albumin
Post laparotomi 2.85 ur/crec
debulking, dr. Andi Darma 133/4.4/97.5
205 E Ngatni 44 4380141 hartmann's
procedure ai Ca Putra, SpOG (K) 16/08/19 :
stage DPL Post Op :
10.2/30.7/9030/4
06000, Albumin
1.98
DPL
6.8/19/3.19/26.8
Ca endometrium
50/382.000
stadium IV B
dengan ca pain, dr. Andi Darma elektrolit
206B Titk Sumingart 49 4416543 Putra, SpOG (K) 128/5.1/107
intae sulit dan OT/PT 22/10
anemia
ur/crec 122/1.5
GDS 76
Ca cervix stadium
IV A, 11/8/19: DPL:
210/729.000
leukositosis reaktf
dd infeksi
Ca cervix stadium
III B pasca radiasi
DPL (19/8/19) :
lengkap, anemia, 8.2/22.4/15690/1
cancaer pain, Dr. dr. Fitriyadi K,
207A Dessy theresia 39 4274415 74000, Ur/Cr :
hidronefrosis SpOG(K) 33.9/1.41, E :
bilateral, intake
129/3.3/103
sulit, acute on
CKD
Ca cervix IIIB
(klinis) dengan 19/8/19 elektrolit
hiperkalemia,
dr. Kartwa Hadi N, 17/8/19 DPL
hipokloremia,
207B Rina Iriani 41 4383250 10.5/28/23440/2
CKD, leukositosisi SpOG(K) 75000, elektrolit
reaktf, 108/5.1/81, Ur/Cr
hidronefrosis
83/4.8, alb 3.2
bilateral, intake
sulit
19/7/19 DPL
10.2/33/970/525.
NOK suspek 000 OT/PT 26/11
maliigna, intake albumin 3.48
Dr. dr. Tofan W
207C Musaroh 31 4381555 sulit, kaheksi, ur/crec 22/0.5 el
Utami, SpOG(K)
hematemesis 134/4.8/99.1
melena
16/08/19 :
e : 128/4,6/95,8
DPL
Ca cervix dengan dr. Andi Darma
207 D Sit Sopiah 40 4364940 9,4/28/12.900/12
anemia Putra, SpOG (K) 8.000
Ca cervix stadium
II B, hipertensi st
II, dyspneu ec DPL (18/8/19) :
efusi pleura DD 9.5/25.3/13350/2
pneumonia, 70000, E:
anemia ec peny Dr. dr. Laila
210A Megawat 56 4383974 111/3.3/74, Ur/Cr
kronik, DM tpe II, Nuranna, SpOG(K) : 39/0.68,
intake sulit, SGOT/PT : 35/17,
hipokloremia, Albumin : 3.39
hipoalbuminemi,
Ca pain VAS 3
DPL (19/8/19) :
Ca cervix stadium 11.8/34.9/12000/
IB progresif, post Dr. dr. Laila 306000,
214 D Nurhalimah 30 4326307 HT radikal, post Albumin : 3.36, E:
Nuranna, SpOG(K)
radiasi lengkap, 132/3.7/95.3,
intake sulit SGOT/PT : 27/11,
Ur/Cr : 9/0.5
Lab (19/8/19):
Albumin : 2.44, E :
127/4.7/8911/ag
ustus 2019. DPL:
Ca endometrium 10/30.7/5.180/86
107 Nurul Qomar 61 4303930 paru, anemia, SpOG(K) DPL
hiponatremia 10.1/30.2/4.990/
43.000 (7/8/19) :
8.9/26/6990/720
00
9/8/19 DPL
11.1/33/8950/46
105

Anggraeni, 716C
SpOG(K)
SpOG(K)
SpOG(K)
Dr. dr. Sigit
Purbadi, SpOG(K)
dr. Andi Darma

Target
Rencana
kemoterapi
Rencana
kemoterapi
Rencana
kemoterapi
Perawatan post
operasi
pro operasi
22/08/2019,
Rencana operasi
tanggal 22/8/19
Rencana
penjadwalan
ulang operasi
Perawatan post
operasi
Transfusi PRC
target hb >10, cek
Ur/Cr per 3 hari,
koreksi elektrolit,
konsul IPD-GH,
urologi
Paracetamol 4 x
1000 mg hasil
konsul neuro : A:
tetraparese UMN,
ca pain, hipestesi
T6 kebawah,
retensio urin dan
alvi ec susp SOL
kanalis spinalis
ekstradura susp
metastasis -->
plAnning: MRI
whole spine +
kontras, raber
neuro, morphne
10 mg/24 jam.
Rencana MRI
whole abdomen
konsul psikiatri :
depresi sedang -->
straline 1x25 mg
Konsul ortho
belum dijawab,
rencana bone
scan: sudah, MRI
abdomen
24/8/19
Perbaikan KU,
transfusi PRC
target Hb > 10
g/dl
cek elektrolit post
koreksi, Urologi :
rencana
nefrostomi
bilateral setelah
perbaikan
keadaan umum
koreksi NaCl 3%
dilanjutkan,
konsul IPD:
transfusi albumer,
omeprazone,
pulang paksa hari
ini
tranfusi target Hb
> 10g/dL
Perbaikan KU,
konsul neurologi,
radioterapi dan
IPD pulmonologi
Perbaikan KU
Perbaikan KU,
transfusi TC GIZI:
boleh pulang,
menunggu hasil
CT-scan thorax
raber dengan
kapten IPD,
rencana MRI
whole abdomen
dengan kontras
dan pemeriksaan
tumor marker
205B, 207D,107
207C
205B, 211 C, 210

C
16/08/19
DPL :
11,8/37/9.660/487.000
OT/PT : 16/13
Alb : 2,7
NOK suspek Ur/Cr : 22/0,8
maligna, Dr. dr. Gatot GDS : 77
205 B Elizabeth 45 4322095 (borderline Purwoto, SpOG(K) LDH : 260
ovarian tumor) e : 134/4/100
PT/APTT : 0,9/1,1
AFP : 1,68
CEA 3,0
CA 19-9: < 2,0
Ca 125 : 142
15/08/2019
DPL :
NOP suspek
Dwi Widya dr. Kartwa Hadi N, 10,5/33/8.080/414.000
Ningsih SpOG(K) CEA : 23,3
ascites CA 125 : 24,1
CA 19-9 : > 12000
DPL
10.7/33.2/9500/631.000
NOK dengan OT/PT 28/32 albumin 2.85
bagian padat
ur/crec 21/0.7 elektrolit
205 E Ngatni 44 4380141 suspek maligna, 133/4.4/97.5
riwayat gastrits
erosiva 16/08/19 :
Alb : 3,39
dr. Andi Darma
Putra, SpOG (K)
DPL
12.3/35.3/10.210/521.000
, OT/PT 13/8 albumin 1.72
Dr. dr. Fitriyadi K, ur/crec 16/0.6 GDS
205 F Sit Zaetun 38 4382260 ca ovarium 110elektrolit
SpOG(K) 128/4.5/101.3
16/08/19 13.35
Albumin : 2.15
18/8/19 DPL
9.9/28/12640/333.000,
Ca cervix III B, 14/8/19 DPL
anemia,
10.2/29/12.750/244.000
hidronefrosis 12/8/19 DPL
bilateral, AKI dd Dr. dr. Fitriyadi K, 8.1/23/12760/332000,
206A Lasiyem 50 4392995 acute on CKD, SpOG(K) Ur/Cr 204/7.5, elektrolit
leukositosis, 125/3.1/97 DPL 9/8/19
hiponatremia,
3.2/9.4/24410/620000//8
intake sulit, ca 0.3/27.4/34 PT 0,8x/APTT
pain 0,8x SGOT 11/SGPT 7 Ur
184/Cr 6.9 GDS 105/ Na
128/K 3.6/Cl100
Ca cervix stadium
IV A,
tetrapararese 11/8/19: DPL:
UMN, cancer pain Dr. dr. Fitriyadi K, 11.6/35.4/41.690/767.000
206D Diah wahyuni 40 4389926 VAS 4, DPL
trombositosis ec SpOG(K) 8.2/26.7/3.45/25.210/729
malignansi, .000 albumin 3.76
leukositosis reaktf
dd infeksi
Ca cervix IIIB
(klinis) dengan
hiponatremia,
hiperkalemia, 17/8/19 DPL
hipokloremia, dr. Kartwa Hadi N, 10.5/28/23440/275000,
207B Rina Iriani 4383250 CKD, leukositosisi SpOG(K) elektrolit 108/5.1/81,
reaktf, Ur/Cr 83/4.8, alb 3.2
hidronefrosis
bilateral, intake
sulit
19/7/19 DPL
10.2/33/970/525.000
NOK suspek OT/PT 26/11 albumin 3.48
maliigna, intake
Dr. dr. Tofan W ur/crec 22/0.5 el
207C Musaroh 31 4381555 sulit, kaheksi, Utami, SpOG(K) 134/4.8/99.1
hematemesis
melena 16/08/19 :
e : 128/4,6/95,8
18/8/19 DPL
10/31/14690/371000,
16/08/19
Ca cervix stadium
dr. Kartwa Hadi N, DPL :
Selvy Yuliana IIIB
207D 49 4337425 8,2/25/19.050/369.000
Kaiway Hiponatremia, SpOG(K) Albumin : 2,27
anemia Ur/Cr : 10/0,5
e: 130/2,8/90
HbsAg/HIV non reaktf
Ro Thorax: tampak
gambaran metastase paru
dengan jumlah
bertambah dibanding
sebelumnya 13/8/19 DPL
7.1/21.4/12.430/178.000
12/8/19 DPL
8.2/24/13220/190000,
darah samar tnja negatf,
10 Agustus DPL:
NOK dengan 8.3/25.5/15.580/200.000.
bagian padat //. DPL 9/8/19 DPL
Dr. dr. Gatot
210 C Risma Bako 57 4384061 suspek maligna, Purwoto, SpOG(K) 6.3/19.4/15280/173.000
anemia, intake (7/8/19) :
sulit 4.1/12.6/17200/290000,
Ur/Cr : 51/1.36, Albumin :
3.07, As Urat 6.6, SGOT
110/28, E : 126/4.3/100
16/09/19 :
DPL :
5,7/16/20.310/206.000
17/8/19 DPL post
transfusi
5.8/17.8/25.430/188.000
Ca endometrium DPL
psot laparotomi
13.5/37.2/13.030/627.000
dengan syndrom Dr. dr. Gatot
211 C Wisan Selina 67 4375817 OT/PT 25/21 ur/crec
dyspepsia, Purwoto, SpOG(K) 18/0.64 GDS 101 elektrolit
elektrolit 124/3.8/90 albumin 3.78
imbalance
11/agustus 2019. DPL:

Ca endometrium 10/30.7/5.180/86.000//DP
residif, metastasis dr. Kartwa Hadi N, L9/8/19 DPL
107 Nurul Qomar 61 4303930
paru, anemia, SpOG(K) 10.1/30.2/4.990/43.000
hiponatremia (7/8/19) :
8.9/26/6990/72000
NOK dengan 9/8/19 DPL
bagian padat 11.1/33/8950/463000,
suspek maligna dr. T. Dewi PT/APTT 0.9x/1.1x, OT/PT
716C Icih 60 4387345 dengan dispneu Anggraeni, 17/7, ALBUMIN 3.03,
ec efusi pleura SpOG(K) Ur/Cr 31.3/0.81, elektrolit
bilateral post wsd 138/4.4/116, GDS 105
bilateral

SpOG(K)
Dr. dr. Laila Dr. dr. Hariyono W, SpOG
Nuranna, SpOG(K) (K)
Prof. Dr. dr. Dr. dr. Tofan W Utami,
Andrijono, SpOG(K)
SpOG(K)
Dr. dr. Fitriyadi K, 205F, 206A, 206D Dr. dr. Gatot Purwoto,
SpOG(K) SpOG(K)
Dr. dr. Sigit

Purbadi, SpOG(K)
dr. Andi Darma

Target
pro operasi
22/08/2019,
toleransi IPD
operasi dari
ruangan, USG FM
pro operasi
19/08/2019,
toleransi operasi
dari ruangan
rencana operasi
senin 19/8/19
rencana operasi,
koreksi albumin
Transfusi PRC
target hb >10, cek
Ur/Cr per 3 hari,
koreksi elektrolit
Paracetamol 4 x
1000 mg hasil
konsul neuro : A:
tetraparese UMN,
ca pain, hipestesi
T6 kebawah,
retensio urin dan
alvi ec susp SOL
kanalis spinalis
ekstradura susp
metastasis -->
plAnning: MRI
whole spine +
kontras, raber
neuro, morphne
10 mg/24 jam.
Rencana MRI
whole abdomen
konsul psikiatri :
depresi sedang -->
straline 1x25 mg
Konsul ortho
belum dijawab,
rencana bone
scan: tgl
9/9/2019, MRI
abdomen
24/8/19
Aff tampon
19/8/19 jam
14.30, cek
elektrolit post
koreksi, Urologi :
rencana
nefrostomi
bilateral setelah
perbaikan
keadaan umum
koreksi NaCl 3%
dilanjutkan,
konsul IPD:
transfusi albumer,
omeprazone
perbaikan KU,
transfusi PRC
Konsul gizi dan
IPD trofik infeksi di
hari jam kerja
transfusi
bertahap,
Family meetng
perbaikan KU,
rencana pulang
Perbaikan KU,
transfusi TC GIZI:
boleh pulang,
menunggu hasil
CT-scan thorax
raber dengan
kapten IPD,
rencana MRI
whole abdomen
dengan kontras
dan pemeriksaan
tumor marker
205B, 207D,107
207C
205B, 211 C, 210

C
DPL (8/8/19):
Ca cervix IIA, Ca Dr. dr. Tofan W 11.5/33.6/2830/2 Rencana
204 A Hetty atmadja 53 4240497 endometrium IIC Utami, SpOG(K) 07000, Alb : 4.12, kemoterapi
Ur/Cr : 28/0.7
DPL (14/8/19) :
Dr. dr. Tofan W
204 B Sit Marwiyah 35 4330138 Ca ovarium IC 10.2/28.2/4590/1 Rencana
Utami, SpOG(K) kemoterapi
49000
Ca ovarium Prof. Dr. dr. DPL

204 C Novi dewiyant 47 4285730 prokemoterapi, Andrijono, 11.2/21.9/3820/9 Rencana
kemoterapi
trombositopenia SpOG(K) 5.000
DPL (2/8/19):
Ca ovarium early Dr. dr. Tofan W 11.1/33.9/5540/2 Rencana
204 D Rosina 42 4369253 stage pro Utami, SpOG(K) 98000, Alb : 4.9, kemoterapi
kemoterapi Ur/Cr: 11/0.3
DPL (14/8/19):
Dr. dr. Tofan W 11.7/32.1/3330/1 Rencana
204 E Suhart 39 4380996 Ca cervix III C Utami, SpOG(K) 85000, Alb : 4.4, kemoterapi
Ur/Cr : 36/1.3
Ca cervix II B, DPL (14/8/19) :

trombositopenia, Dr. dr. Tofan W 10.3/29.2/2430/8 Rencana
204 F Want 40 4382441 hiponatremia, 4000, Ur/Cr :
hipokalemia,hipok Utami, SpOG(K) kemoterapi
28/1, E:
lorida 129/3.1/96.4
Post laparotomi DPL post op :

SOS ai kista
Putri Nurindah endometriosis kiri, dr. Kartwa Hadi N, 12.3/38/17380/4 rencana pindah ke
ICU 22 4381102
Sari post reseksi tumor SpOG(K) 57000, Alb : 4.22, ruangan
Ur/Cr : 23/0.7
ovarium kanan
Post laparotomi
SOS (VC), HTSOD
DPL post op :
ai kista 14.1/40.3/19590/ rencana pindah ke
endometriosis Dr. dr. Laila
ICU Sumiat 48 4381815 433000, Alb :
bilateral, Nuranna, SpOG(K) ruangan
3.64, Ur/Cr :
hidrosalping kiri,
45/1.2
pyosalping kanan,
adenomyosis
13/08/19
Na/K/Cl:
139/4.3/106.
DPL post op
11.9/36/16360/5
POD II Post 62000, PT/APTT :
laparotomi 1.1x/1.2x, OT/PT perawatan post
Dr. dr. Tofan W
205 D Ita 56 4379023 HTSOS-VC, 15/10, Ur/Cr
Utami, SpOG(K)
adhesiolisisi ai 16/0.5, elektrolit operasi
tumor musinosum 132/3.2/103, DPL
11.2/35.5/5960/5
78.000//70/22.1/
31.5 OT/PT 20/9
Ur/crec 12/0.7
albumin 3.71
DPL
NOK dengan 10.7/33.2/9500/6
bagian padat 31.000 OT/PT
205 E Ngatni 44 4380141 suspek maligna, 28/32 albumin rencana operasi
riwayat gastrits 2.85 ur/crec
erosiva 21/0.7 elektrolit
133/4.4/97.5
dr. Andi Darma
Putra, SpOG (K)
DPL
12.3/35.3/10.210
Dr. dr. Fitriyadi K, /521.000, OT/PT
205 F Sit Zaetun 38 4382260 ca ovarium 13/8 albumin 1.72 rencana operasi
SpOG(K) ur/crec 16/0.6
GDS 110elektrolit
128/4.5/101.3
14/8/19 DPL
10.2/29/12.750/2
44.000 12/8/19
DPL
8.1/23/12760/33
Ca cervix III B, 2000, Ur/Cr rencana perbaikan
anemia, 204/7.5, elektrolit KU. Transfusi PRC
hidronefrosis 125/3.1/97 DPL target Hb>10,
bilateral, AKI dd Dr. dr. Fitriyadi K, 9/8/19
206A Lasiyem 50 4392995 koreksi elektrolit.
acute on CKD, SpOG(K) 3.2/9.4/24410/62 Konsul urologi :
leukositosis, 0000//80.3/27.4/ rencana
hiponatremia, 34 PT 0,8x/APTT nefrostomi hari ini
intake sulit 0,8x SGOT
11/SGPT 7 Ur
184/Cr 6.9 GDS
105/ Na 128/K
3.6/Cl100
13/8/19 DPL transfusi prc,

11/32/11210/407
NOK suspek koreksi elektrolit,
.000 12/8/19 dpl
maligna dengan Dr. dr. Tofan W rencana pungsi
206B Vera Oktaria 33 4391136 8.9/25/11380/45
asites, suspek TB Utami, SpOG(K) asites, sitologi dan
0000, Alb 2.7,
usus cek ADA dari
elektrolit asites
125/4/87
Paracetamol 4 x
1000 mg hasil
konsul neuro : A:
tetraparese UMN,
ca pain, hipestesi
Ca cervix stadium T6 kebawah,
IV A, 11/8/19: DPL: retensio urin dan
tetrapararese 11.6/35.4/41.690 alvi ec susp SOL
UMN, cancer pain
Dr. dr. Fitriyadi K, /767.000 DPL kanalis spinalis
206E Diah wahyuni 40 4389926 VAS 4,
trombositosis ec SpOG(K) 8.2/26.7/3.45/25. ekstradura susp
210/729.000 metastasis -->
malignansi, albumin 3.76 plAnning: MRI
leukositosis reaktf
whole spine +
dd infeksi kontras, raber
neuro, morphne
10 mg/24 jam.
Rencana MRI
whole abdomen
11/8/19
Albumin : 2.79//
NOP dengan 8/8/19 DPL
anemia,hipoalbu 10.9/30.9/27.230
min,aki dd acute /236.000 AFP
on 7.14 CEA 2.3
Ca125 100 6/8/19 post insersi DJ
ckd,hidronefrosis dr. Andi Darma
206F Narmi 36 4392901 stent , raber
bilateral,susp dvt Putra, SpOG (K) DPL
hiponatremia,peni 3.5/10.2/40040/2 urologi
ngkatan enxzm 71000 SGOT
transaminase,disp 75/SGPT 16/Alb
epsia 2.3/Ur 238/Cr
2.8/GDS 92/
Ca125: 100
6/819 CEA 23, Ca

125 24 5/8/19
DPL
10.5/33/8080/41
4000 4/8/19 DPL :
9.4/29/6210/438
000, alb 2.5,
NOP suspek dr. Kartwa Hadi N, elektrolit konsul
207 A Dwi Widyaningsih 24 4337478 maligna, asites
masif, intake sulit SpOG(K) 132/3.4/99, perioperatf
3/8/19 DPL :
7.7/24/7830/428
000, elektrolit :
130/3.5/97, GDS
125, Ur/Cr :
38/1.1, albumin :
2.26, OT/PT : 12/6
Hasil konsul IPD:

Puasa, NGT di
Ca vagina, NOK alirkan, BNO 3
suspek teratoma posisi, nacl caps
matur dengan: 9/08/19 DPL:
10/28.8/16.710/8 3x1. Hasil
hidronephrosis konsul APS:
bilateral on 90.000
SGOT/SGPT: 25/4. fentanyl 25 mcg,
nefrostomi Dr. dr. Tofan W
207B Sumiyat 49 4390166 gabapentn 3x100
( nefrostomi Utami, SpOG(K) Ur/Cr: 129.9/ mg, tramadol
kanan produksi -), 3.33. GDS 102. 3x50 mg,
ileus paralitk dd Na/K/Cl: paracetamol 3x1
obstruksi, Ca pain 126/4.6/103 gr, konsul ulang
perbaikan, Akut bila VAS >5.
on CKD menunggu hasil
BNO 3 posisi
POD 1 post
rehectng POD 8 8 Agustus: PCT
post laparatomi 1.95 / alb: 3.136
aff abdominal agustus: DPL:
packing pada 10.2/29.8/7820/2
POD 9 Post 61.000// 4/8/19
laparotomi DPL :
eksplorasi 9/27/15480/1390
adhesiolisis, SOD, 00, PCT
trachelectomy 26.47,29/7/2019
apendiktomi, DPL
Dr. dr. Gatot 11/32,4/9340/80 Drain (+), rencana
207D Syafriant 49 4337425 perlekatan Purwoto, SpOG(K) pulang
dengan cervix 000 PT/APTT
dilnajutkan 0,8x/1,0x Na/K/Cl
abdominal 134/3,6/97 DPL
packing, post op
hipoalbuminemia 6,4/18/11130/85
(3,2), 000 SGOT 12 SGPT
trombositopenia 8 Albumi 2.05 Cr 1
ec consumptve Ureum. 38
coagulopathy elektrolit
(82000), fascial 140/2.9/108
break
Ca ovarium pro DPL

Dr. dr. Tofan W
207 E Inamariani 57 4384875 kemoterapi, 10.1/29/0.610/50 transfusi
Utami, SpOG(K)
trombositopenia .000
Ca cervix IIIB post

radiasi eksterna
25 kali, interna 3 DPL (14/8/19) :
kali, penurunan 9.7/28.4/32810/2
kesadaran, Dr. dr. Tofan W 74000, Albumin : Pasien sudah
207 F Pepi Meilia 42 4223176 DNR, rencana
dyspneu, Utami, SpOG(K) 2.56, Ur/Cr : perawatan paliatf
hidronefrosis 150/4.85, E :
bilateral, 130/4.5/115
gastroenterits
akut
Ro Thorax:
tampak
gambaran
metastase paru
dengan jumlah
bertambah
dibanding
sebelumnya
13/8/19 DPL
7.1/21.4/12.430/
178.000 12/8/19 Hasil konsul HOM,
DPL tunda transfusi.
NOK dengan 8.2/24/13220/19
bagian padat 0000, darah Rencana pungsi
Dr. dr. Gatot ascites di ruang
210 C Risma Bako 57 4384061 suspek maligna, Purwoto, SpOG(K) samar tnja tndakan
anemia, intake negatf, 10 Hepatologi
sulit Agustus DPL: 14/8/19.
8.3/25.5/15.580/
Family meetng
200.000. //. DPL
9/8/19 DPL
6.3/19.4/15280/1
73.000 (7/8/19) :
4.1/12.6/17200/2
90000, Ur/Cr :
51/1.36,
Albumin : 3.07, As
Urat 6.6, SGOT
110/28, E :
126/4.3/100
ca cervic stadium DPL

IIIB, anemia, AKI 9/26/26.690/206. koreksi elektrolit,
211 A R.Atkah 75 4387114 drr acute on CKD, Dr. dr. Gatot 000 OT/PT 20/33 tansfusi target Hb
Purwoto, SpOG(K)
hidronefrosis, ur/crec100.6/1.94 > 10 g/dL
leukositosis el 127/5.1/103
Ca ovarium DPL
Dr. dr. Tofan W
211 B Sit Marwiyah 35 4330138 prokemoterapi, 11.3/32.8/2.570/ koreksi leukosit
Utami, SpOG(K)
leukopenia 226.000
DPL
Ca endometrium 13.5/37.2/13.030
psot laparotomi /627.000 OT/PT
dengan syndrom Dr. dr. Gatot 25/21 ur/crec
211 C Wisan Selina 67 4375817 perbaikan KU
dyspepsia, Purwoto, SpOG(K) 18/0.64 GDS 101
elektrolit elektrolit
imbalance 124/3.8/90
albumin 3.78
19/7/19 DPL
10.2/33/970/525.
NOK suspek Dr. dr. Tofan W 000 OT/PT 26/11 cek lab ulang,
212 F Musaroh 31 4381555 maliigna, intake Utami, SpOG(K) albumin 3.48 konsul gizi
sulit, kaheksia
ur/crec 22/0.5 el
134/4.8/99.1
13/08/19: DPL:
10.5/30.1/6.990/
204.000. 9/08/19
DPL:
5.4/15.3/17.900/ Rencana dari
222.000. gastro akan
Choriocarsinoma
Fibrinogen, D diadakan gastro
pasca reseksi di RS Prof. Dr. dr. Dimer: 275/100. meetng
213 A Edah Saraswat 23 4392659 luar dengan Andrijono, 8/08/19: DPL: 14/08/19.
massa duodenum, SpOG(K) 10.5/31.4/9.280/ Konsul cardio
anemia perbaikan 277.000. untuk toleransi
SGOT/SGPT: kemoterapi
25/20. alb: 3.8
Ur/Cr: 35/0.5.
Na/K/Cl:
135/3.8/115
NOK suspek 12/08/19: DPL:

maligna, 6.0/21.5/12.740/ transfusi sampai
213 B Nur Baroyah 39 4388360 adenomiosis, 863.000. ca 125: hb >10
anemia dr. Andi Darma 219.6
Putra, SpOG (K)
13/08/19. DPL:
7.9/22.5/25.770/
357.000.
SGOT/SGPT: 15/6.
PTG high risk Ur/Cr: 22.5/1.08. transfusi sampai
213 C Sumiat 38 4381819 dengan anemia GDS 188. hb >10
Na/K/Cl:
131/3.3/1098/08/
19: Beta HCH:
>225.000
dr. Andi Darma
Putra, SpOG (K)
11/agustus 2019.
DPL:
10/30.7/5.180/86
Ca endometrium
residif, metastasis dr. Kartwa Hadi N, .000//DPL9/8/19 Perbaikan KU,
107 Nurul Qomar 61 4303930 DPL
paru, anemia, SpOG(K) 10.1/30.2/4.990/ transfusi TC.
hiponatremia 43.000 (7/8/19) :
8.9/26/6990/720
00
9/8/19 DPL
11.1/33/8950/46
NOK dengan raber dengan
3000, PT/APTT
bagian padat kapten IPD,
0.9x/1.1x, OT/PT
suspek maligna dr. T. Dewi rencana MRI
17/7, ALBUMIN
716C Icih 60 4387345 dengan dispneu Anggraeni, whole abdomen
3.03, Ur/Cr
ec efusi pleura SpOG(K) dengan kontras
31.3/0.81,
bilateral post wsd dan pemeriksaan
elektrolit
bilateral tumor marker
138/4.4/116, GDS
105
dr. T. Dewi dr. Kartwa Hadi N, 204B, 205B, 107,

Anggraeni, 207F, 716C
SpOG(K) 207 A
SpOG(K)
Nuranna, SpOG(K) 205 B, 205C, 207E SpOG (K)
Prof. Dr. dr. 204A, 204C,

Dr. dr. Tofan W
Andrijono, 205E,205F, 206D,
Utami, SpOG(K)
SpOG(K) 206B, 207B, ICU
Dr. dr. Fitriyadi K, 204A, 206 E Dr. dr. Gatot

SpOG(K) Purwoto, SpOG(K) 210C,207 D,
Dr. dr. Sigit

Purbadi, SpOG(K) 210A
dr. Andi Darma
Putra, SpOG (K) 206F, 206C,207C
9/08/18 DPL:
9.0/26.4/5.410/1
36.000. //.
Ca ovarium pro SGOT/SGPT:
204 A Khoiriyah 54 3415475 kemoterapi 37/43. //. Ur/Cr:
18/0.5. albumin
4.4. Na/K/Cl:
135/3.9/102
dr. Andi Darma
Putra, SpOG (K)
DPL:
11.9/35/6.910/38
2.000 //
Ca ovarium
204 B Tet Rahmawat 43 4364622 SGOT/SGPT:
prokemoterapi 16/23. //. Ur/Cr:
18/0.5. Na/K/Cl:
dr. Andi Darma 134/4.4/102
Putra, SpOG (K)
12/8/19 DPL
9.6/31/5140/360
Putri Nurindah NOK suspek dr. Kartwa Hadi N, 000, OT/PT :
205A 22 4381102 14/14, albumin
Sari maligna SpOG(K) 4.18, ur/cr 23/0.8,
GDS 91, elektrolit
137/3.6/103.6
POD V Post
laparotomi
suboptmal DPL post Op
debulking ai Ca (8/8/19) :
ovarium clinically Dr. dr. Laila 12.6/38.5/9870/3
205B Tarumi 51 4368047 stadium IVB, 59000, Albumin
Nuranna, SpOG(K)
dilanjutkan 2.85, Ur/Cr :
colonostomy 38/0.7, SGOT/PT :
colon descendent 13/8
ai infiltrasi tumor
ke colon
12/8/19 DPL
12/34/8340/3800
00, OT/PT 11/10,
NOK borderline Alb 4.17, Ur/Cr
205C Sumiat 48 4381815 rektosigmoid, Nuranna, SpOG(K) 30/0.7, GDS 162,
elektrolit
cholelitasis 135/3.8/99.6,
PT/APTT 0.9
x/0.9x
13/08/19
Na/K/Cl:
139/4.3/106.
DPL post op
11.9/36/16360/5
laparotomi 1.1x/1.2x, OT/PT
Dr. dr. Tofan W
205 D Ita 56 4379023 HTSOS-VC, 15/10, Ur/Cr
Utami, SpOG(K)
adhesiolisisi ai 16/0.5, elektrolit
11.2/35.5/5960/5
78.000//70/22.1/
31.5 OT/PT 20/9
Ur/crec 12/0.7
albumin 3.71
DPL
NOK dengan 10.7/33.2/9500/6
bagian padat 31.000 OT/PT
205 E Ngatni 44 4380141 suspek maligna, 28/32 albumin
riwayat gastrits 2.85 ur/crec
erosiva 21/0.7 elektrolit
133/4.4/97.5
dr. Andi Darma
Putra, SpOG (K)
DPL
12.3/35.3/10.210
Dr. dr. Fitriyadi K, /521.000, OT/PT
205 F Sit Zaetun 38 4382260 ca ovarium 13/8 albumin 1.72
SpOG(K) ur/crec 16/0.6
GDS 110elektrolit
128/4.5/101.3
14/8/19 DPL
10.2/29/12.750/2
44.000 12/8/19
DPL
8.1/23/12760/33
Ca cervix III B, 2000, Ur/Cr
anemia, 204/7.5, elektrolit
hidronefrosis 125/3.1/97 DPL
bilateral, AKI dd Dr. dr. Fitriyadi K, 9/8/19
206A Lasiyem 50 4392995 acute on CKD, SpOG(K) 3.2/9.4/24410/62
leukositosis, 0000//80.3/27.4/
hiponatremia, 34 PT 0,8x/APTT
intake sulit 0,8x SGOT
11/SGPT 7 Ur
184/Cr 6.9 GDS
105/ Na 128/K
3.6/Cl100
13/8/19 DPL
11/32/11210/407
NOK suspek .000 12/8/19 dpl
maligna dengan Dr. dr. Tofan W
206B Vera Oktaria 33 4391136 8.9/25/11380/45
asites, suspek TB Utami, SpOG(K) 0000, Alb 2.7,
usus elektrolit
125/4/87
12/8/19 Ur/Cr :
24/1.3, elektrolit
129/3.3/95, 11
Agustus: DPL:
Ca cervix stadium 10.6/30.9/11.430
IV A, dengan /504.000.10/08/1
anemia,hipoalbu 9. DPL:
min,hiponatremia, 7.8/21.9/14.120/
206C Dewi Kurniasih 36 4384503 hipokloremia, 594.000//
susp 8/8/19: Na/K/Cl:
dvt,rtombositope 108/5.4/80.5
nia,leukositosis ur/cr: 108/6.6 //
7/8/19 DPL
10/27.3/24320/3
6600 Na 108/K
5.4/Cl 80,5
dr. Andi Darma

Putra, SpOG (K)
11 Agustus 2019:
DPL:
9.3/26.7/6.370/8
Ca cervix IVB meta 1.000. //. 9/8/19:
paru, anemia, 10.2/29.4/8370/1
cancer pain, 24.000 3/8/19
intake sulit,susp Dr. dr. Tofan W DPL
206 D Sufniyet 48 3208141 DVT, 10/28.4/15550/9
trombositopenia,h Utami, SpOG(K) 2000 1/8/19
iponatremia, DPL
riwayat takiakrdia 8.4/23.8/14790/5
ec susp TRALI 7000 Na 128/K
3.7/Cl 114 GDS
111/ Ur 23.8/Cr
1.02
Ca cervix stadium
IV A, 11/8/19: DPL:
UMN, cancer pain
210/729.000
leukositosis reaktf
dd infeksi
11/8/19
Albumin : 2.79//
on 7.14 CEA 2.3
ckd,hidronefrosis Ca125 100 6/8/19
206F Narmi 36 4392901 bilateral,susp dvt DPL
hiponatremia,peni 3.5/10.2/40040/2
epsia 2.3/Ur 238/Cr
2.8/GDS 92/
Ca125: 100
dr. Andi Darma
Putra, SpOG (K)
6/819 CEA 23, Ca
125 24 5/8/19
DPL
10.5/33/8080/41
4000 4/8/19 DPL :
9.4/29/6210/438
000, alb 2.5,
NOP suspek dr. Kartwa Hadi N, elektrolit
masif, intake sulit SpOG(K) 132/3.4/99,
3/8/19 DPL :
7.7/24/7830/428
000, elektrolit :
130/3.5/97, GDS
125, Ur/Cr :
38/1.1, albumin :
2.26, OT/PT : 12/6
Ca vagina, NOK
suspek teratoma
hidronephrosis 10/28.8/16.710/8
bilateral on 90.000
nefrostomi Dr. dr. Tofan W SGOT/SGPT: 25/4.
207B Sumiyat 49 4390166 ( nefrostomi Utami, SpOG(K) Ur/Cr: 129.9/
kanan produksi -), 3.33. GDS 102.
ileus paralitk dd Na/K/Cl:
obstruksi, Ca pain 126/4.6/103
perbaikan, Akut
on CKD
POD 1 post
rehectng POD 8 8 Agustus: PCT
post laparatomi 1.95 / alb: 3.136
aff abdominal agustus: DPL:
packing pada 10.2/29.8/7820/2
POD 9 Post 61.000// 4/8/19
laparotomi DPL :
eksplorasi 9/27/15480/1390
apendiktomi, DPL
Dr. dr. Gatot
207D Syafriant 49 4337425 perlekatan 11/32,4/9340/80
Purwoto, SpOG(K)
dengan cervix 000 PT/APTT
packing, post op
(3,2), 000 SGOT 12 SGPT
(82000), fascial 140/2.9/108
break
12/8/19 DPL
12/35/8670/8990
00, PT/APTT
suspek Ca 1.1x/0.9x,
Dr. dr. Tofan W
207 E Kiah 40 4387591 ovarium dengan elektrolit
Utami, SpOG(K)
asites 136/4.4/99, GDS
87, Ur/Cr 16/0.6,
albumin 3.21,
OT/PT 15/8
Ca ovarium pro DPL
Dr. dr. Tofan W
207 E Inamariani 57 4384875 kemoterapi, 10.1/29/0.610/50
Utami, SpOG(K)
trombositopenia .000
Ro Thorax:
tampak
gambaran
metastase paru
dengan jumlah
bertambah
dibanding
sebelumnya
13/8/19 DPL
7.1/21.4/12.430/
178.000 12/8/19
DPL
NOK dengan 8.2/24/13220/19
bagian padat 0000, darah
Dr. dr. Gatot
210 C Risma Bako 57 4384061 suspek maligna, Purwoto, SpOG(K) samar tnja
anemia, intake negatf, 10
sulit Agustus DPL:
8.3/25.5/15.580/
200.000. //. DPL
9/8/19 DPL
6.3/19.4/15280/1
73.000 (7/8/19) :
4.1/12.6/17200/2
90000, Ur/Cr :
51/1.36,
Albumin : 3.07, As
Urat 6.6, SGOT
110/28, E :
126/4.3/100
Ca ovarium Prof. Dr. dr. DPL

210 D Novi deviant 47 4285730 prokemoterapi, Andrijono, 11.2/21.9/3.820/
trombositopenia SpOG(K) 95.000
ca cervic stadium DPL

IIIB, anemia, AKI 9/26/26.690/206.
211 A R.Atkah 75 4387114 drr acute on CKD, Dr. dr. Gatot 000 OT/PT 20/33
Purwoto, SpOG(K)
hidronefrosis, ur/crec100.6/1.94
leukositosis el 127/5.1/103
Ca ovarium DPL
Dr. dr. Tofan W
211 B Sit Marwiyah 35 4330138 prokemoterapi, 11.3/32.8/2.570/
Utami, SpOG(K)
leukopenia 226.000
DPL
Ca endometrium 13.5/37.2/13.030
psot laparotomi /627.000 OT/PT
dengan syndrom Dr. dr. Gatot 25/21 ur/crec
211 C Wisan Selina 67 4375817
dyspepsia, Purwoto, SpOG(K) 18/0.64 GDS 101
imbalance 124/3.8/90
albumin 3.78
ca ovarium 13/08/19: DPL:

advanced stage 13.9/39.4/14.040.
post NAC 3 seri
212 D Ratna 40 4328944 albumin 3.51.
dengan TB paru Na/K/Cl:
on OAT dan 130/4.6/96
ascites masif dr. Andi Darma
Putra, SpOG (K)
19/7/19 DPL
10.2/33/970/525.
NOK suspek Dr. dr. Tofan W 000 OT/PT 26/11
212 F Musaroh 31 4381555 maliigna, intake Utami, SpOG(K) albumin 3.48
sulit, kaheksia ur/crec 22/0.5 el
134/4.8/99.1
13/08/19: DPL:
10.5/30.1/6.990/
204.000. 9/08/19
DPL:
5.4/15.3/17.900/
222.000.
Choriocarsinoma
Fibrinogen, D
pasca reseksi di RS Prof. Dr. dr. Dimer: 275/100.
213 A Edah Saraswat 23 4392659 luar dengan Andrijono, 8/08/19: DPL:
massa duodenum, SpOG(K) 10.5/31.4/9.280/
anemia perbaikan 277.000.
SGOT/SGPT:
25/20. alb: 3.8
Ur/Cr: 35/0.5.
Na/K/Cl:
135/3.8/115

maligna, 6.0/21.5/12.740/
213 B Nur Baroyah 39 4388360 adenomiosis, 863.000. ca 125:
Putra, SpOG (K)
13/08/19. DPL:
7.9/22.5/25.770/
357.000.
SGOT/SGPT: 15/6.
PTG high risk Ur/Cr: 22.5/1.08.
213 C Sumiat 38 4381819 dengan anemia GDS 188.
Na/K/Cl:
131/3.3/1098/08/
19: Beta HCH:
>225.000
dr. Andi Darma
Putra, SpOG (K)
11/agustus 2019.
DPL:
10/30.7/5.180/86
Ca endometrium
paru, anemia, SpOG(K) 10.1/30.2/4.990/
8.9/26/6990/720
00
9/8/19 DPL
11.1/33/8950/46
105

SpOG(K)
SpOG(K)

SpOG(K)
Dr. dr. Sigit

dr. Andi Darma

Target
rencana pulang
rencana pulang
rencana
laparotomi VC
kamis 15/8/19
Perawatan post
operasi. Sudah aff
ngt, cvc, obat
sudah oral,
rencana pulang
Rencana
laparotomi
15/8/19, rencana
join op dengan
bedah digestf,
konsul kardiologi
dan met end
rencana pindah
ruangan,
perawatan post
operasi
rencana operasi
rencana operasi
rencana perbaikan
KU. Transfusi PRC
target Hb>10,
koreksi elektrolit.
Konsul urologi :
rencana
nefrostomi hari ini
transfusi prc,
koreksi elektrolit,
rencana pungsi
asites, sitologi dan
cek ADA dari
asites
raber urologi,
koreksi
hipokalemia dan
hiponatremia
Konsul bedah
vaskular :
heparinisasi 5000
unit bolus
dilanjutkan
15000/24 jam,
cek aptt per 24
jam target 1.5x,
CTA pelvis dan
balut elastk
tungkai. -->
heparin stop
karena pasien
perdarahan.
Konsul kardiologi :
pemberian
diltazem 20 mg
bolus pelan -->
EKG ulang dan
dilanjutkan
bisoprolol.
Transfusi TC dan
prc
Paracetamol 4 x
1000 mg hasil
konsul neuro : A:
tetraparese UMN,
ca pain, hipestesi
T6 kebawah,
retensio urin dan
alvi ec susp SOL
kanalis spinalis
ekstradura susp
metastasis -->
plAnning: MRI
whole spine +
kontras, raber
neuro, morphne
10 mg/24 jam.
Rencana MRI
whole abdomen
rencana MRI
Jumat 16 agustus
2019. konsul
urologi : rencana
sistoskopi dan dj
stent hingga
nefrostomi
bilateral -->
sedang konsul
perioperatf
rencana MRI
selasa 13 Agustus
2019, sedang
konsul
perioperatf
Hasil konsul IPD:

Puasa, NGT di
alirkan, BNO 3
posisi, nacl caps
3x1. Hasil
konsul APS:
fentanyl 25 mcg,
gabapentn 3x100
mg, tramadol
3x50 mg,
paracetamol 3x1
gr, konsul ulang
bila VAS >5.
menunggu hasil
BNO 3 posisi
Drain (+), rencana

pulang
rencana pungsi
asites dan sitologi
transfusi
Hasil konsul HOM,

tunda transfusi.
Rencana pungsi
ascites di ruang
tndakan
Hepatologi
14/8/19.
Family meetng
tranfusi
koreksi elektrolit,
tansfusi target Hb
> 10 g/dL
koreksi leukosit
perbaikna ku
Sudah pungsi
ascites
cek lab ulang,
konsul gizi
Rencana dari
gastro akan
diadakan gastro
meetng
14/08/19.
Konsul cardio
untuk toleransi
kemoterapi
transfusi sampai
hb >10
transfusi sampai
hb >10
Perbaikan KU,
transfusi TC.
raber dengan
kapten IPD,
rencana MRI
whole abdomen
dengan kontras
dan pemeriksaan
tumor marker
204B, 205B, 107,

207 A
204A, 204C,
205E,205F, 206D,
206B, 207B, ICU
210C,207 D,
Ward Map Ginekologi Onkologi Rabu 14 Agustus 2019
Ca endometrium, Dr. dr. Tofan W 12/8/19 DPL

204C Inamariani 57 4384875 trombositopenia Utami, SpOG(K) 10.1/29/610/500
dan leukopenia 00
DPL:
11.9/35/6.910/38
2.000 //
Dr. dr. Tofan W
204D Yuli Kadarsih 42 4385505 Ca ovarium IIIC SGOT/SGPT:
Utami, SpOG(K) 16/23. //. Ur/Cr:
18/0.5. Na/K/Cl:
134/4.4/102
204E Suparsih 57 4386456 Ca Cerviks IIB dr. Andi Darma

Putra, SpOG (K)
DPL:
204F Eli Ernawat 34 4219272 PTM high Risk 10.3/29.6/5.540/
dr. Andi Darma 127.000
Putra, SpOG (K)
12/8/19 DPL
9.6/31/5140/360
Putri Nurindah NOK suspek dr. Kartwa Hadi N, 000, OT/PT :
205A 22 4381102 14/14, albumin
Sari maligna SpOG(K) 4.18, ur/cr 23/0.8,
GDS 91, elektrolit
137/3.6/103.6
POD V Post
laparotomi
suboptmal DPL post Op
debulking ai Ca (8/8/19) :
ovarium clinically Dr. dr. Laila 12.6/38.5/9870/3
205B Tarumi 51 4368047 stadium IVB, 59000, Albumin
Nuranna, SpOG(K)
dilanjutkan 2.85, Ur/Cr :
colonostomy 38/0.7, SGOT/PT :
colon descendent 13/8
ai infiltrasi tumor
ke colon
12/8/19 DPL
12/34/8340/3800
00, OT/PT 11/10,
NOK borderline Alb 4.17, Ur/Cr
205C Sumiat 48 4381815 rektosigmoid, Nuranna, SpOG(K) 30/0.7, GDS 162,
cholelitasis elektrolit
135/3.8/99.6,
PT/APTT 0.9
x/0.9x
12/8/19 DPL
8.1/23/12760/33
2000, Ur/Cr
Ca cervix III B, 204/7.5, elektrolit
anemia, 125/3.1/97 DPL
hidronefrosis 9/8/19
bilateral, AKI dd Dr. dr. Fitriyadi K, 3.2/9.4/24410/62
206A Lasiyem 50 4392995 acute on CKD, SpOG(K) 0000//80.3/27.4/
leukositosis, 34 PT 0,8x/APTT
hiponatremia, 0,8x SGOT
intake sulit 11/SGPT 7 Ur
184/Cr 6.9 GDS
105/ Na 128/K
3.6/Cl100
12/8/19 dpl
NOK suspek 8.9/25/11380/45
maligna dengan Dr. dr. Tofan W
206B Vera Oktaria 33 4391136 0000, Alb 2.7,
asites, suspek TB Utami, SpOG(K) elektrolit
usus 125/4/87
12/8/19 Ur/Cr :
24/1.3, elektrolit
129/3.3/95, 11
Agustus: DPL:
Ca cervix stadium 10.6/30.9/11.430
IV A, dengan /504.000.10/08/1
anemia,hipoalbu 9. DPL:
min,hiponatremia, 7.8/21.9/14.120/
206C Dewi Kurniasih 36 4384503 hipokloremia, 594.000//
susp 8/8/19: Na/K/Cl:
dvt,rtombositope 108/5.4/80.5
nia,leukositosis ur/cr: 108/6.6 //
7/8/19 DPL
10/27.3/24320/3
6600 Na 108/K
5.4/Cl 80,5
dr. Andi Darma

Putra, SpOG (K)
11 Agustus 2019:
DPL:
9.3/26.7/6.370/8
Ca cervix IVB meta 1.000. //. 9/8/19:
paru, anemia, 10.2/29.4/8370/1
cancer pain, 24.000 3/8/19
intake sulit,susp DPL
Dr. dr. Tofan W
206 D Sufniyet 48 3208141 DVT, 10/28.4/15550/9
trombositopenia,h Utami, SpOG(K) 2000 1/8/19
iponatremia, DPL
riwayat takiakrdia 8.4/23.8/14790/5
ec susp TRALI 7000 Na 128/K
3.7/Cl 114 GDS
111/ Ur 23.8/Cr
1.02
Ca cervix stadium
IV A, 11/8/19: DPL:
UMN, cancer pain
210/729.000
leukositosis reaktf
dd infeksi
11/8/19
Albumin : 2.79//
on 7.14 CEA 2.3
ckd,hidronefrosis Ca125 100 6/8/19
206F Narmi 36 4392901 bilateral,susp dvt DPL
hiponatremia,peni 3.5/10.2/40040/2
epsia 2.3/Ur 238/Cr
2.8/GDS 92/
Ca125: 100
dr. Andi Darma
Putra, SpOG (K)
6/819 CEA 23, Ca

125 24 5/8/19
DPL
10.5/33/8080/41
4000 4/8/19 DPL :
9.4/29/6210/438
000, alb 2.5,
NOP suspek dr. Kartwa Hadi N, elektrolit
masif, intake sulit SpOG(K) 132/3.4/99,
3/8/19 DPL :
7.7/24/7830/428
000, elektrolit :
130/3.5/97, GDS
125, Ur/Cr :
38/1.1, albumin :
2.26, OT/PT : 12/6
Ca vagina, NOK
suspek teratoma
hidronephrosis 10/28.8/16.710/8
bilateral on 90.000
nefrostomi Dr. dr. Tofan W SGOT/SGPT: 25/4.
207B Sumiyat 49 4390166 ( nefrostomi Utami, SpOG(K) Ur/Cr: 129.9/
kanan produksi -), 3.33. GDS 102.
ileus paralitk dd Na/K/Cl:
obstruksi, Ca pain 126/4.6/103
perbaikan, Akut
on CKD
11/08/19
Penurunan SGOT/SGPT: 4/6//
kesadaran ec 10/08/19: alb:
suspek metastase 2.9// Ur/Cr: 109/
otak dd 3.00//Na/K/Cl:
metablolik dengan 135/4.2/108 DPL:
riwayat kejang 8.2/24.7/23.250/
berulang pada Ca 586.000. 5/8/19
207C Se Hiong 54 4382008 cervix III B dengan elektrolit
permasalahan 125/6.1/109,
acute on CKD, (4/8/19) E:
hidronefrosis 126/6.3/111 ,
bilateral on (3/8/19) DPL :
nefrostomi, 10.4/30.6/25280/
hiperkalemia, 738000, Ur/Cr :
hiponatremia 171/5.07
dr. Andi Darma

Putra, SpOG (K)
POD 8 post 8 Agustus: PCT
laparatomi aff 1.95 / alb: 3.136
abdominal agustus: DPL:
packing pada 10.2/29.8/7820/2
POD 9 Post 61.000// 4/8/19
laparotomi DPL :
eksplorasi 9/27/15480/1390
apendiktomi, DPL
perlekatan Dr. dr. Gatot
207D Syafriant 49 4337425 11/32,4/9340/80
dengan cervix Purwoto, SpOG(K) 000 PT/APTT
packing, post op
(3,2), 000 SGOT 12 SGPT
(82000), fascial 140/2.9/108
break
12/8/19 DPL
12/35/8670/8990
00, PT/APTT
suspek Ca 1.1x/0.9x,
Dr. dr. Tofan W
207 E Kiah 40 4387591 ovarium dengan elektrolit
Utami, SpOG(K)
asites 136/4.4/99, GDS
87, Ur/Cr 16/0.6,
albumin 3.21,
OT/PT 15/8
11/8/19 DPL
12.7/365/600/16
Ca ovarium on 5000, OT/PT :
dr. T. Dewi
kemoterapi post 63/67, Ur/Cr
207F Sumini 46 4255025 Anggraeni,
laparotomi 18/0.9, GDS 184,
SpOG(K)
debulking elektrolit
124/4.8/89, laktat
4.7
9/08/18 DPL:
9.0/26.4/5.410/1
36.000. //.
Ca ovarium IIIC SGOT/SGPT:
210B Khoiriyah 54 3415474 dengan anemia,
hiponatremia 37/43. //. Ur/Cr:
18/0.5. albumin
4.4. Na/K/Cl:
135/3.9/102
dr. Andi Darma
Putra, SpOG (K)
Ro Thorax:
tampak
gambaran
metastase paru
dengan jumlah
bertambah
dibanding
sebelumnya
12/8/19 DPL
8.2/24/13220/19
0000, darah
NOK dengan
samar tnja
bagian padat Dr. dr. Gatot negatf, 10
210 C Risma Bako 57 4384061 suspek maligna, Purwoto, SpOG(K) Agustus DPL:
anemia, intake 8.3/25.5/15.580/
sulit 200.000. //. DPL
9/8/19 DPL
6.3/19.4/15280/1
73.000 (7/8/19) :
4.1/12.6/17200/2
90000, Ur/Cr :
51/1.36,
Albumin : 3.07, As
Urat 6.6, SGOT
110/28, E :
126/4.3/100
ca ovarium 13/08/19: DPL:

advanced stage 13.9/39.4/14.040.
post NAC 3 seri
212 D Ratna 40 4328944 albumin 3.51.
dengan TB paru Na/K/Cl:
on OAT dan 130/4.6/96
ascites masif dr. Andi Darma
Putra, SpOG (K)
13/08/19: DPL:
10.5/30.1/6.990/
204.000. 9/08/19
DPL:
5.4/15.3/17.900/
222.000.
Choriocarsinoma Fibrinogen, D
pasca reseksi di RS Prof. Dr. dr.
Dimer: 275/100.
213 A Edah Saraswat 23 4392659 luar dengan Andrijono, 8/08/19: DPL:
massa duodenum, SpOG(K) 10.5/31.4/9.280/
anemia perbaikan 277.000.
SGOT/SGPT:
25/20. alb: 3.8
Ur/Cr: 35/0.5.
Na/K/Cl:
135/3.8/115

maligna, 6.0/21.5/12.740/
213 B Nur Baroyah 39 4388360 adenomiosis, 863.000. ca 125:
Putra, SpOG (K)
13/08/19. DPL:
7.9/22.5/25.770/
357.000.
SGOT/SGPT: 15/6.
PTG high risk Ur/Cr: 22.5/1.08.
213 C Sumiat 38 4381819
dengan anemia GDS 188.
Na/K/Cl:
131/3.3/1098/08/
19: Beta HCH:
>225.000
dr. Andi Darma
Putra, SpOG (K)
Ca cerviks stadium
IV A dengan NOP 12/8/19 alb 1.72,
suspek maligna, elektrolit
dengan AKI dd 118/5.9/93 DPL
acute on CKD, 10/08/19:
hipoalbuminemia 10.6/28.1/15.520
(1.31), /808.000 //
trombositosis Dr. dr. Tofan W SGOT/SGPT: 22/11
214 B Titn 46 4385781 (808.000), Utami, SpOG(K) // alb: 1.33 //
hiponatremia creatnin 3.63/
( 112), anemia ureum 76,7 //
normositk na/k/cl:
normokromik 112/5.7/101//
(10.6) APTT: 55.1/ 35.4
pemanjangan (1.5x)
APTT
13/08/19
Na/K/Cl:
139/4.3/106.
DPL post op
11.9/36/16360/5
laparotomi 1.1x/1.2x, OT/PT
Dr. dr. Tofan W
HCU Ita 56 4379023 HTSOS-VC, 15/10, Ur/Cr
Utami, SpOG(K)
adhesiolisisi ai 16/0.5, elektrolit
11.2/35.5/5960/5
78.000//70/22.1/
31.5 OT/PT 20/9
Ur/crec 12/0.7
albumin 3.71
11/agustus 2019.
DPL:
10/30.7/5.180/86
Ca endometrium
paru, anemia, SpOG(K) 10.1/30.2/4.990/
8.9/26/6990/720
00
9/8/19 DPL
11.1/33/8950/46
105

SpOG(K)
SpOG(K)

SpOG(K)

Dr. dr. Sigit

dr. Andi Darma

Target
Transfusi TC dan
leukogen 1 ampul
kemoterapi
Kemo sensitzer
Kemoterapi
EMACO
rencana
laparotomi VC
kamis 15/8/19
Perawatan post
operasi. Sudah aff
ngt, cvc, obat
sudah oral
Rencana
laparotomi
15/8/19, rencana
join op dengan
bedah digestf,
konsul kardiologi
dan met end
rencana perbaikan
KU. Transfusi PRC
target Hb>10,
koreksi elektrolit.
Konsul urologi :
rencana
nefrostomi hari ini
transfusi prc,
koreksi elektrolit,
rencana pungsi
asites, sitologi dan
cek ADA dari
asites
raber urologi,
koreksi
hipokalemia dan
hiponatremia
Konsul bedah
vaskular :
heparinisasi 5000
unit bolus
dilanjutkan
15000/24 jam,
cek aptt per 24
jam target 1.5x,
CTA pelvis dan
balut elastk
tungkai. -->
heparin stop
karena pasien
perdarahan.
Konsul kardiologi :
pemberian
diltazem 20 mg
bolus pelan -->
EKG ulang dan
dilanjutkan
bisoprolol.
Transfusi TC dan
prc
Paracetamol 4 x
1000 mg hasil
konsul neuro : A:
tetraparese UMN,
ca pain, hipestesi
T6 kebawah,
retensio urin dan
alvi ec susp SOL
kanalis spinalis
ekstradura susp
metastasis -->
plAnning: MRI
whole spine +
kontras, raber
neuro, morphne
10 mg/24 jam.
Rencana MRI
whole abdomen
rencana MRI
Jumat 16 agustus
2019. konsul
urologi : rencana
sistoskopi dan dj
stent hingga
nefrostomi
bilateral -->
sedang konsul
perioperatf
rencana MRI
selasa 13 Agustus
2019, sedang
konsul
perioperatf
Hasil konsul IPD:

Puasa, NGT di
alirkan, BNO 3
posisi, nacl caps
3x1. Hasil
konsul APS:
fentanyl 25 mcg,
gabapentn 3x100
mg, tramadol
3x50 mg,
paracetamol 3x1
gr, konsul ulang
bila VAS >5.
menunggu hasil
BNO 3 posisi
Konsul neuro:
saran peebrian
depaken,
menunggu hasil
EEG, konsul IPD
Drain (+),
perawatan post
op, GV per 2 hari
(GV ulang tanggal
14)
rencana pungsi
asites dan sitologi
Cek DPL dan

elektrolit hari ini
Transfusi hingga
Hb >10
Hasil konsul HOM,
tunda transfusi.
Rencana pungsi
ascites di ruang
tndakan
Hepatologi
14/8/19.
Family meetng
Rencana pungsi
ascites
Rencana dari
gastro akan
diadakan gastro
meetng
14/08/19.
Konsul cardio
untuk toleransi
kemoterapi
transfusi sampai
hb >10
transfusi sampai
hb >10
> pasien
mengalami
perburukan,
sudah dilakukan
edukasi keluarga
kembali,
Jawaban konsul
IPD paru: USG
Thoracosintesis
tgl 14/08/19 di
HCU lantai 6.
konsul ginjal
hipertensi :
koreksi kalium dan
albumin, cek
ulang elektrolit
setelah 24 jam,
cek ur, cr / 2 hari
rencana pindah
ruangan,
perawatan post
operasi
Perbaikan KU,
transfusi TC.
raber dengan
kapten IPD,
rencana MRI
whole abdomen
dengan kontras
dan pemeriksaan
tumor marker
204B, 205B, 107,

207 A
204A, 204C,
205E,205F, 206D,
206B, 207B, ICU
210C,207 D,
Dr. dr. Tofan W Utami, 17/7/19 DPL 14/40/6320/191000,
204A Beata Ida 41 3208133 Ca cervix stadium II B Ur/Cr 16/1, GDS 86, albumin 4.5, kemoterapi
SpOG(K) OT/PT 18/34
dr. Kartwa Hadi N,
204B Sit Rohamah 41 4366258 Ca ovarium IC1 9/8/19 DPL 12/36/6810/644000 kemoterapi
SpOG(K)
Ca endometrium, Dr. dr. Tofan W Utami, 12/8/19 DPL 10.1/29/610/50000

204C Inamariani 57 4384875 trombositopenia dan Transfusi TC dan leukogen 1 ampul
SpOG(K)
leukopenia
12/8/19 DPL 9.6/31/5140/360000,
Putri Nurindah 22 dr. Kartwa Hadi N, OT/PT : 14/14, albumin 4.18, ur/cr rencana laparotomi VC kamis
205B 4381102 NOK suspek maligna
Sari SpOG(K) 23/0.8, GDS 91, elektrolit 15/8/19
137/3.6/103.6
POD V Post laparotomi

suboptmal debulking ai Ca
ovarium clinically stadium DPL post Op (8/8/19) :
Dr. dr. Laila Nuranna, 12.6/38.5/9870/359000, Albumin Perawatan post operasi. Sudah aff
205B Tarumi 51 4368047 IVB, dilanjutkan SpOG(K) ngt, cvc, obat sudah oral
colonostomy colon 2.85, Ur/Cr : 38/0.7, SGOT/PT : 13/8
descendent ai infiltrasi
tumor ke colon
12/8/19 DPL 12/34/8340/380000, Rencana laparotomi 15/8/19,

NOK borderline dengan Dr. dr. Laila Nuranna, OT/PT 11/10, Alb 4.17, Ur/Cr 30/0.7, rencana join op dengan bedah
205C Sumiat 48 4381815 infiltrasi rektosigmoid, SpOG(K) GDS 162, elektrolit 135/3.8/99.6, digestf, konsul kardiologi dan met
cholelitasis PT/APTT 0.9 x/0.9x end
NOK suspek maligna transfusi prc, koreksi elektrolit,

Dr. dr. Tofan W Utami, 12/8/19 dpl 8.9/25/11380/450000,
205E Vera Oktaria 33 4391136 dengan asites, suspek TB rencana pungsi asites, sitologi dan
SpOG(K) Alb 2.7, elektrolit 125/4/87
usus cek ADA dari asites
12/8/19 DPL 12/35/8670/899000,

suspek Ca ovarium dengan Dr. dr. Tofan W Utami, PT/APTT 1.1x/0.9x, elektrolit
205F Kiah 40 4387591 rencana pungsi asites dan sitologi
asites SpOG(K) 136/4.4/99, GDS 87, Ur/Cr 16/0.6,
albumin 3.21, OT/PT 15/8
12/8/19 DPL 8.1/23/12760/332000,

Ca cervix III B, anemia, Ur/Cr 204/7.5, elektrolit 125/3.1/97 rencana perbaikan KU. Transfusi PRC
hidronefrosis bilateral, AKI Dr. dr. Fitriyadi K, DPL 9/8/19 target Hb>10, koreksi elektrolit.
206A Lasiyem 50 4392995 dd acute on CKD, 3.2/9.4/24410/620000//80.3/27.4/34
SpOG(K) Konsul urologi : rencana nefrostomi
leukositosis, hiponatremia, PT 0,8x/APTT 0,8x SGOT 11/SGPT 7 hari ini
intake sulit Ur 184/Cr 6.9 GDS 105/ Na 128/K
3.6/Cl100
Ca cerviks stadium IV A
dengan NOP suspek
maligna, dengan AKI dd 12/8/19 alb 1.72, elektrolit
acute on CKD, 118/5.9/93 DPL 10/08/19: konsul ginjal hipertensi : koreksi
hipoalbuminemia (1.31), Dr. dr. Tofan W Utami, 10.6/28.1/15.520/808.000 // kalium dan albumin, cek ulang
206 B Titn 46 4385781 trombositosis (808.000), SpOG(K) SGOT/SGPT: 22/11 // alb: 1.33 // elektrolit setelah 24 jam, cek ur, cr /
hiponatremia ( 112), creatnin 3.63/ ureum 76,7 // na/k/cl: 2 hari
anemia normositk 112/5.7/101// APTT: 55.1/ 35.4 (1.5x)
normokromik (10.6)
pemanjangan APTT
12/8/19 Ur/Cr : 24/1.3, elektrolit

Ca cervix stadium IV A, 129/3.3/95, 11 Agustus: DPL:
dengan 10.6/30.9/11.430/504.000.10/08/19.
anemia,hipoalbumin,hipon DPL: 7.8/21.9/14.120/594.000// raber urologi, koreksi hipokalemia
206C Dewi Kurniasih 36 4384503 atremia,hipokloremia, susp 8/8/19: Na/K/Cl: 108/5.4/80.5 ur/cr: dan hiponatremia
dvt,rtombositopenia,leukos 108/6.6 // 7/8/19 DPL
itosis 10/27.3/24320/36600 Na 108/K
5.4/Cl 80,5
SpOG (K)
Konsul bedah vaskular : heparinisasi

5000 unit bolus dilanjutkan
Ca cervix IVB meta paru, 11 Agustus 2019: DPL: 15000/24 jam, cek aptt per 24 jam
anemia, cancer pain, intake 9.3/26.7/6.370/81.000. //. 9/8/19: target 1.5x, CTA pelvis dan balut
sulit,susp DVT, Dr. dr. Tofan W Utami, 10.2/29.4/8370/124.000 3/8/19 DPL elastk tungkai. --> heparin stop
206 D Sufniyet 48 3208141 trombositopenia,hiponatre SpOG(K) 10/28.4/15550/92000 1/8/19 DPL karena pasien perdarahan. Konsul
mia, riwayat takiakrdia ec 8.4/23.8/14790/57000 Na 128/K kardiologi : pemberian diltazem 20
susp TRALI 3.7/Cl 114 GDS 111/ Ur 23.8/Cr 1.02 mg bolus pelan --> EKG ulang dan
dilanjutkan bisoprolol. Transfusi TC
dan prc
Paracetamol 4 x 1000 mg hasil konsul

neuro : A: tetraparese UMN, ca pain,
Ca cervix stadium IV A, 11/8/19: DPL: hipestesi T6 kebawah, retensio urin
tetrapararese UMN, cancer
206E Diah wahyuni 40 4389926 pain VAS 4, trombositosis Dr. dr. Fitriyadi K, 11.6/35.4/41.690/767.000 DPL dan alvi ec susp SOL kanalis spinalis
ec malignansi, leukositosis SpOG(K) 8.2/26.7/3.45/25.210/729.000 ekstradura susp metastasis -->
albumin 3.76 plAnning: MRI whole spine + kontras,
reaktf dd infeksi raber neuro, morphne 10 mg/24
jam. Rencana MRI whole abdomen
NOP dengan 11/8/19 Albumin : 2.79// 8/8/19 DPL
anemia,hipoalbumin,aki dd rencana MRI Jumat 16 agustus 2019.
10.9/30.9/27.230/236.000 AFP 7.14
acute on ckd,hidronefrosis konsul urologi : rencana sistoskopi
CEA 2.3 Ca125 100 6/8/19 DPL
206F Narmi 36 4392901 bilateral,susp dvt dan dj stent hingga nefrostomi
3.5/10.2/40040/271000 SGOT
hiponatremia,peningkatan bilateral --> sedang konsul
75/SGPT 16/Alb 2.3/Ur 238/Cr
enxzm perioperatf
2.8/GDS 92/ Ca125: 100
transaminase,dispepsia

SpOG (K)
6/819 CEA 23, Ca 125 24 5/8/19 DPL

10.5/33/8080/414000 4/8/19 DPL :
9.4/29/6210/438000, alb 2.5,
Dwi NOP suspek maligna, asites dr. Kartwa Hadi N, rencana MRI selasa 13 Agustus
207 A 24 4337478 elektrolit 132/3.4/99, 3/8/19 DPL :
Widyaningsih masif, intake sulit SpOG(K) 2019, sedang konsul perioperatf
7.7/24/7830/428000, elektrolit :
130/3.5/97, GDS 125, Ur/Cr : 38/1.1,
albumin : 2.26, OT/PT : 12/6
Ca vagina, NOK suspek Hasil konsul IPD: Puasa, NGT di

teratoma matur dengan: alirkan, BNO 3 posisi, nacl caps 3x1.
hidronephrosis bilateral on
Dr. dr. Tofan W Utami, 9/08/19 DPL: 10/28.8/16.710/890.000 Hasil konsul APS: fentanyl 25 mcg,
nefrostomi ( nefrostomi
207B Sumiyat 49 4390166 SGOT/SGPT: 25/4. Ur/Cr: 129.9/ gabapentn 3x100 mg, tramadol
kanan produksi -), ileus SpOG(K) 3.33. GDS 102. Na/K/Cl: 126/4.6/103 3x50 mg, paracetamol 3x1 gr, konsul
paralitk dd obstruksi, Ca ulang bila VAS >5. menunggu hasil
pain perbaikan, Akut on
CKD BNO 3 posisi
Penurunan kesadaran ec 11/08/19 SGOT/SGPT: 4/6// 10/08/19:

suspek metastase otak dd alb: 2.9// Ur/Cr: 109/ 3.00//Na/K/Cl:
metablolik dengan riwayat 135/4.2/108 DPL:
kejang berulang pada Ca Konsul neuro: saran peebrian
8.2/24.7/23.250/586.000. 5/8/19
207C Se Hiong 54 4382008 cervix III B dengan depaken, menunggu hasil EEG,
elektrolit 125/6.1/109, (4/8/19) E:
permasalahan acute on konsul IPD
126/6.3/111 , (3/8/19) DPL :
CKD, hidronefrosis bilateral 10.4/30.6/25280/738000, Ur/Cr :
on nefrostomi,
171/5.07
hiperkalemia, hiponatremia
SpOG (K)
POD 8 post laparatomi aff
abdominal packing pada 8 Agustus: PCT 1.95 / alb: 3.136
POD 9 Post laparotomi agustus: DPL:
eksplorasi adhesiolisis, SOD, 10.2/29.8/7820/261.000// 4/8/19 DPL
trachelectomy :9/27/15480/139000, PCT
apendiktomi, perlekatan Dr. dr. Gatot Purwoto, 26.47,29/7/2019 DPL Drain (+), perawatan post op, GV per
207D Syafriant 49 4337425
dengan cervix dilnajutkan SpOG(K) 11/32,4/9340/80000 PT/APTT 2 hari (GV ulang tanggal 14)
abdominal packing, 0,8x/1,0x Na/K/Cl 134/3,6/97 DPL
hipoalbuminemia (3,2), post op 6,4/18/11130/85000 SGOT 12
trombositopenia ec SGPT 8 Albumi 2.05 Cr 1 Ureum. 38
consumptve coagulopathy elektrolit 140/2.9/108
(82000), fascial break
12/8/19 DPL 11.5/35/5490/402000,

Perdarahan pervaginam ec
alb 3.06, Ur/Cr 80/2.2, elektrolit
Ca cerviks stadium IIIB on 131/4/110, 10 Agustus: DPL:
radiasi dengan 12/35.8/6810/331.000 //. 1/8/19
Farida hidronefrosis bilateral, Ca Dr. dr. Laila Nuranna,
207 E 47 4384745 DPL : 10.1/30/15470/315000, 30/7/19 raber urologi, post sistoskopi
Matondang pain VAS 2-3, anemia (Hb SpOG(K)
DPL:8/23,9/14530/368000, 29/7/2019
8,9), leukositosis reaktf dd DPL 8.9/26.6/26140/481000, Na/K/Cl
infektf, hiponatremia, AKI 132/4,5/108, Albumin 2,9 GDS 74,
dd/Acute on CKD SGOT/SGPT 39/30, Ur/Cr 35/1,7
Ca ovarium on kemoterapi dr. T. Dewi Anggraeni, 11/8/19 DPL 12.7/365/600/165000,

207F Sumini 46 4255025 OT/PT : 63/67, Ur/Cr 18/0.9, GDS 184, Cek DPL dan elektrolit hari ini
post laparotomi debulking SpOG(K) elektrolit 124/4.8/89, laktat 4.7
12/8/19 DPL 10.9/31/17440/467000,

7/8/19: DPL:
POD I Post TVH dan SOB ai Dr. dr. Sigit Purbadi 10.6/32.1/5.970/400.000. PT/APTT:
210A Suwarni 64 4369144 perawatan post operasi
ca endometrium IA SpOG (K) 0.9/1 OT/PT: 13/9 Albumin 4.17
Ur/Cr: 27/1.1. gds 91. Na/K/Cl:
144/3.2/100
12/8/19 DPL 8.2/24/13220/190000,

darah samar tnja negatf, 10 Agustus
DPL: 8.3/25.5/15.580/200.000. //.
NOK dengan bagian padat Dr. dr. Gatot Purwoto, DPL 9/8/19 DPL Perbaikan KU, tranfusi target Hb 10
210 C Risma Bako 57 4384061 suspek maligna, anemia, SpOG(K) 6.3/19.4/15280/173.000 (7/8/19) : g/dl
intake sulit 4.1/12.6/17200/290000, Ur/Cr :
51/1.36, Albumin : 3.07, As Urat 6.6,
SGOT 110/28, E : 126/4.3/100
DPL post op 11.9/36/16360/562000,
PT/APTT : 1.1x/1.2x, OT/PT 15/10,
POD I Post laparotomi Dr. dr. Tofan W Utami, Ur/Cr 16/0.5, elektrolit 132/3.2/103,
ICU Ita 56 4379023 HTSOS-VC, adhesiolisisi ai DPL perawatan post operasi
SpOG(K)
tumor musinosum 11.2/35.5/5960/578.000//70/22.1/31.
5 OT/PT 20/9 Ur/crec 12/0.7 albumin
3.71

Ca endometrium residif, dr. Kartwa Hadi N, 10/30.7/5.180/86.000//DPL9/8/19
107 Nurul Qomar 61 4303930 metastasis paru, anemia, Perbaikan KU, transfusi TC.
SpOG(K) DPL 10.1/30.2/4.990/43.000
hiponatremia (7/8/19) : 8.9/26/6990/72000
NOK dengan bagian padat 9/8/19 DPL 11.1/33/8950/463000, raber dengan kapten IPD, rencana
suspek maligna dengan dr. T. Dewi Anggraeni, PT/APTT 0.9x/1.1x, OT/PT 17/7,
716C Icih 60 4387345 MRI whole abdomen dengan kontras
dispneu ec efusi pleura SpOG(K) ALBUMIN 3.03, Ur/Cr 31.3/0.81, dan pemeriksaan tumor marker
bilateral post wsd bilateral elektrolit 138/4.4/116, GDS 105
dr. T. Dewi Anggraeni, 207F, 716C dr. Kartwa Hadi N, SpOG(K) 204B, 205B, 107, 207 A
SpOG(K)
Dr. dr. Laila Nuranna, 205 B, 205C, 207E Dr. dr. Hariyono W, SpOG (K)
SpOG(K)
Prof. Dr. dr. Andrijono, 204A, 204C, 205E,205F, 206D, 206B,

Dr. dr. Tofan W Utami, SpOG(K)
SpOG(K) 207B, ICU
Dr. dr. Fitriyadi K, SpOG(K) 204A, 206 E Dr. dr. Gatot Purwoto, SpOG(K) 210C,207 D,
Dr. dr. Sigit Purbadi, 210A
SpOG(K)
(K) 206F, 206C,207C
DPL 10/8/2019
Ca ovarium,riwayat anemia Dr. dr. Fitriyadi K, 11.5/33.2/9840/130000 DPL 9/8/19
204A Ismiyat 37 4327917 dan trombositopenia SpOG(K) DPL 9.1/25.7/2830/93.000 (7/8/19) :
10.3/29.7/3680/20000
Post laparotomi suboptmal

debulking ai Ca ovarium
Dr. dr. Laila Nuranna, DPL post Op (8/8/19) :
clinically stadium IVB,
205B Tarumi 51 4368047 12.6/38.5/9870/359000, Albumin
dilanjutkan colonostomy SpOG(K) 2.85, Ur/Cr : 38/0.7, SGOT/PT : 13/8
colon descendent ai
infiltrasi tumor ke colon
DPL
Dr. dr. Tofan W Utami, 11.2/35.5/5960/578.000//70/22.1/31.
205D Ita 56 4379023 NOK suspek maligna SpOG(K) 5 OT/PT 20/9 Ur/crec 12/0.7 albumin
3.71
dengan NOP suspek
maligna, dengan AKI dd DPL 10/08/19:
acute on CKD, 10.6/28.1/15.520/808.000 //
hipoalbuminemia (1.31), Dr. dr. Tofan W Utami, SGOT/SGPT: 22/11 // alb: 1.33 //
206 B Titn 46 4385781 trombositosis (808.000), SpOG(K) creatnin 3.63/ ureum 76,7 // na/k/cl:
hiponatremia ( 112), 112/5.7/101// APTT: 55.1/ 35.4 (1.5x)
anemia normositk
normokromik (10.6)
pemanjangan APTT
11 Agustus: DPL:
Ca cervix stadium IV A, 10.6/30.9/11.430/504.000.10/08/19.
dengan DPL: 7.8/21.9/14.120/594.000//
anemia,hipoalbumin,hipon
206C Dewi Kurniasih 36 4384503 8/8/19: Na/K/Cl: 108/5.4/80.5 ur/cr:
atremia,hipokloremia, susp 108/6.6 // 7/8/19 DPL
dvt,rtombositopenia,leukos 10/27.3/24320/36600 Na 108/K
itosis dr. Andi Darma Putra, 5.4/Cl 80,5
SpOG (K)
Ca cervix IVB meta paru, 11 Agustus 2019: DPL:

anemia, cancer pain, intake 9.3/26.7/6.370/81.000. //. 9/8/19:
sulit,susp DVT, Dr. dr. Tofan W Utami, 10.2/29.4/8370/124.000 3/8/19 DPL
206 D Sufniyet 48 3208141 trombositopenia,hiponatre SpOG(K) 10/28.4/15550/92000 1/8/19 DPL
mia, riwayat takiakrdia ec 8.4/23.8/14790/57000 Na 128/K
susp TRALI 3.7/Cl 114 GDS 111/ Ur 23.8/Cr 1.02
Ca cervix stadium IV A, 11/8/19: DPL:

tetrapararese UMN, cancer Dr. dr. Fitriyadi K, 11.6/35.4/41.690/767.000 DPL
206E Diah wahyuni 40 4389926 pain VAS 4, trombositosis SpOG(K) 8.2/26.7/3.45/25.210/729.000
ec malignansi, leukositosis albumin 3.76
reaktf dd infeksi
NOP dengan 11/8/19 Albumin : 2.79// 8/8/19 DPL

anemia,hipoalbumin,aki dd 10.9/30.9/27.230/236.000 AFP 7.14
acute on ckd,hidronefrosis CEA 2.3 Ca125 100 6/8/19 DPL
206F Narmi 36 4392901 bilateral,susp dvt 3.5/10.2/40040/271000 SGOT
hiponatremia,peningkatan 75/SGPT 16/Alb 2.3/Ur 238/Cr
enxzm 2.8/GDS 92/ Ca125: 100
SpOG (K)
6/819 CEA 23, Ca 125 24 5/8/19 DPL

10.5/33/8080/414000 4/8/19 DPL :
9.4/29/6210/438000, alb 2.5,
Dwi NOP suspek maligna, asites dr. Kartwa Hadi N,
207 A 24 4337478 elektrolit 132/3.4/99, 3/8/19 DPL :
Widyaningsih masif, intake sulit SpOG(K)
7.7/24/7830/428000, elektrolit :
130/3.5/97, GDS 125, Ur/Cr : 38/1.1,
albumin : 2.26, OT/PT : 12/6
Ca vagina, NOK suspek
teratoma matur dengan:
hidronephrosis bilateral on
Dr. dr. Tofan W Utami, 9/08/19 DPL: 10/28.8/16.710/890.000
nefrostomi ( nefrostomi
207B Sumiyat 49 4390166 SGOT/SGPT: 25/4. Ur/Cr: 129.9/
kanan produksi -), ileus SpOG(K) 3.33. GDS 102. Na/K/Cl: 126/4.6/103
paralitk dd obstruksi, Ca
pain perbaikan, Akut on
CKD
Penurunan kesadaran ec 1/08/19 SGOT/SGPT: 4/6// 10/08/19:

suspek metastase otak dd alb: 2.9// Ur/Cr: 109/ 3.00//Na/K/Cl:
metablolik dengan riwayat 135/4.2/108 DPL:
kejang berulang pada Ca
8.2/24.7/23.250/586.000. 5/8/19
207C Se Hiong 54 4382008 cervix III B dengan elektrolit 125/6.1/109, (4/8/19) E:
permasalahan acute on 126/6.3/111 , (3/8/19) DPL :
CKD, hidronefrosis bilateral 10.4/30.6/25280/738000, Ur/Cr :
on nefrostomi,
171/5.07
hiperkalemia, hiponatremia
SpOG (K)

abdominal packing pada 8 Agustus: PCT 1.95 / alb: 3.136
POD 9 Post laparotomi agustus: DPL:
eksplorasi adhesiolisis, SOD, 10.2/29.8/7820/261.000// 4/8/19 DPL
trachelectomy :9/27/15480/139000, PCT
apendiktomi, perlekatan Dr. dr. Gatot Purwoto, 26.47,29/7/2019 DPL
207D Syafriant 49 4337425 dengan cervix dilnajutkan SpOG(K) 11/32,4/9340/80000 PT/APTT
abdominal packing, 0,8x/1,0x Na/K/Cl 134/3,6/97 DPL
hipoalbuminemia (3,2), post op 6,4/18/11130/85000 SGOT 12
trombositopenia ec SGPT 8 Albumi 2.05 Cr 1 Ureum. 38
consumptve coagulopathy elektrolit 140/2.9/108
Perdarahan pervaginam ec 10 Agustus: DPL:

Ca cerviks stadium IIIB on 12/35.8/6810/331.000 //. 1/8/19
radiasi dengan DPL : 10.1/30/15470/315000,
Farida hidronefrosis bilateral, Ca Dr. dr. Laila Nuranna, 30/7/19 DPL:8/23,9/14530/368000,
207 E 47 4384745
Matondang pain VAS 2-3, anemia (Hb SpOG(K) 29/7/2019 DPL
8,9), leukositosis reaktf dd 8.9/26.6/26140/481000, Na/K/Cl
infektf, hiponatremia, AKI 132/4,5/108, Albumin 2,9 GDS 74,
dd/Acute on CKD SGOT/SGPT 39/30, Ur/Cr 35/1,7
7/8/19: DPL:
10.6/32.1/5.970/400.000. PT/APTT:
Dr. dr. Sigit Purbadi
210A Suwarni 4369144 Ca endometrium 0.9/1 OT/PT: 13/9 Albumin 4.17
SpOG (K) Ur/Cr: 27/1.1. gds 91. Na/K/Cl:
144/3.2/100
10 Agustus DPL:
8.3/25.5/15.580/200.000. //. DPL
NOK dengan bagian padat Dr. dr. Gatot Purwoto, 9/8/19 DPL 6.3/19.4/15280/173.000
210 C Risma Bako 57 4384061 suspek maligna, anemia, (7/8/19) : 4.1/12.6/17200/290000,
SpOG(K)
intake sulit Ur/Cr : 51/1.36, Albumin : 3.07, As
Urat 6.6, SGOT 110/28, E :
126/4.3/100
Ca cervix III B, anemia, DPL 9/8/19
hidronefrosis bilateral, AKI Dr. dr. Fitriyadi K, 3.2/9.4/24410/620000//80.3/27.4/34
213D Lasiyem 50 4392995 dd acute on CKD, PT 0,8x/APTT 0,8x SGOT 11/SGPT 7
leukositosis, hiponatremia, SpOG(K) Ur 184/Cr 6.9 GDS 105/ Na 128/K
intake sulit 3.6/Cl100

Ca endometrium residif, dr. Kartwa Hadi N, 10/30.7/5.180/86.000//DPL9/8/19
107 Nurul Qomar 61 4303930 metastasis paru, anemia, SpOG(K) DPL 10.1/30.2/4.990/43.000
hiponatremia (7/8/19) : 8.9/26/6990/72000
5/8/19 Ur/Cr : 73/0.4 2/8/19 elektrolit

: 132/3.8/104, alb : 2.89, 1/8/19 DPL :
12.3/34/8110/148000, PT/APTT :
1.1x/1.3x, GDS 211, albumin 2.55,
POD 10 post laparotomi elektrolit : 130/3.3/103, 31/7/19
histerektomi total dan albumin 1.90 0t/pt 23/11 DPL
salpingoophorektomi kanan 13.8/39.7/5.550/159.00029/7/19 DPL
ai infiltrasi massa 8.7/24.5/12430/204000 28/7/19
adenokarsioma pada uterus
Dr. dr. Gatot Purwoto, DPL 6.6/18.8/15030/278000 24/7/19
dan abses uterus,
401 i Lince Ria Lubis 58 4386289 DPL 10.5/31.1/17780/240000
adhesiolisis, reseksi ussu SpOG(K) Albumin 2.1 22/7/19 DPL :
sigmoid dan ahrtmann 8.3/23.7/21670/207000, alb 1.87,
procedure ai elektrolit 128/3.7/100 21/7/2019 ca
adenokarsinoma kolon, 125 107 Ca 19-9 2.6 CEA 1.2 AFP 1.3
post pemasangan LDH 208 20/7/19 DPL
nefrostomi 6.4/18.5/36430/244000 Na/K/Cl
135/3,5/117 PCT 1,86 laktat 1,7
PT/APTT 1.1x/1.0x SGOT/SGPT 32/7
Albumin 2,5 Ur/Cr 74/1,3
dr. T. Dewi Anggraeni, dr. Kartwa Hadi N, SpOG(K)

SpOG(K)
Dr. dr. Laila Nuranna, 205 B,207E Dr. dr. Hariyono W, SpOG (K)
SpOG(K)
Prof. Dr. dr. Andrijono, Dr. dr. Tofan W Utami, SpOG(K)

SpOG(K)
Dr. dr. Fitriyadi K, SpOG(K) 204A, 206 E, 213 D Dr. dr. Gatot Purwoto, SpOG(K)
Dr. dr. Sigit Purbadi,
SpOG(K)
(K) 206F, 206C,207C
Target
kemoterapi
Perawatan post operasi.
rencana Laparotomi VC-surgical

staging hari senin 12/8/2019
koreksi kalium dan albumin, cek ur, cr

/ 2 hari, USG abdomen di jam dan
hari kerja, konsul ginjal hipertensi di
jam dan hari kerja. USG ginjal buli
dan ro thorax menunggu hasil
cek ur/cr/ elektrolit pagi ini

15000/24 jam, cek aptt per 24 jam
target 1.5x, CTA pelvis dan balut
elastk tungkai. --> heparin stop
karena pasien perdarahan
Paracetamol 4 x 1000 mg hasil konsul

neuro : A: tetraparese UMN, ca pain,
hipestesi T6 kebawah, retensio urin
dan alvi ec susp SOL kanalis spinalis
ekstradura susp metastasis -->
palnning: MRI whole spine + kontras,
raber neuro, morphne 10 mg/24 jam
rencana MRI Jumat 16 agustus 2019
rencana MRI selasa 13 Agustus 2019

Hasil konsul IPD: Puasa, NGT di
alirkan, BNO 3 posisi, nacl caps 3x1.
Hasil konsul APS: fentanyl 25 mcg,
gabapentn 3x100 mg, tramadol
3x50 mg, paracetamol 3x1 gr, konsul
ulang bila VAS >5. pasien belum
bisa dilakukan BNO 3 posisi karena
pasien belum bs miring kanan kiri
. Konsul neuro: saran peebrian

depaken ,
Drain (+), perawatan post op, GV 2

kali per hari
Urologi rencana sistoskopi, RPG

bilateral,insersi DJ stent bilateral
Senin.
rencana TVH senin
Perbaikan KU, tranfusi target Hb 10

g/dl
rencana perbaikan KU. Transfusi PRC
target Hb>10, koreksi elektrolit. Hari
ini konsul uro dan ginjal hipertensi
Perbaikan KU, transfusi TC.
Raber pasca HT, kapten bedah

digestf
107, 207 A
207 B, 206D, 206B, 205D
401 I,210c,207 D,
DPL (5/8/19) :
Dr. dr. Laila Nuranna, 11.4/34.7/15150/398000, Ur/Cr :
204F Yuni triyant 38 4387834 PTM high risk SpOG(K) 41.3/0.7, Albumin : 3.92, SGOT/PT :
35/23
Post laparotomi SOD, VC DPL post OP (8/8/19) :

dilanjutkan HTSOS ai tumor dr. Andi Darma Putra, 12.6/36.8/18680/314000, Albumin :
205A Uneng 59 4373829 ovarium musinosum SpOG(K) 3.37, Ur/Cr: 29/0.6, PT / APTT :
borderline 0.9x/0.89x

debulking ai Ca ovarium DPL post Op (8/8/19) :
clinically stadium IVB, Dr. dr. Laila Nuranna, 12.6/38.5/9870/359000, Albumin
205B Tarumi 51 4368047 dilanjutkan colonostomy SpOG(K) 2.85, Ur/Cr : 38/0.7, SGOT/PT : 13/8
colon descendent ai
DPL
Dr. dr. Tofan W Utami, 11.2/35.5/5960/578.000//70/22.1/31.
205D Ita 56 4379023 NOK suspek maligna SpOG(K) 5 OT/PT 20/9 Ur/crec 12/0.7 albumin
3.71
dr. Kartwa Hadi N,
206 B Farida 53 4260294 Ca ovarium, anemia DPL 8.5/23.1/6740/280.000
SpOG(K)
Ca cervix stadium IV A,
dengan
anemia,hipoalbumin,hipon dr. Andi Darma Putra, 7/8/19 DPL 10/27.3/24320/36600 Na
206C Dewi Kurniasih 36 4384503
atremia,hipokloremia, susp SpOG(K) 108/K 5.4/Cl 80,5
dvt,rtombositopenia,leukos
itosis
Ca cervix IVB meta paru,

anemia, cancer pain, intake 3/8/19 DPL 10/28.4/15550/92000
sulit,susp DVT, Dr. dr. Tofan W Utami, 1/8/19 DPL 8.4/23.8/14790/57000
206 D Sufniyet 48 3208141
trombositopenia,hiponatre SpOG(K) Na 128/K 3.7/Cl 114 GDS 111/ Ur
mia, riwayat takiakrdia ec 23.8/Cr 1.02
susp TRALI
Ca cervix stadium IV A, Dr. dr. Fitriyadi K, DPL 8.2/26.7/3.45/25.210/729.000

206E Diah wahyuni 40 4389926 cancer pain VAS
SpOG(K) albumin 3.76
4,Paraparesis

anemia,hipoalbumin,aki dd 10.9/30.9/27.230/236.000 AFP 7.14
acute on ckd,hidronefrosis dr. Andi Darma Putra, CEA 2.3 Ca125 100 6/8/19 DPL
206F Narmi 36 4392901 bilateral,susp dvt
hiponatremia,peningkatan SpOG(K) 3.5/10.2/40040/271000 SGOT
75/SGPT 16/Alb 2.3/Ur 238/Cr
enxzm 2.8/GDS 92/ Ca125: 100
6/819 CEA 23, Ca 125 24 5/8/19 DPL

10.5/33/8080/414000 4/8/19 DPL :
9.4/29/6210/438000, alb 2.5,
207 A 24 4337478 elektrolit 132/3.4/99, 3/8/19 DPL :
Widyaningsih masif, intake sulit SpOG(K)
7.7/24/7830/428000, elektrolit :
130/3.5/97, GDS 125, Ur/Cr : 38/1.1,
albumin : 2.26, OT/PT : 12/6
Ca cervix III B dengan

permasalahan acute on
CKD, hidronefrosis bilateral 5/8/19 elektrolit 125/6.1/109,
on nefrostomi, dr. Andi Darma, (4/8/19) E: 126/6.3/111 , (3/8/19) DPL
207C Se Hiong 54 4382008 hiperkalemia, SpOG(K) : 10.4/30.6/25280/738000, Ur/Cr :
hiponatremia, observasi 171/5.07
vomitus, riwayat kejang
berulang
abdominal packing pada
POD 9 Post laparotomi 4/8/19 DPL :9/27/15480/139000, PCT
eksplorasi adhesiolisis, SOD, 26.47,29/7/2019 DPL
trachelectomy 11/32,4/9340/80000 PT/APTT
apendiktomi, perlekatan Dr. dr. Gatot Purwoto,
207D Syafriant 49 4337425 0,8x/1,0x Na/K/Cl 134/3,6/97 DPL
dengan cervix dilnajutkan SpOG(K) post op 6,4/18/11130/85000 SGOT 12
abdominal packing, SGPT 8 Albumi 2.05 Cr 1 Ureum. 38
hipoalbuminemia (3,2), elektrolit 140/2.9/108
trombositopenia ec
consumptve coagulopathy
Perdarahan pervaginam ec
Ca cerviks stadium IIIB on 1/8/19 DPL : 10.1/30/15470/315000,
radiasi dengan 30/7/19 DPL:8/23,9/14530/368000,
Farida hidronefrosis bilateral, Ca Dr. dr. Laila Nuranna, 29/7/2019 DPL
207 E 47 4384745
Matondang pain VAS 2-3, anemia (Hb SpOG(K) 8.9/26.6/26140/481000, Na/K/Cl
8,9), leukositosis reaktf dd 132/4,5/108, Albumin 2,9 GDS 74,
infektf, hiponatremia, AKI SGOT/SGPT 39/30, Ur/Cr 35/1,7
dd/Acute on CKD
Suspek ca cervix stadium IV

B, suspek metastasis hepar, DPL 9/8/19 9.3/28.2/9740/408.000
anemia, hiperkalemia, Dr. dr. Tofan W Utami, DPL (8/8/19) : 8.3/25.2/9670/515000.
207 F Onih 52 4392940 hiponatremia, acute on SpOG(K) Ur/Cr 49/1.34, Na/K/Cl: 131/5.7/112
CKD, peningkatan encim
transaminase
7/8/19: DPL:
Dr. dr. Sigit Purbadi 10.6/32.1/5.970/400.000. PT/APTT:
210A Suwarni 4369144 Ca endometrium 0.9/1 OT/PT: 13/9 Albumin 4.17
SpOG (K) Ur/Cr: 27/1.1. gds 91. Na/K/Cl:
144/3.2/100
DPL 9/8/19 DPL
NOK dengan bagian padat Dr. dr. Gatot Purwoto, 6.3/19.4/15280/173.000 (7/8/19) :
210 C Risma Bako 57 4384061 suspek maligna, anemia, 4.1/12.6/17200/290000, Ur/Cr :
SpOG(K)
intake sulit 51/1.36, Albumin : 3.07, As Urat 6.6,
SGOT 110/28, E : 126/4.3/100
DPL 10/8/2019
Ca ovarium,riwayat anemia Dr. dr. Fitriyadi K, 11.5/33.2/9840/130000 DPL 9/8/19
211B Ismiyat 37 4327917
dan trombositopenia SpOG(K) DPL 9.1/25.7/2830/93.000 (7/8/19) :
10.3/29.7/3680/20000
Ca cervix III B, anemia, DPL 9/8/19

hidronefrosis bilateral, AKI Dr. dr. Fitriyadi K, 3.2/9.4/24410/620000//80.3/27.4/34
213D Lasiyem 50 4392995 dd acute on CKD, PT 0,8x/APTT 0,8x SGOT 11/SGPT 7
leukositosis, hiponatremia, SpOG(K) Ur 184/Cr 6.9 GDS 105/ Na 128/K
intake sulit 3.6/Cl100
Ca endometrium residif, DPL9/8/19 DPL

Dr. dr. Fitriyadi K,
107 Nurul Qomar 61 4303930 metastasis paru, anemia, 10.1/30.2/4.990/43.000 (7/8/19) :
SpOG(K)
hiponatremia 8.9/26/6990/72000
5/8/19 Ur/Cr : 73/0.4 2/8/19 elektrolit
: 132/3.8/104, alb : 2.89, 1/8/19 DPL :
12.3/34/8110/148000, PT/APTT :
1.1x/1.3x, GDS 211, albumin 2.55,
POD 10 post laparotomi elektrolit : 130/3.3/103, 31/7/19
histerektomi total dan albumin 1.90 0t/pt 23/11 DPL
salpingoophorektomi kanan 13.8/39.7/5.550/159.00029/7/19 DPL
ai infiltrasi massa 8.7/24.5/12430/204000 28/7/19
adenokarsioma pada uterus
Dr. dr. Gatot Purwoto, DPL 6.6/18.8/15030/278000 24/7/19
dan abses uterus,
401 i Lince Ria Lubis 58 4386289 DPL 10.5/31.1/17780/240000
adhesiolisis, reseksi ussu SpOG(K) Albumin 2.1 22/7/19 DPL :
sigmoid dan ahrtmann 8.3/23.7/21670/207000, alb 1.87,
procedure ai elektrolit 128/3.7/100 21/7/2019 ca
adenokarsinoma kolon, 125 107 Ca 19-9 2.6 CEA 1.2 AFP 1.3
post pemasangan LDH 208 20/7/19 DPL
nefrostomi 6.4/18.5/36430/244000 Na/K/Cl
135/3,5/117 PCT 1,86 laktat 1,7
ca cervix stadium IIIB post 4/8/19 DPL : 7.8/24/14240/170000,

radiasi luar 25x, terakir mei PT/APTT : 1,1x/2.3x, Fibrinogen 468,
2019 dengan D-dimer 35200, 3/8/19 darah samar
masalah:Heptomegali Dr. dr. Gatot Purwoto,
708 D Sit Sopiah 54 4364940 tnja (+), alb 2.56, 1/7/19
dengan kista hepar, anemia, SpOG(K) 11/33/18590/232.000 albumin 2.21
olterik, AKI dd/ acute on elektrolit 133/4.4/102 30/7/19 retc
CKD, leukositosis reaktf, 168.700
hipoalbumin
dr. T. Dewi Anggraeni, 204B, 206C, 206F, dr. Kartwa Hadi N, SpOG(K)
SpOG(K) 210C
Dr. dr. Laila Nuranna, ICU,207D,207E Dr. dr. Hariyono W, SpOG (K)
SpOG(K)
Prof. Dr. dr. Andrijono, 214D Dr. dr. Tofan W Utami, SpOG(K)
SpOG(K)
206A,206E,207D,211 Dr. dr. Gatot Purwoto, SpOG(K)

Dr. dr. Fitriyadi K, SpOG(K) B,210D
Dr. dr. Sigit Purbadi, ICU
SpOG(K)
dr. Andi Darma Putra, SpOG 204A,,205D,207B,207
(K) C, ICU
Target
Kemoterapi, rencana pulang
Perawatan luka operasi, sudah diaff

NGT dan kateter urin, rencana
pulang.
Perawatan post operasi.
rencana Laparotomi VC-surgical

staging hari senin 12/8/2019
transfusi target hb >10
Rencana koreksi elektrolit

15000/24 jam, cek aptt per 24 jam
target 1.5x, CTA pelvis dan balut
elastk tungkai
transfusi PRC target hb > 10,

Paracetamol 4 x 1000 mg,sudah
konsul neuro.
koreksi elektrolit, rencana MRI
rencana pungsi asites, target Hb

sudah tercapai, rencana MRI
. Konsul neuro: saran peebrian

depaken
Drain (+), perawatan post op, GV 2
kali per hari
Urologi rencana sistoskopi, RPG

bilateral,insersi DJ stent bilateral
Senin.
transfusi PRC target hb > 10, cek

elektrolit ulang pasca koreksi, aff
tampon 1 x 24 jam, biopsi serviks
rencana TVH senin
Perbaikan KU, tranfusi target Hb 10

g/dl
trombositopenia dan anemia sudah

terkoreksi, rencana lanjut kemoterapi
rencana perbaikan KU. Transfusi PRC

target Hb>10, koreksi elektrolit.
Perbaikan KU, transfusi TC.

Raber pasca HT, kapten bedah
digestf
raber dengan TS IPD
204D,204F,205E,207A
206E
205E, 206D, 419D
205D,401i 708D
dr. Kartwa
204 E Susi Listyawat 35 4382577 PTM high risk Hadi N,
SpOG(K)
Dr. dr. Laila

204F Yuni triyant 38 4387834 PTM high risk Nuranna,
SpOG(K)
Post laparotomi SOD, VC dr. Andi

205A Uneng 59 4373829 dilanjutkan HTSOS ai tumor Darma Putra,
ovarium musinosum borderline SpOG(K)
POD I post laparotomi surgical

staging (HTSOB, bilateral pelvic dr. Andi
205C Aisyah Widari 66 4361064 limfadenektomi, paraaorta Darma Putra,
limfadenektomi dan omentektomi) SpOG(K)
ai Ca endometrium IB high risk
Dr. dr. Tofan

205D Ita 56 4379023 NOK suspek maligna W Utami,
SpOG(K)
POD 17 post relaparatomi

eksplorasi dan hemostasis ai syok
hipovolemik ec internal bleeding
pada POD 15 post laparatomi
optmal debulking ai tumor ganas dr. Kartwa
mesenkimal (fibrosarkoma)
205E Umi kulsum 46 4383754 Hadi N,
clinically advanced stage dengan
masalah anemia, hipoalbuminemia, SpOG(K)
leukositosis ec susp infektf, overt
DIC, AKI ec syok hipovolemik post
HD, acute liver injury, suspek
bladder injury
POD 5 post laparotomi adhesiolisis,
SOD-VC dilanjutkan HTSOS,
apendektomi ai tumor musinosum Dr. dr.
205F susi natalia 51 4275645 borderline ovarium kanan, akut on Fitriyadi K,
SpOG(K)
CKD, anemia, hipoalbuminemia,
hiponatremia
Dr. dr.
206 A Purwant 60 4381391 Ca Ovarium (GCT) residif, ascites Fitriyadi K,
SpOG(K)
dr. Kartwa
206 B Farida 53 4260294 Ca ovarium, anemia Hadi N,
SpOG(K)
Ca cervix stadium IV A, dengan dr. Andi

anemia,hipoalbumin,hiponatremia, Darma Putra,
206C Dewi Kurniasih 36 4384503 hipokloremia, susp
dvt,rtombositopenia,leukositosis SpOG(K)
Ca cervix IVB meta paru, anemia, Dr. dr. Tofan

cancer pain, intake sulit,susp DVT,
206 D Sufniyet 48 3208141 W Utami,
trombositopenia,hiponatremia, SpOG(K)
riwayat takiakrdia ec susp TRALI
Ca cervix stadium IV A, cancer pain Dr. dr.

206E Diah wahyuni 40 4389926 Fitriyadi K,
VAS 4
SpOG(K)
NOP dengan
anemia,hipoalbumin,aki dd acute dr. Andi
206F Narmi 36 4392901 on ckd,hidronefrosis bilateral,susp Darma Putra,
dvt hiponatremia,peningkatan SpOG(K)
enxzm transaminase,dispepsia
NOP suspek maligna, asites masif, dr. Kartwa

207 A Dwi Widyaningsih 24 4337478 Hadi N,
Dr.dr. gatot
207B Tinah 48 4360616 NOK susp maligna, anemia (8.5)
P,SpOG(K)
permasalahan acute on CKD, dr. Andi
207C Se Hiong 54 4382008 hidronefrosis bilateral on Darma,
nefrostomi, hiperkalemia, SpOG(K)
hiponatremia, observasi vomitus

abdominal packing pada POD 9
Post laparotomi eksplorasi
adhesiolisis, SOD, trachelectomy Dr. dr. Gatot
207D Syafriant 49 4337425 apendiktomi, perlekatan dengan Purwoto,
cervix dilnajutkan abdominal SpOG(K)
packing, hipoalbuminemia (3,2),
trombositopenia ec consumptve
coagulopathy (82000), fascial break
Perdarahan pervaginam ec Ca
cerviks stadium IIIB on radiasi
dengan hidronefrosis bilateral, Ca Dr. dr. Laila
207 E Farida Matondang 47 4384745 Nuranna,
pain VAS 2-3, anemia (Hb 8,9), SpOG(K)
leukositosis reaktf dd infektf,
hiponatremia, AKI dd/Acute on CKD
Suspek ca cervix stadium IV B,

suspek metastasis hepar, anemia, Dr. dr. Tofan
207 F Onih 52 4392940 hiperkalemia, hiponatremia, acute W Utami,
on CKD, peningkatan encim SpOG(K)
transaminase
Dr. dr. Sigit

210A Suwarni 4369144 Ca endometrium Purbadi SpOG
(K)
Dr. dr. Gatot

NOK dengan bagian padat suspek
210 C Risma Bako 57 4384061 Purwoto,
maligna, anemia, intake sulit SpOG(K)
Dr. dr.
210D Nurul Qomar 61 4303930 Ca endometrium residif, metastasis Fitriyadi K,
paru, anemia, hiponatremia SpOG(K)
Dr. dr.
Ca ovarium, trombosiopenia
211B Ismiyat 37 4327917 Fitriyadi K,
(20.000) SpOG(K)
PTG low rsik on kemoterapi, febrile Dr. dr. Tofan

214D Christn wylandari 26 4379813 W Utami,
neutropenia SpOG(K)
POD 10 post laparotomi

histerektomi total dan
salpingoophorektomi kanan ai
infiltrasi massa adenokarsioma Dr. dr. Gatot
401 i Lince Ria Lubis 58 4386289 pada uterus dan abses uterus, Purwoto,
adhesiolisis, reseksi ussu sigmoid SpOG(K)
dan ahrtmann procedure ai
adenokarsinoma kolon, post
pemasangan nefrostomi
ca cervix stadium IIIB post radiasi
luar 25x, terakir mei 2019 dengan Dr. dr. Gatot
masalah:Heptomegali dengan kista Purwoto,
708 D Sit Sopiah 54 4364940 hepar, anemia, olterik, AKI dd/
acute on CKD, leukositosis reaktf, SpOG(K)
hipoalbumin

debulking ai Ca ovarium clinically Dr. dr. Laila
HCU Tarumi 51 4368047 stadium IVB, dilanjutkan Nuranna,
colonostomy colon descendent ai SpOG(K)
204B, 206C,
dr. T. Dewi Anggraeni, SpOG(K) 206F, 210C
ICU,207D,207
Dr. dr. Laila Nuranna, SpOG(K) E
Prof. Dr. dr. Andrijono, SpOG(K) 214D
206A,206E,20
Dr. dr. Fitriyadi K, SpOG(K) 7D,211B,210
D
Dr. dr. Sigit Purbadi, SpOG(K) ICU
204A,,205D,2
07B,207C,
dr. Andi Darma Putra, SpOG (K) ICU
Laboratorium Target
DPL 11.8/36.5/4.99/4.550/207.000 Kemoterapi
DPL (5/8/19) : 11.4/34.7/15150/398000, Ur/Cr : 41.3/0.7, Albumin : Kemoterapi

3.92, SGOT/PT : 35/23
DPL post OP (8/8/19) : 12.6/36.8/18680/314000, Albumin : 3.37, Perawatan luka operasi

Ur/Cr: 29/0.6, PT / APTT : 0.9x/0.89x
5/8/19 DPL post op 11.8/34/11110/274000, 1/8/19 DPL

12,8/38.8/8370/362000 PT 0,8x/APTT 1,08x SGOT 19/SGPT 22/ Perawatan post operasi
alb 4.06/ Ur 32/Cr 0,8/GDS 210 Na 136/K 3.7/Cl 101
DPL 11.2/35.5/5960/578.000//70/22.1/31.5 OT/PT 20/9 Ur/crec rencana operasi senin

12/0.7 albumin 3.71
8/8/19 ur/crec 65/2.3 7/8/19 DPL 10.9/33.3/12.050/261.000

5/8/19 DPL : 8.7/26/9450/295000, alb 2.96, Ur/Cr : 96/3.6,
elektrolit : 140/3.0/ 105, 2/8/19 elektrolit 141/3/108, 29/7/19 DPL
9,2/27,9/20650/283000 Ur/Cr 97/3,8 Na/K/Cl 132/4,7/95
27/7/2019 Ur/Cr 66/3,2 Albumin 2,7 Na/K/Cl 132/4,4/97
25/7/2019 Creatnin 5, SGOT 103, SGPT 60 24/7/19 SGOT/SGPT
103/60, Na/K/Cl 134/4,3/98 Lactat 2,1 23/7/19 DPL :
9.5/27.6/12640/86000, Alb 2.51, Ur/Cr : 80/3.4, elektrolit konsul GH : evaluasi urine
135/4.3/99 21/7/2019 DPL 11.1/32/8220/44000 albumin 2.4, PT 13 out put dan balans cairan
(11.3) aPTT 49 (32) elektrolit 141/5.2/109 20/7/19 DPL per 24 jam, rencana rawat
11.8/34.6/11580/41000 PT/APT 1.8x/2.4x SGOT/SGPT 4365/644 jalan
Na/K/Cl 141/5,3/109 Ur/Cr 93/3.5 18/7/19 23.30 Hb 4,7
18/7/19 post op DPL 8,5/26,5/11270/380000 PT/APTT
1,1/1,2x ALbumin 2,0 SGOT/SGPT 17/16 Ur/Cr 37/0,8 Na/K/Cl
137/4,0/105 17/7/19 jam 06.03 DPL: 8,8/27,9/8510/579000,
16/7/19 CEA 1.6, CA 19-9 <2, 15/7/19: DPL
7,3/24.3/7850/549000//72,3.21.7/30 Albumin 3,5/Na 137/K
4,4/Cl 101/ GDS 61/SGOT 36/SGPT 7/ Ur 40/Cr 1,0
9/8/19 DPL 10/30.4/15.400/491.000 5/8/19 DPL :
6.9/20/10950/396000, Ur/Cr : 101/2.2, 2/8/19 elektrolit :
129/4.1/100, 1/8/19 DPL : 8.7/26/30510/282000, OT/PT :11/10, Rencana transfusi prc target
Ur/Cr: 90/2.3, albumin: 1.61, elektrolit : 130/3.7/101, 31/7/19 hb >10, koreksi albumin
9.3/27.6/40.540/478.000 albumin 2.89 elektrolit 133/4.1/97.8 Perawatan post operasi, diet
29/7/29 DPL 11.2/33.6/52620/626000 Na/K/Cl 128/3,7/99 cair. Raber IPD GH: cek ur/cr
Albumin 2,54 24/7/19 Albumin 2,8 Ur/Cr 180/3,5 Na/K/Cl per 2 hari, cek urine
118/4,9/83,7 CEA 23,2 Ca 125: 3169,8 Ca 199: 7323,4 23/7/19 output/hari, rencana rawat
Ur/Cr 191/4.4, 22/7/19 DPL : 8.9/26/51580/636000, elektrolit jalan
122/5.7/86 15/7/19 DPL 10,7/32.6/36560/695000 SGOT
40/SGPT18/ALB 3,2/ur 102/cr 4,1/N 136/K 5.4/Cl 96.3
DPL (17/7/19): 9.5/29.9/8410/533000, Ur/cr (1/8/19) : 49/1.0, Pungsi Ascites

albumin 2.8
DPL 8.5/23.1/6740/280.000 transfusi target hb >10
7/8/19 DPL 10/27.3/24320/36600 Na 108/K 5.4/Cl 80,5 Rencana koreksi elektrolit
Konsul bedah vaskular :

heparinisasi 5000 unit bolus
3/8/19 DPL 10/28.4/15550/92000 1/8/19 DPL dilanjutkan 15000/24 jam,
8.4/23.8/14790/57000 Na 128/K 3.7/Cl 114 GDS 111/ Ur 23.8/Cr cek aptt per 24 jam target
1.02 1.5x, CTA pelvis dan balut
elastk tungkai

DPL 8.2/26.7/3.45/25.210/729.000 albumin 3.76 Paracetamol 4 x 1000 mg
8/8/19 DPL 10.9/30.9/27.230/236.000 AFP 7.14 CEA 2.3 Ca125 100 rencana transfusi target
6/8/19 DPL 3.5/10.2/40040/271000 SGOT 75/SGPT 16/Alb 2.3/Ur Hb>10, koreksi elektrolit,
238/Cr 2.8/GDS 92/ Ca125: 100 rencana MRI
6/819 CEA 23, Ca 125 24 5/8/19 DPL 10.5/33/8080/414000 4/8/19

DPL : 9.4/29/6210/438000, alb 2.5, elektrolit 132/3.4/99, 3/8/19 rencana pungsi asites, target
DPL : 7.7/24/7830/428000, elektrolit : 130/3.5/97, GDS 125, Ur/Cr : Hb sudah tercapai, rencana
MRI
38/1.1, albumin : 2.26, OT/PT : 12/6
9/8/19 DPL 11.1/35.1/5700/325.00030/7/19 DPL rencana rawat jalan

8.5/27.6/5690/307000
5/8/19 elektrolit 125/6.1/109, (4/8/19) E: 126/6.3/111 , (3/8/19) konsul IPD gastro

DPL : 10.4/30.6/25280/738000, Ur/Cr : 171/5.07
4/8/19 DPL :9/27/15480/139000, PCT 26.47,29/7/2019 DPL

11/32,4/9340/80000 PT/APTT 0,8x/1,0x Na/K/Cl 134/3,6/97 DPL Drain (+), perawatan post
post op 6,4/18/11130/85000 SGOT 12 SGPT 8 Albumi 2.05 Cr 1 op, GV 2 kali per hari
Ureum. 38 elektrolit 140/2.9/108
Urologi rencana sistoskopi,

1/8/19 DPL : 10.1/30/15470/315000, 30/7/19 RPG bilateral,insersi DJ stent
DPL:8/23,9/14530/368000, 29/7/2019 DPL bilateral Senin. Menunggu
8.9/26.6/26140/481000, Na/K/Cl 132/4,5/108, Albumin 2,9 GDS 74, hasil echocardiography
SGOT/SGPT 39/30, Ur/Cr 35/1,7 untuk toleransi kardiologi

DPL 9/8/19 9.3/28.2/9740/408.000 DPL (8/8/19) : cek elektrolit ulang pasca
8.3/25.2/9670/515000. Ur/Cr 49/1.34, Na/K/Cl: 131/5.7/112 koreksi, aff tampon 1 x 24
jam, biopsi serviks
7/8/19: DPL: 10.6/32.1/5.970/400.000. PT/APTT: 0.9/1 OT/PT: 13/9 rencana TLH PLND kamis ,
Albumin 4.17 Ur/Cr: 27/1.1. gds 91. Na/K/Cl: 144/3.2/100
DPL 9/8/19 DPL 6.3/19.4/15280/173.000 (7/8/19) : Perbaikan KU, tranfusi target

4.1/12.6/17200/290000, Ur/Cr : 51/1.36, Albumin : 3.07, As Urat Hb 10 g/dl
6.6, SGOT 110/28, E : 126/4.3/100
DPL9/8/19 DPL 10.1/30.2/4.990/43.000 (7/8/19) : Perbaikan KU, tranfusi PRC

8.9/26/6990/72000 target HB > 10 g/dl
DPL 9/8/19 DPL 9.1/25.7/2830/93.000 (7/8/19) : Tranfusi TC pooled, rencana

10.3/29.7/3680/20000 kemoterapi pasca tranfusi TC
DPL 9/8/19 11.5/34,9/4.780/281.000 neutrofil 37.1 albumin 4.7 leucogen

elektrolit 137/3.6/112 OT/PT 29/47 ur/crec 9.2/0.59
5/8/19 Ur/Cr : 73/0.4 2/8/19 elektrolit : 132/3.8/104, alb : 2.89,

1/8/19 DPL : 12.3/34/8110/148000, PT/APTT : 1.1x/1.3x, GDS 211,
albumin 2.55, elektrolit : 130/3.3/103, 31/7/19 albumin 1.90 0t/pt
23/11 DPL 13.8/39.7/5.550/159.00029/7/19 DPL
8.7/24.5/12430/204000 28/7/19 DPL 6.6/18.8/15030/278000 Raber pasca HT, kapten
24/7/19 DPL 10.5/31.1/17780/240000 Albumin 2.1 22/7/19 DPL : bedah digestf
8.3/23.7/21670/207000, alb 1.87, elektrolit 128/3.7/100
21/7/2019 ca 125 107 Ca 19-9 2.6 CEA 1.2 AFP 1.3 LDH 208
20/7/19 DPL 6.4/18.5/36430/244000 Na/K/Cl 135/3,5/117 PCT
1,86 laktat 1,7 PT/APTT 1.1x/1.0x SGOT/SGPT 32/7 Albumin 2,5
Ur/Cr 74/1,3
4/8/19 DPL : 7.8/24/14240/170000, PT/APTT : 1,1x/2.3x, Fibrinogen
468, D-dimer 35200, 3/8/19 darah samar tnja (+), alb 2.56, 1/7/19 raber dengan TS IPD
11/33/18590/232.000 albumin 2.21 elektrolit 133/4.4/102 30/7/19
retc 168.700
DPL post Op (8/8/19) : 12.6/38.5/9870/359000, Albumin 2.85, Ur/Cr Perawatan post operasi,
: 38/0.7, SGOT/PT : 13/8 rencana pindah ke ruangan
dr. Kartwa Hadi N, SpOG(K) 204D,204F,205E,207A
Dr. dr. Hariyono W, SpOG (K) 206E

Dr. dr. Tofan W Utami, SpOG(K) 205E, 206D, 419D
Dr. dr. Gatot Purwoto, SpOG(K)

205D,401i 708D
31/7/19 DPL
Dr. dr. Gatot Kemoterapi,
204A Diana Nur Sefa 31 4385898 PTG Purwoto, SpOG(K) 14.9/41.9/5190/2 rencana pulang
12000
31/7/19 DPL :
10.9/30.8/6600/2
dr. T. Dewi 21000, elektrolit : Kemoterapi,
204B Eli Ernawat 34 4219273 PTM high risk Anggraeni, 134/3.9/100, GDS rencana pulang
SpOG(K) 116, Ur/Cr :37/46
38/1.0, alb 4.05,
OT/PT :
Prof. Dr. dr. 5/8/19 DPL

204C Suhart 39 4380996 Ca cervix Andrijono, 12,6/36.2/5290/1 Kemoterapi,
rencana pulang
SpOG(K) 71000
5/8/19 DPL
12.6/36.2/5290/1
Dr. dr. Gatot
204D Gusnarita 35 4380884 PTM high risk Na 133/K Kemoterapi,
Purwoto, SpOG(K) 71000
3.6/Cl 99.2 GDS rencana pulang
105 Ur 29/Cr 0.9
Prof. Dr. dr. 5/8/19 dpl

204E Erningsih 56 4383743 Ca cervix IIB Andrijono, 10.6/29.5/3450/1 Kemoterapi,
rencana pulang
SpOG(K) 09000

204F Nuraini 78 4371648 Ca oarium Andrijono, 12.7/40.6/2760/1 Kemoterapi,
rencana pulang
SpOG(K) 62000
5/8/19 DPL
11.9/35/7170/37
NOK suspek 2000, Elektrolit
maligna dengan rencana
137/3.6/103,
prolaps uteri dr. Andi Darma laparotomi
205A Uneng 59 4373829 PT/APTT
grade IV, sistokel Putra, SpOG(K) debulking, konsul
0.9x/0.9x, GDS
grade III dan uroginekologi
139, Ur/Cr 26/0.7,
rektokel grade III OT/PT 19/19, alb
3.83
POD 8 post
laparatomi aff
abdominal 4/8/19 DPL :
packing pada 9/27/15480/1390
POD 9 Post 00, PCT
laparotomi 26.47,29/7/2019
eksplorasi
DPL
adhesiolisis, SOD, 11/32,4/9340/80
trachelectomy 000 PT/APTT Drain (+),
apendiktomi, Dr. dr. Gatot 0,8x/1,0x Na/K/Cl perawatan post
205B Syafriant 49 4337425 perlekatan
dengan cervix Purwoto, SpOG(K) 134/3,6/97 DPL op, GV 2 kali per
post op hari
dilnajutkan 6,4/18/11130/85
abdominal 000 SGOT 12 SGPT
packing, 8 Albumi 2.05 Cr 1
hipoalbuminemia
Ureum. 38
(3,2), elektrolit
trombositopenia 140/2.9/108
ec consumptve
coagulopathy
(82000)
5/8/19 DPL post
POD I post op
laparotomi 11.8/34/11110/2
surgical staging 74000, 1/8/19
(HTSOB, bilateral DPL
pelvic
12,8/38.8/8370/3 Perawatan post
limfadenektomi, dr. Andi Darma
205C Aisyah Widari 66 4361064 62000 PT operasi, rencana
paraaorta Putra, SpOG(K) 0,8x/APTT 1,08x pindah ruangan
limfadenektomi SGOT 19/SGPT
dan omentektomi)
22/ alb 4.06/ Ur
ai Ca 32/Cr 0,8/GDS
endometrium IB 210 Na 136/K
high risk 3.7/Cl 101
1/8/19 DPL :
10.8/33/6180/32
9000, OT/PT :
15/7, Ca125 158,
Ca19-9 <2, alb rencana
NOK suspek Dr. dr. Laila
205D Tarumi 51 4368047 Nuranna, SpOG(K) 4.26, Ur/Cr : laparotomi VC
maligna 29/0.6, GDS 88, kamis 8/8/19
elektrolit
136/4/102, HbsAg
non reaktf, CEA
1000
9,2/27,9/20650/2
83000 Ur/Cr
97/3,8 Na/K/Cl
132/4,7/95
27/7/2019 Ur/Cr
66/3,2 Albumin
2,7 Na/K/Cl
132/4,4/97
25/7/2019
Creatnin 5, SGOT
103, SGPT 60
24/7/19
SGOT/SGPT
103/60, Na/K/Cl
POD 17 post 134/4,3/98
relaparatomi Lactat 2,1
23/7/19 DPL :
eksplorasi dan 9.5/27.6/12640/8
hemostasis ai syok 6000, Alb 2.51,
hipovolemik ec
internal bleeding Ur/Cr : 80/3.4,
elektrolit
pada POD 15 post 135/4.3/99
laparatomi 21/7/2019 DPL
optmal debulking
ai tumor ganas 11.1/32/8220/44
000 albumin 2.4, konsul GH :
mesenkimal dr. Kartwa Hadi N, PT 13 (11.3) aPTT evaluasi urine out
205E Umi kulsum 46 4383754 (fibrosarkoma)
clinically advanced SpOG(K) 49 (32) elektrolit put dan balans
141/5.2/109 cairan per 24 jam
stage dengan
masalah anemia, 20/7/19 DPL
11.8/34.6/11580/
hipoalbuminemia, 41000 PT/APT
leukositosis ec 1.8x/2.4x
susp infektf, overt
DIC, AKI ec syok SGOT/SGPT
hipovolemik post 4365/644
Na/K/Cl
HD, acute liver 141/5,3/109
injury, suspek Ur/Cr 93/3.5
bladder injury
18/7/19 23.30
Hb 4,7
18/7/19 post
op DPL
8,5/26,5/11270/3
80000 PT/APTT
1,1/1,2x ALbumin
2,0 SGOT/SGPT
17/16 Ur/Cr
37/0,8 Na/K/Cl
137/4,0/105
17/7/19 jam
06.03 DPL:
8,8/27,9/8510/57
9000, 16/7/19
5/8/19 DPL :
6.9/20/10950/39
6000, Ur/Cr :
101/2.2, 2/8/19
elektrolit :
129/4.1/100,
1/8/19 DPL :
8.7/26/30510/28
2000, OT/PT :
11/10, Ur/Cr:
90/2.3, albumin:
1.61, elektrolit :
130/3.7/101,
31/7/19
9.3/27.6/40.540/
POD 5 post 478.000 albumin
laparotomi 2.89 elektrolit
adhesiolisis, SOD- Rencana transfusi
133/4.1/97.8
VC dilanjutkan prc target hb >10,
29/7/29 DPL
HTSOS, koreksi albumin
11.2/33.6/52620/
apendektomi ai Dr. dr. Fitriyadi K, 626000 Na/K/Cl Perawatan post
205F susi natalia 51 4275645 tumor musinosum SpOG(K) operasi, diet cair.
128/3,7/99
borderline Raber IPD GH: cek
Albumin 2,54
ovarium kanan, ur/cr per 2 hari,
24/7/19 Albumin
akut on CKD, cek urine
2,8 Ur/Cr 180/3,5
anemia, output/hari
Na/K/Cl
hipoalbuminemia, 118/4,9/83,7 CEA
hiponatremia 23,2 Ca 125:
3169,8 Ca 199:
7323,4 23/7/19
Ur/Cr 191/4.4,
22/7/19 DPL :
8.9/26/51580/63
6000, elektrolit
122/5.7/86
15/7/19 DPL
10,7/32.6/36560/
695000 SGOT
40/SGPT18/ALB
3,2/ur 102/cr
4,1/N 136/K
5.4/Cl 96.3
5/08/19: DPL:
11.4/34.7/15.150
P1A2 PTM high /398.000 FT4: >5.
risk dengan
Dr. dr. Laila TSH: 0.005.
206 A Yuni Triyant 4387834 riwayat syok USG FM
hipovolemik, BSC Nuranna, SpOG(K) Na/K/Cl:
133/4.2/108.
1x 27/7/19 Beta
HCG: > 1.125.000
rencana
laparotomi VC-
NOK musinosum DR.dr. Tofan WU, belum ada hasil surgical staging,
206 B Ita 56 4379023
susp maligna SpOG(K) lab terbaru rencana konsul
bedah digestf
(form+)
Ca cervix stadium
IV A, dengan
anemia,hipoalbu 7/8/19 DPL
min,hiponatremia, dr. Andi Darma 10/27.3/24320/3 Rencana koreksi
206C Dewi Kurniasih 36 4384503 hipokloremia, Putra, SpOG(K) 6600 Na 108/K elektrolit
susp 5.4/Cl 80,5
dvt,rtombositope
nia,leukositosis
Konsul bedah
Ca cervix IVB meta 3/8/19 DPL vaskular :
paru, anemia, 10/28.4/15550/9 heparinisasi 5000
cancer pain, 2000 1/8/19 unit bolus
intake sulit,susp Dr. dr. Tofan W DPL dilanjutkan
206 D Sufniyet 48 3208141 DVT, 8.4/23.8/14790/5 15000/24 jam,
trombositopenia,h Utami, SpOG(K) 7000 Na 128/K cek aptt per 24
iponatremia, 3.7/Cl 114 GDS jam target 1.5x,
riwayat takiakrdia 111/ Ur 23.8/Cr CTA pelvis dan
ec susp TRALI 1.02 balut elastk
tungkai
5/8/19 DPL:
ca ovarium 9.6/29/12920/12 transfusi PRC
advanced stage
dengan anemia, dr. Kartwa Hadi N, 4000, alb 2.07, target hb > 10,
206E Maria Silalily 46 4384708
hipoalbuminemia SpOG(K) Ur/Cr : 27/0.6, koreksi albumin
elektrolit dan natrium
dan hiponatremi 129/3.6/98
NOP dengan
anemia,hipoalbu 6/8/19 DPL
min,aki dd acute 3.5/10.2/40040/2
on 71000 SGOT rencana transfusi
ckd,hidronefrosis dr. Andi Darma
206F Narmi 36 4392901 75/SGPT 16/Alb target Hb>10,
bilateral,susp dvt Putra, SpOG(K) 2.3/Ur 238/Cr koreksi elektrolit
hiponatremia,peni 2.8/GDS 92/
ngkatan enxzm Ca125: 100
transaminase,disp
epsia
6/819 CEA 23, Ca

125 24 5/8/19
DPL
10.5/33/8080/41
4000 4/8/19 DPL :
9.4/29/6210/438
000, alb 2.5,
NOP suspek rencana pungsi
dr. Kartwa Hadi N, elektrolit
207 A Dwi Widyaningsih 24 4337478 maligna, asites asites, target Hb
SpOG(K) 132/3.4/99,
masif, intake sulit sudah tercapai
3/8/19 DPL :
7.7/24/7830/428
000, elektrolit :
130/3.5/97, GDS
125, Ur/Cr :
38/1.1, albumin :
2.26, OT/PT : 12/6
NOK susp 30/7/19 DPL

Dr.dr. gatot 8.5/27.6/5690/30 transfusi PRC
207B Tinah 48 4360616 maligna, anemia P,SpOG(K) target Hb>10
(8.5) 7000
Ca cervix III B 5/8/19 elektrolit

dengan 125/6.1/109,
permasalahan (4/8/19) E:
acute on CKD,
dr. Andi Darma, 126/6.3/111 , konsul IPD GH di
207C Se Hiong 54 4382008 hidronefrosis SpOG(K) (3/8/19) DPL : hari dan jam kerja
bilateral on 10.4/30.6/25280/
nefrostomi, 738000, Ur/Cr :
hiperkalemia, 171/5.07
hiponatremia
17/8/19 DPL
7.8/23/6600/212
000, elektrolit
rencana transfusi
NOK suspek 131/4.4/103, Ca
Dr. dr. Laila prc target hb >10,
207D Sri Danurini 31 4386104 maligna, anemia, Nuranna, SpOG(K) 125 133, PT/APTT konsul IPD GH
AKI dd akut on ckd 0.9x/0.9x, OT/PT : selasa 6/8/19
59/7, alb 3.73,
Ur/Cr : 124/3.4,
GDS 92
Perdarahan 1/8/19 DPL :

pervaginam ec Ca 10.1/30/15470/3
cerviks stadium 15000, 30/7/19 Urologi rencana
IIIB on radiasi DPL:8/23,9/14530 sistoskopi, RPG
dengan /368000,
bilateral,insersi DJ
bilateral, Ca pain Dr. dr. Laila stent bilateral.
207 E Farida Matondang 47 4384745 8.9/26.6/26140/4
VAS 2-3, anemia Nuranna, SpOG(K) Rencana
81000, Na/K/Cl echocardiography
(Hb 8,9), 132/4,5/108,
untuk toleransi
leukositosis reaktf Albumin 2,9 GDS kardiologi
dd infektf, 74, SGOT/SGPT
hiponatremia, AKI 39/30, Ur/Cr
dd/Acute on CKD 35/1,7
DPL:
Ca Cerviks Prof. Dr. dr. 7.6/21/10.310/65 transfusi PRC
207 F Sumarni 32 4386381 stadium IIB, Andrijono, 4.000. Ur 14, target hb > 10,
anemia SpOG(K) Na/K/Cl:
137/3.8/102
7/8/19: DPL:
10.6/32.1/5.970/
400.000. PT/APTT:
0.9/1 OT/PT:
Ca endometrium Dr. dr. Sigit rencana TLH PLND
210A Suwarni 4369144 Purbadi SpOG (K) 13/9 Albumin kamis ,
4.17 Ur/Cr:
27/1.1. gds 91.
Na/K/Cl:
144/3.2/100
6/8/19: Na/K/Cl:
136/4.8/1085/8/
POD 2 post 19 post op DPL :
laparotomi 13.5/41/18560/4
adhesiolisis, SOD- 25000, OT/PT
VC dilanjutkan 17/20, alb 2.49,
HTSOS, debulking Ur/Cr 41/0.8,
KGB pelvic kiri dan Dr.dr.sigit elektrolit Perawatan post
210 B Erna P 61 4369077
KGB paraaorta, P,SpOG(K) 136/3.3/106, operasi
reseksi tumor 1/8/19 DPL
implan di 11.3/36.1/17730/
mesenterium ai 481000/80/25/31
Ca ovarium SGOT
clinically III C 30/SGPT39/ALB
4.4/Ur 45/Cr
1.0/GDS 106
4/8/19 elektrolit
134/3.4/107,
Ur/Cr : 9.3/0.61,
1/8/19 Ur/Cr:
54/0.7, 31/7/19
albumin 2.74
elektrolit
133/3.6/107.9
30/9/19
9.5/27.7/20.900/
379.000 29/7/19
PCT 0,7 Na/K/Cl
Riwayat Dyspneu 130/3.9/104
ec CHF dd TRALI ALbumin 2.64
dd TACO dd Reaksi SGOT/SGPT 18/15
alergi (kontras) Ur/Cr 41/1,5 DPL
pada Pasca 10.8/32.5/24490/
histerektomi 418000
radikal tpe II ai ca 27/07/19: DPL:
endometrium 8.9/26.2/19.600/
stadium IA, fistula 389.000 GDP 176
dr. T. Dewi Perbaikan KU,
ureterovagina, Cadarah 8.1.
210 C Essy Ella Therik 75 4356856 Anggraeni, raber dengan
riwayat ruptur fosfat. 3.1. Mg
ureterovaginalis SpOG(K) urologi
Darah 1.59.
kiri dan ruptur Na/K/Cl:
ureter bilateral, 131/3.9/102.
hidronefrosis AGD. pH: 7.7.
bilateral on DJ pCO2 22.5. PO2
stent kanan dan 127. HCO 3 18.9.
URS kiri, Anemia, Total CO2 19,6. BE
leukositosis reaktf -1.4. O2 saturasi
dd infektf 98 standart HCO3
23.2. standart BE
-4.0. DPL
25/7/2019
6.5/19/15600/35
1000 APTT 0.9
PT1x elektrolit
130/3.4/109 UL
nitrit positf, LE
+2, SGOT 27 SGPT
33, albumin 2.8 Ur
31 Cr 1.1 AU 4.2
GDS 162
6/08/19: albumin
2.8 3/8/19
12.6/37/8620/32
6000, Lab 1/8/19
8.9/26/14560/23
7000, 30/7/19:
DPL:9,4/28/17860
/261000, alb 3, e:
POD 5 post 138/3,6/104, Ca:
laparatomi 8,8, Mg: 1,4,
optmal debulking Prof. Dr. dr. 29/7/2019 DPL Perawatan post
dan repair laserasi Andrijono, 8,5/26,4/16530/2 op, pertahankan
214D Apriasih 58 4338362 bladder ai Ca 52000 PT/APTT FC 14 hari
ovarium advanced SpOG(K) 1x/2.1x Na/K/Cl
stage dan cedera 137/3.1/105
bladder lactat 0,7
25/7/19 DPL
10.3/32.7/9680/4
76000
SGOT/SGPT 15/11,
Ur/Cr 34/0,9 Alb
2.74 Na/K/Cl
135/4.0/102
PT/APTT 0,9/1,2x
5/8/19 Ur/Cr :
73/0.4 2/8/19
elektrolit :
132/3.8/104, alb :
2.89, 1/8/19 DPL :
12.3/34/8110/14
8000, PT/APTT :
1.1x/1.3x, GDS
211, albumin
2.55, elektrolit :
130/3.3/103,
31/7/19 albumin
1.90 0t/pt 23/11
DPL
POD 2 post 13.8/39.7/5.550/
laparotomi 159.00029/7/19
histerektomi total DPL
dan 8.7/24.5/12430/2
salpingoophorekt 04000 28/7/19
omi kanan ai DPL
infiltrasi massa 6.6/18.8/15030/2
adenokarsioma 78000 24/7/19 Raber pasca HT,
pada uterus dan Dr. dr. Gatot
401 i Lince Ria Lubis 58 4386289 kapten bedah
Purwoto, SpOG(K) DPL
abses uterus, 10.5/31.1/17780/ digestf
adhesiolisis,
240000 Albumin
reseksi ussu 2.1 22/7/19
sigmoid dan DPL :
ahrtmann 8.3/23.7/21670/2
procedure ai 07000, alb 1.87,
adenokarsinoma elektrolit
kolon 128/3.7/100
21/7/2019 ca 125
107 Ca 19-9 2.6
CEA 1.2 AFP 1.3
LDH 208
20/7/19 DPL
6.4/18.5/36430/2
44000 Na/K/Cl
135/3,5/117 PCT
1,86 laktat 1,7
PT/APTT 1.1x/1.0x
SGOT/SGPT 32/7
Albumin 2,5
Ur/Cr 74/1,3
31/7/19 ur/crec
41/1.429/7/19
DPL
9.3/28.1/17280/
673000 Ur/Cr
37/1,4
24/7/2019 Ur/Cr
42/1.7 Na/K/Cl
131/3.6/103
Urologi: rencana
Kultur sputum
POD 9 post CT scan urografi
Achromobacter
laparatomi kontras, IPD Ginjal
xylosoxidans
HTSOB, debulking Hipertensi:
23/7/19 DPL
KGB pelvik rencana Cek ur cr
9.3/28/10080/42
bilateral, setap 2 hari,
6000, PCT 0.39, Cr
debulking KGB konsul kardio:
:24, 20/7/2019
paraaorta ai Ca rencana
DPL
endometrium echocardiografi
9.9/29/16640/34
clinically advanced Dr. dr. Tofan W hari senin,
0000albumin 2.8
419D Emidi 61 3756596 stage dan post amlodipin 1x5 mg,
Utami, SpOG(K) Ureum 73 Cr 2.5
reimplantasi candesartan 1x16
elektrolit
ureter kiri dan mg, Pulmo:
138/3.6/106
insersi DJ stent meropnemen
18/7/2019 post
kanan atas belum perlu,
op DPL
indikasi fluimucyl
10,9/32,7/13660/
hidroureter 3x200mg, inhalasi
275000, Na/K/Cl
bilateral, efusi ventolin,
137/3,9/105,
pleura dan pertmbangkan
16/7/19 DPL:
pneumonia USG stand by
12.3/35/7950/37 pungsi
9000, OT/PT :
14/14, Alb 3.68,
Ur/Cr : 43/1.2,
GDS 122,
Elektrolit :
137/3.2/103,
PT/APTT: 0.9x/1.1.
x, FT4/FT3/TSH :
0.88/2.05/5.234
4/8/19 DPL :
7.8/24/14240/17
ca cervix stadium 0000, PT/APTT :
IIIB post radiasi 1,1x/2.3x,
luar 25x, terakir Fibrinogen 468, D-
mei 2019 dengan dimer 35200,
masalah:Heptome 3/8/19 darah
gali dengan kista Dr. dr. Gatot raber dengan TS
708 D Sit Sopiah 4364940 samar tnja (+),
hepar, anemia, Purwoto, SpOG(K) alb 2.56, 1/7/19 IPD
olterik, AKI dd/ 11/33/18590/232
acute on CKD, .000 albumin 2.21
leukositosis elektrolit
reaktf, 133/4.4/102
hipoalbumin 30/7/19 retc
168.700
dr. T. Dewi 204B, 206C, 206F, dr. Kartwa Hadi N, 204D,204F,205E,2

206D,207C Anggraeni, 210C SpOG(K) 07A
SpOG(K)
Dr. dr. Laila Dr. dr. Hariyono W, 206E
206B,207D,207E
Andrijono, 214D 205E, 206D, 419D
Utami, SpOG(K)
SpOG(K)
205F
SpOG(K) Purwoto, SpOG(K) 205D,401i 708D
Dr. dr. Sigit
Purbadi, SpOG(K) ICU
dr. Andi Darma 204A,205A,205D,

Putra, SpOG (K) 207B,207C, ICU
204A Ropikoh 47 4367211 ca cerviks stadium IIIB SpOG(K)
dr. T. Dewi Anggraeni,

204B Eli Ernawat 34 4219273 PTM high risk SpOG(K)
Ca ovarium stadium Ia pasca dr. Kartwa Hadi N,

204C Tut Linda 53 4082335 laparatomi surgical staging SpOG(K)

204D S. Hernawat 49 4267679 Ca Cerviks stadium IIIB, residif SpOG(K)

204E Suparsih 57 4386456 Ca cerviks stadium IIB
SpOG(K)
NOK suspek maligna dengan dr. Andi Darma Putra,

205A Uneng 59 4373829 prolaps uteri grade IV, sistokel SpOG(K)
grade III dan rektokel grade III

abdominal packing pada POD 9
adhesiolisis, SOD, trachelectomy Dr. dr. Gatot Purwoto,
205B Syafriant 49 4337425 apendiktomi, perlekatan dengan SpOG(K)
cervix dilnajutkan abdominal
packing, hipoalbuminemia (3,2),
coagulopathy (82000)

staging (HTSOB, bilateral pelvic dr. Andi Darma Putra,
205C Aisyah Widari 66 4361064 limfadenektomi, paraaorta
limfadenektomi dan omentektomi) SpOG(K)
ai Ca endometrium IB high risk
POD 8 post HR, PLND, SOB dan

repair nervus obturator dextra ai Ca dr. Andi Darma Putra,
205D Ai Titn 50 4364375 cervix stadium IB2 dan cedera SpOG(K)
nervus obturator dextra
POD 17 post relaparatomi
eksplorasi dan hemostasis ai syok
hipovolemik ec internal bleeding
pada POD 15 post laparatomi
optmal debulking ai tumor ganas
mesenkimal (fibrosarkoma) dr. Kartwa Hadi N,
205E Umi kulsum 46 4383754 clinically advanced stage dengan SpOG(K)
masalah anemia, hipoalbuminemia,
leukositosis ec susp infektf, overt
DIC, AKI ec syok hipovolemik post
HD, acute liver injury, suspek
bladder injury
POD 5 post laparotomi adhesiolisis,

apendektomi ai tumor musinosum Dr. dr. Fitriyadi K,
205F susi natalia 51 4275645 borderline ovarium kanan, akut on SpOG(K)
CKD, anemia, hipoalbuminemia,
hiponatremia
P1A2 PTM high risk dengan riwayat Dr. dr. Laila Nuranna,
206 A Yuni Triyant 4387834 syok hipovolemik, BSC 1x SpOG(K)
206 B Tarumi 51 4368047 NOK suspek maligna SpOG(K)
Ca cervix IVB meta paru, anemia,

cancer pain, intake sulit,susp DVT, Dr. dr. Tofan W Utami,
206 D Sufniyet 48 3208141 trombositopenia,hiponatremia, SpOG(K)
riwayat takiakrdia ec susp TRALI
ca ovarium advanced stage dengan

dr. Kartwa Hadi N,
204F Maria Silalily 46 4384708 anemia, hipoalbuminemia dan SpOG(K)
hiponatremi
NOP suspek maligna, asites masif, dr. Kartwa Hadi N,

207 A Dwi Widyaningsih 24 4337478 intake sulit SpOG(K)

permasalahan acute on CKD,
207C Se Hiong 54 4382008 hidronefrosis bilateral on dr. Andi Darma, SpOG(K)
nefrostomi, hiperkalemia,
hiponatremia
NOK suspek maligna, anemia, AKI Dr. dr. Laila Nuranna,

207D Sri Danurini 31 4386104 dd akut on ckd SpOG(K)
dengan hidronefrosis bilateral, Ca Dr. dr. Laila Nuranna,
207 E Farida Matondang 47 4384745
pain VAS 2-3, anemia (Hb 8,9), SpOG(K)
leukositosis reaktf dd infektf,
hiponatremia, AKI dd/Acute on CKD

207 F Sumarni 4386381 Ca Cerviks stadium IIB, anemia SpOG(K)
Dr. dr. Sigit Purbadi SpOG

210A Suwarni 4369144 Ca endometrium (K)
POD I post laparotomi adhesiolisis,

debulking KGB pelvic kiri dan KGB Dr.dr.sigit P,SpOG(K)
210 B Erna P 61 4369077 paraaorta, reseksi tumor implan di
mesenterium ai Ca ovarium
clinically III C
Riwayat Dyspneu ec CHF dd TRALI
dd TACO dd Reaksi alergi (kontras)
pada Pasca histerektomi radikal
tpe II ai ca endometrium stadium
IA, fistula ureterovagina, riwayat dr. T. Dewi Anggraeni,
210 C Essy Ella Therik 75 4356856 ruptur ureterovaginalis kiri dan SpOG(K)
ruptur ureter bilateral,
hidronefrosis bilateral on DJ stent
kanan dan URS kiri, Anemia,
leukositosis reaktf dd infektf
POD 4 post laparatomi optmal

debulking dan repair laserasi Prof. Dr. dr. Andrijono,
214D Apriasih 58 4338362 bladder ai Ca ovarium advanced SpOG(K)
stage dan cedera bladder

histerektomi total dan
infiltrasi massa adenokarsioma Dr. dr. Gatot Purwoto,
401 i Lince Ria Lubis 58 4386289 pada uterus dan abses uterus, SpOG(K)
adhesiolisis, reseksi ussu sigmoid
dan ahrtmann procedure ai
adenokarsinoma kolon
POD 9 post laparatomi HTSOB,
debulking KGB pelvik bilateral,
debulking KGB paraaorta ai Ca
endometrium clinically advanced Dr. dr. Tofan W Utami,
419D Emidi 61 3756596 stage dan post reimplantasi ureter SpOG(K)
kiri dan insersi DJ stent kanan atas
indikasi hidroureter bilateral, efusi
pleura dan pneumonia
ca cervix stadium IIIB post radiasi

luar 25x, terakir mei 2019 dengan
masalah:Heptomegali dengan kista Dr. dr. Gatot Purwoto,
708 D Sit Sopiah 4364940 hepar, anemia, olterik, AKI dd/ SpOG(K)
acute on CKD, leukositosis reaktf,
hipoalbumin
206D,207C dr. T. Dewi Anggraeni, SpOG(K) 204B, 206C, 206F, 210C

Dr. dr. Laila Nuranna, SpOG(K) 206B,207D,207E
Prof. Dr. dr. Andrijono, SpOG(K) 214D
Dr. dr. Fitriyadi K, SpOG(K) 205F
204A,205A,205D,207B,2
dr. Andi Darma Putra, SpOG (K) 07C, ICU
Laboratorium Target
kemoterapi, rencana pulang
31/7/19 DPL :
10.9/30.8/6600/221000, elektrolit : Kemoterapi
134/3.9/100, GDS 116, Ur/Cr :37/46
38/1.0, alb 4.05, OT/PT :
1/8/19 DPL :
12.4/34.1/5140/345.000, OT/PT : kemoterapi, rencana pulang
18/20, Alb 4.33, Ur/Cr : 25/0.7,
elektrolit : 135/4.3/103
31/7/18 DPL :
11.8/34.8/6.030/541.000, OT/PT :
18/17, Alb 4.6, Ur/Cr : 23/0.8,
eletrolit : 133/4.6/107
5/8/19 DPL 11.9/35/7170/372000,

Elektrolit 137/3.6/103, PT/APTT rencana laparotomi debulking, konsul
0.9x/0.9x, GDS 139, Ur/Cr 26/0.7, uroginekologi
OT/PT 19/19, alb 3.83
4/8/19 DPL :9/27/15480/139000,

PCT 26.47,29/7/2019 DPL
11/32,4/9340/80000 PT/APTT
0,8x/1,0x Na/K/Cl 134/3,6/97 DPL Drain (+), perawatan post op, GV 2 kali
post op 6,4/18/11130/85000 SGOT per hari
12 SGPT 8 Albumi 2.05 Cr 1 Ureum.
38 elektrolit 140/2.9/108
5/8/19 DPL post op

11.8/34/11110/274000, 1/8/19
DPL 12,8/38.8/8370/362000 PT Perawatan post operasi, rencana
0,8x/APTT 1,08x SGOT 19/SGPT 22/ pindah ruangan
alb 4.06/ Ur 32/Cr 0,8/GDS 210 Na
136/K 3.7/Cl 101
DPL post op 29/7/19:

13/38,1/23170/382000,
25/7/2019 DPL Perawatan post op, Cystofix (+),
12.6/37/10700/382000, Albumin bladder training
4.15 Cr 0.7 Ureum 35 GDS
83elektrolit 135/4.2/101HbsAg non
reaktf, PT 0.8 aPTT 0.9
5/8/19 DPL : 8.7/26/9450/295000,
alb 2.96, Ur/Cr : 96/3.6, elektrolit :
140/3.0/ 105, 2/8/19 elektrolit
141/3/108, 29/7/19 DPL
9,2/27,9/20650/283000 Ur/Cr
97/3,8 Na/K/Cl 132/4,7/95
27/7/2019 Ur/Cr 66/3,2 Albumin
2,7 Na/K/Cl 132/4,4/97
25/7/2019 Creatnin 5, SGOT 103,
SGPT 60 24/7/19 SGOT/SGPT
103/60, Na/K/Cl 134/4,3/98 Lactat
2,1 23/7/19 DPL :
9.5/27.6/12640/86000, Alb 2.51,
Ur/Cr : 80/3.4, elektrolit 135/4.3/99
21/7/2019 DPL
11.1/32/8220/44000 albumin 2.4,
PT 13 (11.3) aPTT 49 (32) elektrolit konsul GH : evaluasi urine out put dan
141/5.2/109 20/7/19 DPL balans cairan per 24 jam
11.8/34.6/11580/41000 PT/APT
1.8x/2.4x SGOT/SGPT 4365/644
Na/K/Cl 141/5,3/109 Ur/Cr 93/3.5
18/7/19 23.30 Hb 4,7
18/7/19 post op DPL
8,5/26,5/11270/380000 PT/APTT
1,1/1,2x ALbumin 2,0 SGOT/SGPT
17/16 Ur/Cr 37/0,8 Na/K/Cl
137/4,0/105 17/7/19 jam 06.03
DPL: 8,8/27,9/8510/579000,
16/7/19 CEA 1.6, CA 19-9 <2,
15/7/19: DPL
7,3/24.3/7850/549000//72,3.21.7/
30 Albumin 3,5/Na 137/K 4,4/Cl
101/ GDS 61/SGOT 36/SGPT 7/ Ur
40/Cr 1,0
5/8/19 DPL : 6.9/20/10950/396000,

Ur/Cr : 101/2.2, 2/8/19 elektrolit :
129/4.1/100, 1/8/19 DPL :
8.7/26/30510/282000, OT/PT :
11/10, Ur/Cr: 90/2.3, albumin: 1.61,
elektrolit : 130/3.7/101, 31/7/19
9.3/27.6/40.540/478.000 albumin
2.89 elektrolit 133/4.1/97.8
29/7/29 DPL Rencana transfusi prc target hb >10,
11.2/33.6/52620/626000 Na/K/Cl koreksi albumin Perawatan post
128/3,7/99 Albumin 2,54 24/7/19 operasi, diet cair. Raber IPD GH: cek
Albumin 2,8 Ur/Cr 180/3,5 Na/K/Cl ur/cr per 2 hari, cek urine output/hari
118/4,9/83,7 CEA 23,2 Ca 125:
3169,8 Ca 199: 7323,4 23/7/19
Ur/Cr 191/4.4, 22/7/19 DPL :
8.9/26/51580/636000, elektrolit
122/5.7/86 15/7/19 DPL
10,7/32.6/36560/695000 SGOT
40/SGPT18/ALB 3,2/ur 102/cr 4,1/N
136/K 5.4/Cl 96.3
5/08/19: DPL:
11.4/34.7/15.150/398.000 FT4: >5. USG FM
TSH: 0.005. Na/K/Cl: 133/4.2/108.
27/7/19 Beta HCG: > 1.125.000
1/8/19 DPL : 10.8/33/6180/329000,
OT/PT : 15/7, Ca125 158, Ca19-9 <2,
alb 4.26, Ur/Cr : 29/0.6, GDS 88, rencana laparotomi VC kamis 8/8/19
elektrolit 136/4/102, HbsAg non
reaktf, CEA 1000
rencana konsul IPD dan pulmo di jam

kerja, tampon sudah diaff, tdak ada
3/8/19 DPL 10/28.4/15550/92000
1/8/19 DPL 8.4/23.8/14790/57000 perdarahan aktf. Konsul bedah
vaskular : heparinisasi 5000 unit bolus
Na 128/K 3.7/Cl 114 GDS 111/ Ur dilanjutkan 15000/24 jam, cek aptt per
23.8/Cr 1.02 24 jam target 1.5x, CTA pelvis dan
balut elastk tungkai
5/8/19 DPL: 9.6/29/12920/124000,

transfusi PRC target hb > 10, koreksi
alb 2.07, Ur/Cr : 27/0.6, elektrolit albumin dan natrium
129/3.6/98
6/819 CEA 23, Ca 125 24 5/8/19

DPL 10.5/33/8080/414000 4/8/19
DPL : 9.4/29/6210/438000, alb 2.5, rencana pungsi asites, target Hb sudah
elektrolit 132/3.4/99, 3/8/19 DPL : tercapai
7.7/24/7830/428000, elektrolit :
130/3.5/97, GDS 125, Ur/Cr :
38/1.1, albumin : 2.26, OT/PT : 12/6
5/8/19 elektrolit 125/6.1/109,

(4/8/19) E: 126/6.3/111 , (3/8/19)
konsul IPD GH di hari dan jam kerja
DPL : 10.4/30.6/25280/738000,
Ur/Cr : 171/5.07
17/8/19 DPL 7.8/23/6600/212000,

elektrolit 131/4.4/103, Ca 125 133, rencana transfusi prc target hb >10,
PT/APTT 0.9x/0.9x, OT/PT : 59/7, alb konsul IPD GH selasa 6/8/19
3.73, Ur/Cr : 124/3.4, GDS 92
1/8/19 DPL :
10.1/30/15470/315000, 30/7/19 Urologi rencana sistoskopi, RPG
DPL:8/23,9/14530/368000, bilateral,insersi DJ stent bilateral.
29/7/2019 DPL
8.9/26.6/26140/481000, Na/K/Cl Rencana echocardiography untuk
toleransi kardiologi
132/4,5/108, Albumin 2,9 GDS 74,
SGOT/SGPT 39/30, Ur/Cr 35/1,7
DPL: 7.6/21/10.310/654.000. Ur 14, transfusi PRC target hb > 10,

Na/K/Cl: 137/3.8/102
7/8/19: DPL:
10.6/32.1/5.970/400.000. PT/APTT:
0.9/1 OT/PT: 13/9 Albumin 4.17 rencana TLH PLND kamis ,
Ur/Cr: 27/1.1. gds 91. Na/K/Cl:
144/3.2/100
6/8/19: Na/K/Cl:
136/4.8/1085/8/19 post op DPL :
13.5/41/18560/425000, OT/PT
17/20, alb 2.49, Ur/Cr 41/0.8,
elektrolit 136/3.3/106, 1/8/19 DPL Perawatan post operasi
11.3/36.1/17730/481000/80/25/31
SGOT 30/SGPT39/ALB 4.4/Ur 45/Cr
1.0/GDS 106
4/8/19 elektrolit 134/3.4/107,
Ur/Cr : 9.3/0.61, 1/8/19 Ur/Cr:
54/0.7, 31/7/19 albumin 2.74
elektrolit 133/3.6/107.9 30/9/19
9.5/27.7/20.900/379.000 29/7/19
PCT 0,7 Na/K/Cl 130/3.9/104
ALbumin 2.64 SGOT/SGPT 18/15
Ur/Cr 41/1,5 DPL
10.8/32.5/24490/418000
27/07/19: DPL:
8.9/26.2/19.600/389.000 GDP 176 Perbaikan KU, raber dengan urologi
Cadarah 8.1. fosfat. 3.1. Mg Darah
1.59. Na/K/Cl: 131/3.9/102. AGD.
pH: 7.7. pCO2 22.5. PO2 127. HCO 3
18.9. Total CO2 19,6. BE -1.4. O2
saturasi 98 standart HCO3 23.2.
standart BE -4.0. DPL 25/7/2019
6.5/19/15600/351000 APTT 0.9
PT1x elektrolit 130/3.4/109 UL nitrit
positf, LE +2, SGOT 27 SGPT 33,
albumin 2.8 Ur 31 Cr 1.1 AU 4.2 GDS
162
6/08/19: albumin 2.8 3/8/19

12.6/37/8620/326000, Lab 1/8/19
8.9/26/14560/237000, 30/7/19:
DPL:9,4/28/17860/261000, alb 3, e:
138/3,6/104, Ca: 8,8, Mg: 1,4,
29/7/2019 DPL
8,5/26,4/16530/252000 PT/APTT Perawatan post op, pertahankan FC 14
1x/2.1x Na/K/Cl 137/3.1/105 lactat hari
0,7 25/7/19 DPL
10.3/32.7/9680/476000
SGOT/SGPT 15/11, Ur/Cr 34/0,9 Alb
2.74 Na/K/Cl 135/4.0/102
PT/APTT 0,9/1,2x
5/8/19 Ur/Cr : 73/0.4 2/8/19

elektrolit : 132/3.8/104, alb : 2.89,
1/8/19 DPL : 12.3/34/8110/148000,
PT/APTT : 1.1x/1.3x, GDS 211,
albumin 2.55, elektrolit :
130/3.3/103, 31/7/19 albumin 1.90
0t/pt 23/11 DPL
13.8/39.7/5.550/159.00029/7/19
DPL 8.7/24.5/12430/204000
28/7/19 DPL
6.6/18.8/15030/278000 24/7/19 Raber pasca HT, kapten bedah digestf
DPL 10.5/31.1/17780/240000
Albumin 2.1 22/7/19 DPL :
8.3/23.7/21670/207000, alb 1.87,
elektrolit 128/3.7/100 21/7/2019
ca 125 107 Ca 19-9 2.6 CEA 1.2 AFP
1.3 LDH 208 20/7/19 DPL
6.4/18.5/36430/244000 Na/K/Cl
135/3,5/117 PCT 1,86 laktat 1,7
31/7/19 ur/crec 41/1.429/7/19
DPL 9.3/28.1/17280/ 673000 Ur/Cr
37/1,4 24/7/2019 Ur/Cr 42/1.7
Na/K/Cl 131/3.6/103 Kultur
sputum Achromobacter Urologi: rencana CT scan urografi
xylosoxidans 23/7/19 DPL kontras, IPD Ginjal Hipertensi: rencana
9.3/28/10080/426000, PCT 0.39, Cek ur cr setap 2 hari, konsul kardio:
Cr :24, 20/7/2019 DPL rencana echocardiografi hari senin,
9.9/29/16640/340000albumin 2.8 amlodipin 1x5 mg, candesartan 1x16
Ureum 73 Cr 2.5 elektrolit mg, Pulmo: meropnemen belum
138/3.6/106 18/7/2019 post op perlu, fluimucyl 3x200mg, inhalasi
DPL 10,9/32,7/13660/275000, ventolin, pertmbangkan USG stand by
Na/K/Cl 137/3,9/105, 16/7/19 pungsi
DPL: 12.3/35/7950/379000, OT/PT :
14/14, Alb 3.68, Ur/Cr : 43/1.2, GDS
122, Elektrolit : 137/3.2/103,
PT/APTT: 0.9x/1.1. x, FT4/FT3/TSH :
0.88/2.05/5.234
4/8/19 DPL : 7.8/24/14240/170000,

PT/APTT : 1,1x/2.3x, Fibrinogen 468,
D-dimer 35200, 3/8/19 darah
samar tnja (+), alb 2.56, 1/7/19 raber dengan TS IPD
11/33/18590/232.000 albumin 2.21
elektrolit 133/4.4/102 30/7/19 retc
168.700
dr. Kartwa Hadi N, SpOG(K) 204D,204F,205E,207A

Dr. dr. Hariyono W, SpOG (K) 206E
Dr. dr. Tofan W Utami, SpOG(K) 205E, 206D, 419D
Dr. dr. Gatot Purwoto, SpOG(K) 205D,401i 708D
24/7/19 DPL 12/36/8900/410000, OT/PT
204A Sung Phin moy 60 4386534 Ca endometrium stadium III 18/11, alb 4.3, Ur/Cr 36/0.82, elektrolit kemoterapi
SpOG(K) 137/4.6/101
31/7/19 DPL : 10.9/30.8/6600/221000,

204B Eli Ernawat 34 4219273 PTM high risk elektrolit : 134/3.9/100, GDS 116, Ur/Cr :37/46 Kemoterapi
SpOG(K) 38/1.0, alb 4.05, OT/PT :
1/8/19 DPL : 11.2/33.5/5320/459000, OT/PT :

dr. Kartwa Hadi N,
204D Sit Rohamah 41 4366258 Ca ovarium 63/104, Alb 4.43, Ur/Cr : 20/0.6, elektrolit : Kemoterapi
SpOG(K) 136/3.9/102
25/7/18 DPL : 11.3/34/7350/237000, OT/PT :

Inamariani Dr. dr. Tofan W Utami,
204E 57 4384875 Ca ovarium 18/12, Alb 2.89, Ur/Cr : 76/1.6, GDS 107, Kemoterapi
Muljosaputra SpOG(K) eletrolit : 139/4.5/106
ca ovarium advanced stage

dengan anemia, dr. Kartwa Hadi N, 5/8/19 DPL: 9.6/29/12920/124000, alb 2.07, transfusi PRC target hb > 10, koreksi
204F Maria Silalily 46 4384708 hipoalbuminemia dan SpOG(K) Ur/Cr : 27/0.6, elektrolit 129/3.6/98 albumin dan natrium
hiponatremi
NOK suspek maligna dengan 5/8/19 DPL 11.9/35/7170/372000, Elektrolit

prolaps uteri grade IV, dr. Andi Darma Putra, rencana laparotomi debulking, konsul
205A Uneng 59 4373829 137/3.6/103, PT/APTT 0.9x/0.9x, GDS 139,
sistokel grade III dan rektokel SpOG(K) uroginekologi
Ur/Cr 26/0.7, OT/PT 19/19, alb 3.83
grade III

POD 9 Post laparotomi 4/8/19 DPL :9/27/15480/139000, PCT
eksplorasi adhesiolisis, SOD,
26.47,29/7/2019 DPL 11/32,4/9340/80000
trachelectomy apendiktomi, Dr. dr. Gatot Purwoto, PT/APTT 0,8x/1,0x Na/K/Cl 134/3,6/97 DPL Drain (+), perawatan post op, GV 2 kali
205B Syafriant 49 4337425 perlekatan dengan cervix SpOG(K) post op 6,4/18/11130/85000 SGOT 12 SGPT 8 per hari
dilnajutkan abdominal Albumi 2.05 Cr 1 Ureum. 38 elektrolit
packing, hipoalbuminemia 140/2.9/108
(3,2), trombositopenia ec
(82000)
POD 8 post HR, PLND, SOB DPL post op 29/7/19: 13/38,1/23170/382000,

dan repair nervus obturator dr. Andi Darma Putra, 25/7/2019 DPL 12.6/37/10700/382000, Perawatan post op, Cystofix (+),
205D Ai Titn 50 4364375 dextra ai Ca cervix stadium
SpOG(K) Albumin 4.15 Cr 0.7 Ureum 35 GDS 83elektrolit bladder training
IB2 dan cedera nervus 135/4.2/101HbsAg non reaktf, PT 0.8 aPTT 0.9
obturator dextra
5/8/19 DPL : 8.7/26/9450/295000, alb 2.96,
Ur/Cr : 96/3.6, elektrolit : 140/3.0/ 105, 2/8/19
elektrolit 141/3/108, 29/7/19 DPL
9,2/27,9/20650/283000 Ur/Cr 97/3,8
Na/K/Cl 132/4,7/95 27/7/2019 Ur/Cr 66/3,2
POD 17 post relaparatomi Albumin 2,7 Na/K/Cl 132/4,4/97 25/7/2019
eksplorasi dan hemostasis ai Creatnin 5, SGOT 103, SGPT 60 24/7/19
syok hipovolemik ec internal SGOT/SGPT 103/60, Na/K/Cl 134/4,3/98
bleeding pada POD 15 post Lactat 2,1 23/7/19 DPL :
laparatomi optmal debulking 9.5/27.6/12640/86000, Alb 2.51, Ur/Cr :
ai tumor ganas mesenkimal 80/3.4, elektrolit 135/4.3/99 21/7/2019 DPL
(fibrosarkoma) clinically 11.1/32/8220/44000 albumin 2.4, PT 13 (11.3) konsul GH : evaluasi urine out put dan
dr. Kartwa Hadi N,
205E Umi kulsum 46 4383754 advanced stage dengan aPTT 49 (32) elektrolit 141/5.2/109 20/7/19
SpOG(K)
masalah anemia, DPL 11.8/34.6/11580/41000 PT/APT 1.8x/2.4x balans cairan per 24 jam
hipoalbuminemia, SGOT/SGPT 4365/644 Na/K/Cl 141/5,3/109
leukositosis ec susp infektf, Ur/Cr 93/3.5 18/7/19 23.30 Hb 4,7
overt DIC, AKI ec syok 18/7/19 post op DPL
hipovolemik post HD, acute 8,5/26,5/11270/380000 PT/APTT 1,1/1,2x
liver injury, suspek bladder ALbumin 2,0 SGOT/SGPT 17/16 Ur/Cr 37/0,8
injury Na/K/Cl 137/4,0/105 17/7/19 jam 06.03 DPL:
8,8/27,9/8510/579000, 16/7/19 CEA 1.6, CA
19-9 <2, 15/7/19: DPL
7,3/24.3/7850/549000//72,3.21.7/30
Albumin 3,5/Na 137/K 4,4/Cl 101/ GDS
61/SGOT 36/SGPT 7/ Ur 40/Cr 1,0
5/8/19 DPL : 6.9/20/10950/396000, Ur/Cr :

101/2.2, 2/8/19 elektrolit : 129/4.1/100,
1/8/19 DPL : 8.7/26/30510/282000, OT/PT :
11/10, Ur/Cr: 90/2.3, albumin: 1.61, elektrolit :
POD 5 post laparotomi 130/3.7/101, 31/7/19
adhesiolisis, SOD-VC 9.3/27.6/40.540/478.000 albumin 2.89
dilanjutkan HTSOS, elektrolit 133/4.1/97.8 29/7/29 DPL Rencana transfusi prc target hb >10,
apendektomi ai tumor Dr. dr. Fitriyadi K, SpOG(K) 11.2/33.6/52620/626000 Na/K/Cl 128/3,7/99 koreksi albumin Perawatan post
205F susi natalia 51 4275645
musinosum borderline Albumin 2,54 24/7/19 Albumin 2,8 Ur/Cr operasi, diet cair. Raber IPD GH: cek
ovarium kanan, akut on CKD, 180/3,5 Na/K/Cl 118/4,9/83,7 CEA 23,2 Ca ur/cr per 2 hari, cek urine output/hari
anemia, hipoalbuminemia, 125: 3169,8 Ca 199: 7323,4 23/7/19 Ur/Cr
hiponatremia 191/4.4, 22/7/19 DPL : 8.9/26/51580/636000,
elektrolit 122/5.7/86 15/7/19 DPL
10,7/32.6/36560/695000 SGOT
40/SGPT18/ALB 3,2/ur 102/cr 4,1/N 136/K
5.4/Cl 96.3
1/8/19 DPL : 10.8/33/6180/329000, OT/PT :
Dr. dr. Laila Nuranna, 15/7, Ca125 158, Ca19-9 <2, alb 4.26, Ur/Cr :
206 B Tarumi 51 4368047 NOK suspek maligna rencana laparotomi VC kamis 8/8/19
SpOG(K) 29/0.6, GDS 88, elektrolit 136/4/102, HbsAg
non reaktf, CEA 1000
3/8/19 DPL 13.6/42.3/10350/551000 2/8/19,

NOK dengan bagian padat
darah samar tnja positf 1/8/19 DPL
dengan masalah : anemia ec dr. T. Dewi Anggraeni, konsul gastro : hasil kolonoskopi :
9.5/29/10480/764000, 30/7/19
206 C Ngatni 44 4380141 perdarahan, kolits kronik, infiltrasi rektum ec massa ekstra
SpOG(K) 8.7/26.6/3.61/11.130/840.000 elektrolit
melena ec suspek gastrits lumen
135/4.4/97.4 GDS 95 ur/crec 16/0.6albumin
erosiva 3.31 PT?PT 20/15
rencana konsul IPD dan pulmo di jam

Ca cervix IVB meta paru, kerja, tampon sudah diaff, tdak ada
anemia, cancer pain, intake 3/8/19 DPL 10/28.4/15550/92000 1/8/19 perdarahan aktf. Konsul bedah
sulit,susp DVT, Dr. dr. Tofan W Utami,
206 D Sufniyet 48 3208141 DPL 8.4/23.8/14790/57000 Na 128/K 3.7/Cl vaskular : heparinisasi 5000 unit bolus
trombositopenia,hiponatremi SpOG(K) 114 GDS 111/ Ur 23.8/Cr 1.02 dilanjutkan 15000/24 jam, cek aptt
a, riwayat takiakrdia ec susp per 24 jam target 1.5x, CTA pelvis dan
TRALI balut elastk tungkai
Ca cervix II B on radiasi
eksterna 1 kali dengan 5/8/19 DPL 12.1/37/13910/601000, ALB 2.3,
permasalahan anemia 3/8/19 DPL 9.4/28.7/15770/621000 2/8/19
mikrosiitk hipokromik ec Dr. dr. Hariyono W, SpOG rencana CT stmulator dan radiasi
206 E Jarsit 50 4383501 DPL : 5.3/17/16280/792000, PT/APTT :
riwayat perdarahan, (K) selasa 6/8/19
1.1x/1.2x, OT/PT : 55/66, Ur/Cr : 13/0.4, GDS
hipoalbuminemia, 99, elektrolit 133/3.5/113, albumin 2.22
leukositosis reaktf,
hiponatremia
3/8/19 DPL 11.7/34.3/11210/249000 2/8/19

NOK dengan bagian padat, dr. T. Dewi Anggraeni,
206 F Lie Se Ping 58 4240981 DPL 7.2/21/10860/241000 1/8/19 DPL rencana pulang
riw. anemia SpOG(K) 4.8/15.2/9020/239000//77/24/31
6/819 CEA 23, Ca 125 24 5/8/19 DPL

10.5/33/8080/414000 4/8/19 DPL :
Dwi NOP suspek maligna, asites dr. Kartwa Hadi N, 9.4/29/6210/438000, alb 2.5, elektrolit rencana pungsi asites, target Hb sudah
207 A 24 4337478
Widyaningsih masif, intake sulit SpOG(K) 132/3.4/99, 3/8/19 DPL : 7.7/24/7830/428000, tercapai
elektrolit : 130/3.5/97, GDS 125, Ur/Cr :
38/1.1, albumin : 2.26, OT/PT : 12/6
(4/8/19) DPL : 6.8/22.1/9900/710.000 , Ur/cr : Sedang cek dpl post transfusi, Follow
Suspek Ca cervix stadium IB, dr. Andi Darma, SpOG(K)
207B Roro rohayat 44 4387082 up hasil biopsi cervix keluar hari senin
Anemia 21/0.7 , E: 131/3.3/118 5/8/19

permasalahan acute on CKD, 5/8/19 elektrolit 125/6.1/109, (4/8/19) E:
207C Se Hiong 54 4382008 hidronefrosis bilateral on dr. Andi Darma, SpOG(K) 126/6.3/111 , (3/8/19) DPL : konsul IPD GH di hari dan jam kerja
nefrostomi, hiperkalemia, 10.4/30.6/25280/738000, Ur/Cr : 171/5.07
hiponatremia
17/8/19 DPL 7.8/23/6600/212000, elektrolit rencana transfusi prc target hb >10,
NOK suspek maligna, anemia, Dr. dr. Laila Nuranna,
207D Sri Danurini 31 4386104 131/4.4/103, Ca 125 133, PT/APTT 0.9x/0.9x, konsul IPD GH selasa 6/8/19
AKI dd akut on ckd SpOG(K) OT/PT : 59/7, alb 3.73, Ur/Cr : 124/3.4, GDS 92
cerviks stadium IIIB on radiasi 1/8/19 DPL : 10.1/30/15470/315000, 30/7/19
dengan hidronefrosis Urologi rencana sistoskopi, RPG
DPL:8/23,9/14530/368000, 29/7/2019 DPL
Farida bilateral, Ca pain VAS 2-3, Dr. dr. Laila Nuranna, bilateral,insersi DJ stent bilateral.
207 E 47 4384745 8.9/26.6/26140/481000, Na/K/Cl 132/4,5/108,
Matondang anemia (Hb 8,9), leukositosis SpOG(K) Rencana echocardiography untuk
Albumin 2,9 GDS 74, SGOT/SGPT 39/30, Ur/Cr
reaktf dd infektf, toleransi kardiologi
35/1,7
hiponatremia, AKI dd/Acute
on CKD
4/8/19 elektrolit 134/3.4/107, Ur/Cr :

9.3/0.61, 1/8/19 Ur/Cr: 54/0.7, 31/7/19
Riwayat Dyspneu ec CHF dd albumin 2.74 elektrolit 133/3.6/107.9 30/9/19
TRALI dd TACO dd Reaksi 9.5/27.7/20.900/379.000 29/7/19 PCT 0,7
alergi (kontras) pada Pasca Na/K/Cl 130/3.9/104 ALbumin 2.64
histerektomi radikal tpe II ai SGOT/SGPT 18/15 Ur/Cr 41/1,5 DPL
ca endometrium stadium IA, 10.8/32.5/24490/418000 27/07/19: DPL:
fistula ureterovagina, riwayat dr. T. Dewi Anggraeni, 8.9/26.2/19.600/389.000 GDP 176 Cadarah Perbaikan KU, raber dengan urologi
210 C Essy Ella Therik 75 4356856 ruptur ureterovaginalis kiri SpOG(K) 8.1. fosfat. 3.1. Mg Darah 1.59. Na/K/Cl:
dan ruptur ureter bilateral, 131/3.9/102. AGD. pH: 7.7. pCO2 22.5. PO2
hidronefrosis bilateral on DJ 127. HCO 3 18.9. Total CO2 19,6. BE -1.4. O2
stent kanan dan URS kiri, saturasi 98 standart HCO3 23.2. standart BE
Anemia, leukositosis reaktf -4.0. DPL 25/7/2019 6.5/19/15600/351000
dd infektf APTT 0.9 PT1x elektrolit 130/3.4/109 UL nitrit
positf, LE +2, SGOT 27 SGPT 33, albumin 2.8 Ur
31 Cr 1.1 AU 4.2 GDS 162
3/8/19 12.6/37/8620/326000, Lab 1/8/19

8.9/26/14560/237000, 30/7/19:
POD 4 post laparatomi DPL:9,4/28/17860/261000, alb 3, e:
optmal debulking dan repair Prof. Dr. dr. Andrijono, 138/3,6/104, Ca: 8,8, Mg: 1,4, 29/7/2019
DPL 8,5/26,4/16530/252000 PT/APTT 1x/2.1x Perawatan post op, pertahankan FC 14
214D Apriasih 58 4338362 laserasi bladder ai Ca
ovarium advanced stage dan SpOG(K) Na/K/Cl 137/3.1/105 lactat 0,7 25/7/19 DPL hari
cedera bladder 10.3/32.7/9680/476000 SGOT/SGPT 15/11,
Ur/Cr 34/0,9 Alb 2.74 Na/K/Cl 135/4.0/102
PT/APTT 0,9/1,2x
POD I post laparotomi
surgical staging (HTSOB, 5/8/19 DPL post op 11.8/34/11110/274000,
bilateral pelvic dr. Andi Darma Putra, 1/8/19 DPL 12,8/38.8/8370/362000 PT Perawatan post operasi, rencana
ICU bed 13 Aisyah Widari 66 4361064 limfadenektomi, paraaorta SpOG(K) 0,8x/APTT 1,08x SGOT 19/SGPT 22/ alb 4.06/ pindah ruangan
limfadenektomi dan Ur 32/Cr 0,8/GDS 210 Na 136/K 3.7/Cl 101
omentektomi) ai Ca
endometrium IB high risk
POD I post laparotomi

adhesiolisis, SOD-VC 5/8/19 post op DPL : 13.5/41/18560/425000,
dilanjutkan HTSOS, debulking OT/PT 17/20, alb 2.49, Ur/Cr 41/0.8, elektrolit
ICU bed 14 Erna P 61 4369077 KGB pelvic kiri dan KGB Dr.dr.sigit P,SpOG(K) 136/3.3/106, 1/8/19 DPL Perawatan post operasi
paraaorta, reseksi tumor 11.3/36.1/17730/481000/80/25/31 SGOT
implan di mesenterium ai Ca 30/SGPT39/ALB 4.4/Ur 45/Cr 1.0/GDS 106
ovarium clinically III C
5/8/19 Ur/Cr : 73/0.4 2/8/19 elektrolit :

132/3.8/104, alb : 2.89, 1/8/19 DPL :
12.3/34/8110/148000, PT/APTT : 1.1x/1.3x,
POD 2 post laparotomi GDS 211, albumin 2.55, elektrolit :
histerektomi total dan 130/3.3/103, 31/7/19 albumin 1.90 0t/pt
salpingoophorektomi kanan 23/11 DPL 13.8/39.7/5.550/159.00029/7/19
ai infiltrasi massa DPL 8.7/24.5/12430/204000 28/7/19 DPL
adenokarsioma pada uterus Dr. dr. Gatot Purwoto, 6.6/18.8/15030/278000 24/7/19 DPL
401 i Lince Ria Lubis 58 4386289 Raber pasca HT, kapten bedah digestf
dan abses uterus, SpOG(K) 10.5/31.1/17780/240000 Albumin 2.1
adhesiolisis, reseksi ussu 22/7/19 DPL : 8.3/23.7/21670/207000, alb
sigmoid dan ahrtmann 1.87, elektrolit 128/3.7/100 21/7/2019 ca 125
procedure ai 107 Ca 19-9 2.6 CEA 1.2 AFP 1.3 LDH 208
adenokarsinoma kolon 20/7/19 DPL 6.4/18.5/36430/244000
Na/K/Cl 135/3,5/117 PCT 1,86 laktat 1,7
PT/APTT 1.1x/1.0x SGOT/SGPT 32/7 Albumin
2,5 Ur/Cr 74/1,3
31/7/19 ur/crec 41/1.429/7/19 DPL
9.3/28.1/17280/ 673000 Ur/Cr 37/1,4
24/7/2019 Ur/Cr 42/1.7 Na/K/Cl
POD 9 post laparatomi 131/3.6/103 Kultur sputum Achromobacter Urologi: rencana CT scan urografi
HTSOB, debulking KGB pelvik xylosoxidans 23/7/19 DPL kontras, IPD Ginjal Hipertensi: rencana
bilateral, debulking KGB 9.3/28/10080/426000, PCT 0.39, Cr :24, Cek ur cr setap 2 hari, konsul kardio:
paraaorta ai Ca endometrium 20/7/2019 DPL 9.9/29/16640/340000albumin rencana echocardiografi hari senin,
clinically advanced stage dan Dr. dr. Tofan W Utami,
419D Emidi 61 3756596 2.8 Ureum 73 Cr 2.5 elektrolit 138/3.6/106 amlodipin 1x5 mg, candesartan 1x16
post reimplantasi ureter kiri SpOG(K) 18/7/2019 post op DPL mg, Pulmo: meropnemen belum
dan insersi DJ stent kanan 10,9/32,7/13660/275000, Na/K/Cl perlu, fluimucyl 3x200mg, inhalasi
atas indikasi hidroureter 137/3,9/105, 16/7/19 DPL: ventolin, pertmbangkan USG stand by
bilateral, efusi pleura dan 12.3/35/7950/379000, OT/PT : 14/14, Alb 3.68, pungsi
pneumonia Ur/Cr : 43/1.2, GDS 122, Elektrolit :
137/3.2/103, PT/APTT: 0.9x/1.1. x,
FT4/FT3/TSH :0.88/2.05/5.234
ca cervix stadium IIIB post

radiasi luar 25x, terakir mei 4/8/19 DPL : 7.8/24/14240/170000, PT/APTT :
2019 dengan 1,1x/2.3x, Fibrinogen 468, D-dimer 35200,
masalah:Heptomegali dengan Dr. dr. Gatot Purwoto,
708 D Sit Sopiah 4364940 3/8/19 darah samar tnja (+), alb 2.56, 1/7/19 raber dengan TS IPD
kista hepar, anemia, olterik, SpOG(K) 11/33/18590/232.000 albumin 2.21 elektrolit
AKI dd/ acute on CKD, 133/4.4/102 30/7/19 retc 168.700
hipoalbumin

206D,207C 204B, 206C, 206F, 210C dr. Kartwa Hadi N, SpOG(K) 204D,204F,205E,207A
SpOG(K)
Dr. dr. Laila Nuranna, 206B,207D,207E Dr. dr. Hariyono W, SpOG (K) 206E
SpOG(K)
Prof. Dr. dr. Andrijono, 214D Dr. dr. Tofan W Utami, SpOG(K) 205E, 206D, 419D
SpOG(K)
Dr. dr. Fitriyadi K, SpOG(K) 205F Dr. dr. Gatot Purwoto, SpOG(K) 205D,401i 708D
dr. Andi Darma Putra, SpOG 204A,205A,205D,207B,20

(K) 7C, ICU
1/8/19 DPL 11.4/35/4370/326000, 30/7/19

204 C Susi Listyawat 29 4382577 PTM high risk dengan anemia SpOG(K) 9.7/30.3/3.550/359.000 ot/pt 14/12 el kemoterapi
136/3.6/107 beta HCG 635.28

POD 9 Post laparotomi
eksplorasi adhesiolisis, SOD, 29/7/2019 DPL 11/32,4/9340/80000 PT/APTT
trachelectomy apendiktomi,
Dr. dr. Gatot Purwoto, 0,8x/1,0x Na/K/Cl 134/3,6/97 DPL post op Drain (+), perawatan post op, GV
205B Syafriant 49 4337425 perlekatan dengan cervix SpOG(K) 6,4/18/11130/85000 SGOT 12 SGPT 8 Albumi ulang jika ada rembesan luka operasi
dilnajutkan abdominal 2.05 Cr 1 Ureum. 38 elektrolit 140/2.9/108
packing, hipoalbuminemia
(82000)
rencana Laparotomi surgical staging

Ca endometrium IB, DM tpe dr. Andi Darma Putra, 1/8/19 DPL 12,8/38.8/8370/362000 PT senin 5/8/19. Konsul IPD met-end dan
205C Aisyah Widari 66 4361064 2 on therapy, hipertensi on SpOG(K) 0,8x/APTT 1,08x SGOT 19/SGPT 22/ alb 4.06/ ginjal hipertensi. Persiapan darah PRC
therapy Ur 32/Cr 0,8/GDS 210 Na 136/K 3.7/Cl 101 500 cc dan FFP 500 cc. Post op Back
Up icu (dari ts anesthesi)
POD 5 post HR, PLND, SOB DPL post op 29/7/19: 13/38,1/23170/382000,
dan repair nervus obturator dr. Andi Darma Putra, 25/7/2019 DPL 12.6/37/10700/382000, Perawatan post op, Cystofix (+),
205D Ai Titn 50 4364375 dextra ai Ca cervix stadium
SpOG(K) Albumin 4.15 Cr 0.7 Ureum 35 GDS 83elektrolit bladder training
IB2 dan cedera nervus 135/4.2/101HbsAg non reaktf, PT 0.8 aPTT 0.9
obturator dextra
2/8/19 elektrolit 141/3/108, 29/7/19 DPL

9,2/27,9/20650/283000 Ur/Cr 97/3,8
Na/K/Cl 132/4,7/95 27/7/2019 Ur/Cr 66/3,2
Albumin 2,7 Na/K/Cl 132/4,4/97 25/7/2019
POD 14 post relaparatomi Creatnin 5, SGOT 103, SGPT 60 24/7/19
eksplorasi dan hemostasis ai SGOT/SGPT 103/60, Na/K/Cl 134/4,3/98 Furosemide 8 mg/jam,
syok hipovolemik ec internal Lactat 2,1 23/7/19 DPL : Midazolam 2mg/jam stop gant
bleeding pada POD 15 post 9.5/27.6/12640/86000, Alb 2.51, Ur/Cr : morfin, Propofol 3ml/jam Nutriflex
laparatomi optmal debulking 80/3.4, elektrolit 135/4.3/99 21/7/2019 DPL 1250ml/24 jam
ai tumor ganas mesenkimal 11.1/32/8220/44000 albumin 2.4, PT 13 (11.3) ANtbiotk digant Inj. Levofloxasine 1 x
(fibrosarkoma) clinically aPTT 49 (32) elektrolit 141/5.2/109 20/7/19 750 mg, meropenem 3x500 mg
dr. Kartwa Hadi N,
205E Umi kulsum 46 4383754 advanced stage dengan DPL 11.8/34.6/11580/41000 PT/APT 1.8x/2.4x Asam traneksamat 3x1g
SpOG(K)
masalah anemia, SGOT/SGPT 4365/644 Na/K/Cl 141/5,3/109 Vit K 3x 10 mg
hipoalbuminemia, Ur/Cr 93/3.5 18/7/19 23.30 Hb 4,7 Ranitdin 2x50 mg
leukositosis ec susp infektf, 18/7/19 post op DPL Metoclopramide 3x10 mg
overt DIC, AKI ec syok 8,5/26,5/11270/380000 PT/APTT 1,1/1,2x Ca gluconas 3x1g, sudah di GV verban
hipovolemik post HD, acute ALbumin 2,0 SGOT/SGPT 17/16 Ur/Cr 37/0,8 digant dengan lukomed
liver injury, suspek bladder Na/K/Cl 137/4,0/105 17/7/19 jam 06.03 DPL:
injury 8,8/27,9/8510/579000, 16/7/19 CEA 1.6, CA
19-9 <2, 15/7/19: DPL
7,3/24.3/7850/549000//72,3.21.7/30
61/SGOT 36/SGPT 7/ Ur 40/Cr 1,0
2/8/19 elektrolit : 129/4.1/100, 1/8/19 DPL :
8.7/26/30510/282000, OT/PT :11/10, Ur/Cr:
90/2.3, albumin: 1.61, elektrolit : 130/3.7/101,
POD 2 post laparotomi 31/7/19 9.3/27.6/40.540/478.000 albumin
adhesiolisis, SOD-VC 2.89 elektrolit 133/4.1/97.8 29/7/29 DPL
dilanjutkan HTSOS, 11.2/33.6/52620/626000 Na/K/Cl 128/3,7/99
apendektomi ai tumor Albumin 2,54 24/7/19 Albumin 2,8 Ur/Cr
205F susi natalia 51 4275645 Dr. dr. Fitriyadi K, SpOG(K) Perawatan post operasi, diet cair
musinosum borderline 180/3,5 Na/K/Cl 118/4,9/83,7 CEA 23,2 Ca
ovarium kanan, akut on CKD, 125: 3169,8 Ca 199: 7323,4 23/7/19 Ur/Cr
anemia, hipoalbuminemia, 191/4.4, 22/7/19 DPL : 8.9/26/51580/636000,
hiponatremia elektrolit 122/5.7/86 15/7/19 DPL
10,7/32.6/36560/695000 SGOT
40/SGPT18/ALB 3,2/ur 102/cr 4,1/N 136/K
5.4/Cl 96.3
3/8/19 DPL 13.6/42.3/10350/551000 2/8/19,

NOK dengan bagian padat darah samar tnja positf 1/8/19 DPL
dengan masalah : anemia ec dr. T. Dewi Anggraeni, 9.5/29/10480/764000, 30/7/19 konsul gastro : rencana colonoscopy
206 C Ngatni 44 4380141 perdarahan, kolits kronik, SpOG(K) 8.7/26.6/3.61/11.130/840.000 elektrolit hari senin (5/8/19)
melena ec suspek gastrits 135/4.4/97.4 GDS 95 ur/crec 16/0.6albumin
erosiva 3.31 PT?PT 20/15
Ca cervix IVB meta paru, rencana konsul IPD dan pulmo di jam
anemia, cancer pain, intake 3/8/19 DPL 10/28.4/15550/92000 1/8/19 kerja, tampon sudah diaff, tdak ada
sulit,susp DVT, Dr. dr. Tofan W Utami,
206 D Sufniyet 48 3208141 DPL 8.4/23.8/14790/57000 Na 128/K 3.7/Cl perdarahan aktf. Konsul bedah
trombositopenia,hiponatremi SpOG(K) 114 GDS 111/ Ur 23.8/Cr 1.02 vaskular hari dan jam kerja (senin
a, riwayat takiakrdia ec susp 5/8/19)
TRALI
Ca cervix II B on radiasi
eksterna 1 kali dengan
permasalahan anemia 3/8/19 DPL 9.4/28.7/15770/621000 2/8/19
206 E Jarsit 50 4383501 mikrosiitk hipokromik ec Dr. dr. Hariyono W, SpOG DPL : 5.3/17/16280/792000, PT/APTT : rencana transfusi target Hb > 10 g/dL,
riwayat perdarahan, (K) 1.1x/1.2x, OT/PT : 55/66, Ur/Cr : 13/0.4, GDS koreksi albumin
hipoalbuminemia, 99, elektrolit 133/3.5/113, albumin 2.22
hiponatremia
3/8/19 DPL 11.7/34.3/11210/249000 2/8/19

NOK dengan bagian padat, dr. T. Dewi Anggraeni,
206 F Lie Se Ping 58 4240981 DPL 7.2/21/10860/241000 1/8/19 DPL target transfusi sudah tercapai
riw. anemia SpOG(K) 4.8/15.2/9020/239000//77/24/31
3/8/19 DPL : 7.7/24/7830/428000, elektrolit : Koreksi albumin, transfusi prc, rencana

207 A 24 4337478 130/3.5/97, GDS 125, Ur/Cr : 38/1.1, albumin :
Widyaningsih masif, intake sulit SpOG(K) pungsi ascites pasca koreksi albumin
2.26, OT/PT : 12/6
Suspek Ca cervix stadium IB, (4/8/19) DPL : 6.8/22.1/9900/710.000 , Ur/cr : Tranfusi PRC target HB > 10 gr/dl.
207B Roro rohayat 44 4387082 dr. Andi Darma, SpOG(K) Follow up hasil biopsi cervix keluar
Anemia 21/0.7 , E: 131/3.3/118 hari senin 5/8/19

permasalahan acute on CKD,
207C Se Hiong 54 4382008 hidronefrosis bilateral on dr. Andi Darma, SpOG(K) (4/8/19) E: 126/6.3/111 , (3/8/19) DPL : Cek Elektrolit ulang pasca koreksi
10.4/30.6/25280/738000, Ur/Cr : 171/5.07
nefrostomi, hiperkalemia,
hiponatremia
cerviks stadium IIIB on radiasi 1/8/19 DPL : 10.1/30/15470/315000, 30/7/19
dengan hidronefrosis DPL:8/23,9/14530/368000, 29/7/2019 DPL
Farida bilateral, Ca pain VAS 2-3, Dr. dr. Laila Nuranna, 8.9/26.6/26140/481000, Na/K/Cl 132/4,5/108, Urologi rencana sistoskopi, RPG
207 E 47 4384745
Matondang anemia (Hb 8,9), leukositosis SpOG(K) Albumin 2,9 GDS 74, SGOT/SGPT 39/30, Ur/Cr bilateral,insersi DJ stent bilateral
reaktf dd infektf,
35/1,7
hiponatremia, AKI dd/Acute
on CKD
1/8/19 Ur/Cr: 54/0.7, 31/7/19 albumin 2.74
elektrolit 133/3.6/107.9 30/9/19
Riwayat Dyspneu ec CHF dd 9.5/27.7/20.900/379.000 29/7/19 PCT 0,7
TRALI dd TACO dd Reaksi Na/K/Cl 130/3.9/104 ALbumin 2.64
alergi (kontras) pada Pasca
SGOT/SGPT 18/15 Ur/Cr 41/1,5 DPL
histerektomi radikal tpe II ai 10.8/32.5/24490/418000 27/07/19: DPL:
ca endometrium stadium IA, 8.9/26.2/19.600/389.000 GDP 176 Cadarah
fistula ureterovagina, riwayat dr. T. Dewi Anggraeni,
210 C Essy Ella Therik 75 4356856 8.1. fosfat. 3.1. Mg Darah 1.59. Na/K/Cl: Perbaikan KU, raber dengan urologi
ruptur ureterovaginalis kiri SpOG(K)
131/3.9/102. AGD. pH: 7.7. pCO2 22.5. PO2
dan ruptur ureter bilateral, 127. HCO 3 18.9. Total CO2 19,6. BE -1.4. O2
hidronefrosis bilateral on DJ saturasi 98 standart HCO3 23.2. standart BE
stent kanan dan URS kiri, -4.0. DPL 25/7/2019 6.5/19/15600/351000
Anemia, leukositosis reaktf APTT 0.9 PT1x elektrolit 130/3.4/109 UL nitrit
dd infektf
positf, LE +2, SGOT 27 SGPT 33, albumin 2.8 Ur
31 Cr 1.1 AU 4.2 GDS 162
1/8/19 DPL Rencana op senin 5/8/19, persiapan

211D Erna P 61 4369077 NOK susp maligna Dr.dr.sigit P,SpOG(K) 11.3/36.1/17730/481000/80/25/31 SGOT darah PRC 500 cc FFP 500 c, post op
30/SGPT39/ALB 4.4/Ur 45/Cr 1.0/GDS 106 Bak up icu (sesuai TS anesthesi)
Lab 1/8/19 8.9/26/14560/237000, 30/7/19:

DPL:9,4/28/17860/261000, alb 3, e:
POD 4 post laparatomi 138/3,6/104, Ca: 8,8, Mg: 1,4, 29/7/2019
optmal debulking dan repair Prof. Dr. dr. Andrijono, DPL 8,5/26,4/16530/252000 PT/APTT 1x/2.1x Perawatan post op, pertahankan FC 14
214D Apriasih 58 4338362 laserasi bladder ai Ca
ovarium advanced stage dan SpOG(K) Na/K/Cl 137/3.1/105 lactat 0,7 25/7/19 DPL hari, transfusi PRC, obat gant oral
10.3/32.7/9680/476000 SGOT/SGPT 15/11,
cedera bladder
Ur/Cr 34/0,9 Alb 2.74 Na/K/Cl 135/4.0/102
PT/APTT 0,9/1,2x
2/8/19 elektrolit : 132/3.8/104, alb : 2.89,
1/8/19 DPL : 12.3/34/8110/148000, PT/APTT :
1.1x/1.3x, GDS 211, albumin 2.55, elektrolit :
POD 2 post laparotomi 130/3.3/103, 31/7/19 albumin 1.90 0t/pt
histerektomi total dan 23/11 DPL 13.8/39.7/5.550/159.00029/7/19
salpingoophorektomi kanan DPL 8.7/24.5/12430/204000 28/7/19 DPL
ai infiltrasi massa
6.6/18.8/15030/278000 24/7/19 DPL
adenokarsioma pada uterus Dr. dr. Gatot Purwoto,
401 i Lince Ria Lubis 58 4386289 10.5/31.1/17780/240000 Albumin 2.1 Raber pasca HT, kapten bedah digestf
dan abses uterus, SpOG(K) 22/7/19 DPL : 8.3/23.7/21670/207000, alb
adhesiolisis, reseksi ussu 1.87, elektrolit 128/3.7/100 21/7/2019 ca 125
sigmoid dan ahrtmann
107 Ca 19-9 2.6 CEA 1.2 AFP 1.3 LDH 208
procedure ai 20/7/19 DPL 6.4/18.5/36430/244000
adenokarsinoma kolon Na/K/Cl 135/3,5/117 PCT 1,86 laktat 1,7
2,5 Ur/Cr 74/1,3
31/7/19 ur/crec 41/1.429/7/19 DPL

9.3/28.1/17280/ 673000 Ur/Cr 37/1,4
24/7/2019 Ur/Cr 42/1.7 Na/K/Cl
POD 9 post laparatomi 131/3.6/103 Kultur sputum Achromobacter Urologi: rencana CT scan urografi
HTSOB, debulking KGB pelvik xylosoxidans 23/7/19 DPL kontras, IPD Ginjal Hipertensi: rencana
bilateral, debulking KGB 9.3/28/10080/426000, PCT 0.39, Cr :24, Cek ur cr setap 2 hari, konsul kardio:
paraaorta ai Ca endometrium 20/7/2019 DPL 9.9/29/16640/340000albumin rencana echocardiografi hari senin,
clinically advanced stage dan Dr. dr. Tofan W Utami,
419D Emidi 61 3756596 2.8 Ureum 73 Cr 2.5 elektrolit 138/3.6/106 amlodipin 1x5 mg, candesartan 1x16
post reimplantasi ureter kiri SpOG(K) 18/7/2019 post op DPL mg, Pulmo: meropnemen belum
dan insersi DJ stent kanan 10,9/32,7/13660/275000, Na/K/Cl perlu, fluimucyl 3x200mg, inhalasi
atas indikasi hidroureter 137/3,9/105, 16/7/19 DPL: ventolin, pertmbangkan USG stand by
bilateral, efusi pleura dan 12.3/35/7950/379000, OT/PT : 14/14, Alb 3.68, pungsi
pneumonia Ur/Cr : 43/1.2, GDS 122, Elektrolit :
137/3.2/103, PT/APTT: 0.9x/1.1. x,
FT4/FT3/TSH :0.88/2.05/5.234

radiasi luar 25x, terakir mei
2019 dengan
32/8/19 darah samar tnja (+), alb 2.56, 1/7/19
masalah:Heptomegali dengan Dr. dr. Gatot Purwoto,
708 D Sit Sopiah 4364940 11/33/18590/232.000 albumin 2.21 elektrolit raber dengan TS IPD
kista hepar, anemia, olterik, SpOG(K) 133/4.4/102 30/7/19 retc 168.700
AKI dd/ acute on CKD,
hipoalbumin
dr. T. Dewi Anggraeni, 204C, 206C, 206 F, 210C dr. Kartwa Hadi N, SpOG(K) 205E, 207A
SpOG(K)
Dr. dr. Laila Nuranna, 207E Dr. dr. Hariyono W, SpOG (K) 206E
SpOG(K)
Prof. Dr. dr. Andrijono, 214D Dr. dr. Tofan W Utami, SpOG(K) 206D, 419D
SpOG(K)
Dr. dr. Fitriyadi K, SpOG(K) 205F Dr. dr. Gatot Purwoto, SpOG(K) 205B, 708D, HCU
Dr. dr. Sigit Purbadi, SpOG(K) 211D
(K) 205C,205D, 207B, 207C
Ward Map Ginekologi Onkologi Minggu 4 Agustus 2019
3/8/19 DPL
13.1/37.8/5120/1
06000 /2/8/19
Ca ovarium dr. T. Dewi DPL Kemoterapi,renca
204B Nuraini 46 4300167 advance stage on Anggraeni, 9.8/27/6320/104 na pulang
kemoterapi SpOG(K) 000, 30/7/19
10/29.2/3.35/93.
000
1/8/19 DPL
11.4/35/4370/32
6000, 30/7/19
PTM high risk dr. T. Dewi 9.7/30.3/3.550/3
204 C Susi Listyawat 29 4382577 Anggraeni, kemoterapi
dengan anemia 59.000 ot/pt
SpOG(K) 14/12 el
136/3.6/107 beta
HCG 635.28
3/8/19 DPL
Ca endometrium, dr. Kartwa Hadi N, 12.1/36.6/3800/3
204D Rahayu Dwi 56 3208025 54000 1/8/19 DPL Kemoterapi,renca
riw.anemia SpOG(K) 9.9/29/3110/284 na pulang
000
2/8/19
13.4/41/3520/16
Ca ovarium dr. T. Dewi 0000, 1/8/19 DPL Kemoterapi,renca
204 E Sumini 46 4255025 stadium IIIC Anggraeni, 9.4/28/3450/146 na pulang
suspek residif SpOG(K) 000, 30/7/19
8.7/27.6/2.41/20
5.000
3/8/19 DPL
11.6/35/5570/25
6000 29/7/19 DPL
dr. Andi Darma
204F Maria Kiftia 43 4381302 Ca ovarium 9.2/27.8/5600/18 Kemoterapi,renca
Putra, SpOG(K) na pulang
6000/72/24/31
GDS 94/Ur 19/Cr
0.6SGOT 15/SGPT
13
POD 6 post
laparatomi aff
abdominal
packing pada
POD 9 Post 29/7/2019 DPL
laparotomi 11/32,4/9340/80
eksplorasi 000 PT/APTT
adhesiolisis, SOD, 0,8x/1,0x Na/K/Cl
trachelectomy
134/3,6/97 DPL Drain (+),
apendiktomi, Dr. dr. Gatot post op
205B Syafriant 49 4337425 perlekatan 6,4/18/11130/85 perawatan post
Purwoto, SpOG(K)
dengan cervix 000 SGOT 12 SGPT op
dilnajutkan
8 Albumi 2.05 Cr 1
abdominal Ureum. 38
packing, elektrolit
(3,2),
trombositopenia
ec consumptve
coagulopathy
(82000)
1/8/19 DPL
12,8/38.8/8370/3 rencana
Ca endometrium 62000 PT Laparotomi
IB, DM tpe 2 on dr. Andi Darma 0,8x/APTT 1,08x surgical staging
205C Aisyah Widari 66 4361064 therapy, SGOT 19/SGPT senin 5/8/19.
Putra, SpOG(K)
hipertensi on 22/ alb 4.06/ Ur Konsul IPD met-
therapy 32/Cr 0,8/GDS end dan ginjal
210 Na 136/K hipertensi
3.7/Cl 101
DPL post op
29/7/19:
13/38,1/23170/3
POD 5 post HR, 82000,
PLND, SOB dan 25/7/2019 DPL
repair nervus Perawatan post
12.6/37/10700/3
obturator dextra dr. Andi Darma op, Cystofix (+),
205D Ai Titn 50 4364375 82000, Albumin
ai Ca cervix Putra, SpOG(K) rencana bladder
4.15 Cr 0.7 Ureum
stadium IB2 dan training
35 GDS
cedera nervus 83elektrolit
obturator dextra 135/4.2/101HbsA
g non reaktf, PT
0.8 aPTT 0.9
132/4,7/95
27/7/2019 Ur/Cr
66/3,2 Albumin
2,7 Na/K/Cl
132/4,4/97
25/7/2019
Creatnin 5, SGOT
103, SGPT 60
24/7/19
SGOT/SGPT
103/60, Na/K/Cl
134/4,3/98
Lactat 2,1
23/7/19 DPL :
9.5/27.6/12640/8
POD 14 post
6000, Alb 2.51, Furosemide 8
relaparatomi Ur/Cr : 80/3.4, mg/jam,
eksplorasi dan elektrolit Midazolam
hemostasis ai syok 135/4.3/99 2mg/jam stop
hipovolemik ec
21/7/2019 DPL gant morfin,
internal bleeding 11.1/32/8220/44 Propofol 3ml/jam
pada POD 15 post 000 albumin 2.4, Nutriflex
laparatomi PT 13 (11.3) aPTT 1250ml/24 jam
optmal debulking 49 (32) elektrolit ANtbiotk digant
ai tumor ganas
141/5.2/109 Inj. Levofloxasine
mesenkimal dr. Kartwa Hadi N, 20/7/19 DPL 1 x 750 mg,
205E Umi kulsum 46 4383754 (fibrosarkoma)
clinically advanced SpOG(K) 11.8/34.6/11580/ meropenem
41000 PT/APT 3x500 mg
stage dengan
1.8x/2.4x Asam traneksamat
masalah anemia, SGOT/SGPT 3x1g
hipoalbuminemia, 4365/644 Vit K 3x 10 mg
leukositosis ec Na/K/Cl Ranitdin 2x50 mg
susp infektf, overt 141/5,3/109 Metoclopramide
DIC, AKI ec syok
Ur/Cr 93/3.5 3x10 mg
hipovolemik post 18/7/19 23.30 Ca gluconas 3x1g,
HD, acute liver Hb 4,7 sudah GV kemarin
injury, suspek 18/7/19 post
bladder injury
op DPL
8,5/26,5/11270/3
80000 PT/APTT
1,1/1,2x ALbumin
2,0 SGOT/SGPT
17/16 Ur/Cr
37/0,8 Na/K/Cl
137/4,0/105
17/7/19 jam
06.03 DPL:
8,8/27,9/8510/57
9000, 16/7/19
CEA 1.6, CA 19-9
<2, 15/7/19: DPL
7,3/24.3/7850/54
ca cervix stadium
II B progresif post 2/8/19 DPL :
radiasi lengkap 10.7/33/24060/5 raber IPD--> kultur
dengan: anemia 36000 1/7/19 DPL sputum, elektrolit
on tranfusi, 9.8/30/248100/4 per 3 hari,
Prof. Dr. dr.
hidronefrosis, 89000 31/7/19 antbiotk
206 B Indah Fitriah 34 4360314 suspek meta paru, Andrijono, 7.6/24.2/3.12/24. Ceftriaxon 1x2
SpOG(K)
hipoalbumin, 740/537.000 gram,
leukositosis reaktf elektrolit Azithromisin
dd/ infektf, 126/4.5/95.6 PCT 1x500 mg
pneumonia 8.30 lactat 2.4
komunitas
3/8/19 DPL
13.6/42.3/10350/
551000 2/8/19,
NOK dengan darah samar tnja
bagian padat positf 1/8/19 DPL
dengan masalah : dr. T. Dewi 9.5/29/10480/76 konsul gastro :
anemia ec 4000, 30/7/19
206 C Ngatni 44 4380141 perdarahan, kolits Anggraeni, 8.7/26.6/3.61/11. rencana
kronik, melena ec SpOG(K) colonoscopy senin
130/840.000
suspek gastrits elektrolit
erosiva 135/4.4/97.4 GDS
95 ur/crec
16/0.6albumin
3.31 PT?PT 20/15
Ca cervix IVB meta 3/8/19 DPL

paru, anemia, 10/28.4/15550/9 rencana konsul
cancer pain, 2000 1/8/19 IPD dan pulmo di
intake sulit,susp DPL
Dr. dr. Tofan W jam kerja, tampon
206 D Sufniyet 48 3208141 DVT, 8.4/23.8/14790/5
trombositopenia,h Utami, SpOG(K) sudah diaff, tdak
7000 Na 128/K ada perdarahan
iponatremia, 3.7/Cl 114 GDS aktf
riwayat takiakrdia 111/ Ur 23.8/Cr
ec susp TRALI 1.02
Ca cervix II B on 3/8/19 DPL
radiasi eksterna 1 9.4/28.7/15770/6
kali dengan 21000 2/8/19
permasalahan DPL :
anemia mikrosiitk 5.3/17/16280/79 rencana transfusi
hipokromik ec Dr. dr. Hariyono W, 2000, PT/APTT : target Hb > 10
206 E Jarsit 50 4383501 riwayat SpOG (K) 1.1x/1.2x, OT/PT : g/dL, koreksi
perdarahan, 55/66, Ur/Cr : albumin
hipoalbuminemia, 13/0.4, GDS 99,
leukositosis elektrolit
reaktf, 133/3.5/113,
hiponatremia albumin 2.22
3/8/19 DPL
11.7/34.3/11210/
249000 2/8/19
NOK dengan dr. T. Dewi DPL target transfusi
206 F Lie Se Ping 58 4240981 bagian padat, riw. Anggraeni, 7.2/21/10860/24 sudah tercapai
anemia SpOG(K) 1000 1/8/19 DPL
4.8/15.2/9020/23
9000//77/24/31
3/8/19 DPL :
7.7/24/7830/428 Koreksi albumin,
NOP suspek dr. Kartwa Hadi N, 000, elektrolit : transfusi prc,
207 A Dwi Widyaningsih 24 4337478 maligna, asites 130/3.5/97, GDS rencana pungsi
masif, intake sulit SpOG(K) 125, Ur/Cr : ascites pasca
38/1.1, albumin : koreksi albumin
2.26, OT/PT : 12/6
3/8/19 DPL
10.7/31.8/17830/
Ca cervix dd/ Ca 346000 2/8/19
endometrium DPL
meta cervix post 9/27/14910/4010 sudah aff tampon,
HTSOS 00, 1/8/19 DPL tdak ada
(inadequate DR.dr. Tofan WU,
207B Nurhayat 54 4382218 7.7/23.3/19290/4 perdarahan aktf.
staging 6 bulan SpOG(K) 90000/79/26/33 Target transfusi
lalu), anemia, SGOT 20/SGPT sudah tercapai.
cancer pain VAS3, 9/alb 2.8/Ur
intake sulit, 16.8/Cr 0.6/GDS
hipoalbuminemia 108/ Na 136/K
3.2/Cl 124
Perdarahan 1/8/19 DPL :
pervaginam ec Ca 10.1/30/15470/3
cerviks stadium 15000, 30/7/19
IIIB on radiasi DPL:8/23,9/14530
dengan /368000,
Urologi rencana
bilateral, Ca pain Dr. dr. Laila sistoskopi, RPG
207 E Farida Matondang 47 4384745 8.9/26.6/26140/4
VAS 2-3, anemia Nuranna, SpOG(K) bilateral,insersi DJ
81000, Na/K/Cl stent bilateral
(Hb 8,9), 132/4,5/108,
leukositosis reaktf Albumin 2,9 GDS
dd infektf, 74, SGOT/SGPT
hiponatremia, AKI 39/30, Ur/Cr
dd/Acute on CKD 35/1,7
1/8/19 Ur/Cr:
54/0.7, 31/7/19
albumin 2.74
elektrolit
133/3.6/107.9
30/9/19
9.5/27.7/20.900/
379.000 29/7/19
PCT 0,7 Na/K/Cl
130/3.9/104
ALbumin 2.64
Riwayat Dyspneu SGOT/SGPT 18/15
ec CHF dd TRALI Ur/Cr 41/1,5 DPL
dd TACO dd Reaksi 10.8/32.5/24490/
alergi (kontras)
418000
pada Pasca 27/07/19: DPL:
histerektomi 8.9/26.2/19.600/
radikal tpe II ai ca 389.000 GDP 176
endometrium Cadarah 8.1.
stadium IA, fistula
dr. T. Dewi fosfat. 3.1. Mg Perbaikan KU,
ureterovagina,
210 C Essy Ella Therik 75 4356856 Anggraeni, Darah 1.59. raber dengan
riwayat ruptur
ureterovaginalis SpOG(K) Na/K/Cl: urologi
131/3.9/102.
kiri dan ruptur
AGD. pH: 7.7.
ureter bilateral, pCO2 22.5. PO2
hidronefrosis 127. HCO 3 18.9.
bilateral on DJ Total CO2 19,6. BE
stent kanan dan -1.4. O2 saturasi
URS kiri, Anemia,
98 standart HCO3
leukositosis reaktf 23.2. standart BE
dd infektf -4.0. DPL
25/7/2019
6.5/19/15600/35
1000 APTT 0.9
PT1x elektrolit
130/3.4/109 UL
nitrit positf, LE
+2, SGOT 27 SGPT
33, albumin 2.8 Ur
31 Cr 1.1 AU 4.2
GDS 162
1/8/19 DPL
11.3/36.1/17730/
481000/80/25/31 Rencana op senin
Dr.dr.sigit
211D Erna P 61 4369077 NOK susp maligna P,SpOG(K) SGOT
30/SGPT39/ALB 5/8/19
4.4/Ur 45/Cr
1.0/GDS 106
Lab 1/8/19
8.9/26/14560/23
7000, 30/7/19:
DPL:9,4/28/17860
/261000, alb 3, e:
138/3,6/104, Ca:
8,8, Mg: 1,4,
POD 4 post 29/7/2019 DPL
laparatomi 8,5/26,4/16530/2 Perawatan post
optmal debulking
dan repair laserasi Prof. Dr. dr. 52000 PT/APTT op, pertahankan
214D Apriasih 58 4338362 Andrijono, 1x/2.1x Na/K/Cl FC 14 hari,
bladder ai Ca
ovarium advanced SpOG(K) 137/3.1/105 transfusi PRC
lactat 0,7
stage dan cedera
25/7/19 DPL
bladder 10.3/32.7/9680/4
76000
SGOT/SGPT 15/11,
Ur/Cr 34/0,9 Alb
2.74 Na/K/Cl
135/4.0/102
PT/APTT 0,9/1,2x
2/8/19 elektrolit :
129/4.1/100,
1/8/19 DPL :
8.7/26/30510/28
2000, OT/PT :
11/10, Ur/Cr:
90/2.3, albumin:
1.61, elektrolit :
130/3.7/101,
31/7/19
9.3/27.6/40.540/
478.000 albumin
2.89 elektrolit
POD 2 post 133/4.1/97.8
laparotomi 29/7/29 DPL
adhesiolisis, SOD- 11.2/33.6/52620/
VC dilanjutkan 626000 Na/K/Cl
HTSOS, 128/3,7/99 rencana pindah
apendektomi ai Dr. dr. Fitriyadi K, Albumin 2,54 HCU lantai 6,
HCU surgical lt6 susi natalia 51 4275645 tumor musinosum SpOG(K) 24/7/19 Albumin perawatan post
borderline 2,8 Ur/Cr 180/3,5 operasi
ovarium kanan, Na/K/Cl
akut on CKD, 118/4,9/83,7 CEA
anemia, 23,2 Ca 125:
hipoalbuminemia, 3169,8 Ca 199:
hiponatremia 7323,4 23/7/19
Ur/Cr 191/4.4,
22/7/19 DPL :
8.9/26/51580/63
6000, elektrolit
122/5.7/86
15/7/19 DPL
10,7/32.6/36560/
695000 SGOT
40/SGPT18/ALB
3,2/ur 102/cr
4,1/N 136/K
5.4/Cl 96.3
2/8/19 elektrolit :
132/3.8/104, alb :
2.89, 1/8/19 DPL :
12.3/34/8110/14
8000, PT/APTT :
1.1x/1.3x, GDS
211, albumin
2.55, elektrolit :
130/3.3/103,
31/7/19 albumin
1.90 0t/pt 23/11
DPL
13.8/39.7/5.550/
POD 2 post 159.00029/7/19
laparotomi DPL
histerektomi total 8.7/24.5/12430/2
dan 04000 28/7/19
salpingoophorekt DPL
omi kanan ai 6.6/18.8/15030/2
infiltrasi massa 78000 24/7/19
adenokarsioma Raber pasca HT,
pada uterus dan Dr. dr. Gatot DPL
HCU Surgical Lince Ria Lubis 58 4386289 kapten bedah
Purwoto, SpOG(K) 10.5/31.1/17780/
abses uterus, digestf
240000 Albumin
adhesiolisis, 2.1 22/7/19
reseksi ussu DPL :
sigmoid dan 8.3/23.7/21670/2
ahrtmann 07000, alb 1.87,
procedure ai elektrolit
adenokarsinoma 128/3.7/100
kolon 21/7/2019 ca 125
107 Ca 19-9 2.6
CEA 1.2 AFP 1.3
LDH 208
20/7/19 DPL
6.4/18.5/36430/2
44000 Na/K/Cl
135/3,5/117 PCT
1,86 laktat 1,7
PT/APTT 1.1x/1.0x
SGOT/SGPT 32/7
Albumin 2,5
Ur/Cr 74/1,3
31/7/19 ur/crec
41/1.429/7/19
DPL
9.3/28.1/17280/
673000 Ur/Cr
37/1,4
24/7/2019 Ur/Cr
42/1.7 Na/K/Cl
131/3.6/103
Urologi: rencana
Kultur sputum
POD 9 post CT scan urografi
Achromobacter
laparatomi kontras, IPD Ginjal
xylosoxidans
HTSOB, debulking Hipertensi:
23/7/19 DPL
KGB pelvik rencana Cek ur cr
9.3/28/10080/42
bilateral, setap 2 hari,
6000, PCT 0.39, Cr
debulking KGB konsul kardio:
:24, 20/7/2019
paraaorta ai Ca rencana
DPL
endometrium echocardiografi
9.9/29/16640/34
clinically advanced Dr. dr. Tofan W hari senin,
0000albumin 2.8
419D Emidi 61 3756596 stage dan post amlodipin 1x5 mg,
Utami, SpOG(K) Ureum 73 Cr 2.5
reimplantasi candesartan 1x16
elektrolit
ureter kiri dan mg, Pulmo:
138/3.6/106
insersi DJ stent meropnemen
18/7/2019 post
kanan atas belum perlu,
op DPL
indikasi fluimucyl
10,9/32,7/13660/
hidroureter 3x200mg, inhalasi
275000, Na/K/Cl
bilateral, efusi ventolin,
137/3,9/105,
16/7/19 DPL:
12.3/35/7950/37 pungsi
9000, OT/PT :
14/14, Alb 3.68,
Ur/Cr : 43/1.2,
GDS 122,
Elektrolit :
137/3.2/103,
PT/APTT: 0.9x/1.1.
x, FT4/FT3/TSH :
0.88/2.05/5.234
ca cervix stadium
IIIB post radiasi 32/8/19 darah
luar 25x, terakir samar tnja (+),
mei 2019 dengan alb 2.56, 1/7/19
masalah:Heptome 11/33/18590/232 raber dengan TS
gali dengan kista Dr. dr. Gatot
708 D Sit Sopiah 4364940 .000 albumin 2.21 IPD
hepar, anemia, Purwoto, SpOG(K) elektrolit
olterik, AKI dd/ 133/4.4/102
acute on CKD, 30/7/19 retc
leukositosis 168.700
reaktf,
hipoalbumin
dr. T. Dewi dr. Kartwa Hadi N, 210 D, ICU

DNR 206C Anggraeni, 207D, ICU SpOG(K)
SpOG(K)
Andrijono, 214D 210B
Utami, SpOG(K)
SpOG(K)
Dr. dr. Fitriyadi K, 206A Dr. dr. Gatot
SpOG(K) Purwoto, SpOG(K) ICU
Dr. dr. Sigit

Purbadi, SpOG(K)
dr. Andi Darma

Putra, SpOG (K) 205C,205D
Ward Map Ginekologi Onkologi Sabtu 3 Agustus 2019
Dr. dr. Sigit Purbadi, 15/7/19 13.6/39.7/4.67/6.080/281.000

204 A Diana Nur Sefa 31 4385898 PTM high risk Kemoterapi,rencana pulang
SpOG(K) elektrolit 137/4.1/102.6

204B Sumiyat 61 4310782 Ca cervix IB 1/8/19 DPL : 10.3/30/10690/180000 kemoterapi
SpOG(K)
1/8/19 DPL 11.4/35/4370/326000, 30/7/19

dr. T. Dewi Anggraeni, 9.7/30.3/3.550/359.000 ot/pt 14/12 el
204 C Susi Listyawat 29 4382577 PTM high risk dengan anemia kemoterapi
SpOG(K) 136/3.6/107 beta HCG 635.28
2/8/19 DPL : 12.1/36/5390/333000, 31/7/19

Ca endometrium dengan anemia post Dr. dr. Sigit Purbadi, DPL : 9.4/28/4880/194000, elektrolit :
204D Budi Rahayu 57 4137700 transfusi SpOG(K) 134/4.1/100, GDS 105, Ur/Cr : 24/0.6, OT/PT : kemoterapi
26/29, alb 4.06,
Dr. dr. Gatot Purwoto, 23/7/19 11.5/33.7/4.03/5.490/455.000

204 E Gusnarita 35 4380884 PTM high risk ot/pt 42/44 albumin 4.59 ur/crec 17/0.5el Kemoterapi
SpOG(K) 136/4.4/103.6
dr. Andi Darma Putra, 1/8/19 DPL : 12.3/35/11.410/147000

204F Widdet munadir 56 4362002 Ca endometrium residif kemoterapi
SpOG(K)
POD 5 post laparatomi aff abdominal

packing pada POD 8 Post laparotomi 29/7/2019 DPL 11/32,4/9340/80000
Dr. dr. Gatot Purwoto, PT/APTT 0,8x/1,0x Na/K/Cl 134/3,6/97 DPL
trachelectomy apendiktomi, perlekatan
205B Syafriant 49 4337425 post op 6,4/18/11130/85000 SGOT 12 SGPT 8 Drain (+), perawatan post op
dengan cervix dilnajutkan abdominal SpOG(K) Albumi 2.05 Cr 1 Ureum. 38 elektrolit
packing, hipoalbuminemia (3,2), 140/2.9/108
1/8/19 DPL 12,8/38.8/8370/362000 PT rencana Laparotomi surgical

Ca endometrium IB, DM tpe 2 on therapy, dr. Andi Darma Putra, 0,8x/APTT 1,08x SGOT 19/SGPT 22/ alb staging senin 5/8/19. Konsul
205C Aisyah Widari 66 4361064 hipertensi on therapy SpOG(K) 4.06/ Ur 32/Cr 0,8/GDS 210 Na 136/K 3.7/Cl IPD met-end dan ginjal
101 hipertensi

POD 5 post HR, PLND, SOB dan repair 13/38,1/23170/382000, 25/7/2019 DPL
nervus obturator dextra ai Ca cervix dr. Andi Darma Putra, 12.6/37/10700/382000, Albumin 4.15 Cr 0.7 Perawatan post op, Cystofix (+),
205D Ai Titn 50 4364375 stadium IB2 dan cedera nervus obturator SpOG(K) Ureum 35 GDS 83elektrolit rencana bladder training
dextra 135/4.2/101HbsAg non reaktf, PT 0.8 aPTT
0.9
dr. Kartwa Hadi N, Transfusi target Hb >10 gr/dL,
206A Rahayu Dwi 56 3208025 Ca endometrium, anemia 1/8/19 DPL 9.9/29/3110/284000
SpOG(K) kemoterapi
ca cervix stadium II B progresif post radiasi tranfusi target Hb diatas 10

2/9/19 DPL : 10.7/33/24060/536000 1/7/19
lengkap dengan: anemia on tranfusi, g/dL, raber IPD--> kultur
Prof. Dr. dr. Andrijono, DPL 9.8/30/248100/489000 31/7/19
206 B Indah Fitriah 34 4360314 hidronefrosis, suspek meta paru, sputum, elektrolit per 3 hari,
SpOG(K) 7.6/24.2/3.12/24.740/537.000 elektrolit
hipoalbumin, leukositosis reaktf dd/ antbiotk Ceftriaxon 1x2 gram,
126/4.5/95.6 PCT 8.30 lactat 2.4
infektf, pneumonia komunitas Azithromisin 1x500 mg
2/8/19, darah samar tnja positf 1/8/19 DPL

NOK dengan bagian padat dengan 9.5/29/10480/764000, 30/7/19 rencana transfusi tager Hb > 10
206 C Ngatni 44 4380141 masalah : anemia ec perdarahan, kolits 8.7/26.6/3.61/11.130/840.000 elektrolit g/dL, konsul gastro : rencana
SpOG(K)
kronik, melena ec suspek gastrits erosiva 135/4.4/97.4 GDS 95 ur/crec 16/0.6albumin colonoscopy senin
3.31 PT?PT 20/15
rencana transfusi PRC, sudah

Ca cervix IVB meta paru, anemia, cancer DNR, rencana konsul IPD dan
pain, intake sulit,susp DVT, Dr. dr. Tofan W 1/8/19 DPL 8.4/23.8/14790/57000 Na
206 D Sufniyet 48 3208141 pulmo di jam kerja, terpasang
trombositopenia,hiponatremia, riwayat Utami, SpOG(K) 128/K 3.7/Cl 114 GDS 111/ Ur 23.8/Cr 1.02
tampan --> evaluasi tanggal
takiakrdia ec susp TRALI 3/8/19
Ca cervix II B on radiasi eksterna 1 kali 2/8/19 DPL : 5.3/17/16280/792000,

dengan permasalahan anemia mikrosiitk Dr. dr. Hariyono W, PT/APTT : 1.1x/1.2x, OT/PT : 55/66, Ur/Cr : rencana transfusi target Hb > 10
206 E Jarsit 50 4383501 hipokromik ec riwayat perdarahan, SpOG (K) 13/0.4, GDS 99, elektrolit 133/3.5/113, g/dL,
hipoalbuminemia, leukositosis reaktf, albumin 2.22
hiponatremia
dr. T. Dewi Anggraeni, 2/8/19 DPL 7.2/21/10860/241000 1/8/19 rencana transfusi target Hb > 10
206 F Lie Se Ping 58 4240981 NOK dengan bagian padat, anemia SpOG(K) DPL 4.8/15.2/9020/239000//77/24/31 g/dL,
3/8/19 DPL : 7.7/24/7830/428000, elektrolit : rencana pungsi ascites 3/8/19,

NOP suspek maligna, asites masif, intake dr. Kartwa Hadi N,
207 A Dwi Widyaningsih 24 4337478 130/3.5/97, GDS 125, Ur/Cr : 38/1.1, albumin
sulit SpOG(K) : 2.26, OT/PT : 12/6 Koreksi albumin, transfusi prc
Ca cervix dd/ Ca endometrium meta 2/8/19 DPL 9/27/14910/401000, 1/8/19 rencana transfusi PRC target
cervix post HTSOS (inadequate staging 6 DR.dr. Tofan WU, DPL 7.7/23.3/19290/490000/79/26/33
207B Nurhayat 54 4382218 SGOT 20/SGPT 9/alb 2.8/Ur 16.8/Cr 0.6/GDS Hb>10, terpasang tampon -->
bulan lalu), anemia, cancer pain VAS3, SpOG(K) evaluasi tanggal 3/8/19
intake sulit, hipoalbuminemia 108/ Na 136/K 3.2/Cl 124
dr. T. Dewi Anggraeni, 2/8/19 13.4/41/3520/160000, 1/8/19 DPL

Ca ovarium stadium IIIC suspek residif,
207 C Sumini 46 4255025 9.4/28/3450/146000, 30/7/19 rencana kemoterapi
anemia SpOG(K)
8.7/27.6/2.41/205.000
dr. Andi Darma Putra, 29/7/19 DPL

207 D Maria Kiftia 43 4381302 Ca ovarium,anemia 9.2/27.8/5600/186000/72/24/31 GDS 94/Ur transfusi PRC target Hb>10
SpOG(K) 19/Cr 0.6SGOT 15/SGPT 13
Perdarahan pervaginam ec Ca cerviks 1/8/19 DPL : 10.1/30/15470/315000,

stadium IIIB on radiasi dengan
Dr. dr. Laila Nuranna, 30/7/19 DPL:8/23,9/14530/368000,
Farida hidronefrosis bilateral, Ca pain VAS 2-3,
207 E 47 4384745 29/7/2019 DPL 8.9/26.6/26140/481000, Transfusi PRC, Konsul urologi
Matondang anemia (Hb 8,9), leukositosis reaktf dd SpOG(K)
Na/K/Cl 132/4,5/108, Albumin 2,9 GDS 74,
infektf, hiponatremia, AKI dd/Acute on SGOT/SGPT 39/30, Ur/Cr 35/1,7
CKD
Ca ovarium advance stage on kemoterapi dr. T. Dewi Anggraeni, 2/8/19 DPL 9.8/27/6320/104000, 30/7/19 transfusi prc target hb>10,
210 A Nuraini 46 4300167 SpOG(K) 10/29.2/3.35/93.000 kemoterapi
1/8/19 Ur/Cr: 54/0.7, 31/7/19 albumin 2.74

elektrolit 133/3.6/107.9 30/9/19
9.5/27.7/20.900/379.000 29/7/19 PCT 0,7
Riwayat Dyspneu ec CHF dd TRALI dd Na/K/Cl 130/3.9/104 ALbumin 2.64
TACO dd Reaksi alergi (kontras) pada Pasca SGOT/SGPT 18/15 Ur/Cr 41/1,5 DPL
histerektomi radikal tpe II ai ca 10.8/32.5/24490/418000 27/07/19: DPL:
endometrium stadium IA, fistula 8.9/26.2/19.600/389.000 GDP 176 Cadarah Perbaikan KU, raber dengan
210 C Essy Ella Therik 75 4356856 ureterovagina, riwayat ruptur 8.1. fosfat. 3.1. Mg Darah 1.59. Na/K/Cl:
SpOG(K)
ureterovaginalis kiri dan ruptur ureter 131/3.9/102. AGD. pH: 7.7. pCO2 22.5. PO2 urologi
bilateral, hidronefrosis bilateral on DJ 127. HCO 3 18.9. Total CO2 19,6. BE -1.4. O2
stent kanan dan URS kiri, Anemia, saturasi 98 standart HCO3 23.2. standart BE
leukositosis reaktf dd infektf -4.0. DPL 25/7/2019 6.5/19/15600/351000
APTT 0.9 PT1x elektrolit 130/3.4/109 UL nitrit
positf, LE +2, SGOT 27 SGPT 33, albumin 2.8
Ur 31 Cr 1.1 AU 4.2 GDS 162
1/8/19 DPL
211 A Erna P 61 4369077 NOK susp maligna Dr.dr.sigit P,SpOG(K) 11.3/36.1/17730/481000/80/25/31 SGOT Rencana op senin 5/8/19
30/SGPT39/ALB 4.4/Ur 45/Cr 1.0/GDS 106
2/8/19 elektrolit 141/3/108, 29/7/19 DPL

9,2/27,9/20650/283000 Ur/Cr 97/3,8
Na/K/Cl 132/4,7/95 27/7/2019 Ur/Cr
66/3,2 Albumin 2,7 Na/K/Cl 132/4,4/97
25/7/2019 Creatnin 5, SGOT 103, SGPT 60
24/7/19 SGOT/SGPT 103/60, Na/K/Cl Furosemide 8 mg/jam
134/4,3/98 Lactat 2,1 23/7/19 DPL : Midazolam 2mg/jam stop gant
POD 13 post relaparatomi eksplorasi dan 9.5/27.6/12640/86000, Alb 2.51, Ur/Cr : morfin, Propofol 3ml/jam
hemostasis ai syok hipovolemik ec internal 80/3.4, elektrolit 135/4.3/99 21/7/2019 DPL Nutriflex 1250ml/24 jam
bleeding pada POD 14 post laparatomi 11.1/32/8220/44000 albumin 2.4, PT 13 ANtbiotk digant Inj.
optmal debulking ai tumor ganas
(11.3) aPTT 49 (32) elektrolit 141/5.2/109 Levofloxasine 1 x 750 mg,
mesenkimal (fibrosarkoma) clinically dr. Kartwa Hadi N,
213 B Umi kulsum 46 4383754 20/7/19 DPL 11.8/34.6/11580/41000 PT/APT meropenem 3x500 mg
advanced stage dengan masalah anemia, SpOG(K) 1.8x/2.4x SGOT/SGPT 4365/644 Na/K/Cl Asam traneksamat 3x1g
hipoalbuminemia, leukositosis ec susp 141/5,3/109 Ur/Cr 93/3.5 18/7/19 Vit K 3x 10 mg
infektf, overt DIC, AKI ec syok hipovolemik 23.30 Hb 4,7 18/7/19 post op Ranitdin 2x50 mg
post HD, acute liver injury, suspek bladder
DPL 8,5/26,5/11270/380000 PT/APTT Metoclopramide 3x10 mg
injury 1,1/1,2x ALbumin 2,0 SGOT/SGPT 17/16 Ca gluconas 3x1g
Ur/Cr 37/0,8 Na/K/Cl 137/4,0/105 17/7/19
jam 06.03 DPL: 8,8/27,9/8510/579000,
16/7/19 CEA 1.6, CA 19-9 <2, 15/7/19: DPL
7,3/24.3/7850/549000//72,3.21.7/30
61/SGOT 36/SGPT 7/ Ur 40/Cr 1,0
Lab 1/8/19 8.9/26/14560/237000, 30/7/19:

DPL:9,4/28/17860/261000, alb 3, e:
POD 3 post laparatomi optmal debulking Prof. Dr. dr. Andrijono, 138/3,6/104, Ca: 8,8, Mg: 1,4, 29/7/2019 Perawatan post op,
DPL 8,5/26,4/16530/252000 PT/APTT
214D Apriasih 58 4338362 dan repair laserasi bladder ai Ca ovarium SpOG(K) pertahankan FC 14 hari,
1x/2.1x Na/K/Cl 137/3.1/105 lactat 0,7
advanced stage dan cedera bladder transfusi PRC
25/7/19 DPL 10.3/32.7/9680/476000
SGOT/SGPT 15/11, Ur/Cr 34/0,9 Alb 2.74
Na/K/Cl 135/4.0/102 PT/APTT 0,9/1,2x
2/8/19 elektrolit : 129/4.1/100, 1/8/19 DPL :
8.7/26/30510/282000, OT/PT :11/10, Ur/Cr:
90/2.3, albumin: 1.61, elektrolit :
130/3.7/101, 31/7/19
9.3/27.6/40.540/478.000 albumin 2.89
POD 2 post laparotomi adhesiolisis, SOD- elektrolit 133/4.1/97.8 29/7/29 DPL
VC dilanjutkan HTSOS, apendektomi ai 11.2/33.6/52620/626000 Na/K/Cl
Dr. dr. Fitriyadi K, 128/3,7/99 Albumin 2,54 24/7/19 Albumin rencana pindah HCU lantai 6,
ICU susi natalia 51 4275645 tumor musinosum borderline ovarium SpOG(K)
kanan, akut on CKD, anemia, 2,8 Ur/Cr 180/3,5 Na/K/Cl 118/4,9/83,7 CEA perawatan post operasi
hipoalbuminemia, hiponatremia 23,2 Ca 125: 3169,8 Ca 199: 7323,4
23/7/19 Ur/Cr 191/4.4, 22/7/19 DPL :
8.9/26/51580/636000, elektrolit 122/5.7/86
15/7/19 DPL 10,7/32.6/36560/695000
SGOT 40/SGPT18/ALB 3,2/ur 102/cr 4,1/N
136/K 5.4/Cl 96.3
2/8/19 elektrolit : 132/3.8/104, alb : 2.89,

1/8/19 DPL : 12.3/34/8110/148000,
PT/APTT : 1.1x/1.3x, GDS 211, albumin 2.55,
elektrolit : 130/3.3/103, 31/7/19 albumin
1.90 0t/pt 23/11 DPL
13.8/39.7/5.550/159.00029/7/19 DPL
POD 2 post laparotomi histerektomi total 8.7/24.5/12430/204000 28/7/19 DPL
dan salpingoophorektomi kanan ai 6.6/18.8/15030/278000 24/7/19 DPL
HCU infiltrasi massa adenokarsioma pada Dr. dr. Gatot Purwoto, 10.5/31.1/17780/240000 Albumin 2.1 Raber pasca HT, kapten bedah
Lince Ria Lubis 58 4386289
Surgical uterus dan abses uterus, adhesiolisis, SpOG(K) digestf
22/7/19 DPL : 8.3/23.7/21670/207000, alb
reseksi ussu sigmoid dan ahrtmann 1.87, elektrolit 128/3.7/100 21/7/2019 ca
procedure ai adenokarsinoma kolon 125 107 Ca 19-9 2.6 CEA 1.2 AFP 1.3 LDH 208
20/7/19 DPL
6.4/18.5/36430/244000 Na/K/Cl
135/3,5/117 PCT 1,86 laktat 1,7 PT/APTT
1.1x/1.0x SGOT/SGPT 32/7 Albumin 2,5
Ur/Cr 74/1,3
31/7/19 ur/crec 41/1.429/7/19 DPL
9.3/28.1/17280/ 673000 Ur/Cr 37/1,4
24/7/2019 Ur/Cr 42/1.7 Na/K/Cl Urologi: rencana CT scan
131/3.6/103 Kultur sputum Achromobacter urografi kontras, IPD Ginjal
POD 9 post laparatomi HTSOB, debulking xylosoxidans 23/7/19 DPL Hipertensi: rencana Cek ur cr
KGB pelvik bilateral, debulking KGB 9.3/28/10080/426000, PCT 0.39, Cr :24, setap 2 hari, konsul kardio:
paraaorta ai Ca endometrium clinically 20/7/2019 DPL rencana echocardiografi hari
419D Emidi 61 3756596 advanced stage dan post reimplantasi 9.9/29/16640/340000albumin 2.8 Ureum 73 senin, amlodipin 1x5 mg,
SpOG(K)
ureter kiri dan insersi DJ stent kanan atas Cr 2.5 elektrolit 138/3.6/106 18/7/2019 post candesartan 1x16 mg, Pulmo:
indikasi hidroureter bilateral, efusi pleura op DPL 10,9/32,7/13660/275000, Na/K/Cl meropnemen belum perlu,
dan pneumonia 137/3,9/105, 16/7/19 DPL: fluimucyl 3x200mg, inhalasi
12.3/35/7950/379000, OT/PT : 14/14, Alb ventolin, pertmbangkan USG
3.68, Ur/Cr : 43/1.2, GDS 122, Elektrolit : stand by pungsi
137/3.2/103, PT/APTT: 0.9x/1.1. x,
FT4/FT3/TSH :0.88/2.05/5.234
ca cervix stadium IIIB post radiasi luar 25x,

terakir mei 2019 dengan dr. Gatot Purwoto, 32/8/19 darah samar tnja (+), alb 2.56,
708 D Sit Sopiah 4364940 masalah:Heptomegali dengan kista hepar, Dr. 1/7/19 11/33/18590/232.000 albumin 2.21 raber dengan TS IPD
SpOG(K)
anemia, olterik, AKI dd/ acute on CKD, elektrolit 133/4.4/102 30/7/19 retc 168.700
leukositosis reaktf, hipoalbumin
DNR 206C dr. T. Dewi Anggraeni, SpOG(K) 207D, ICU dr. Kartwa Hadi N, SpOG(K) 210 D, ICU
Prof. Dr. dr. Andrijono, SpOG(K) 214D Dr. dr. Tofan W Utami, SpOG(K) 210B
Dr. dr. Fitriyadi K, SpOG(K) 206A Dr. dr. Gatot Purwoto, SpOG(K) ICU
dr. Andi Darma Putra, SpOG (K) 205C,205D

31/7/19
9.3/27.6/40.5
40/478.000
albumin 2.89
elektrolit
133/4.1/97.8
29/7/29 DPL
11.2/33.6/52
620/626000
Na/K/Cl
128/3,7/99
Albumin 2,54
24/7/19
NOK dengan Rencana NOK dengan
Albumin 2,8
bagian padat nefrostomi bagian padat
Ur/Cr 180/3,5
susp hari ini. susp
Na/K/Cl
maligna,asite Sudah maligna,asite
s, AKI dd/acut 118/4,9/83,7 terpasang s, AKI dd/acut
CEA 23,2 Ca
on CKD, efusi Dr. dr. mini drain on CKD, efusi Dr. dr.
125: 3169,8
4275645 pleura, Fitriyadi K, pada paru 206A susi natalia 51 4275645 pleura, Fitriyadi K,
Ca 199:
hipoalbumine SpOG(K) kanan sela iga hipoalbumine SpOG(K)
7323,4
mia, 5, cairan mia,
23/7/19
hiponatremia, pleura serous, hiponatremia,
Ur/Cr
leukositosis, rencana cek leukositosis,
191/4.4,
tromobositosi histopatologi tromobositosi
22/7/19 DPL :
s + s
8.9/26/51580
/636000,
elektrolit
122/5.7/86
15/7/19 DPL
10,7/32.6/36
560/695000
SGOT
40/SGPT18/A
LB 3,2/ur
102/cr 4,1/N
136/K 5.4/Cl
96.3
31/7/19 31/7/19
9.3/27.6/40.5 9.3/27.6/40.5
40/478.000 40/478.000
albumin 2.89 albumin 2.89
133/4.1/97.8 133/4.1/97.8
29/7/29 DPL 29/7/29 DPL
11.2/33.6/52 11.2/33.6/52
620/626000 620/626000
Na/K/Cl Na/K/Cl
128/3,7/99 128/3,7/99
Albumin 2,54 Albumin 2,54
24/7/19 24/7/19
Rencana NOK dengan Rencana
nefrostomi bagian padat nefrostomi
Ur/Cr 180/3,5 Ur/Cr 180/3,5
hari ini. susp hari ini.
Na/K/Cl Na/K/Cl
Sudah maligna,asite Sudah
118/4,9/83,7 terpasang s, AKI dd/acut 118/4,9/83,7 terpasang
CEA 23,2 Ca CEA 23,2 Ca
mini drain on CKD, efusi Dr. dr. mini drain
125: 3169,8 125: 3169,8
pada paru 206A susi natalia 51 4275645 pleura, Fitriyadi K, pada paru 206A susi natalia 51 4275645
Ca 199: Ca 199:
kanan sela iga hipoalbumine SpOG(K) kanan sela iga
7323,4 7323,4
5, cairan mia, 5, cairan
23/7/19 23/7/19
pleura serous, hiponatremia, pleura serous,
Ur/Cr Ur/Cr
rencana cek leukositosis, rencana cek
191/4.4, 191/4.4,
histopatologi tromobositosi histopatologi
22/7/19 DPL : 22/7/19 DPL :
+ s +
8.9/26/51580 8.9/26/51580
/636000, /636000,
122/5.7/86 122/5.7/86
15/7/19 DPL 15/7/19 DPL
10,7/32.6/36 10,7/32.6/36
560/695000 560/695000
SGOT SGOT
40/SGPT18/A 40/SGPT18/A
LB 3,2/ur LB 3,2/ur
102/cr 4,1/N 102/cr 4,1/N
136/K 5.4/Cl 136/K 5.4/Cl
96.3 96.3
31/7/19 31/7/19
9.3/27.6/40.5 9.3/27.6/40.5
40/478.000 40/478.000
133/4.1/97.8 133/4.1/97.8
29/7/29 DPL 29/7/29 DPL
11.2/33.6/52 11.2/33.6/52
620/626000 620/626000
Na/K/Cl Na/K/Cl
128/3,7/99 128/3,7/99
24/7/19 24/7/19
NOK dengan Rencana NOK dengan Rencana
bagian padat nefrostomi bagian padat nefrostomi
Ur/Cr 180/3,5 Ur/Cr 180/3,5
susp hari ini. susp hari ini.
Na/K/Cl Na/K/Cl
maligna,asite Sudah maligna,asite Sudah
s, AKI dd/acut 118/4,9/83,7 terpasang s, AKI dd/acut 118/4,9/83,7 terpasang
on CKD, efusi Dr. dr. mini drain on CKD, efusi Dr. dr. mini drain
125: 3169,8 125: 3169,8
pleura, Fitriyadi K, pada paru 206A susi natalia 51 4275645 pleura, Fitriyadi K, pada paru 206A susi natalia
Ca 199: Ca 199:
hipoalbumine SpOG(K) kanan sela iga hipoalbumine SpOG(K) kanan sela iga
7323,4 7323,4
mia, 5, cairan mia, 5, cairan
23/7/19 23/7/19
hiponatremia, pleura serous, hiponatremia, pleura serous,
Ur/Cr Ur/Cr
leukositosis, rencana cek leukositosis, rencana cek
191/4.4, 191/4.4,
tromobositosi histopatologi tromobositosi histopatologi
22/7/19 DPL : 22/7/19 DPL :
s + s +
8.9/26/51580 8.9/26/51580
/636000, /636000,
122/5.7/86 122/5.7/86
15/7/19 DPL 15/7/19 DPL
10,7/32.6/36 10,7/32.6/36
560/695000 560/695000
SGOT SGOT
LB 3,2/ur LB 3,2/ur
102/cr 4,1/N 102/cr 4,1/N
136/K 5.4/Cl 136/K 5.4/Cl
96.3 96.3
31/7/19 31/7/19
9.3/27.6/40.5 9.3/27.6/40.5
40/478.000 40/478.000
133/4.1/97.8 133/4.1/97.8
29/7/29 DPL 29/7/29 DPL
11.2/33.6/52 11.2/33.6/52
620/626000 620/626000
Na/K/Cl Na/K/Cl
128/3,7/99 128/3,7/99
24/7/19 24/7/19
Ur/Cr 180/3,5 Ur/Cr 180/3,5
Na/K/Cl Na/K/Cl
125: 3169,8 125: 3169,8
51 4275645 pleura, Fitriyadi K, pada paru 206A susi natalia 51 4275645 pleura, Fitriyadi K, pada paru
Ca 199: Ca 199:
7323,4 7323,4
23/7/19 23/7/19
Ur/Cr Ur/Cr
191/4.4, 191/4.4,
22/7/19 DPL : 22/7/19 DPL :
s + s +
8.9/26/51580 8.9/26/51580
/636000, /636000,
122/5.7/86 122/5.7/86
15/7/19 DPL 15/7/19 DPL
10,7/32.6/36 10,7/32.6/36
560/695000 560/695000
SGOT SGOT
LB 3,2/ur LB 3,2/ur
102/cr 4,1/N 102/cr 4,1/N
136/K 5.4/Cl 136/K 5.4/Cl
96.3 96.3
31/7/19
9.3/27.6/40.5
40/478.000
albumin 2.89
elektrolit
133/4.1/97.8
29/7/29 DPL
11.2/33.6/52
620/626000
Na/K/Cl
128/3,7/99
Albumin 2,54
24/7/19
Albumin 2,8
Ur/Cr 180/3,5
susp hari ini. susp
Na/K/Cl
CEA 23,2 Ca
125: 3169,8
206A susi natalia 51 4275645 pleura, Fitriyadi K, pada paru 206A susi natalia 51 4275645 pleura, Fitriyadi K,
Ca 199:
7323,4
mia, 5, cairan mia,
23/7/19
Ur/Cr
191/4.4,
22/7/19 DPL :
s + s
8.9/26/51580
/636000,
elektrolit
122/5.7/86
15/7/19 DPL
10,7/32.6/36
560/695000
SGOT
40/SGPT18/A
LB 3,2/ur
102/cr 4,1/N
136/K 5.4/Cl
96.3
31/7/19 31/7/19
9.3/27.6/40.5 9.3/27.6/40.5
40/478.000 40/478.000
133/4.1/97.8 133/4.1/97.8
29/7/29 DPL 29/7/29 DPL
11.2/33.6/52 11.2/33.6/52
620/626000 620/626000
Na/K/Cl Na/K/Cl
128/3,7/99 128/3,7/99
24/7/19 24/7/19
Ur/Cr 180/3,5 Ur/Cr 180/3,5
Na/K/Cl Na/K/Cl
125: 3169,8 125: 3169,8
Ca 199: Ca 199:
7323,4 7323,4
23/7/19 23/7/19
Ur/Cr Ur/Cr
191/4.4, 191/4.4,
22/7/19 DPL : 22/7/19 DPL :
+ s +
8.9/26/51580 8.9/26/51580
/636000, /636000,
122/5.7/86 122/5.7/86
15/7/19 DPL 15/7/19 DPL
10,7/32.6/36 10,7/32.6/36
560/695000 560/695000
SGOT SGOT
LB 3,2/ur LB 3,2/ur
102/cr 4,1/N 102/cr 4,1/N
136/K 5.4/Cl 136/K 5.4/Cl
96.3 96.3
31/7/19 31/7/19
9.3/27.6/40.5 9.3/27.6/40.5
40/478.000 40/478.000
133/4.1/97.8 133/4.1/97.8
29/7/29 DPL 29/7/29 DPL
11.2/33.6/52 11.2/33.6/52
620/626000 620/626000
Na/K/Cl Na/K/Cl
128/3,7/99 128/3,7/99
24/7/19 24/7/19
Ur/Cr 180/3,5 Ur/Cr 180/3,5
Na/K/Cl Na/K/Cl
125: 3169,8 125: 3169,8
Ca 199: Ca 199:
7323,4 7323,4
23/7/19 23/7/19
Ur/Cr Ur/Cr
191/4.4, 191/4.4,
22/7/19 DPL : 22/7/19 DPL :
s + s +
8.9/26/51580 8.9/26/51580
/636000, /636000,
122/5.7/86 122/5.7/86
15/7/19 DPL 15/7/19 DPL
10,7/32.6/36 10,7/32.6/36
560/695000 560/695000
SGOT SGOT
LB 3,2/ur LB 3,2/ur
102/cr 4,1/N 102/cr 4,1/N
136/K 5.4/Cl 136/K 5.4/Cl
96.3 96.3
31/7/19 31/7/19
9.3/27.6/40.5 9.3/27.6/40.5
40/478.000 40/478.000
133/4.1/97.8 133/4.1/97.8
29/7/29 DPL 29/7/29 DPL
11.2/33.6/52 11.2/33.6/52
620/626000 620/626000
Na/K/Cl Na/K/Cl
128/3,7/99 128/3,7/99
24/7/19 24/7/19
Ur/Cr 180/3,5 Ur/Cr 180/3,5
Na/K/Cl Na/K/Cl
125: 3169,8 125: 3169,8
Ca 199: Ca 199:
7323,4 7323,4
23/7/19 23/7/19
Ur/Cr Ur/Cr
191/4.4, 191/4.4,
22/7/19 DPL : 22/7/19 DPL :
s + s +
8.9/26/51580 8.9/26/51580
/636000, /636000,
122/5.7/86 122/5.7/86
15/7/19 DPL 15/7/19 DPL
10,7/32.6/36 10,7/32.6/36
560/695000 560/695000
SGOT SGOT
LB 3,2/ur LB 3,2/ur
102/cr 4,1/N 102/cr 4,1/N
136/K 5.4/Cl 136/K 5.4/Cl
96.3 96.3
31/7/19
9.3/27.6/40.5
40/478.000
albumin 2.89
elektrolit
133/4.1/97.8
29/7/29 DPL
11.2/33.6/52
620/626000
Na/K/Cl
128/3,7/99
Albumin 2,54
24/7/19
Albumin 2,8
Ur/Cr 180/3,5
susp hari ini. susp
Na/K/Cl
CEA 23,2 Ca
125: 3169,8
Ca 199:
7323,4
mia, 5, cairan mia,
23/7/19
Ur/Cr
191/4.4,
22/7/19 DPL :
s + s
8.9/26/51580
/636000,
elektrolit
122/5.7/86
15/7/19 DPL
10,7/32.6/36
560/695000
SGOT
40/SGPT18/A
LB 3,2/ur
102/cr 4,1/N
136/K 5.4/Cl
96.3
31/7/19 31/7/19
9.3/27.6/40.5 9.3/27.6/40.5
40/478.000 40/478.000
133/4.1/97.8 133/4.1/97.8
29/7/29 DPL 29/7/29 DPL
11.2/33.6/52 11.2/33.6/52
620/626000 620/626000
Na/K/Cl Na/K/Cl
128/3,7/99 128/3,7/99
24/7/19 24/7/19
Ur/Cr 180/3,5 Ur/Cr 180/3,5
Na/K/Cl Na/K/Cl
125: 3169,8 125: 3169,8
Ca 199: Ca 199:
7323,4 7323,4
23/7/19 23/7/19
Ur/Cr Ur/Cr
191/4.4, 191/4.4,
22/7/19 DPL : 22/7/19 DPL :
+ s +
8.9/26/51580 8.9/26/51580
/636000, /636000,
122/5.7/86 122/5.7/86
15/7/19 DPL 15/7/19 DPL
10,7/32.6/36 10,7/32.6/36
560/695000 560/695000
SGOT SGOT
LB 3,2/ur LB 3,2/ur
102/cr 4,1/N 102/cr 4,1/N
136/K 5.4/Cl 136/K 5.4/Cl
96.3 96.3
31/7/19 31/7/19
9.3/27.6/40.5 9.3/27.6/40.5
40/478.000 40/478.000
133/4.1/97.8 133/4.1/97.8
29/7/29 DPL 29/7/29 DPL
11.2/33.6/52 11.2/33.6/52
620/626000 620/626000
Na/K/Cl Na/K/Cl
128/3,7/99 128/3,7/99
24/7/19 24/7/19
Ur/Cr 180/3,5 Ur/Cr 180/3,5
Na/K/Cl Na/K/Cl
125: 3169,8 125: 3169,8
Ca 199: Ca 199:
7323,4 7323,4
23/7/19 23/7/19
Ur/Cr Ur/Cr
191/4.4, 191/4.4,
22/7/19 DPL : 22/7/19 DPL :
s + s +
8.9/26/51580 8.9/26/51580
/636000, /636000,
122/5.7/86 122/5.7/86
15/7/19 DPL 15/7/19 DPL
10,7/32.6/36 10,7/32.6/36
560/695000 560/695000
SGOT SGOT
LB 3,2/ur LB 3,2/ur
102/cr 4,1/N 102/cr 4,1/N
136/K 5.4/Cl 136/K 5.4/Cl
96.3 96.3
31/7/19 31/7/19
9.3/27.6/40.5 9.3/27.6/40.5
40/478.000 40/478.000
133/4.1/97.8 133/4.1/97.8
29/7/29 DPL 29/7/29 DPL
11.2/33.6/52 11.2/33.6/52
620/626000 620/626000
Na/K/Cl Na/K/Cl
128/3,7/99 128/3,7/99
24/7/19 24/7/19
Ur/Cr 180/3,5 Ur/Cr 180/3,5
Na/K/Cl Na/K/Cl
125: 3169,8 125: 3169,8
Ca 199: Ca 199:
7323,4 7323,4
23/7/19 23/7/19
Ur/Cr Ur/Cr
191/4.4, 191/4.4,
22/7/19 DPL : 22/7/19 DPL :
s + s +
8.9/26/51580 8.9/26/51580
/636000, /636000,
122/5.7/86 122/5.7/86
15/7/19 DPL 15/7/19 DPL
10,7/32.6/36 10,7/32.6/36
560/695000 560/695000
SGOT SGOT
LB 3,2/ur LB 3,2/ur
102/cr 4,1/N 102/cr 4,1/N
136/K 5.4/Cl 136/K 5.4/Cl
96.3 96.3
31/7/19
9.3/27.6/40.5
40/478.000
albumin 2.89
elektrolit
133/4.1/97.8
29/7/29 DPL
11.2/33.6/52
620/626000
Na/K/Cl
128/3,7/99
Albumin 2,54
24/7/19
Albumin 2,8
Ur/Cr 180/3,5
susp hari ini. susp
Na/K/Cl
CEA 23,2 Ca
125: 3169,8
Ca 199:
7323,4
mia, 5, cairan mia,
23/7/19
Ur/Cr
191/4.4,
22/7/19 DPL :
s + s
8.9/26/51580
/636000,
elektrolit
122/5.7/86
15/7/19 DPL
10,7/32.6/36
560/695000
SGOT
40/SGPT18/A
LB 3,2/ur
102/cr 4,1/N
136/K 5.4/Cl
96.3
31/7/19 31/7/19
9.3/27.6/40.5 9.3/27.6/40.5
40/478.000 40/478.000
133/4.1/97.8 133/4.1/97.8
29/7/29 DPL 29/7/29 DPL
11.2/33.6/52 11.2/33.6/52
620/626000 620/626000
Na/K/Cl Na/K/Cl
128/3,7/99 128/3,7/99
24/7/19 24/7/19
Ur/Cr 180/3,5 Ur/Cr 180/3,5
Na/K/Cl Na/K/Cl
125: 3169,8 125: 3169,8
pada paru 206A susi natalia 51 4275645 pleura, Fitriyadi K, pada paru
Ca 199: Ca 199:
7323,4 7323,4
23/7/19 23/7/19
Ur/Cr Ur/Cr
191/4.4, 191/4.4,
22/7/19 DPL : 22/7/19 DPL :
+ s +
8.9/26/51580 8.9/26/51580
/636000, /636000,
122/5.7/86 122/5.7/86
15/7/19 DPL 15/7/19 DPL
10,7/32.6/36 10,7/32.6/36
560/695000 560/695000
SGOT SGOT
LB 3,2/ur LB 3,2/ur
102/cr 4,1/N 102/cr 4,1/N
136/K 5.4/Cl 136/K 5.4/Cl
96.3 96.3
Dr. dr. Sigit Purbadi, 15/7/19 13.6/39.7/4.67/6.080/281.000
204 A Diana Nur Sefa 31 4385898 PTM high risk Kemoterapi,rencana pulang
SpOG(K) elektrolit 137/4.1/102.6
29/7/19 12.1/35.3/4.42/7300/320.000
204 B Yeni Cahya 4364662 Ca ovarium elektrolit 135/3.4/102.5 ot/pt 18/17 albumin Kemoterapi, rencana pulang
dr. Andi Darma Putra, 4.09 ur/crec 0.7/28
SpOG(K)
29/7/19 dpl 10,6/32.8/9130/694000 Na

204C Sri Umiyatsih 61 4206729 Ca ovarium advance stage kemoterapi
132/K 4.1/Cl 95.2 GDS 97 Ur 17/Cr0.6
SpOG(K)
204 D Want 40 4382441 Ca cervix II B dr. Andi Darma Putra, 1/8/19 DPL 11,5/34.4/5740/238000 Kemoterapi, rencana pulang
SpOG(K)
Dr. dr. Gatot Purwoto, 23/7/19 11.5/33.7/4.03/5.490/455.000

204 E Gusnarita 35 4380884 PTM high risk ot/pt 42/44 albumin 4.59 ur/crec 17/0.5el Kemoterapi
SpOG(K) 136/4.4/103.6
22/7/19 DPL
11.1/34.4/6480/351000//77/25/32 SGOT
204 F Emilliana 4380164 Ca ovarium stadium IIIC Kemoterapi,rencana pulang
36/SGPT 25/ alb 4.1/ Ur 23/Cr 0,7, Ca 125:
11.1

SpOG(K)
dr. T. Dewi Anggraeni, 30/7/19 9.7/30.3/3.550/359.000 ot/pt
205 A Susi Listyawat 29 4382577 PTM high risk dengan anemia rencana transfusi, kemoterapi
SpOG(K) 14/12 el 136/3.6/107 beta HCG 635.28
POD II post laparatomi aff abdominal

packing pada POD 5 Post laparotomi 29/7/2019 DPL 11/32,4/9340/80000
trachelectomy apendiktomi, perlekatan Dr. dr. Gatot Purwoto, PT/APTT 0,8x/1,0x Na/K/Cl 134/3,6/97 DPL
205B Syafriant 49 4337425 post op 6,4/18/11130/85000 SGOT 12 SGPT 8 Drain (+), perawatan post op
dengan cervix dilnajutkan abdominal SpOG(K) Albumi 2.05 Cr 1 Ureum. 38 elektrolit
packing, hipoalbuminemia (3,2), 140/2.9/108
1/8/19 DPL 12,8/38.8/8370/362000 PT
dr. Andi Darma Putra, 0,8x/APTT 1,08x SGOT 19/SGPT 22/ alb rencana Laparotomi surgical
205C Aisyah Widari 66 4361064 Ca endometrium IB SpOG(K) 4.06/ Ur 32/Cr 0,8/GDS 210 Na 136/K 3.7/Cl staging senin 5/8/19
101

POD 3 post HR, PLND, SOB dan repair 13/38,1/23170/382000, 25/7/2019 DPL
nervus obturator dextra ai Ca cervix dr. Andi Darma Putra, 12.6/37/10700/382000, Albumin 4.15 Cr 0.7 Perawatan post op, Cystofix (+)
205D Ai Titn 50 4364375 stadium IB2 dan cedera nervus obturator SpOG(K) Ureum 35 GDS 83elektrolit
dextra 135/4.2/101HbsAg non reaktf, PT 0.8 aPTT
0.9
ca cervix stadium II B progresif post radiasi tranfusi target Hn diatas 10

lengkap dengan: anemia on tranfusi, g/dL, raber IPD--> kultur
Prof. Dr. dr. Andrijono, 31/7/19 7.6/24.2/3.12/24.740/537.000
206 B Indah Fitriah 34 4360314 hidronefrosis, suspek meta paru, sputum, elektrolit per 3 hari,
SpOG(K) elektrolit 126/4.5/95.6 PCT 8.30 lactat 2.4
hipoalbumin, leukositosis reaktf dd/ antbiotk Ceftriaxon 1x2 gram,
infektf, pneumonia komunitas Azithromisin 1x500 mg
NOK dengan bagian padat dengan dr. T. Dewi Anggraeni, 30/7/19 8.7/26.6/3.61/11.130/840.000 rencana transfusi tager Hb > 10
206 C Ngatni 44 4380141 masalah : anemia ec perdarahan, kolits elektrolit 135/4.4/97.4 GDS 95 ur/crec
SpOG(K) g/dL, konsul gastro
kronik, melena ec suspek gastrits erosiva 16/0.6albumin 3.31 PT?PT 20/15
Ca cervix IVB meta paru, anemia, cancer rencana transfusi PRC, sudah
pain, intake sulit,susp DVT, Dr. dr. Tofan W 1/8/19 DPL 8.4/23.8/14790/57000 Na
206 D Sufniyet 48 3208141 DNR, rencana konsul IPD dan
trombositopenia,hiponatremia, riwayat Utami, SpOG(K) 128/K 3.7/Cl 114 GDS 111/ Ur 23.8/Cr 1.02 pulmo di jam kerja
takiakrdia ec susp TRALI
Dewi DR.dr. Sigit P, SpOG(K) 30/7/19 DPL 9,7/27.8/5680/137000 Ur

206 E 36 4379019 Ca cervix IIB, anemia transfusi PRC target Hb>10
Rustaningsih 43/Cr 1.2
dr. T. Dewi Anggraeni, 1/8/19 DPL rencana transfusi tager Hb > 10

206 F Lie Se Ping 58 4240981 NOK dengan bagian padat, anemia SpOG(K) 4.8/15.2/9020/239000//77/24/31 g/dL,
Prof. Dr. dr. Andrijono, 31/7/19 11.5/34.1/4.29/8.49/196.000 b hacg konsul gastro: rencana cek
choriocarcinoma, riwayat melena,
207 A Edah Saraswat 23 4392659 darah samar feses, kolonoskopi
hipokalemia SpOG(K) +elektrolit 135/2.8/119 EGD
Ca cervix dd/ Ca endometrium meta 1/8/19 DPL rencana transfusi PRC target
cervix post HTSOS (inadequate staging 6 DR.dr. Tofan WU, 7.7/23.3/19290/490000/79/26/33 SGOT
207B Nurhayat 54 4382218 Hb>10, terpasang tampon
bulan lalu), anemia, cancer pain VAS3, SpOG(K) 20/SGPT 9/alb 2.8/Ur 16.8/Cr 0.6/GDS 108/ epinefrin 1x24 jam
intake sulit, hipoalbuminemia Na 136/K 3.2/Cl 124
Ca ovarium stadium IIIC suspek residif, dr. T. Dewi Anggraeni, 30/7/19 8.7/27.6/2.41/205.000
207 C Sumini 46 4255025 transfusi PRC target Hb>10
anemia SpOG(K)
dr. Andi Darma Putra, 29/7/19 DPL

207 D Maria Kiftia 43 4381302 Ca ovarium,anemia 9.2/27.8/5600/186000/72/24/31 GDS 94/Ur transfusi PRC target Hb>10
SpOG(K) 19/Cr 0.6SGOT 15/SGPT 13
Perdarahan pervaginam ec Ca cerviks

stadium IIIB on radiasi dengan 30/7/19 DPL:8/23,9/14530/368000,
Farida hidronefrosis bilateral, Ca pain VAS 2-3, Dr. dr. Laila Nuranna, 29/7/2019 DPL 8.9/26.6/26140/481000, Transfusi PRC, terpasang
207 E 47 4384745
Matondang anemia (Hb 8,9), leukositosis reaktf dd SpOG(K) Na/K/Cl 132/4,5/108, Albumin 2,9 GDS 74, tampon, Konsul urologi
infektf, hiponatremia, AKI dd/Acute on SGOT/SGPT 39/30, Ur/Cr 35/1,7
CKD
Ca ovarium stadium IIIC residif on dr. T. Dewi Anggraeni, 31/7/19 albumin 3.21 DPL
207 F Faturohmah 46 4382139 Rencana pungsi ascites
kemoterapi second line, anemi SpOG(K) 13.4/40/8.880/515.000
Ca ovarium advance stage on kemoterapi dr. T. Dewi Anggraeni, 30/7/19 10/29.2/3.35/93.000
210 A Nuraini 46 4300167 transfusi TC, kemoterapi
SpOG(K)
31/7/19 ur/crec 41/1.429/7/19 DPL

9.3/28.1/17280/ 673000 Ur/Cr 37/1,4
24/7/2019 Ur/Cr 42/1.7 Na/K/Cl Urologi: rencana CT scan
131/3.6/103 Kultur sputum Achromobacter urografi kontras, IPD Ginjal
POD VIII post laparatomi HTSOB, xylosoxidans 23/7/19 DPL Hipertensi: rencana Cek ur cr
debulking KGB pelvik bilateral, debulking 9.3/28/10080/426000, PCT 0.39, Cr :24, setap 2 hari, konsul kardio:
KGB paraaorta ai Ca endometrium Dr. dr. Tofan W Utami, 20/7/2019 DPL rencana echocardiografi hari
210 B Emidi 61 3756596 clinically advanced stage dan post 9.9/29/16640/340000albumin 2.8 Ureum 73 senin, amlodipin 1x5 mg,
SpOG(K)
reimplantasi ureter kiri dan insersi DJ Cr 2.5 elektrolit 138/3.6/106 18/7/2019 post candesartan 1x16 mg, Pulmo:
stent kanan atas indikasi hidroureter op DPL 10,9/32,7/13660/275000, Na/K/Cl meropnemen belum perlu,
bilateral, efusi pleura dan pneumonia 137/3,9/105, 16/7/19 DPL: fluimucyl 3x200mg, inhalasi
12.3/35/7950/379000, OT/PT : 14/14, Alb ventolin, pertmbangkan USG
3.68, Ur/Cr : 43/1.2, GDS 122, Elektrolit : stand by pungsi
137/3.2/103, PT/APTT: 0.9x/1.1. x,
FT4/FT3/TSH :0.88/2.05/5.234
31/7/19 albumin 2.74 elektrolit
133/3.6/107.9 30/9/19
9.5/27.7/20.900/379.000 29/7/19 PCT 0,7
Riwayat Dyspneu ec CHF dd TRALI dd Na/K/Cl 130/3.9/104 ALbumin 2.64
TACO dd Reaksi alergi (kontras) pada Pasca SGOT/SGPT 18/15 Ur/Cr 41/1,5 DPL
histerektomi radikal tpe II ai ca 10.8/32.5/24490/418000 27/07/19: DPL:
endometrium stadium IA, fistula dr. T. Dewi Anggraeni, 8.9/26.2/19.600/389.000 GDP 176 Cadarah Perbaikan KU, raber dengan
210 C Essy Ella Therik 75 4356856 ureterovagina, riwayat ruptur 8.1. fosfat. 3.1. Mg Darah 1.59. Na/K/Cl:
SpOG(K)
ureterovaginalis kiri dan ruptur ureter 131/3.9/102. AGD. pH: 7.7. pCO2 22.5. PO2 urologi
bilateral, hidronefrosis bilateral on DJ 127. HCO 3 18.9. Total CO2 19,6. BE -1.4. O2
stent kanan dan URS kiri, Anemia, saturasi 98 standart HCO3 23.2. standart BE
leukositosis reaktf dd infektf -4.0. DPL 25/7/2019 6.5/19/15600/351000
APTT 0.9 PT1x elektrolit 130/3.4/109 UL nitrit
positf, LE +2, SGOT 27 SGPT 33, albumin 2.8
Ur 31 Cr 1.1 AU 4.2 GDS 162
1/8/19 DPL
211 A Erna P 61 4369077 NOK susp maligna Dr.dr.sigit P,SpOG(K) 11.3/36.1/17730/481000/80/25/31 SGOT Rencana op senin 5/8/19
30/SGPT39/ALB 4.4/Ur 45/Cr 1.0/GDS 106
Lab 30/7/19: DPL:9,4/28/17860/261000, alb

3, e: 138/3,6/104, Ca: 8,8, Mg: 1,4,
Perawatan post op,
POD II post laparatomi optmal debulking Prof. Dr. dr. Andrijono, 29/7/2019 DPL 8,5/26,4/16530/252000 pertahankan FC 14 hari,
214D Apriasih 58 4338362 dan repair laserasi bladder ai Ca ovarium SpOG(K) PT/APTT 1x/2.1x Na/K/Cl 137/3.1/105 lactat transfusi PRC 300 cc dan FFP 1
advanced stage dan cedera bladder 0,7 25/7/19 DPL 10.3/32.7/9680/476000 kantong
SGOT/SGPT 15/11, Ur/Cr 34/0,9 Alb 2.74
Na/K/Cl 135/4.0/102 PT/APTT 0,9/1,2x
29/7/19 DPL 9,2/27,9/20650/283000 Ur/Cr
97/3,8 Na/K/Cl 132/4,7/95 27/7/2019
Ur/Cr 66/3,2 Albumin 2,7 Na/K/Cl
132/4,4/97 25/7/2019 Creatnin 5, SGOT
103, SGPT 60 24/7/19 SGOT/SGPT 103/60, Furosemide 8 mg/jam
Midazolam 2mg/jam stop gant
Na/K/Cl 134/4,3/98 Lactat 2,1 23/7/19
morfin, Propofol 3ml/jam
DPL : 9.5/27.6/12640/86000, Alb 2.51,
POD 11 post relaparatomi eksplorasi dan Nutriflex 1250ml/24 jam
Ur/Cr : 80/3.4, elektrolit 135/4.3/99
hemostasis ai syok hipovolemik ec internal 21/7/2019 DPL 11.1/32/8220/44000 albumin ANtbiotk digant Inj.
bleeding pada POD 12 post laparatomi Levofloxasine 1 x 750 mg,
2.4, PT 13 (11.3) aPTT 49 (32) elektrolit
optmal debulking ai tumor ganas meropenem 3x500 mg
141/5.2/109 20/7/19 DPL
mesenkimal (fibrosarkoma) clinically dr. Kartwa Hadi N, Asam traneksamat 3x1g
HCU Surgical Umi kulsum 46 4383754 11.8/34.6/11580/41000 PT/APT 1.8x/2.4x
advanced stage dengan masalah anemia, SpOG(K) SGOT/SGPT 4365/644 Na/K/Cl 141/5,3/109 Vit K 3x 10 mg
hipoalbuminemia, leukositosis ec susp Ranitdin 2x50 mg
Ur/Cr 93/3.5 18/7/19 23.30 Hb 4,7
infektf, overt DIC, AKI ec syok hipovolemik Metoclopramide 3x10 mg
18/7/19 post op DPL
post HD, acute liver injury, suspek bladder Ca gluconas 3x1g
8,5/26,5/11270/380000 PT/APTT 1,1/1,2x
injury ALbumin 2,0 SGOT/SGPT 17/16 Ur/Cr 37/0,8 Albumin 20% 1 vial blm acc
Nafas spontan, kesadaran
Na/K/Cl 137/4,0/105 17/7/19 jam 06.03 compos ments, rencana pindah
DPL: 8,8/27,9/8510/579000, 16/7/19 CEA
ruangan
1.6, CA 19-9 <2, 15/7/19: DPL
7,3/24.3/7850/549000//72,3.21.7/30
61/SGOT 36/SGPT 7/ Ur 40/Cr 1,0
31/7/19 albumin 1.90 0t/pt 23/11 DPL

13.8/39.7/5.550/159.00029/7/19 DPL
8.7/24.5/12430/204000 28/7/19 DPL
6.6/18.8/15030/278000 24/7/19 DPL
POD-1 post laparotomi histerektomi total 10.5/31.1/17780/240000 Albumin 2.1
dan salpingoophorektomi kanan ai
Dr. dr. Gatot Purwoto, 22/7/19 DPL : 8.3/23.7/21670/207000, alb Raber pasca HT, kapten bedah
infiltrasi massa adenokarsioma pada
ICU BED 15 Lince Ria Lubis 58 4386289 1.87, elektrolit 128/3.7/100 21/7/2019 ca
uterus dan abses uterus, adhesiolisis, SpOG(K) 125 107 Ca 19-9 2.6 CEA 1.2 AFP 1.3 LDH 208 digestf
reseksi ussu sigmoid dan ahrtmann 20/7/19 DPL
procedure ai adenokarsinoma kolon 6.4/18.5/36430/244000 Na/K/Cl
135/3,5/117 PCT 1,86 laktat 1,7 PT/APTT
1.1x/1.0x SGOT/SGPT 32/7 Albumin 2,5
Ur/Cr 74/1,3
ca cervix stadium IIIB post radiasi luar 25x,
terakir mei 2019 dengan
masalah:Heptomegali dengan kista hepar, Dr. dr. Gatot Purwoto, 31/7/19 11/33/18590/232.000 albumin 2.21 raber dengan TS IPD
708 D Sit Sopiah 4364940 SpOG(K) elektrolit 133/4.4/102 30/7/19 retc 168.700
anemia, olterik, AKI dd/ acute on CKD,
leukositosis reaktf, hipoalbumin
Prof. Dr. dr. Andrijono, SpOG(K) 214D Dr. dr. Tofan W Utami, SpOG(K) 210B

*
Ward Map Ginekologi Onkologi Rabu 31 Juli 2019
Dr. dr. Sigit

Diana Nur 15/7/19 13.6/39.7/4.67/6.080/281.000 elektrolit
204 A 31 4385898 PTM high risk Purbadi, Kemoterapi
Sefa 137/4.1/102.6
SpOG(K)
dr. Andi 29/7/19 12.1/35.3/4.42/7300/320.000 elektrolit

204 B Etty Jusuf 70 4379150 ca cerviks post kemoradiasi Kemoterapi, rencana pulang
Darma Putra, 135/3.4/102.5 ot/pt 18/17 albumin 4.09 ur/crec 0.7/28
SpOG (K)
dr. Andi 24/7/19 10.7/34.1/4.08/83.6/6910/506.000 ot/py 11/8 Kemoterapi, rencana pulang

204 D Samiyem 54 4382187 Ca cerviks stadium IIB
Darma Putra, albumin 4.02 creatnin 0.9 ureum 16
SpOG (K)
Dr. dr. Gatot
23/7/19 11.5/33.7/4.03/5.490/455.000 ot/pt 42/44
204 E Gusnarita 35 4380884 PTM high risk Purwoto, Kemoterapi
albumin 4.59 ur/crec 17/0.5el 136/4.4/103.6
SpOG(K)
29/7/19 12.7/37.7/4.50/6600/270.000 elektrolit

204 F Herlindawati 35 4058921 Ca ovarium stadium IB dr. Andi 135/3.9/100.1 GDS 110 ur/crec 21/1 albumin 4.80 OT/PT Kemoterapi, rencana pulang
Darma Putra, 19/24
SpOG (K)
dr. T. Dewi
Susi 30/7/19 9.7/30.3/3.550/359.000 ot/pt 14/12 el
205 A 29 4382577 PTM high risk dengan anemia Anggraeni, rencana transfusi, kemoterapi
Listyawati 136/3.6/107 beta HCG 635.28
SpOG(K)
POD II post laparatomi aff

abdominal packing pada POD
5 Post laparotomi eksplorasi
adhesiolisis, SOD, 29/7/2019 DPL 11/32,4/9340/80000 PT/APTT 0,8x/1,0x
trachelectomy apendiktomi, Dr. dr. Gatot Na/K/Cl 134/3,6/97 DPL post op 6,4/18/11130/85000 Drain (+), perawatan post op
205B Syafriant 49 4337425 perlekatan dengan cervix Purwoto,
SGOT 12 SGPT 8 Albumi 2.05 Cr 1 Ureum. 38 elektrolit
dilnajutkan abdominal SpOG(K) 140/2.9/108
packing, hipoalbuminemia
(82000)
POD II post HR, PLND, SOB DPL post op 29/7/19: 13/38,1/23170/382000,

dan repair nervus obturator dr. Andi 25/7/2019 DPL 12.6/37/10700/382000, Albumin 4.15 Cr Perawatan post op, Cystofix (+)
205D Ai Titn 50 4364375 dextra ai Ca cervix stadium IB2 Darma Putra, 0.7 Ureum 35 GDS 83elektrolit 135/4.2/101HbsAg non
dan cedera nervus obturator SpOG(K) reaktf, PT 0.8 aPTT 0.9
dextra
31/7/19 9.3/27.6/40.540/478.000 albumin 2.89
elektrolit 133/4.1/97.8 29/7/29 DPL
NOK dengan bagian padat 11.2/33.6/52620/626000 Na/K/Cl 128/3,7/99 Albumin
susp maligna,asites, AKI Rencana nefrostomi hari ini. Sudah
dd/acut on CKD, efusi pleura, Dr. dr. 2,54 24/7/19 Albumin 2,8 Ur/Cr 180/3,5 Na/K/Cl terpasang mini drain pada paru
206A susi natalia 51 4275645 Fitriyadi K, 118/4,9/83,7 CEA 23,2 Ca 125: 3169,8 Ca 199: 7323,4
hipoalbuminemia, kanan sela iga 5, cairan pleura
SpOG(K) 23/7/19 Ur/Cr 191/4.4, 22/7/19 DPL :
hiponatremia, leukositosis, serous, rencana cek histopatologi +
8.9/26/51580/636000, elektrolit 122/5.7/86 15/7/19
tromobositosis DPL 10,7/32.6/36560/695000 SGOT 40/SGPT18/ALB
3,2/ur 102/cr 4,1/N 136/K 5.4/Cl 96.3
ca cervix stadium II B progresif

post radiasi lengkap dengan: tranfusi target Hn diatas 10 g/dL,
anemia on tranfusi, Prof. Dr. dr. 31/7/19 7.6/24.2/3.12/24.740/537.000 elektrolit raber IPD--> kultur sputum, elektrolit
206 B Indah Fitriah 34 4360314 hidronefrosis, suspek meta Andrijono, 126/4.5/95.6 PCT 8.30 lactat 2.4 per 3 hari, antbiotk Ceftriaxon 1x2
paru, hipoalbumin, SpOG(K) gram, Azithromisin 1x500 mg
leukositosis reaktf dd/ infektf,
pneumonia komunitas
NOK dengan bagian padat

dengan masalah : anemia ec dr. T. Dewi 30/7/19 8.7/26.6/3.61/11.130/840.000 elektrolit rencana transfusi tager Hb > 10 g/dL,
206 C Ngatni 44 4380141 perdarahan, kolits kronik, Anggraeni, 135/4.4/97.4 GDS 95 ur/crec 16/0.6albumin 3.31 PT?PT
konsul gastro
melena ec suspek gastrits SpOG(K) 20/15
erosiva
31/7/19 10.6/31.5/8280/321.000 30/7/19 DPL:

Ca ovarium dengan anemia, dr. Kartiwa 9,6/28,4/78880/305000, 26/7/19 DPL
206 D Yeni Cahya 50 4364662 hipoalbuminemia, Hadi N, Hb tercapai
8.2/25.2/8700/240000 SGOT/SGPT 12/9, Albumin 3.1
hiponatremia SpOG(K) Ur/Cr 18/0,6 Na/K/Cl 131/3,7/96
31/7/19 11.8/33.6/7680/288.000 30/7/19 DPL:

Dr. dr. Tofan 8,6/25,2/6390/256000, TSH: 1,2, T3 total: 0,9, T4 total:
206 E Sumiat 38 4381819 PTM high risk dengan anemia W Utami, 7,2 26/7/19 DPL 7.5/22.1/7760/278000 SGOT/SGPT Hb tercapai
SpOG(K) 12/6 Albumin 3,58 Ur/Cr 18/0.7, Na/K/Cl 133/4.0/104,
beta HCG > 225000
dr. T. Dewi
NOK dengan bagian padat,
206 F Lie Se Ping 58 4240981 Anggraeni, menunggu hasil rencana transfusi tager Hb > 10 g/dL,
anemia SpOG(K)
Prof. Dr. dr.

Edah choriocarcinoma, riwayat 31/7/19 11.5/34.1/4.29/8.49/196.000 b hacg +elektrolit konsul gastro: rencana cek darah
207 A 23 4392659 Andrijono,
Saraswat melena, hipokalemia 135/2.8/119 samar feses, kolonoskopi EGD
SpOG(K)
dr. Andi
NOP susp.maligna dd/Ca Putra, 30/07/19: DPL: 10.3/32,9/7520/502.000, Alb: 2,9 Ur/Cr: koreksi albumin, pungsi asites +
207B Icih 60 4387345 ovarium advance stage, Asites Darma 31/0.8 Na/K/Cl 138/4,7/100,9
SpOG (K)
dr. T. Dewi
Ca ovarium stadium IIIC
207 C Sumini 46 4255025 Anggraeni, 30/7/19 8.7/27.6/2.41/205.000 transfusi
suspek residif, anemia SpOG(K)
30/7/19 DPL: 11/33/10800/274000, 29/7/19 ALbumin
3.7 Ur/Cr 20/0.3, Na/K/Cl 132/3,7/99 25/7/2019
10.7/32/8480/377000 16/7/19 DPL
NOK susp maligna dengan 11.5/35/13970/206000, alb 3.55, elektrolit 136/4/98,
riwayat penurunan kesadaran
dr. T. Dewi AFP 4.39, CEA 1461, Ca 19-9 26.7, Ca 125 530 13/7/19
ec SOL, massa hepar susp DPL : 11.1/33/17020/193000, D-dimer : 3860, fibrinogen Rencana radioterapi, Family meetng
207 D Sulastri 32 4385041 Anggraeni,
meetastasis pulmo, anemia (+) bersama neurologi, psikiatri
SpOG(K) 196, 11/7/19 DPL
post transfusi, 8.4/24.8/14860/286000//87.6/29.7/33.9 8/7/19 DPL
hipoalbuminemia
5,5/16.4/28650/325000 Na/K/Cl 130/4.2/107
SGOT/SGPT 49/30 PT/APTT 0.9/0.9x Albumin 2,91 Ur/Cr
17,9/0.4 GDS 111
dengan hidronefrosis bilateral, Dr. dr. Laila 30/7/19 DPL:8/23,9/14530/368000, 29/7/2019 DPL
Farida 8.9/26.6/26140/481000, Na/K/Cl 132/4,5/108, Albumin Transfusi PRC, terpasang tampon
207 E 47 4384745 Ca pain VAS 2-3, anemia (Hb Nuranna,
Matondang evaluasi 31/7/19, Konsul urologi
8,9), leukositosis reaktf dd SpOG(K) 2,9 GDS 74, SGOT/SGPT 39/30, Ur/Cr 35/1,7
infektf, hiponatremia, AKI
dd/Acute on CKD
Ca ovarium stadium IIIC residif dr. T. Dewi

207 F Faturohmah 46 4255025 on kemoterapi second line, Anggraeni, 31/7/19 albumin 3.21 DPL 13.4/40/8.880/515.000 Rencana pungsi ascites
anemi SpOG(K)
dr. T. Dewi
Ca ovarium advance stage on Anggraeni,
210 A Nuraini 46 4300167 30/7/19 10/29.2/3.35/93.000 transfusi TC, kemoterapi
kemoterapi SpOG(K)
31/7/19 ur/crec 41/1.429/7/19 DPL 9.3/28.1/17280/

POD VIII post laparatomi 673000 Ur/Cr 37/1,4 24/7/2019 Ur/Cr 42/1.7 Urologi: rencana CT scan urografi
HTSOB, debulking KGB pelvik Na/K/Cl 131/3.6/103 Kultur sputum Achromobacter kontras, IPD Ginjal Hipertensi:
bilateral, debulking KGB xylosoxidans 23/7/19 DPL 9.3/28/10080/426000, PCT rencana Cek ur cr setap 2 hari,
paraaorta ai Ca endometrium Dr. dr. Tofan 0.39, Cr :24, 20/7/2019 DPL konsul kardio: rencana
210 B Emidi 61 3756596 clinically advanced stage dan W Utami, 9.9/29/16640/340000albumin 2.8 Ureum 73 Cr 2.5 echocardiografi hari senin, amlodipin
post reimplantasi ureter kiri SpOG(K) elektrolit 138/3.6/106 18/7/2019 post op DPL 1x5 mg, candesartan 1x16 mg,
dan insersi DJ stent kanan atas 10,9/32,7/13660/275000, Na/K/Cl 137/3,9/105, Pulmo: meropnemen belum perlu,
indikasi hidroureter bilateral, 16/7/19 DPL: 12.3/35/7950/379000, OT/PT : 14/14, Alb fluimucyl 3x200mg, inhalasi ventolin,
efusi pleura dan pneumonia 3.68, Ur/Cr : 43/1.2, GDS 122, Elektrolit : 137/3.2/103, pertmbangkan USG stand by pungsi
PT/APTT: 0.9x/1.1. x, FT4/FT3/TSH :0.88/2.05/5.234
Riwayat Dyspneu ec CHF dd 31/7/19 albumin 2.74 elektrolit 133/3.6/107.9 30/9/19
TRALI dd TACO dd Reaksi 9.5/27.7/20.900/379.000 29/7/19 PCT 0,7 Na/K/Cl
alergi (kontras) pada Pasca 130/3.9/104 ALbumin 2.64 SGOT/SGPT 18/15 Ur/Cr
histerektomi radikal tpe II ai 41/1,5 DPL 10.8/32.5/24490/418000 27/07/19: DPL:
ca endometrium stadium IA, dr. T. Dewi 8.9/26.2/19.600/389.000 GDP 176 Cadarah 8.1. fosfat.
Essy Ella fistula ureterovagina, riwayat Anggraeni,
210 C 75 4356856 3.1. Mg Darah 1.59. Na/K/Cl: 131/3.9/102. AGD. pH: Perbaikan KU, raber dengan urologi
Therik ruptur ureterovaginalis kiri SpOG(K) 7.7. pCO2 22.5. PO2 127. HCO 3 18.9. Total CO2 19,6. BE
dan ruptur ureter bilateral, -1.4. O2 saturasi 98 standart HCO3 23.2. standart BE
hidronefrosis bilateral on DJ -4.0. DPL 25/7/2019 6.5/19/15600/351000 APTT 0.9
stent kanan dan URS kiri, PT1x elektrolit 130/3.4/109 UL nitrit positf, LE +2, SGOT
Anemia, leukositosis reaktf dd 27 SGPT 33, albumin 2.8 Ur 31 Cr 1.1 AU 4.2 GDS 162
infektf
Lab 30/7/19: DPL:9,4/28/17860/261000, alb 3, e:

POD II post laparatomi
138/3,6/104, Ca: 8,8, Mg: 1,4, 29/7/2019 DPL
optmal debulking dan repair Prof. Dr. dr. Perawatan post op, pertahankan FC
8,5/26,4/16530/252000 PT/APTT 1x/2.1x Na/K/Cl
214D Apriasih 58 4338362 laserasi bladder ai Ca ovarium Andrijono, 14 hari, transfusi PRC 300 cc dan FFP
137/3.1/105 lactat 0,7 25/7/19 DPL
advanced stage dan cedera SpOG(K) 10.3/32.7/9680/476000 SGOT/SGPT 15/11, Ur/Cr 34/0,9 1 kantong
bladder
Alb 2.74 Na/K/Cl 135/4.0/102 PT/APTT 0,9/1,2x
29/7/19 DPL 9,2/27,9/20650/283000 Ur/Cr 97/3,8

Na/K/Cl 132/4,7/95 27/7/2019 Ur/Cr 66/3,2 Albumin
2,7 Na/K/Cl 132/4,4/97 25/7/2019 Creatnin 5, SGOT Furosemide 8 mg/jam
POD 11 post relaparatomi 103, SGPT 60 24/7/19 SGOT/SGPT 103/60, Na/K/Cl
eksplorasi dan hemostasis ai Midazolam 2mg/jam stop gant
134/4,3/98 Lactat 2,1 23/7/19 DPL :
syok hipovolemik ec internal morfin, Propofol 3ml/jam Nutriflex
9.5/27.6/12640/86000, Alb 2.51, Ur/Cr : 80/3.4,
bleeding pada POD 12 post 1250ml/24 jam
elektrolit 135/4.3/99 21/7/2019 DPL
laparatomi optmal debulking 11.1/32/8220/44000 albumin 2.4, PT 13 (11.3) aPTT 49 ANtbiotk digant Inj. Levofloxasine 1
ai tumor ganas mesenkimal x 750 mg, meropenem 3x500 mg
dr. Kartwa (32) elektrolit 141/5.2/109 20/7/19 DPL
(fibrosarkoma) clinically 11.8/34.6/11580/41000 PT/APT 1.8x/2.4x SGOT/SGPT Asam traneksamat 3x1g
ICU BED 1 Umi kulsum 46 4383754 Hadi N,
advanced stage dengan Vit K 3x 10 mg
SpOG(K) 4365/644 Na/K/Cl 141/5,3/109 Ur/Cr 93/3.5
masalah anemia, 18/7/19 23.30 Hb 4,7 18/7/19 post op Ranitdin 2x50 mg
hipoalbuminemia, leukositosis DPL 8,5/26,5/11270/380000 PT/APTT 1,1/1,2x ALbumin Metoclopramide 3x10 mg
ec susp infektf, overt DIC, AKI Ca gluconas 3x1g
2,0 SGOT/SGPT 17/16 Ur/Cr 37/0,8 Na/K/Cl
ec syok hipovolemik post HD, Albumin 20% 1 vial blm acc
137/4,0/105 17/7/19 jam 06.03 DPL:
acute liver injury, suspek Nafas spontan, kesadaran compos
8,8/27,9/8510/579000, 16/7/19 CEA 1.6, CA 19-9 <2,
bladder injury ments, rencana pindah ruangan
15/7/19: DPL 7,3/24.3/7850/549000//72,3.21.7/30
Albumin 3,5/Na 137/K 4,4/Cl 101/ GDS 61/SGOT 36/SGPT
7/ Ur 40/Cr 1,0
31/7/19 albumin 1.90 0t/pt 23/11 DPL
POD-1 post laparotomi 13.8/39.7/5.550/159.00029/7/19 DPL
histerektomi total dan 8.7/24.5/12430/204000 28/7/19 DPL
6.6/18.8/15030/278000 24/7/19 DPL
infiltrasi massa Dr. dr. Gatot
Lince Ria 10.5/31.1/17780/240000 Albumin 2.1 22/7/19 DPL : Raber pasca HT, kapten bedah
ICU BED 15 58 4386289 adenokarsioma pada uterus Purwoto,
Lubis 8.3/23.7/21670/207000, alb 1.87, elektrolit 128/3.7/100 digestf
dan abses uterus, adhesiolisis, SpOG(K) 21/7/2019 ca 125 107 Ca 19-9 2.6 CEA 1.2 AFP 1.3 LDH
reseksi ussu sigmoid dan
208 20/7/19 DPL 6.4/18.5/36430/244000
ahrtmann procedure ai Na/K/Cl 135/3,5/117 PCT 1,86 laktat 1,7 PT/APTT
adenokarsinoma kolon 1.1x/1.0x SGOT/SGPT 32/7 Albumin 2,5 Ur/Cr 74/1,3
Ca ovarium advanced stage 28/7/19 DPL 9.4/28.5/13370/437000 Albumin 2.0

post laparatomi debulking Dr. dr. Na/K/Cl 124/3,9/98 21/7/2019 Kapten pulmo dengan rencana
619E Ellyana 47 4360870 dengan asites on pungsi, efusi Fitriyadi K, 10,6/32.2/10550/413000 Fibrinogen 768, D-dimer 3560, alirkan cairan asites 2000ml/hari,
pleura, CAP dd/ TB paru, SpOG(K) 1,0x/1,1x SGOT/SGPT 47/49 Albumin 2,43 Ur/Cr 75/1,0 kultur sputum (+)
hiponatremia, DVT tungkai kiri GDS 135 Na/K/Cl 126/3.9/94.7

radiasi luar 25x, terakir mei
2019 dengan
masalah:Heptomegali dengan Dr. dr. Gatot 31/7/19 11/33/18590/232.000 albumin 2.21 elektrolit
708 D Sit Sopiah 4364940 kista hepar, anemia, olterik, Purwoto, raber dengan TS IPD
133/4.4/102 30/7/19 retc 168.700
SpOG(K)
AKI dd/ acute on CKD,
hipoalbumin
Prof. Dr. dr. Andrijono, 214D Dr. dr. Tofan W Utami, SpOG(K) 210B
SpOG(K)
(K) 205C,205D
*
Ward Map Ginekologi Onkologi Selasa 30 Juli 2019
204 A Siti Rohamah 41 4366258 Ca ovarium stadium IC1 dr. Kartiwa Hadi N, SpOG(K) 29/7/19 DPL 11.2/33.6/3890/332000
204 B Ropikoh 47 4367211 Ca cerviks stadium IIIB dr. Kartiwa Hadi N, SpOG(K) 23/7/19 DPL 11.7/34.4/11410/240000
POD I post HR, PLND, SOB dan DPL post op 29/7/19: 13/38,1/23170/382000, 25/7/2019
repair nervus obturator dextra dr. Andi Darma Putra, DPL 12.6/37/10700/382000, Albumin 4.15 Cr 0.7 Ureum 35
205D Ai Titn 50 4364375 ai Ca cervix stadium IB2 dan SpOG(K) GDS 83elektrolit 135/4.2/101HbsAg non reaktf, PT 0.8 aPTT
cedera nervus obturator dextra 0.9
29/7/29 DPL 11.2/33.6/52620/626000 Na/K/Cl 128/3,7/99

NOK dengan bagian padat susp Albumin 2,54 24/7/19 Albumin 2,8 Ur/Cr 180/3,5 Na/K/Cl
maligna,asites, AKI dd/acut on 118/4,9/83,7 CEA 23,2 Ca 125: 3169,8 Ca 199: 7323,4
CKD, efusi pleura,
206A susi natalia 51 4275645 Dr. dr. Fitriyadi K, SpOG(K) 23/7/19 Ur/Cr 191/4.4, 22/7/19 DPL :
hipoalbuminemia,
8.9/26/51580/636000, elektrolit 122/5.7/86 15/7/19 DPL
hiponatremia, leukositosis, 10,7/32.6/36560/695000 SGOT 40/SGPT18/ALB 3,2/ur
tromobositosis 102/cr 4,1/N 136/K 5.4/Cl 96.3
Asites ec susp TB
abdominopelvik, pasca pungsi
asites 4 hari lalu, anemia Dr. dr. Gatot Purwoto, 28/7/19 DPL 9,7/27,5/5930/38 Na 135/K 3,7/101 SGOT
206B Vera Oktaria 33 4391136 ,hipoalbumin,intake SpOG(K) 35/SGPT 36/ albumn 2,9/Ur 10,9/cr 0,53
sulit,malnutrisi,abdominal pain
vas 3
Ca ovarium dengan anemia,

dr. Kartiwa Hadi N, SpOG(K) 26/7/19 DPL 8.2/25.2/8700/240000 SGOT/SGPT 12/9,
206 D Yeni Cahya 50 4364662 hipoalbuminemia, Albumin 3.1 Ur/Cr 18/0,6 Na/K/Cl 131/3,7/96
hiponatremia
26/7/19 DPL 7.5/22.1/7760/278000 SGOT/SGPT 12/6
206 E Sumiat 38 4381819 PTM high risk dengan anemia Albumin 3,58 Ur/Cr 18/0.7, Na/K/Cl 133/4.0/104, beta HCG >
SpOG(K) 225000
Ca ovarium post HTSOB 1th yll

Winny lanjut kemoterapi 1 th yll, Dr. dr. Gatot Purwoto, 26/07/19: DPL: 10.1/31/8.470/512.000, SGOT/SGPT: 11/7,
207C 70 4382569
Bernadette dengan ascites, SpOG(K) Alb: 2,98 Ur/Cr: 16/0.7 Na/K/Cl 134/3.5/114
hipoalbuminemi (2.98)
29/7/19 ALbumin 3.7 Ur/Cr 20/0.3, Na/K/Cl 132/3,7/99

25/7/2019 10.7/32/8480/377000 16/7/19 DPL
NOK susp maligna dengan 11.5/35/13970/206000, alb 3.55, elektrolit 136/4/98, AFP
riwayat penurunan kesadaran 4.39, CEA 1461, Ca 19-9 26.7, Ca 125 530 13/7/19 DPL :
ec SOL, massa hepar susp dr. T. Dewi Anggraeni,
207 D Sulastri 32 4385041 11.1/33/17020/193000, D-dimer : 3860, fibrinogen 196,
meetastasis pulmo, anemia SpOG(K) 11/7/19 DPL 8.4/24.8/14860/286000//87.6/29.7/33.9
post transfusi, 8/7/19 DPL 5,5/16.4/28650/325000 Na/K/Cl 130/4.2/107
hipoalbuminemia SGOT/SGPT 49/30 PT/APTT 0.9/0.9x Albumin 2,91 Ur/Cr
17,9/0.4 GDS 111
dengan hidronefrosis bilateral, 29/7/2019 DPL 8.9/26.6/26140/481000, Na/K/Cl
Farida Dr. dr. Laila Nuranna,
207 E 47 4384745 Ca pain VAS 2-3, anemia (Hb 132/4,5/108, Albumin 2,9 GDS 74, SGOT/SGPT 39/30, Ur/Cr
Matondang SpOG(K)
8,9), leukositosis reaktf dd 35/1,7
infektf, hiponatremia, AKI
dd/Acute on CKD
Ca ovarium dengan asites, 29/7/19 DPL 10,2/31,6/17220/183000, PT/APTT 1.0/0,9,
hipoalbuminemia, Dr. dr. Tofan W Utami,
210 A maria Silalily 46 4384708 SGOT/SGPT 22/9, Albumin 2.2 Ur/Cr 34/0,8 Na/K/Cl
hiponatremia, DVT tungkai SpOG(K) 124/4.4/91
kanan
29/7/19 DPL 9.3/28.1/17280/ 673000 Ur/Cr 37/1,4

POD VII post laparatomi 24/7/2019 Ur/Cr 42/1.7 Na/K/Cl 131/3.6/103 Kultur
HTSOB, debulking KGB pelvik sputum Achromobacter xylosoxidans 23/7/19 DPL
bilateral, debulking KGB 9.3/28/10080/426000, PCT 0.39, Cr :24, 20/7/2019 DPL
paraaorta ai Ca endometrium Dr. dr. Tofan W Utami, 9.9/29/16640/340000albumin 2.8 Ureum 73 Cr 2.5 elektrolit
210 B Emidi 61 3756596 clinically advanced stage dan SpOG(K) 138/3.6/106 18/7/2019 post op DPL
post reimplantasi ureter kiri 10,9/32,7/13660/275000, Na/K/Cl 137/3,9/105, 16/7/19
dan insersi DJ stent kanan atas DPL: 12.3/35/7950/379000, OT/PT : 14/14, Alb 3.68, Ur/Cr :
indikasi hidroureter bilateral, 43/1.2, GDS 122, Elektrolit : 137/3.2/103, PT/APTT: 0.9x/1.1.
efusi pleura dan pneumonia x, FT4/FT3/TSH :0.88/2.05/5.234
26/6/19 DPL 10.4/35.4/8020/480000 Na/K/Cl 137/4.3/103

Ca endometrium inadequate Prof. Dr. dr. Andrijono,
211 A Dewi Muriani 49 4380825 GDS 90 Ur/Cr 20/0,6 Albumin 4.53 SGOT/SGPT 10/14
treatment SpOG(K) PT/APTT 0.9x/1,0x
POD I post laparatomi optmal

29/7/2019 DPL 8,5/26,4/16530/252000 PT/APTT 1x/2.1x
debulking dan repair laserasi Prof. Dr. dr. Andrijono, Na/K/Cl 137/3.1/105 lactat 0,7 25/7/19 DPL
ICU BED 5 Apriasih 58 4338362 bladder ai Ca ovarium SpOG(K) 10.3/32.7/9680/476000 SGOT/SGPT 15/11, Ur/Cr 34/0,9 Alb
advanced stage dan cedera 2.74 Na/K/Cl 135/4.0/102 PT/APTT 0,9/1,2x
bladder
POD I post laparatomi aff
abdominal packing 3 jam lalu
pada POD 4 Post laparotomi
trachelectomy apendiktomi, 29/7/2019 DPL 11/32,4/9340/80000 PT/APTT 0,8x/1,0x
ICU BED 9 Syafriant 49 4337425 perlekatan dengan cervix Na/K/Cl 134/3,6/97 DPL post op 6,4/18/11130/85000 SGOT
dilnajutkan abdominal packing, SpOG(K) 12 SGPT 8 Albumi 2.05 Cr 1 Ureum. 38 elektrolit 140/2.9/108
hipoalbuminemia (3,2),
trombositopenia ec
(82000)
29/7/19 DPL 9,2/27,9/20650/283000 Ur/Cr 97/3,8 Na/K/Cl

132/4,7/95 27/7/2019 Ur/Cr 66/3,2 Albumin 2,7 Na/K/Cl
POD 10 post relaparatomi 132/4,4/97 25/7/2019 Creatnin 5, SGOT 103, SGPT 60
eksplorasi dan hemostasis ai 24/7/19 SGOT/SGPT 103/60, Na/K/Cl 134/4,3/98 Lactat 2,1
syok hipovolemik ec internal
23/7/19 DPL : 9.5/27.6/12640/86000, Alb 2.51, Ur/Cr :
bleeding pada POD 11 post 80/3.4, elektrolit 135/4.3/99 21/7/2019 DPL
laparatomi optmal debulking 11.1/32/8220/44000 albumin 2.4, PT 13 (11.3) aPTT 49 (32)
ai tumor ganas mesenkimal elektrolit 141/5.2/109 20/7/19 DPL 11.8/34.6/11580/41000
(fibrosarkoma) clinically
ICU BED 1 Umi kulsum 46 4383754 advanced stage dengan dr. Kartwa Hadi N, SpOG(K) PT/APT 1.8x/2.4x SGOT/SGPT 4365/644 Na/K/Cl
141/5,3/109 Ur/Cr 93/3.5 18/7/19 23.30 Hb 4,7
masalah anemia, 18/7/19 post op DPL 8,5/26,5/11270/380000
hipoalbuminemia, leukositosis PT/APTT 1,1/1,2x ALbumin 2,0 SGOT/SGPT 17/16 Ur/Cr
ec susp infektf, overt DIC, AKI 37/0,8 Na/K/Cl 137/4,0/105 17/7/19 jam 06.03 DPL:
ec syok hipovolemik post HD,
8,8/27,9/8510/579000, 16/7/19 CEA 1.6, CA 19-9 <2,
acute liver injury, suspek 15/7/19: DPL 7,3/24.3/7850/549000//72,3.21.7/30
bladder injury Albumin 3,5/Na 137/K 4,4/Cl 101/ GDS 61/SGOT 36/SGPT 7/
Ur 40/Cr 1,0
29/7/19 PCT 0,7 Na/K/Cl 130/3.9/104 ALbumin 2.64

Riwayat Dyspneu ec CHF dd SGOT/SGPT 18/15 Ur/Cr 41/1,5 DPL
TRALI dd TACO dd Reaksi alergi 10.8/32.5/24490/418000 27/07/19: DPL:
(kontras) pada Pasca 8.9/26.2/19.600/389.000 GDP 176 Cadarah 8.1. fosfat.
histerektomi radikal tpe II ai dr. T. Dewi Anggraeni,
Essy Ella 3.1. Mg Darah 1.59. Na/K/Cl: 131/3.9/102. AGD. pH: 7.7.
ICU BED 8 75 4356856 ca endometrium stadium IA,
Therik SpOG(K) pCO2 22.5. PO2 127. HCO 3 18.9. Total CO2 19,6. BE -1.4. O2
fistula ureterovagina, ruptur saturasi 98 standart HCO3 23.2. standart BE -4.0. DPL
ureterovaginalis kiri, ruptur 25/7/2019 6.5/19/15600/351000 APTT 0.9 PT1x elektrolit
ureter bilateral, hidronefrosis 130/3.4/109 UL nitrit positif, LE +2, SGOT 27 SGPT 33,
bilateral, Anemia albumin 2.8 Ur 31 Cr 1.1 AU 4.2 GDS 162
Post syok hipovolemik grade I 29/7/19 DPL 8.7/24.5/12430/204000 28/7/19 DPL
ec hematoschezia ec susp 6.6/18.8/15030/278000 24/7/19 DPL
massa intralumen usus 10.5/31.1/17780/240000 Albumin 2.1 22/7/19 DPL :
Lince Ria dengan : anemia, leukositosis Prof. Dr. dr. Andrijono, 8.3/23.7/21670/207000, alb 1.87, elektrolit 128/3.7/100
404A 58 4386289
Lubis reaktf dd/infektf, SpOG(K) 21/7/2019 ca 125 107 Ca 19-9 2.6 CEA 1.2 AFP 1.3 LDH 208
hipoalbuminemia, 20/7/19 DPL 6.4/18.5/36430/244000 Na/K/Cl
hiponatremia, hiperkalemia, 135/3,5/117 PCT 1,86 laktat 1,7 PT/APTT 1.1x/1.0x
AKI dd/ acute on CKD SGOT/SGPT 32/7 Albumin 2,5 Ur/Cr 74/1,3
Ca ovarium advanced stage 28/7/19 DPL 9.4/28.5/13370/437000 Albumin 2.0 Na/K/Cl

post laparatomi debulking 124/3,9/98 21/7/2019 10,6/32.2/10550/413000 Fibrinogen
619E Ellyana 47 4360870 dengan asites on pungsi, efusi Dr. dr. Fitriyadi K, SpOG(K) 768, D-dimer 3560, 1,0x/1,1x SGOT/SGPT 47/49 Albumin
pleura, CAP dd/ TB paru, 2,43 Ur/Cr 75/1,0 GDS 135 Na/K/Cl 126/3.9/94.7
hiponatremia, DVT tungkai kiri
DNR 206C dr. T. Dewi Anggraeni, SpOG(K) 207D, ICU dr. Kartwa Hadi N, SpOG(K)
Prof. Dr. dr. Andrijono, SpOG(K) 214D Dr. dr. Tofan W Utami, SpOG(K)
Dr. dr. Fitriyadi K, SpOG(K) 206A Dr. dr. Gatot Purwoto, SpOG(K)

Target
Kemoterapi
Kemoterapi
Perawatan post op, Cystofix (+)
Sudah terpasang mini drain pada paru kanan sela

iga 5, cairan pleura serous.
transfusi PRC target Hb>10, koreksi albumin,hasil

sitologi asites dan IGRA tunggu hasil. Konsul IPD *
Pulmo di jam kerja (form konsul sudah ada).
Transfusi PRC
Transfusi PRC
koreksi albumin, pungsi asites (+)
Rencana radioterapi, Family meetng (+) bersama

neurologi, psikiatri
Transfusi PRC, terpasang tampon evaluasi

31/7/19, Konsul urologi
Perbaikan KU
Urologi: rencana CT scan urografi kontras, IPD

Ginjal Hipertensi: rencana Cek ur cr setap 2 hari,
konsul kardio: rencana echocardiografi hari
senin, amlodipin 1x5 mg, candesartan 1x16 mg,
Pulmo: meropnemen belum perlu, fluimucyl
3x200mg, inhalasi ventolin, pertmbangkan USG
stand by pungsi
Rencana laparatomi surgical staging 1/8/2019
Perawatan post op, pertahankan FC 14 hari,

transfusi PRC 300 cc dan FFP 1 kantong
Drain (+), perawatan post op
Furosemide 8 mg/jam
Midazolam 2mg/jam stop gant morfin, Propofol
3ml/jam Nutriflex 1250ml/24 jam
ANtbiotk digant Inj. Levofloxasine 1 x 750 mg,
meropenem 3x500 mg
Asam traneksamat 3x1g
Vit K 3x 10 mg
Ranitdin 2x50 mg
Metoclopramide 3x10 mg
Ca gluconas 3x1g
Albumin 20% 1 vial blm acc
On ventlator SIMV PEEP 5, FiO2 40%
Rencana sistoskopi, DJ stent hingga nefrostomi

30/7/2019, Rencana konsul digestf untuk
pemasangan drain intraperitoneal untuk
evakuasi urinoma intraop, Perbaikan KU, konsul
urologi terkait hasil CT urografi (ruptur ureter
bilateral)
Kapten bedah digestf, rencana MRI Abdomen,
transfusi PCR target Hb > 10g/dL
Kapten pulmo dengan rencana alirkan cairan

asites 2000ml/hari, kultur sputum (+)
210 D, ICU
210B
ICU
Ward Map Ginekologi Onkologi Senin 29 Juli 2019
27/7/2019 DPL 11,4/31,9/7100/223000 25/7/2019 DPL

POD 5 post laparotomi 8.7/26/10270/202000 Albumin 3.35 elektrolit
Tet debulking ai Ca ovarium dr. Andi Darma Putra, 135/4.9/10323/7/19 elektrolit : 135/4.9/103, 22/7/19 DPL :
205 C 43 4364622
Rahmawat advance stage, peningkatan SpOG(K) 11.7/35/16350/261000,elektrolit 136/4.1/103, Ur/Cr :34/0.8,
enzim transaminase alb 3.55, OT/PT : 79/183 10/7/19 DPL 10.8/32/5800/248000
Albumin 4,3 SGOT 64, Ur/Cr 27/0,8 Na/K/Cl 138/3,7/102
25/7/2019 DPL 12.6/37/10700/382000, Albumin 4.15 Cr 0.7

205D Ai Titn 50 4364375 Ca cervix IB2 Ureum 35 GDS 83elektrolit 135/4.2/101HbsAg non reaktf, PT
SpOG(K) 0.8 aPTT 0.9
24/7/19 Albumin 2,8 Ur/Cr 180/3,5 Na/K/Cl 118/4,9/83,7

NOK dengan bagian padat susp CEA 23,2 Ca 125: 3169,8 Ca 199: 7323,4 23/7/19 Ur/Cr
206A susi natalia 51 4275645 maligna,asites, AKI dd/acut on Dr. dr. Fitriyadi K, SpOG(K) 191/4.4, 22/7/19 DPL : 8.9/26/51580/636000, elektrolit
CKD, efusi pleura 122/5.7/86 15/7/19 DPL 10,7/32.6/36560/695000 SGOT
40/SGPT18/ALB 3,2/ur 102/cr 4,1/N 136/K 5.4/Cl 96.3
Asites ec susp TB
abdominopelvik, pasca pungsi
asites 4 hari lalu, anemia DR.dr. Gatot Purwoto, 28/7/19 DPL 9,7/27,5/5930/38 Na 135/K 3,7/101 SGOT
206B Vera Oktaria 33 4391136 ,hipoalbumin,intake SpOG(K) 35/SGPT 36/ albumn 2,9/Ur 10,9/cr 0,53
sulit,malnutrisi,abdominal pain
vas 3
Ca cervix IV B on radiasi,
dengan anemia (8,7),
trombositopenia (66000),
hipoalbuminemia DR.dr. Gatot Purwoto, 28/7/19 DPL 8,7/23,4/6550/66000//77,7/28,9/37,2 SGOT
206C Sri Lestari 49 4369055 (1,3),hiponatremia (119), SpOG(K) 22/SGPT14 / Albumin 1,3/ Ur 39/Cr 1,6 Na 119/K 1,9/Cl 101
hipokalemia(1,9), AKI AKIN III,
DVT, dispepsia dengan intake
sulit
Ca ovarium post HTSOB 1th yll

Winny lanjut kemoterapi 1 th yll, DR.dr. Gatot Purwoto, 26/07/19: DPL: 10.1/31/8.470/512.000, SGOT/SGPT: 11/7,
207C 70 4382569
Bernadette dengan ascites, SpOG(K) Alb: 2,98 Ur/Cr: 16/0.7 Na/K/Cl 134/3.5/114
hipoalbuminemi (2.98)
25/7/2019 10.7/32/8480/377000 16/7/19 DPL

NOK susp maligna dengan 11.5/35/13970/206000, alb 3.55, elektrolit 136/4/98, AFP
riwayat penurunan kesadaran 4.39, CEA 1461, Ca 19-9 26.7, Ca 125 530 13/7/19 DPL :
ec SOL, massa hepar susp dr. T. Dewi Anggraeni, 11.1/33/17020/193000, D-dimer : 3860, fibrinogen 196,
207 D Sulastri 32 4385041 meetastasis pulmo, anemia SpOG(K) 11/7/19 DPL 8.4/24.8/14860/286000//87.6/29.7/33.9
post transfusi, 8/7/19 DPL 5,5/16.4/28650/325000 Na/K/Cl 130/4.2/107
hipoalbuminemia SGOT/SGPT 49/30 PT/APTT 0.9/0.9x Albumin 2,91 Ur/Cr
17,9/0.4 GDS 111
POD VII post laparatomi 24/7/2019 42/1.7 Na/K/Cl 131/3.6/103 23/7/19 DPL
HTSOB, debulking KGB pelvik 9.3/28/10080/426000, PCT 0.39, Cr :24, 20/7/2019 DPL
bilateral, debulking KGB 9.9/29/16640/340000albumin 2.8 Ureum 73 Cr 2.5 elektrolit
paraaorta ai Ca endometrium Dr. dr. Tofan W Utami, 138/3.6/106 18/7/2019 post op DPL
210B Emidi 61 3756596 clinically advanced stage dan SpOG(K) 10,9/32,7/13660/275000, Na/K/Cl 137/3,9/105, 16/7/19
post reimplantasi ureter kiri DPL: 12.3/35/7950/379000, OT/PT : 14/14, Alb 3.68, Ur/Cr :
dan insersi DJ stent kanan atas 43/1.2, GDS 122, Elektrolit : 137/3.2/103, PT/APTT: 0.9x/1.1.
indikasi hidroureter bilateral, x, FT4/FT3/TSH :0.88/2.05/5.234
efusi pleura dan pneumonia
28/7/2019 DPL 11,7/35,2/11980/534000 24/7/19
Suspek Ca cervix, anemia, dr. Kartwa Hadi N, SpOG(K) DPL:6,7/20,6/13490/775000//76/24,7/32,5, pt/aptt:
210D Diah Suminar 69 4386742 hipoalbumin 0,9x/1,3x, SGOT/SGPT: 20/17, albumin: 1,9, ureum/creatnin
33/0,9, GDS 83
28/7/2019 DPL 9,3/28,4/2220/183000 27/07/19 DPL:

Ca cerviks stadium Iib dengan Dr. dr. Gatot Purwoto,
211A Mardiyat 53 4378966 9.9/28.7/4.200/223.000. sgot/sgpt: 21/19. Ur/Cr: 14/0.7.
anemia dan hipokloremia SpOG(K) Na/K/Cl: 137/3.6/117
Ca ovarium post neoadjuvant Prof. Dr. dr. Andrijono, 25/7/19 DPL 10.3/32.7/9680/476000 SGOT/SGPT 15/11,
214D Apriasih 58 4338362 chemotherapy, stable disease, Ur/Cr 34/0,9 Alb 2.74 Na/K/Cl 135/4.0/102 PT/APTT
SpOG(K)
hipoalbuminemia 0,9/1,2x

adhesiolisis, SOD,
trachelectomy apendiktomi, Dr. dr. Gatot Purwoto, DPL post op 6,4/18/11130/85000 SGOT 12 SGPT 8 Albumi
ICU BED 9 Syafriant 49 4337425 perlekatan dengan cervix SpOG(K) 2.05 Cr 1 Ureum. 38 elektrolit 140/2.9/108
dilnajutkan abdominal packing,
anemia ec blood loss
25/7/2019 Creatnin 5, SGOT 103, SGPT 60 24/7/19
SGOT/SGPT 103/60, Na/K/Cl 134/4,3/98 Lactat 2,1
POD 7 post relaparatomi 23/7/19 DPL : 9.5/27.6/12640/86000, Alb 2.51, Ur/Cr :
eksplorasi dan hemostasis ai 80/3.4, elektrolit 135/4.3/99 21/7/2019 DPL
syok hipovolemik ec internal 11.1/32/8220/44000 albumin 2.4, PT 13 (11.3) aPTT 49 (32)
bleeding pada POD 7 post elektrolit 141/5.2/109 20/7/19 DPL 11.8/34.6/11580/41000
laparatomi optmal debulking PT/APT 1.8x/2.4x SGOT/SGPT 4365/644 Na/K/Cl
ICU BED 1 Umi kulsum 46 4383754 ai tumor ganas mesenkimal dr. Kartwa Hadi N, SpOG(K) 141/5,3/109 Ur/Cr 93/3.5 18/7/19 23.30 Hb 4,7
(fibrosarkoma) clinically 18/7/19 post op DPL 8,5/26,5/11270/380000
advanced stage dengan PT/APTT 1,1/1,2x ALbumin 2,0 SGOT/SGPT 17/16 Ur/Cr
masalah AKI post HD, DIC 37/0,8 Na/K/Cl 137/4,0/105 17/7/19 jam 06.03 DPL:
overt, acute liver injury, suspek 8,8/27,9/8510/579000, 16/7/19 CEA 1.6, CA 19-9 <2,
bladder injury 15/7/19: DPL 7,3/24.3/7850/549000//72,3.21.7/30
Albumin 3,5/Na 137/K 4,4/Cl 101/ GDS 61/SGOT 36/SGPT 7/
Ur 40/Cr 1,0
27/07/19: DPL: 8.9/26.2/19.600/389.000 GDP 176

Dyspneu ec CHF dd TRALI dd
Cadarah 8.1. fosfat. 3.1. Mg Darah 1.59. Na/K/Cl:
TACO dd Reaksi alergi (kontras) 131/3.9/102. AGD. pH: 7.7. pCO2 22.5. PO2 127. HCO 3
Essy Ella pada Pasca histerektomi radikal dr. T. Dewi Anggraeni,
ICU BED 8 75 4356856 18.9. Total CO2 19,6. BE -1.4. O2 saturasi 98 standart HCO3
Therik tpe II ai ca endometrium SpOG(K) 23.2. standart BE -4.0. DPL 25/7/2019 6.5/19/15600/351000
stadium IA, fistula
APTT 0.9 PT1x elektrolit 130/3.4/109 UL nitrit positif, LE +2,
ureterovagina, Anemia SGOT 27 SGPT 33, albumin 2.8 Ur 31 Cr 1.1 AU 4.2 GDS 162
Post syok hipovolemik grade I
ec hematoschezia ec susp 24/7/19 DPL 10.5/31.1/17780/240000 Albumin 2.1 22/7/19
massa intralumen usus DPL : 8.3/23.7/21670/207000, alb 1.87, elektrolit
Lince Ria dengan : anemia, leukositosis Prof. Dr. dr. Andrijono, 128/3.7/100 21/7/2019 ca 125 107 Ca 19-9 2.6 CEA 1.2 AFP
404A 58 4386289
Lubis reaktf dd/infektf, SpOG(K) 1.3 LDH 208 20/7/19 DPL 6.4/18.5/36430/244000
hipoalbuminemia, Na/K/Cl 135/3,5/117 PCT 1,86 laktat 1,7 PT/APTT 1.1x/1.0x
hiponatremia, hiperkalemia, SGOT/SGPT 32/7 Albumin 2,5 Ur/Cr 74/1,3
AKI dd/ acute on CKD
Ca ovarium advanced stage

post laparatomi debulking 21/7/2019 10,6/32.2/10550/413000 Fibrinogen 768, D-dimer
619E Ellyana 47 4360870 dengan asites on pungsi, efusi Dr. dr. Fitriyadi K, SpOG(K) 3560, 1,0x/1,1x SGOT/SGPT 47/49 Albumin 2,43 Ur/Cr
pleura, CAP dd/ TB paru, 75/1,0 GDS 135 Na/K/Cl 126/3.9/94.7
DNR 206C dr. T. Dewi Anggraeni, SpOG(K) 207D, ICU dr. Kartwa Hadi N, SpOG(K)
Prof. Dr. dr. Andrijono, SpOG(K) 214D Dr. dr. Tofan W Utami, SpOG(K)
Dr. dr. Fitriyadi K, SpOG(K) 206A Dr. dr. Gatot Purwoto, SpOG(K)

Target
Hasil BNO: pneumoperitoneum, lemak

peritoneum sebagian suram dd peritonits,
emfisema subkuts, udara di kolon prominen dd
meteorismus, tdak tampak tanda ileus.
Mobilisasi.
Rencana Histerektomi Radikal dan PLND, senin

29/7/2019
Sudah terpasang mini drain pada paru kanan sela

iga 5, cairan pleura serous.
transfusi PRC target Hb>10, koreksi albumin,hasil

sitologi asites dan IGRA tunggu hasil. Konsul IPD
Pulmo di jam kerja (form konsul sudah ada).
Transfusi PRC target Hb >10, koreksi elektrolit,
koreksi albumin
koreksi albumin, rencana pungsi
Rencana family meetng bersama neurologi,

psikiatri
Urologi: rencana CT scan urografi kontras, IPD

Ginjal Hipertensi: rencana Cek ur cr setap 2 hari,
konsul kardio: rencana echocardiografi hari
senin, amlodipin 1x5 mg, candesartan 1x16 mg,
Pulmo: meropnemen belum perlu, fluimucyl
3x200mg, inhalasi ventolin, pertmbangkan USG
stand by pungsi
Rencana pulang hari ini (kemarin EHR error tdak
bisa membuat resume medik)
Transfusi PRC hingga Hb >10
Rencana laparatomi debulking 29/7/19 Rencana

konsul bedah digestf: join op
Transfusi PRC, transfusi albumer, perawatan post

op
Furosemide 8 mg/jam
Midazolam 2mg/jam stop gant morfin, Propofol
3ml/jam Nutriflex 1250ml/24 jam
ANtbiotk digant Inj. Levofloxasine 1 x 750 mg,
meropenem 3x500 mg
Asam traneksamat 3x1g
Vit K 3x 10 mg
Ranitdin 2x50 mg
Metoclopramide 3x10 mg
Ca gluconas 3x1g
Albumin 20% 1 vial blm acc
On ventlator SIMV PEEP 5, FiO2 40%
Perbaikan KU, konsul urologi terkait hasil CT

urografi (ruptur ureter bilateral)
Kapten bedah digestf, rencana MRI Abdomen,
transfusi PCR target Hb > 10g/dL
Kapten pulmo dengan rencana alirkan cairan

asites 2000ml/hari
210 D, ICU
210B
ICU
27/7/2019 DPL
11,4/31,9/7100/223000 25/7/2019
DPL 8.7/26/10270/202000 Albumin
3.35 elektrolit 135/4.9/10323/7/19 Hasil BNO: pneumoperitoneum,
POD 5 post laparotomi elektrolit : 135/4.9/103, 22/7/19 lemak peritoneum sebagian suram dd
debulking ai Ca ovarium dr. Andi Darma
205 C Tet Rahmawat 43 4364622 DPL : 11.7/35/16350/261000,elektrolit peritonits, emfisema subkuts, udara
advance stage, peningkatan Putra, SpOG(K) 136/4.1/103, Ur/Cr :34/0.8, alb 3.55, di kolon prominen dd meteorismus,
enzim transaminase OT/PT : 79/183 10/7/19 DPL tdak tampak tanda ileus. Mobilisasi.
10.8/32/5800/248000 Albumin 4,3
SGOT 64, Ur/Cr 27/0,8 Na/K/Cl
138/3,7/102
25/7/2019 DPL
12.6/37/10700/382000, Albumin 4.15
dr. Andi Darma Rencana Histerektomi Radikal dan
205D Ai Titn 50 4364375 Ca cervix IB2 Cr 0.7 Ureum 35 GDS 83elektrolit
Putra, SpOG(K) 135/4.2/101HbsAg non reaktf, PT 0.8 PLND, senin 29/7/2019
aPTT 0.9
24/7/19 Albumin 2,8 Ur/Cr 180/3,5

Na/K/Cl 118/4,9/83,7 CEA 23,2 Ca
125: 3169,8 Ca 199: 7323,4 23/7/19
NOK dengan bagian padat Ur/Cr 191/4.4, 22/7/19 DPL :
susi natalia 51 4275645 susp maligna,asites, AKI Dr. dr. Fitriyadi K, 8.9/26/51580/636000, elektrolit Sudah terpasang mini drain pada paru
SpOG(K) kanan sela iga 5, cairan pleura serous.
dd/acut on CKD, efusi pleura 122/5.7/86 15/7/19 DPL
10,7/32.6/36560/695000 SGOT
40/SGPT18/ALB 3,2/ur 102/cr 4,1/N
136/K 5.4/Cl 96.3
Ca ovarium post HTSOB 1th 26/07/19: DPL:
yll lanjut kemoterapi 1 th yll, 10.1/31/8.470/512.000, SGOT/SGPT: koreksi albumin, rencana pungsi
206 A Winky Bernadette 70 4382569 dengan ascites, 11/7, Alb: 2,98 Ur/Cr: 16/0.7 Na/K/Cl
hipoalbuminemi (2.98) 134/3.5/114
25/7/2019 10.7/32/8480/377000
16/7/19 DPL 11.5/35/13970/206000,
alb 3.55, elektrolit 136/4/98, AFP 4.39,
CEA 1461, Ca 19-9 26.7, Ca 125 530
NOK susp maligna dengan 13/7/19 DPL : 11.1/33/17020/193000,
riwayat penurunan dr. T. Dewi D-dimer : 3860, fibrinogen 196,
kesadaran ec SOL, massa Rencana family meetng bersama
207 C Sulastri 32 4385041 Anggraeni, 11/7/19 DPL
hepar susp meetastasis neurologi, psikiatri
SpOG(K) 8.4/24.8/14860/286000//87.6/29.7/3
pulmo, anemia post 3.9 8/7/19 DPL
transfusi, hipoalbuminemia 5,5/16.4/28650/325000 Na/K/Cl
130/4.2/107 SGOT/SGPT 49/30
PT/APTT 0.9/0.9x Albumin 2,91 Ur/Cr
17,9/0.4 GDS 111
24/7/2019 42/1.7 Na/K/Cl
131/3.6/103 23/7/19 DPL
POD VII post laparatomi 9.3/28/10080/426000, PCT 0.39, Cr : Urologi: rencana CT scan urografi
HTSOB, debulking KGB 24, 20/7/2019 DPL
kontras, IPD Ginjal Hipertensi:
pelvik bilateral, debulking 9.9/29/16640/340000albumin 2.8 rencana Cek ur cr setap 2 hari, konsul
KGB paraaorta ai Ca Ureum 73 Cr 2.5 elektrolit kardio: pertmbangkan
endometrium clinically Dr. dr. Tofan W 138/3.6/106 18/7/2019 post op DPL
207 D Emidi 61 3756596 echocardiografi, amlodipin 1x5 mg,
advanced stage dan post Utami, SpOG(K) 10,9/32,7/13660/275000, Na/K/Cl candesartan 1x16 mg, Pulmo:
reimplantasi ureter kiri dan 137/3,9/105, 16/7/19 DPL:
meropnemen belum perlu, fluimucyl
insersi DJ stent kanan atas 12.3/35/7950/379000, OT/PT : 14/14, 3x200mg, inhalasi ventolin,
indikasi hidroureter bilateral, Alb 3.68, Ur/Cr : 43/1.2, GDS 122, pertmbangkan USG stand by pungsi
efusi pleura dan pneumonia Elektrolit : 137/3.2/103, PT/APTT:
0.9x/1.1. x, FT4/FT3/TSH :
0.88/2.05/5.234
24/7/19
DPL:6,7/20,6/13490/775000//76/24,7
Suspek Ca cervix, anemia, dr. Kartwa Hadi N, /32,5, pt/aptt: 0,9x/1,3x, SGOT/SGPT: tranfusi PRC hingga Hb>10 g/dl,
210 B Diah Suminar 69 4386742 hipoalbumin SpOG(K) 20/17, albumin: 1,9, ureum/creatnin tranfusi albumer 20%
33/0,9, GDS 83
27/07/19 DPL:
Ca cerviks stadium Iib 9.9/28.7/4.200/223.000. sgot/sgpt:
210D Mardiyat 53 4378966 dengan anemia dan Transfusi hingga Hb >10
21/19. Ur/Cr: 14/0.7. Na/K/Cl:
hipokloremia 137/3.6/117
Ca ovarium post 25/7/19 DPL 10.3/32.7/9680/476000
neoadjuvant chemotherapy, Prof. Dr. dr. Rencana laparatomi debulking
SGOT/SGPT 15/11, Ur/Cr 34/0,9 Alb
211 A Apriasih 58 4338362 Andrijono, 29/7/19 Rencana konsul bedah
stable disease, 2.74 Na/K/Cl 135/4.0/102 PT/APTT
SpOG(K) digestf: join op
hipoalbuminemia 0,9/1,2x
adhesiolisis, SOD,
trachelectomy apendiktomi, Dr. dr. Gatot DPL post op 6,4/18/11130/85000 Transfusi PRC, transfusi albumer,
214 D Syafriant 49 4337425 perlekatan dengan cervix SGOT 12 SGPT 8 Albumi 2.05 Cr 1
Purwoto, SpOG(K) perawatan post op
dilnajutkan abdominal Ureum. 38 elektrolit 140/2.9/108
packing, anemia ec blood
loss
25/7/2019 Creatnin 5, SGOT 103,

SGPT 60 24/7/19 SGOT/SGPT 103/60,
Na/K/Cl 134/4,3/98 Lactat 2,1
23/7/19 DPL : 9.5/27.6/12640/86000,
Alb 2.51, Ur/Cr : 80/3.4, elektrolit Furosemide 8 mg/jam
135/4.3/99 21/7/2019 DPL
Midazolam 2mg/jam stop gant
POD 6 post relaparatomi 11.1/32/8220/44000 albumin 2.4, PT morfin, Propofol 3ml/jam Nutriflex
eksplorasi dan hemostasis ai 13 (11.3) aPTT 49 (32) elektrolit 1250ml/24 jam
syok hipovolemik ec internal 141/5.2/109 20/7/19 DPL ANtbiotk digant Inj. Levofloxasine 1
bleeding pada POD 7 post 11.8/34.6/11580/41000 PT/APT
x 750 mg, meropenem 3x500 mg
laparatomi optmal dr. Kartwa Hadi N, 1.8x/2.4x SGOT/SGPT 4365/644 Asam traneksamat 3x1g
ICU Umi kulsum 46 4383754 debulking ai tumor ganas Na/K/Cl 141/5,3/109 Ur/Cr 93/3.5
SpOG(K) Vit K 3x 10 mg
mesenkimal (fibrosarkoma) 18/7/19 23.30 Hb 4,7 Ranitdin 2x50 mg
clinically advanced stage 18/7/19 post op DPL Metoclopramide 3x10 mg
dengan masalah AKI post 8,5/26,5/11270/380000 PT/APTT
Ca gluconas 3x1g
HD, DIC overt, acute liver 1,1/1,2x ALbumin 2,0 SGOT/SGPT Albumin 20% 1 vial blm acc
injury, suspek bladder injury 17/16 Ur/Cr 37/0,8 Na/K/Cl On ventlator SIMV PEEP 5, FiO2 40%
137/4,0/105 17/7/19 jam 06.03 DPL:
8,8/27,9/8510/579000, 16/7/19 CEA
1.6, CA 19-9 <2, 15/7/19: DPL
7,3/24.3/7850/549000//72,3.21.7/30
Albumin 3,5/Na 137/K 4,4/Cl 101/
GDS 61/SGOT 36/SGPT 7/ Ur 40/Cr 1,0
27/07/19: DPL:
8.9/26.2/19.600/389.000 GDP 176
Cadarah 8.1. fosfat. 3.1. Mg Darah
Dyspneu ec CHF dd TRALI dd 1.59. Na/K/Cl: 131/3.9/102. AGD.
TACO dd Reaksi alergi pH: 7.7. pCO2 22.5. PO2 127. HCO 3
(kontras) pada Pasca dr. T. Dewi 18.9. Total CO2 19,6. BE -1.4. O2 Perbaikan KU, konsul urologi terkait
ICU Essy Ella Therik 75 4356856 histerektomi total tpe II + Anggraeni, saturasi 98 standart HCO3 23.2. hasil CT urografi (ruptur ureter
SOB ai ca endometrium SpOG(K) standart BE -4.0. DPL 25/7/2019 bilateral)
stadium IA, fistula 6.5/19/15600/351000 APTT 0.9 PT1x
ureterovagina, Anemia elektrolit 130/3.4/109 UL nitrit
positif, LE +2, SGOT 27 SGPT 33,
albumin 2.8 Ur 31 Cr 1.1 AU 4.2 GDS
162
24/7/19 DPL 10.5/31.1/17780/240000

Post syok hipovolemik grade Albumin 2.1 22/7/19 DPL :
I ec hematoschezia ec susp 8.3/23.7/21670/207000, alb 1.87,
massa intralumen usus elektrolit 128/3.7/100 21/7/2019 ca Kapten bedah digestf, rencana MRI
dengan : anemia, Prof. Dr. dr. 125 107 Ca 19-9 2.6 CEA 1.2 AFP 1.3 Abdomen, transfusi PCR target Hb >
ICU Lince Ria Lubis 58 4386289 leukositosis reaktf Andrijono, LDH 208 20/7/19 DPL
dd/infektf, SpOG(K) 10g/dL
6.4/18.5/36430/244000 Na/K/Cl
hipoalbuminemia, 135/3,5/117 PCT 1,86 laktat 1,7
hiponatremia, hiperkalemia, PT/APTT 1.1x/1.0x SGOT/SGPT 32/7
AKI dd/ acute on CKD Albumin 2,5 Ur/Cr 74/1,3
Ca ovarium advanced stage 21/7/2019 10,6/32.2/10550/413000
post laparatomi debulking Fibrinogen 768, D-dimer 3560,
dengan asites on pungsi, Dr. dr. Fitriyadi K, 1,0x/1,1x SGOT/SGPT 47/49 Albumin Kapten pulmo dengan rencana alirkan
404 A Ellyana 47 4360870 efusi pleura, CAP dd/ TB SpOG(K) 2,43 Ur/Cr 75/1,0 GDS 135 Na/K/Cl cairan asites 2000ml/hari
paru, hiponatremia, DVT 126/3.9/94.7
tungkai kiri
206 B, 206 E, dr. T. Dewi Anggraeni,

619 D DNR 207D, ICU dr. Kartwa Hadi N, SpOG(K) 210 D, ICU
207A SpOG(K)
Dr. dr. Laila Nuranna, Dr. dr. Hariyono W, SpOG (K)
SpOG(K)
Prof. Dr. dr. Andrijono, 404A, 214A Dr. dr. Tofan W Utami, SpOG(K)
SpOG(K)
Dr. dr. Fitriyadi K, SpOG(K) 206A, 619 D Dr. dr. Gatot Purwoto, SpOG(K) ICU

(K) 205 C, 205 D
Ward Map Ginekologi Onkologi Sabtu 27 Juli 2019
25/7/2019 DPL
8.7/26/10270/20
2000 Albumin
3.35 elektrolit
135/4.9/10323/7
Konsul IPD Gastro: BNO 3
/19 elektrolit : posisi, pasang NGT alirkan,
135/4.9/103, puasa Hasil BNO:
POD 5 post 22/7/19 DPL : pneumoperitoneum,
laparotomi 11.7/35/16350/2
dr. Andi lemak peritoneum
Tet debulking ai Ca
205 C 43 4364622 Darma Putra, 61000,elektrolit sebagian suram dd
Rahmawat ovarium advance 136/4.1/103,
stage, peningkatan SpOG(K) peritonits, emfisema
Ur/Cr :34/0.8, alb subkuts, udara di kolon
enzim transaminase 3.55, OT/PT :
79/183 10/7/19 prominen dd
meteorismus, tdak
DPL tampak tanda ileus
10.8/32/5800/24
8000 Albumin 4,3
SGOT 64, Ur/Cr
27/0,8 Na/K/Cl
138/3,7/102
25/7/2019 DPL
12.6/37/10700/3
82000, Albumin
dr. Andi 4.15 Cr 0.7 Ureum
Rencana Histerektomi
205D Ai Titn 50 4364375 Ca cervix IB2 Darma Putra, 35 GDS Radikal dan PLND
SpOG(K) 83elektrolit
135/4.2/101HbsA
g non reaktf, PT
0.8 aPTT 0.9
24/7/19 Albumin
2,8 Ur/Cr 180/3,5
Na/K/Cl
118/4,9/83,7 CEA
23,2 Ca 125:
3169,8 Ca 199:
7323,4 23/7/19
NOK dengan bagian Ur/Cr 191/4.4, IPD Pulmo sudah dipasang
padat susp Dr. dr. 22/7/19 DPL : mini drain pada paru
206 A susi natalia 51 4275645 maligna,asites, AKI Fitriyadi K, 8.9/26/51580/63 kanan sela iga 5, cairan
dd/acut on CKD, SpOG(K) 6000, elektrolit pleura serous, saran
efusi pleura 122/5.7/86 pasang NGT
15/7/19 DPL
10,7/32.6/36560/
695000 SGOT
40/SGPT18/ALB
3,2/ur 102/cr
4,1/N 136/K
5.4/Cl 96.3
Ca ovarium post
HTSOB 1th yll lanjut
Winky kemoterapi 1 th yll, koreksi albumin, rencana
207 C 70
Bernadette dengan ascites, pungsi
hipoalbuminemi
(2.98)
25/7/2019
10.7/32/8480/37
7000 16/7/19 DPL
11.5/35/13970/2
06000, alb 3.55,
elektrolit
136/4/98, AFP
4.39, CEA 1461,
Ca 19-9 26.7, Ca
NOK susp maligna 125 530 13/7/19
dengan riwayat DPL :
penurunan
11.1/33/17020/1 Rencana family meetng
kesadaran ec SOL, dr. T. Dewi 93000, D-dimer : bersama neurologi,
207 D Sulastri 32 4385041 massa hepar susp Anggraeni, 3860, fibrinogen psikiatri
meetastasis pulmo, SpOG(K) 196, 11/7/19 DPL
anemia post 8.4/24.8/14860/2
transfusi,
86000//87.6/29.7
hipoalbuminemia /33.9 8/7/19 DPL
5,5/16.4/28650/3
25000 Na/K/Cl
130/4.2/107
SGOT/SGPT 49/30
PT/APTT 0.9/0.9x
Albumin 2,91
Ur/Cr 17,9/0.4
GDS 111
24/7/2019 42/1.7
Na/K/Cl
131/3.6/103
23/7/19 DPL
9.3/28/10080/42
6000, PCT 0.39, Cr
:24, 20/7/2019
POD VII post DPL
laparatomi HTSOB, 9.9/29/16640/34
debulking KGB Urologi: rencana CT scan
0000albumin 2.8
pelvik bilateral, urografi kontras, IPD Ginjal
Ureum 73 Cr 2.5
debulking KGB Hipertensi: rencana Cek ur
elektrolit
paraaorta ai Ca cr setap 2 hari, konsul
138/3.6/106
endometrium kardio: pertmbangkan
clinically advanced Dr. dr. Tofan 18/7/2019 post echocardiografi, amlodipin
210 B Emidi 61 3756596 W Utami, op DPL
stage dan post 1x5 mg, candesartan 1x16
reimplantasi ureter SpOG(K) 10,9/32,7/13660/ mg, Pulmo: meropnemen
275000, Na/K/Cl
kiri dan insersi DJ belum perlu, fluimucyl
137/3,9/105,
stent kanan atas 3x200mg, inhalasi
16/7/19 DPL:
indikasi hidroureter ventolin, pertmbangkan
12.3/35/7950/37
bilateral, efusi USG stand by pungsi
9000, OT/PT :
pleura dan 14/14, Alb 3.68,
pneumonia
Ur/Cr : 43/1.2,
GDS 122,
Elektrolit :
137/3.2/103,
PT/APTT: 0.9x/1.1.
x, FT4/FT3/TSH :
0.88/2.05/5.234
DPL 25/7/2019
6.5/19/15600/35
Pasca histerektomi 1000 APTT 0.9
total tpe II + SOB ai PT1x elektrolit Rencana transfusi PRC
dr. T. Dewi
Essy Ella ca endometrium 130/3.4/109 UL target Hb 10g/dL, konsul
210 C 75 4356856
Therik stadium IA, suspek Anggraeni, nitrit positf, LE gizi untuk kabiven, rencana
fistula vesikovagina, SpOG(K) +2, SGOT 27 SGPT MRI fistulografi,
Anemia 33, albumin 2.8 Ur
31 Cr 1.1 AU 4.2
GDS 162
24/7/19
DPL:6,7/20,6/134
90/775000//76/2
4,7/32,5, pt/aptt:
Suspek Ca cervix, dr. Kartwa 0,9x/1,3x, tranfusi PRC hingga Hb>10
210D Diah Suminar 69 4386742 anemia, Hadi N, SGOT/SGPT: g/dl, tranfusi albumer 20%
hipoalbumin SpOG(K) 20/17, albumin:
1,9,
ureum/creatnin
33/0,9, GDS 83
Ca cerviks stadium
211 A Mardiyat 53 Iib dengan anemia Transfusi hingga Hb >10
dan hipokloremia
25/7/19 DPL
10.3/32.7/9680/4
Ca ovarium post 76000 Rencana laparatomi
neoadjuvant Prof. Dr. dr. SGOT/SGPT 15/11, debulking 29/7/19
214 D Apriasih 58 4338362 chemotherapy, Andrijono, Ur/Cr 34/0,9 Alb Rencana konsul bedah
stable disease, SpOG(K) 2.74 Na/K/Cl digestf: join op
PT/APTT 0,9/1,2x
Post laparotomi
eksplorasi DPL post op
adhesiolisis, SOD, 6,4/18/11130/85
trachelectomy Dr. dr. Gatot 000 SGOT 12 SGPT Transfusi PRC, transfusi
apendiktomi,
ICU Syafriant 49 4337425 perlekatan dengan Purwoto, 8 Albumi 2.05 Cr 1 albumer, perawatan post
cervix dilnajutkan SpOG(K) Ureum. 38 op
elektrolit
abdominal packing, 140/2.9/108
anemia ec blood
loss
25/7/2019
Creatnin 5, SGOT
103, SGPT 60
24/7/19
SGOT/SGPT
103/60, Na/K/Cl
134/4,3/98
Lactat 2,1
23/7/19 DPL :
9.5/27.6/12640/8
6000, Alb 2.51,
Ur/Cr : 80/3.4, Jawaban konsul uro:
elektrolit rencana USG Gibul hari ini,
135/4.3/99 tes patensi buli, tes
21/7/2019 DPL urogetk, cek kreatnin
11.1/32/8220/44 urine, rencana CRRT
000 albumin 2.4, (menunggu acc dr Dita
PT 13 (11.3) aPTT SpAN ), sudah transfusi TC
POD 6 post 49 (32) elektrolit pooled
relaparatomi 141/5.2/109 NE 0,02 mcg/kg/mnt
eksplorasi dan 20/7/19 DPL Dobutamin 2
hemostasis ai syok 11.8/34.6/11580/ mcg/kg/menit
hipovolemik ec 41000 PT/APT Furosemide 8 mg/jam
internal bleeding 1.8x/2.4x Midazolam 2mg/jam,
pada POD 7 post SGOT/SGPT Propofol 3ml/jam Nutriflex
laparatomi optmal dr. Kartwa 4365/644 1250ml/24 jam
ICU Umi kulsum 46 4383754 debulking ai tumor Hadi N, Na/K/Cl Ceftriaxone 1x2g
ganas mesenkimal SpOG(K) 141/5,3/109 Asam traneksamat 3x1g
(fibrosarkoma) Ur/Cr 93/3.5 Vit K 3x 10 mg
clinically advanced 18/7/19 23.30 Ranitdin 2x50 mg
stage dengan Hb 4,7 Metoclopramide 3x10 mg
masalah AKI post 18/7/19 post Ca gluconas 3x1g
HD, DIC overt, acute op DPL Albumin 20% 1 vial blm
liver injury, suspek 8,5/26,5/11270/3 acc
bladder injury 80000 PT/APTT Tramadol 200 mg/24
1,1/1,2x ALbumin jamOn ventlator SIMV
2,0 SGOT/SGPT PEEP 5, FiO2 40% NE
17/16 Ur/Cr 0,7 mcg/kg/menit,
37/0,8 Na/K/Cl dobutamin 15
137/4,0/105 mcg/kg/mnt, transfusi FFP
17/7/19 jam , koreksi albumin, rencana
06.03 DPL: perawatan post op
8,8/27,9/8510/57
9000, 16/7/19
CEA 1.6, CA 19-9
<2, 15/7/19: DPL
7,3/24.3/7850/54
9000//72,3.21.7/
30 Albumin
3,5/Na 137/K
4,4/Cl 101/ GDS
61/SGOT 36/SGPT
7/ Ur 40/Cr 1,0
24/7/19 DPL
10.5/31.1/17780/
240000 Albumin
2.1 22/7/19
DPL :
Post syok 8.3/23.7/21670/2
hipovolemik grade I 07000, alb 1.87,
ec hematoschezia elektrolit
ec susp massa 128/3.7/100
intralumen usus 21/7/2019 ca 125 Kapten bedah digestf,
Prof. Dr. dr.
Lince Ria dengan : anemia, 107 Ca 19-9 2.6 rencana MRI Abdomen,
404 A 58 4386289
Lubis leukositosis reaktf Andrijono, CEA 1.2 AFP 1.3 transfusi PCR target Hb >
SpOG(K)
dd/infektf, LDH 208 10g/dL
hipoalbuminemia, 20/7/19 DPL
hiponatremia, 6.4/18.5/36430/2
hiperkalemia, AKI 44000 Na/K/Cl
dd/ acute on CKD 135/3,5/117 PCT
1,86 laktat 1,7
PT/APTT 1.1x/1.0x
SGOT/SGPT 32/7
Albumin 2,5
Ur/Cr 74/1,3
23/7/19 DPL
9,4/29,1/10210/5
29000 Na/K/Cl
Ca cerviks stadium 136/3.6/102.5
IV A metastasis buli, 22/7/19 DPL
fistula 8.3/23.7/21670/2
vesikovaginalis, 07000 19/7/2019 Kapten urologi dengan
pyelonefrits kanan Prof. Dr. dr. 9.9/31/10160/56 rencana nefrostomi kanan,
404 E Sri Hartni 57 4305095 on nefrostomi, Andrijono, 0000. 18/7/19 konsul radioterapi : saat ini
hidronefrosis kiri on SpOG(K) PT/APTT 0,9x/0,9x tdak terdapat indikasi
nefrostomi, Riwayat 14/7/19 DPL radiasi paliatf,
DVT dan 11,5/35,6/9210/6
peningkatan 20000 albumin
PT/APTT 2,65 SGOT/SGPT
41/79 Kultur
urine : E.coli
Ur/Cr 15.5/0,9
21/7/2019
Ca ovarium 10,6/32.2/10550/
advanced stage post 413000
laparatomi Fibrinogen 768, D-
debulking dengan Dr. dr. dimer 3560, Kapten pulmo dengan
619 D Ellyana 47 4360870 asites on pungsi, Fitriyadi K, 1,0x/1,1x rencana alirkan cairan
efusi pleura, CAP SpOG(K) SGOT/SGPT 47/49 asites 2000ml/hari
dd/ TB paru, Albumin 2,43
hiponatremia, DVT Ur/Cr 75/1,0 GDS
tungkai kiri 135 Na/K/Cl
126/3.9/94.7
206 B, 206 E, dr. T. Dewi dr. Kartwa Hadi N, 204D, 206F, ICU
DNR 207A Anggraeni, SpOG(K) 207 A, 207D SpOG(K)
204C,204F,
Dr. dr. Laila Dr. dr. Hariyono W, 204A,204E,206A
205A, 205B,
206E, 211B
206C,206F,21
Andrijono, SpOG(K) 0C,211A,214C 210B
,404A,404E Utami, SpOG(K)

207C
SpOG(K) Purwoto, SpOG(K) 206B
Dr. dr. Sigit Purbadi, 206D
SpOG(K)
dr. Andi Darma

Putra, SpOG (K) 205C,207E
Ward Map Ginekologi Onkologi Jumat 26 Juli 2019
22 Juli 2019
Prof. Dr. dr. 12/35/3300/211000
Ca Endometrium
204A Hetty Atmaja 53 4240497 Andrijono, SGOT 19 SGPT 29 Kemoterapi
SpOG(K) Albumin 3.9 Ureum 19 Cr
0.7
DPL 22/7/2019
12.2/34/5140/398000 PT
Dr. dr. Gatot
38.9 (11,3) APTT 77.3
204 B Eka Sapitri 42 4379284 Ca cervix IIB Purwoto, Kemoterapi
(32.7) SGOT 23 SGPT 29
SpOG(K) Albumin 4.2 Cr 1.4
Ureum 46 GDS 117
Dr. dr. Gatot 25/7/2019 DPL

204C Titn Hartni 61 3309401 Ca Ovarium Purwoto, Kemoterapi
11.5/33/10880/223000
SpOG(K)
Dr. dr. Fitriyadi K, 22/07/2019 DPL
204E Lince Nababan 68 4380218 Ca cervix II B Kemoterapi
SpOG(K) 12/35/6190/176000
23/7/19 elektrolit :
POD 4 post 132/4.3/101, 22/7/19
laparotomi DPL :
eksplorasi, 14.4/43/11030/326000,
salpingektomi
OT/PT: 21/20, Ur/Cr :
sinistra, biopsi 20/0.5, elektrolit :
ovarium kiri, 136/4.5/106, 16/7/19
appendektomi ai Dr. dr. Laila Estradiol 81.2 DPL Perawatan post
205 A Nuryant 34 4275645 kehamilan Nuranna,
ektopik tuba kiri, SpOG(K) 11.4/32/7990/407000, operasi
Estradiol 81.2, 15/7/19
Ca ovarium DPL
stadium 1C3 9.1/27.3/8310/523000//
(post conservatf 89/29/33 fibrinogen
surgical staging
562/d-dimer 23530 PT
dan kemoterapi 0,8x/APTT 0,8x SGOT
6x) 17/SGPT 24 /Alb 4.08
Konsul IPD
25/7/2019 DPL Gastro: BNO 3
posisi, pasang
8.7/26/10270/202000 NGT alirkan,
Albumin 3.35 elektrolit puasa Hasil
135/4.9/10323/7/19
POD 4 post BNO:
elektrolit : 135/4.9/103,
laparotomi pneumoperiton
22/7/19 DPL :
debulking ai Ca eum, lemak
ovarium dr. Andi Darma 11.7/35/16350/261000, peritoneum
205 C Tet Rahmawat 43 4364622 Putra, SpOG(K) elektrolit 136/4.1/103,
advance stage, sebagian suram
Ur/Cr :34/0.8, alb 3.55,
peningkatan dd peritonits,
OT/PT : 79/183 10/7/19
enzim emfisema
DPL
transaminase subkuts, udara
10.8/32/5800/248000 di kolon
Albumin 4,3 SGOT 64, prominen dd
Ur/Cr 27/0,8 Na/K/Cl
meteorismus,
138/3,7/102 tdak tampak
tanda ileus
25/7/2019 DPL
12.6/37/10700/382000, Rencana
dr. Andi Darma Albumin 4.15 Cr 0.7 Histerektomi
205D Ai Titn 50 4364375 Ca cervix IB2 Putra, SpOG(K) Ureum 35 GDS Radikal dan
83elektrolit PLND
135/4.2/101HbsAg non
reaktf, PT 0.8 aPTT 0.9
24/7/19 Albumin 2,8

Ur/Cr 180/3,5 Na/K/Cl
118/4,9/83,7 CEA 23,2
Ca 125: 3169,8 Ca 199: IPD Pulmo sudah
NOK dengan 7323,4 23/7/19 Ur/Cr dipasang mini
bagian padat 191/4.4, 22/7/19 DPL : drain pada paru
susp Dr. dr. Fitriyadi K, 8.9/26/51580/636000,
206 A susi natalia 51 4275645 kanan sela iga 5,
maligna,asites, SpOG(K) elektrolit 122/5.7/86 cairan pleura
AKI dd/acut on 15/7/19 DPL serous, saran
CKD, efusi pleura 10,7/32.6/36560/69500 pasang NGT
0 SGOT 40/SGPT18/ALB
3,2/ur 102/cr 4,1/N
136/K 5.4/Cl 96.3
25/7/2019 DPL
Anemia ec 9/26/12990/357000
riwayat Prof. Dr. dr. 23/7/19 DPL
3.6/11/12150/495000, Transfusi PRC
206 C Tat 55 4386751 perdarahan, Andrijono,
suspek Ca cervix SpOG(K) elektrolit 133/3.1/104, target Hb >10
III B GDS 148, Ur/Cr : 16/0.8,
alb 3.12, OT/PT: 14/7
Ca Cervix
stadium IIIB
pasca radiasi
lengkap pasca 25/7/2019 DPL
kemoterapi 7.7/23/15680/616000 cek GDP dan GD
suspek residif, Dr. dr. Tofan W Alb 3.09 Asam urat 5 PT 2 jam PP, konsul
206 D Sri Lestari 58 4254369 dengan Anemia Utami, SpOG(K) 0.9x, aPTT 0,9x SGOT 9 IPD setelah ada
(Hb 7.7 g/dL) SGPT 8 Cr0.6Ureum 42
hasil
fistula GDS 256 elektrolit
rektovagina, 133/4.3/99
hipertensi,
hiperglikemia
suspek DM
23/7/19 DPL :
Ca ovarium 14.2/41/6290/290000, Pungsi asites (+)
Prof. Dr. dr.
advanced stage, Elektrolit : 139/3.3/107, keluarkan 2000
207 B Ideh BT Ukat 55 4335448 Andrijono,
post NAC 3 kali, PT/APTT : 0.9x/1.2x,
SpOG(K) ml/hari
asites OT/PT : 23/11, alb 2.85,
Ur/Cr: 20/0.5, GDS 105
25/7/2019
10.7/32/8480/377000
16/7/19 DPL
11.5/35/13970/206000,
alb 3.55, elektrolit
NOK susp 136/4/98, AFP 4.39, CEA
maligna dengan 1461, Ca 19-9 26.7, Ca
riwayat 125 530 13/7/19 DPL :
penurunan 11.1/33/17020/193000,
kesadaran ec Rencana family
dr. T. Dewi D-dimer : 3860,
SOL, massa meetngbersama
207 D Sulastri 32 4385041 Anggraeni, fibrinogen 196, 11/7/19
hepar susp neurologi,
SpOG(K) DPL
meetastasis psikiatri
8.4/24.8/14860/286000/
pulmo, anemia /87.6/29.7/33.9 8/7/19
post transfusi, DPL
hipoalbuminemi 5,5/16.4/28650/325000
a Na/K/Cl 130/4.2/107
SGOT/SGPT 49/30
PT/APTT 0.9/0.9x
Albumin 2,91 Ur/Cr
17,9/0.4 GDS 111
Ca cervix
stadium IIIB
dengan 25/7/2019
kecurigaan invasi 9.5/29/14930/571000
ke vesika 23/7/19 DPL : Transfusi PRC
Farida urinaria dengan dr. Andi Darma 5.6/17.2/14760/297000, targer Hb >10,
207 E 47 4384745
Matondang anemia, Putra, SpOG(K) elektrolit 131/4.6/101, rencana DJ stent
hiponatremia, PT/APTT: 0.9x/0.8x, GDS dari urologi
AKI dd akut on 72, Ur/Cr: 38/1.8, OT/PT:
CKD, 30/17, Alb 3.42
hidronefrosis
bilateral
Rencana HD hari
25/7/2019 ini, transfusi on
9.1/27/7930/218000
NoK multlokular HD, Rencana
Prof. Dr. dr. 23/7/19 DPL:
dengan asites, USG abdomen,
210 C Ekamalasari 24 4380843 Andrijono, 8.1/25/8190/231000,
CKD on HD, transfusi prc,
SpOG(K) elektrolit 134/3.2/98,
anemia rencana pungsi
GDS 139, Ur/Cr 76/6.9, asites dan
alb 2.99, OT/PT: 12/7 sitologi
Urologi: rencana
24/7/2019 42/1.7
POD VII post CT scan urografi
Na/K/Cl 131/3.6/103
laparatomi kontras, IPD
23/7/19 DPL
HTSOB, 9.3/28/10080/426000, Ginjal
debulking KGB Hipertensi:
PCT 0.39, Cr :24,
pelvik bilateral, rencana Cek ur
20/7/2019 DPL
debulking KGB 9.9/29/16640/340000alb cr setap 2 hari,
paraaorta ai Ca konsul kardio:
umin 2.8 Ureum 73 Cr
endometrium pertmbangkan
2.5 elektrolit
clinically 18/7/2019 echocardiografi,
advanced stage Dr. dr. Tofan W 138/3.6/106 amlodipin 1x5
210 B Emidi 61 3756596 post op DPL
dan post Utami, SpOG(K) 10,9/32,7/13660/27500 mg, candesartan
reimplantasi 0, Na/K/Cl 137/3,9/105, 1x16 mg,
ureter kiri dan Pulmo:
16/7/19 DPL:
insersi DJ stent 12.3/35/7950/379000, meropnemen
kanan atas OT/PT : 14/14, Alb 3.68, belum perlu,
indikasi Ur/Cr : 43/1.2, GDS 122, fluimucyl
hidroureter Elektrolit : 137/3.2/103, 3x200mg,
bilateral, efusi inhalasi ventolin,
PT/APTT: 0.9x/1.1. x,
FT4/FT3/TSH :
0.88/2.05/5.234 pungsi
Pasca
histerektomi DPL 25/7/2019 Rencana
total tpe II + 6.5/19/15600/351000 transfusi PRC
SOB ai ca dr. T. Dewi APTT 0.9 PT1x elektrolit target Hb
210 C Essy Ella Therik 75 4356856 endometrium Anggraeni, 130/3.4/109 UL nitrit 10g/dL, konsul
stadium IA, SpOG(K) positf, LE +2, SGOT 27 gizi untuk
suspek fistula SGPT 33, albumin 2.8 Ur kabiven, rencana
vesikovagina, 31 Cr 1.1 AU 4.2 GDS 162 MRI fistulografi,
Anemia
25/7/2019
11/33/7180/296000
Ca endometrium Dr. dr. Gatot 23/7/19 DPL: Transfusi target
211 A Nurul Qomar 61 4303930 stadium II Purwoto, 8,8/26/11550/286000, Hb >10g/dL
metastasis paru SpOG(K) OT/PT : 13/9, alb 2,82,
Ur/Cr : 14/0.5, elektrolit :
129/3,5/91
Rencana
Ca ovarium post 25/7/19 DPL
neoadjuvant 10.3/32.7/9680/476000 laparatomi
Prof. Dr. dr.
chemotherapy, SGOT/SGPT 15/11, Ur/Cr debulking
214 D Apriasih 58 4338362 Andrijono,
stable disease, 34/0,9 Alb 2.74 Na/K/Cl 29/7/19
SpOG(K) 135/4.0/102 PT/APTT Rencana konsul
hipoalbuminemi bedah digestf:
a 0,9/1,2x
join op
*
Post laparotomi
eksplorasi
adhesiolisis,
SOD, DPL post op Transfusi PRC,
trachelectomy Dr. dr. Gatot 6,4/18/11130/85000 transfusi
apendiktomi,
ICU Syafriant 49 4337425 Purwoto, SGOT 12 SGPT 8 Albumi albumer,
perlekatan SpOG(K) 2.05 Cr 1 Ureum. 38 perawatan post
dengan cervix elektrolit 140/2.9/108 op
dilnajutkan
abdominal
packing, anemia
ec blood loss
Jawaban konsul
uro: rencana
USG Gibul hari
ini, tes patensi
buli, tes
urogetk, cek
kreatnin urine,
25/7/2019 Creatnin 5, rencana CRRT
SGOT 103, SGPT 60 (menunggu acc
24/7/19 SGOT/SGPT dr Dita SpAN ),
103/60, Na/K/Cl sudah transfusi
134/4,3/98 Lactat 2,1 TC pooled
23/7/19 DPL : NE 0,02
9.5/27.6/12640/86000, mcg/kg/mnt
Alb 2.51, Ur/Cr : 80/3.4, Dobutamin 2
POD 6 post elektrolit 135/4.3/99 mcg/kg/menit
relaparatomi 21/7/2019 DPL Furosemide 8
eksplorasi dan 11.1/32/8220/44000 mg/jam
hemostasis ai albumin 2.4, PT 13 (11.3) Midazolam
syok aPTT 49 (32) elektrolit 2mg/jam,
hipovolemik ec 141/5.2/109 20/7/19 Propofol
internal bleeding DPL 3ml/jam
pada POD 7 post 11.8/34.6/11580/41000 Nutriflex
laparatomi PT/APT 1.8x/2.4x 1250ml/24 jam
optmal dr. Kartwa Hadi SGOT/SGPT 4365/644 Ceftriaxone 1x2g
ICU Umi kulsum 46 4383754 debulking ai N, SpOG(K) Na/K/Cl 141/5,3/109 Asam
tumor ganas Ur/Cr 93/3.5 traneksamat
mesenkimal 18/7/19 23.30 Hb 4,7 3x1g
(fibrosarkoma) 18/7/19 Vit K 3x 10 mg
clinically post op DPL Ranitdin 2x50
advanced stage 8,5/26,5/11270/380000 mg
dengan masalah PT/APTT 1,1/1,2x Metoclopramide
AKI post HD, DIC ALbumin 2,0 SGOT/SGPT 3x10 mg
overt, acute liver 17/16 Ur/Cr 37/0,8 Ca gluconas
injury, suspek Na/K/Cl 137/4,0/105 3x1g
bladder injury 17/7/19 jam 06.03 DPL: Albumin 20% 1
8,8/27,9/8510/579000, vial blm acc
16/7/19 CEA 1.6, CA 19- Tramadol 200
9 <2, 15/7/19: DPL mg/24 jamOn
7,3/24.3/7850/549000// ventlator SIMV
72,3.21.7/30 Albumin PEEP 5, FiO2
3,5/Na 137/K 4,4/Cl 101/ 40% NE 0,7
GDS 61/SGOT 36/SGPT mcg/kg/menit,
7/ Ur 40/Cr 1,0 dobutamin 15
mcg/kg/mnt,
transfusi FFP ,
koreksi albumin,
rencana
perawatan post
op
24/7/19 DPL
Post syok 10.5/31.1/17780/24000
hipovolemik 0 Albumin 2.1 22/7/19
grade I ec DPL :
hematoschezia 8.3/23.7/21670/207000,
ec susp massa alb 1.87, elektrolit
intralumen usus Kapten bedah
128/3.7/100 21/7/2019
dengan : digestf, rencana
Prof. Dr. dr. ca 125 107 Ca 19-9 2.6
anemia, MRI Abdomen,
404 A Lince Ria Lubis 58 4386289 Andrijono, CEA 1.2 AFP 1.3 LDH 208
leukositosis transfusi PCR
SpOG(K) 20/7/19 DPL
reaktf target Hb >
6.4/18.5/36430/244000
dd/infektf, 10g/dL
Na/K/Cl 135/3,5/117
hipoalbuminemi PCT 1,86 laktat 1,7
a, hiponatremia, PT/APTT 1.1x/1.0x
hiperkalemia, SGOT/SGPT 32/7
AKI dd/ acute on Albumin 2,5 Ur/Cr
CKD 74/1,3
23/7/19 DPL
Ca cerviks 9,4/29,1/10210/529000
stadium IV A Na/K/Cl 136/3.6/102.5
metastasis buli, 22/7/19 DPL Kapten urologi
fistula 8.3/23.7/21670/207000 dengan rencana
vesikovaginalis, 19/7/2019 nefrostomi
pyelonefrits Prof. Dr. dr. 9.9/31/10160/560000. kanan, konsul
404 E Sri Hartni 57 4305095 kanan on Andrijono, 18/7/19 PT/APTT radioterapi : saat
nefrostomi, SpOG(K) 0,9x/0,9x 14/7/19 DPL ini tdak
hidronefrosis kiri 11,5/35,6/9210/620000 terdapat indikasi
on nefrostomi, albumin 2,65 radiasi paliatf,
Riwayat DVT dan SGOT/SGPT 41/79
peningkatan Kultur urine : E.coli
PT/APTT Ur/Cr 15.5/0,9
Ca ovarium
advanced stage 21/7/2019
post laparatomi 10,6/32.2/10550/41300 Kapten pulmo
debulking 0 Fibrinogen 768, D- dengan rencana
dengan asites on Dr. dr. Fitriyadi K, dimer 3560, 1,0x/1,1x
619 D Ellyana 47 4360870 alirkan cairan
pungsi, efusi SpOG(K) SGOT/SGPT 47/49 asites
pleura, CAP dd/ Albumin 2,43 Ur/Cr 2000ml/hari
TB paru, 75/1,0 GDS 135 Na/K/Cl
DVT tungkai kiri
dr. T. Dewi
206 B, 206 E, dr. Kartwa Hadi N,
DNR Anggraeni, 207 A, 207D 204D, 206F, ICU
207A SpOG(K)
SpOG(K)
Dr. dr. Laila 204C,204F, Dr. dr. Hariyono W, SpOG 204A,204E,206A
Nuranna, 205A, 205B, (K)
SpOG(K) 206E, 211B
Prof. Dr. dr. 206C,206F,210C, Dr. dr. Tofan W Utami,
Andrijono, 211A,214C,404A 210B
SpOG(K)
SpOG(K) ,404E
Dr. dr. Fitriyadi K, 207C Dr. dr. Gatot Purwoto,

SpOG(K) SpOG(K) 206B
Dr. dr. Sigit
Purbadi, 206D
SpOG(K)
dr. Andi Darma Pu205C,207E
Ward Map Ginekologi Onkologi Kamis 25 Juli 2019
22/7/19 DPL 10,3/32,4/3750/260000

204A Liza Ratnasari 23 4363354 Ca ovarium stadium IC Dr. dr. Gatot Purwoto, SpOG(K) SGOT/SGPT 18/17, Albumin 4.49 Ur/Cr Kemoterapi
16/0,5 Na/K/Cl 138/4.0/104
23/7/19 DPL : 11.6/344/3230/196000,

204 B Sit Marwiyah 34 4330138 Ca ovarium advance stage Dr. dr. Laila Nuranna, SpOG(K) (19/7/19) DPL:: Kemoterapi
9,5/27,7/2870/139000//84,2/28,9/34,3
Novi
204C 47 4285730 Ca ovarium stadium IC Dr. dr. Laila Nuranna, SpOG(K) 24/7/2019 DPL 12.7/37.7/5020/200000 Kemoterapi
Dewiyant
(10/7/19) DPL: 10.5/31.9/3540/312000

204D Khoiriyah 54 3415475 Ca ovarium stadium IIIC Dr. dr. Gatot Purwoto, SpOG(K) SGOT/PT: 47/35, alb: 4,42, Ur/cr: 20/0,5, Kemoterapi
GDS 103, e: 134/3.9/99
Dewi 22/7/19 : DPL : 11.1/32/6610/225000,

204E Rustnianingsi 36 4379019 Ca cervix III B Prof. Dr. dr. Andrijono, SpOG(K) OT/PT 63/98, Ureum/kreatnin 50/1.3, Kemoterapi
h elektrolit : 135/4.0/105
Selvia
204F 40 4379114 Ca cervix III B Prof. Dr. dr. Andrijono, SpOG(K) 19/7/19 DPL : 11.8/35.3/6360/375000 Kemoterapi
Elisabeth
23/7/19 elektrolit : 132/4.3/101, 22/7/19

POD 3 post laparotomi DPL : 14.4/43/11030/326000, OT/PT: 21/20,
eksplorasi, salpingektomi Ur/Cr :20/0.5, elektrolit : 136/4.5/106,
sinistra, biopsi ovarium kiri,
16/7/19 Estradiol 81.2 DPL
appendektomi ai kehamilan
205 A Nuryant 34 4275645 Dr. dr. Laila Nuranna, SpOG(K) 11.4/32/7990/407000, Estradiol 81.2, Perawatan post operasi
ektopik tuba kiri, Ca ovarium 15/7/19 DPL
stadium 1C3 (post conservatf 9.1/27.3/8310/523000//89/29/33
surgical staging dan
fibrinogen 562/d-dimer 23530 PT
kemoterapi 6x) 0,8x/APTT 0,8x SGOT 17/SGPT 24 /Alb 4.08
23/7/19 : DPL : 10.6/33/7860/189000,

PT/APTT: 0.9x/1.2x, OT/PT : 14/11, Ur/Cr :
Sarcoma Uteri, 36/1.3, alb 4.26, elektrolit: 137/4.1/103, Ca Pro relaparotomi debulking
205 B Syafriant 49 4337425 Hidronefrosis bilateral on dj Dr. dr. Gatot Purwoto, SpOG(K) 125 69.2 (23/5/2019) 25/7/2019
stent DPL:10,2/30,5/7210/223000//85,9/28,7/33,
4, e: 137/3,5/104,4, ureum/creatnin:
36/1,3, sgot/pt: 13/10, GDS 94
23/7/19 elektrolit : 135/4.9/103, 22/7/19
POD 3 post laparotomi DPL : 11.7/35/16350/261000,elektrolit
Tet debulking ai Ca ovarium dr. Andi Darma Putra, SpOG(K) 136/4.1/103, Ur/Cr :34/0.8, alb 3.55, OT/PT :
205 C 43 4364622
Rahmawat advance stage, peningkatan 79/183 10/7/19 DPL 10.8/32/5800/248000 Perawatan post operasi
enzim transaminase Albumin 4,3 SGOT 64, Ur/Cr 27/0,8 Na/K/Cl
138/3,7/102
24/7/19 Albumin 2,8 Ur/Cr 180/3,5

Na/K/Cl 118/4,9/83,7 CEA 23,2 Ca 125:
NOK dengan bagian padat 3169,8 Ca 199: 7323,4 23/7/19 Ur/Cr Konsul Pulmo : rencana USG
191/4.4, 22/7/19 DPL : thorax dan stand by mini wsd
206 A susi natalia 51 4275645 susp maligna,asites, AKI Dr. dr. Hariyono W, SpOG (K) 8.9/26/51580/636000, elektrolit 122/5.7/86 25/7/2019, sudah dipungsi dan
dd/acut on CKD, efusi pleura 15/7/19 DPL 10,7/32.6/36560/695000 sudah di keluarkan 2000 cc
SGOT 40/SGPT18/ALB 3,2/ur 102/cr 4,1/N
136/K 5.4/Cl 96.3
23/7/19 SPL 8.8/25/27680/238000, Ur/Cr :

Ca cervix stadium IIIB post 164/2.9, elektrolit 127/3.1/99, 19/7/19 UL
radiasi eksterna 7 kali, anemia Rencana EGD 22/7/19, Nefrostomi
dbn, DPL 8.6/25.5/31.160/335.000 18/7/19
ec riwayat perdarahan, (+), Raber IPD: post HD 1x, CDL (+),
DPL 8,2/24,1/28350/369000, 18/7/29
206 B Nurlaela 36 4333066 riwayat hematemesis melena, Dr. dr. Gatot Purwoto, SpOG(K) Raber urologi : rencana
Ur/Cr 237/4,5 NaK/Cl 130/3,7/9916/7/19
riwayat syok hipovolemik, AKI sistoskopi, RencanaPaliatve
DPL 6,3/18,1/60750/558000, elektrolit :
ec uropat obstruktf, care. Sedang kultur urine.
127/5,7/94, PT/APTT : 0,9x/0,9x, OT/PT :
hiperkalemia, hiponatremia 19/6, alb 3,04, Ur/Cr : 230,1/5,3
Anemia ec riwayat 23/7/19 DPL 3.6/11/12150/495000, Transfusi PRC target Hb >10, biopsi
206 C Tat 55 4386751 perdarahan, suspek Ca cervix Prof. Dr. dr. Andrijono, SpOG(K) elektrolit 133/3.1/104, GDS 148, Ur/Cr : dan USG
III B 16/0.8, alb 3.12, OT/PT: 14/7
23/7/19 DPL : 11.2/34/14640/694000, GDS
139, Ur/Cr : 42/0.3, alb 3.18, OT/PT : 15/24,
pt/aptt: 0.9x/1.1x, 21/7/2019 DPL
8.6/26/12530/629000 PCT 0.24elektrolit Rencana op 25/7/2018, Rencana
125/4.8/89 18/7/19 Ca 125: 161/ CEA 1,6/ transfusi target Hb 10, IPD KHOM:
NOK terinfeksi dd/ TOA, Ca 199: <2/ 15/7/19 Ca 125 118, 9/7/2019 toleransi op sedang, akan
abdominal pain ec ileus
DPL 10/31/25590/909000 Gambaran darah dievaluasi pasca op, IPD: toleransi
obstruktf, hipoalbumin,
206 F Mariana Wat dr. T. Dewi Anggraeni, SpOG(K) tepi: anemia mikrositk hipokrom, hematologi sedang berat,
49 4391856 peningkatan enzim
Santoso anisopokilositosis, fragmentosist (+) ovalosit metabolik sedang, cardio ringan
transaminase, leukositosis (+), Urinalisa bakteria positf, darah +3, nitrit sedang pulmo sedang. IPD Kardio:
reaktf, trombositosis, ISK positf, PCT 42 ng/dL, 8/7/2019 DPL ringan sedang. Bedah: tdak ada
asimtomatk,
11.4/35/13840/969000//64/20/31 PT 10.8 tatalaksana. Raber Gizi klinik dan
(10.4) aPTT 41.3 (34) SGOT/SGPT 55/58, IPD, dalam nutrisi parenteral, puasa
Ureum/Cr 40/0.86 GDS 101, Albumin 2.8,
elektrolit 133/4.6/109, asam urat 4.1, Mg
1.5 Ca darah 7.7
23/7/19 DPL : 14.2/41/6290/290000,

Ca ovarium advanced stage, Elektrolit : 139/3.3/107, PT/APTT : 0.9x/1.2x, Pungsi asites (+) keluarkan 2000
207 B Ideh BT Ukat 55 4335448 post NAC 3 kali, asites Prof. Dr. dr. Andrijono, SpOG(K) OT/PT : 23/11, alb 2.85, Ur/Cr: 20/0.5, GDS ml/hari
105
Ca Cervix stadium IIB, riwayat 24/7/19 Na/K/Cl 133/3.2/97.1 Mg 1.43

207 C Lince 68 4380218 SVT on terapi, DM tpe II, Dr. dr. Fitriyadi K, SpOG(K) (22/7/19) DPL: Pro kemoradiasi
Nababan hipertensi terkontrol, 12,6/35,7/6190/176000//83/29,3/35,3
hipomagnesium, hipokalemia
16/7/19 DPL 11.5/35/13970/206000, alb

3.55, elektrolit 136/4/98, AFP 4.39, CEA
NOK susp maligna dengan 1461, Ca 19-9 26.7, Ca 125 530 13/7/19 DPL
riwayat penurunan kesadaran : 11.1/33/17020/193000, D-dimer : 3860,
ec SOL, massa hepar susp dr. T. Dewi Anggraeni, SpOG(K) fibrinogen 196, 11/7/19 DPL Rencana family meetng, Alih rawat
207 D Sulastri 32 4385041
meetastasis pulmo, anemia 8.4/24.8/14860/286000//87.6/29.7/33.9 ke obsgyn, raber dengan neuro
post transfusi, 8/7/19 DPL 5,5/16.4/28650/325000
hipoalbuminemia Na/K/Cl 130/4.2/107 SGOT/SGPT 49/30
17,9/0.4 GDS 111
Ca cervix stadium IIIB dengan 23/7/19 DPL : 5.6/17.2/14760/297000,

kecurigaan invasi ke vesika
Farida dr. Andi Darma Putra, SpOG(K) elektrolit 131/4.6/101, PT/APTT: 0.9x/0.8x, Transfusi PRC targer Hb >10,
207 E 47 4384745 urinaria dengan anemia,
Matondang GDS 72, Ur/Cr: 38/1.8, OT/PT: 30/17, Alb rencana DJ stent dari urologi
hiponatremia, AKI dd akut on 3.42
CKD, hidronefrosis bilateral
23/7/19 DPL: 8.1/25/8190/231000,
NoK multlokular dengan transfusi prc, rencana pungsi asites
207 F Ekamalasari 24 4380843 Prof. Dr. dr. Andrijono, SpOG(K) elektrolit 134/3.2/98, GDS 139, Ur/Cr
asites, CKD on HD dan sitologi
76/6.9, alb 2.99, OT/PT: 12/7
24/7/2019 42/1.7 Na/K/Cl 131/3.6/103

POD V post laparatomi HTSOB, 23/7/19 DPL 9.3/28/10080/426000, PCT
debulking KGB pelvik bilateral, 0.39, Cr :24, 20/7/2019 DPL Rencana konsul kardio Konsul IPD
debulking KGB paraaorta ai Ca 9.9/29/16640/340000albumin 2.8 Ureum 73 kultur sputum, BTA, gram,
endometrium clinically Cr 2.5 elektrolit 138/3.6/106 18/7/2019 levofloxacin 1x750 mg, fluimucil
210 B Emidi 61 3756596 advanced stage dan post Dr. dr. Tofan W Utami, SpOG(K) post op DPL 10,9/32,7/13660/275000, 3x200 mg, konsul pulmo hari dan
reimplantasi ureter kiri dan Na/K/Cl 137/3,9/105, 16/7/19 DPL: jam kerja, Drain (+), BNO 19/7/19,
insersi DJ stent kanan atas 12.3/35/7950/379000, OT/PT : 14/14, Alb FC dipertahankan selama 2 minggu,
indikasi hidroureter bilateral, 3.68, Ur/Cr : 43/1.2, GDS 122, Elektrolit : rencana perawatan post op
efusi pleura dan pneumonia 137/3.2/103, PT/APTT: 0.9x/1.1. x,
FT4/FT3/TSH :0.88/2.05/5.234
23/7/19 DPL : 9.2/226.6/5240/206000,

Ca ovarium residif dengan
210 D Titn Hartni 61 3309401 Dr. dr. Gatot Purwoto, SpOG(K) OT/PT : 26/36, Alb 3.75, Ur/Cr : 67/1.2, Tranfusi PRC
anemia elektrolit 130/4,9/101
23/7/19 DPL: 8,8/26/11550/286000, OT/PT :

Ca endometrium stadium II
211 A Nurul Qomar 61 4303930 Dr. dr. Gatot Purwoto, SpOG(K) 13/9, alb 2,82, Ur/Cr : 14/0.5, elektrolit : Transfusi PRC
metastasis paru 129/3,5/91
23/7/19 DPL : 10/28/2950/137000, Alb

Ca ovarium advance stage
211 B Nuraini 49 4300167 Dr. dr. Laila Nuranna, SpOG(K) 3.22, elektrolit : 127/3.6/94, (22/7/19): DPL: Rencana punksi asites
dengan asites 8,5/24,7/3260/170000//86,7/29,8/34,4
24/7/19 DPL
G2P1 hamil 33 minggu JPKTH 10/30.2/9240/250000//73.1/24.2/33,1
pasca pematangan paru Rencana SC dan laparatomi
213 B Kori Septana 23 4392230 Dr. dr. Gatot Purwoto, SpOG(K) Albumin 2,45 Feritin 540 SI/ TIBC 50/330
dengan Ca ovarium (yolk sac debulkiing 25/7/19
SGOT/SGPT 22/8 Ur/Cr 26/0,5 GDS 77,
tumor) dan asites Na/K/Cl 135/3.3/98
25/7/19 DPL 9.9/29.5/18900/343000 AGD:
Massa tunggul vagina suspek pH 7.200/pCO2 36.9/ pO2 140/HCO3 14,5/
Ca cervix residif post BE -11.8 SaO2 97,1 24/7/19 DPL
histerektomi total 3 tahun, 9,6/29,2/16630/378000 Ur 159/6.7
POD I post sistoskopi evaluasi, Na/K/Cl 131/6.0/107 23/7/19 DPL :
RPG kiri, insersi DJ stent kiri, 10/29/17180/32200022/7/2019
214 C Suhartni 52 4392151 nefrostomi kanan ai Prof. Dr. dr. Andrijono, SpOG(K) Raber urologi
9.8/28/13100/353000 HbSag non reaktf
hidronefrosis bilateral, Ant HCV non reaktf 18/7/19 DPL
hematuria gross ec suspek 9,7/28,2/18750/267000, 16/7/19 DPL
metastasis buli, anemia, 6.8/21/13400/396000, PT/APTT 0.9x/0.9x,
leukositosis, hiponatremia dan Elektrolit 133/4.6/110, OT/PT: 19/9, alb 3.46,
hipoalbuminemia UrCr 40/1.5, , GDS 120, asam urat 5.0
Ca ovarium post neoadjuvant 25/7/19 DPL 10.3/32.7/9680/476000 Rencana laparatomi debulking

214 D Apriasih 58 4338362 chemotherapy, stable disease, Prof. Dr. dr. Andrijono, SpOG(K) SGOT/SGPT 15/11, Ur/Cr 34/0,9 Alb 2.74 29/7/19 Rencana konsul bedah
hipoalbuminemia Na/K/Cl 135/4.0/102 PT/APTT 0,9/1,2x digestf: join op
Rencana Konsul urologi, rencana

24/7/19 SGOT/SGPT 103/60, Na/K/Cl CRRT (menunggu acc dr Dita
134/4,3/98 Lactat 2,1 23/7/19 DPL : SpAN ), sudah transfusi TC pooled
9.5/27.6/12640/86000, Alb 2.51, Ur/Cr : NE 0,02 mcg/kg/mnt
80/3.4, elektrolit 135/4.3/99 21/7/2019 DPL Dobutamin 2 mcg/kg/menit
11.1/32/8220/44000 albumin 2.4, PT 13 Furosemide 8 mg/jam
POD 5 post relaparatomi (11.3) aPTT 49 (32) elektrolit 141/5.2/109 Midazolam 2mg/jam, Propofol
eksplorasi dan hemostasis ai 20/7/19 DPL 11.8/34.6/11580/41000 3ml/jam Nutriflex 1250ml/24 jam
syok hipovolemik ec internal PT/APT 1.8x/2.4x SGOT/SGPT 4365/644 Ceftriaxone 1x2g
bleeding pada POD 7 post
Na/K/Cl 141/5,3/109 Ur/Cr 93/3.5 Asam traneksamat 3x1g
laparatomi optmal debulking
ICU Umi kulsum 46 4383754 dr. Kartwa Hadi N, SpOG(K) 18/7/19 23.30 Hb 4,7 Vit K 3x 10 mg
ai tumor ganas mesenkimal 18/7/19 post op DPL Ranitdin 2x50 mg
(fibrosarkoma) clinically 8,5/26,5/11270/380000 PT/APTT 1,1/1,2x Metoclopramide 3x10 mg
advanced stage dengan
ALbumin 2,0 SGOT/SGPT 17/16 Ur/Cr Ca gluconas 3x1g
masalah AKI post HD, DIC 37/0,8 Na/K/Cl 137/4,0/105 17/7/19 jam Albumin 20% 1 vial blm acc
overt, acute liver injury 06.03 DPL: 8,8/27,9/8510/579000, 16/7/19 Tramadol 200 mg/24 jamOn
CEA 1.6, CA 19-9 <2, 15/7/19: DPL ventlator SIMV PEEP 5, FiO2 40%
7,3/24.3/7850/549000//72,3.21.7/30 NE 0,7 mcg/kg/menit, dobutamin
Albumin 3,5/Na 137/K 4,4/Cl 101/ GDS 15 mcg/kg/mnt, transfusi FFP ,
61/SGOT 36/SGPT 7/ Ur 40/Cr 1,0 koreksi albumin, rencana
perawatan post op
24/7/19 DPL 10.5/31.1/17780/240000
Post syok hipovolemik grade I Albumin 2.1 22/7/19 DPL :
ec hematoschezia ec susp 8.3/23.7/21670/207000, alb 1.87, elektrolit
massa intralumen usus 128/3.7/100 21/7/2019 ca 125 107 Ca 19-9 Kapten bedah digestf, rencana MRI
Lince Ria dengan : anemia, leukositosis
404 A 58 4386289 Prof. Dr. dr. Andrijono, SpOG(K) 2.6 CEA 1.2 AFP 1.3 LDH 208 Abdomen, transfusi PCR target Hb
Lubis reaktf dd/infektf, 20/7/19 DPL 6.4/18.5/36430/244000 > 10g/dL
hipoalbuminemia, Na/K/Cl 135/3,5/117 PCT 1,86 laktat 1,7
hiponatremia, hiperkalemia, PT/APTT 1.1x/1.0x SGOT/SGPT 32/7
23/7/19 DPL 9,4/29,1/10210/529000

Ca cerviks stadium IV A Na/K/Cl 136/3.6/102.5 22/7/19 DPL
metastasis buli, fistula 8.3/23.7/21670/207000 19/7/2019 Kapten urologi dengan rencana
vesikovaginalis, pyelonefrits
Prof. Dr. dr. Andrijono, SpOG(K) 9.9/31/10160/560000. 18/7/19 PT/APTT nefrostomi kanan, konsul
404 E Sri Hartni 57 4305095 kanan on nefrostomi, 0,9x/0,9x 14/7/19 DPL radioterapi : saat ini tdak terdapat
hidronefrosis kiri on 11,5/35,6/9210/620000 albumin 2,65 indikasi radiasi paliatf,
nefrostomi, Riwayat DVT dan SGOT/SGPT 41/79 Kultur urine : E.coli
peningkatan PT/APTT Ur/Cr 15.5/0,9
Ca ovarium advanced stage 21/7/2019 10,6/32.2/10550/413000

post laparatomi debulking Fibrinogen 768, D-dimer 3560, 1,0x/1,1x Kapten pulmo dengan rencana
619 D Ellyana 47 4360870 dengan asites on pungsi, efusi Dr. dr. Fitriyadi K, SpOG(K) SGOT/SGPT 47/49 Albumin 2,43 Ur/Cr alirkan cairan asites 2000ml/hari
pleura, CAP dd/ TB paru, 75/1,0 GDS 135 Na/K/Cl 126/3.9/94.7
206 B, 206 E,
DNR dr. T. Dewi Anggraeni, SpOG(K) 207 A, 207D dr. Kartwa Hadi N, SpOG(K) 204D, 206F, ICU
207A
Dr. dr. Laila Nuranna, SpOG(K) 204C,204F, 205A, 205B, 206E, Dr. dr. Hariyono W, SpOG (K) 204A,204E,206A
211B
Prof. Dr. dr. Andrijono, 206C,206F,210C,211A,214C,404 Dr. dr. Tofan W Utami, SpOG(K) 210B
SpOG(K) A,404E
Dr. dr. Fitriyadi K, SpOG(K) 207C Dr. dr. Gatot Purwoto, SpOG(K) 206B
dr. Andi Darma Putra, SpOG (K) 205C,207E

*
(15/7/19): ur/cr 28/0,7, SGOT/PT: 16/11,

204A Etty 70 4379150 Ca Cervix stadium IIIB Dr. dr. Hariyono W, SpOG (K) Kemoterapi
DPL: 12,3/36/4930/241000//80,7/27,6/34,2
(11/7/19) Lab DPL : 11.4/36/5620/321000,

204C Niswah Tahta 29 4365579 Ca cervix III B Dr. dr. Laila Nuranna, SpOG(K) OT/PT : 12/9, Albumin 4.4, ureum/kreatnin Kemoterapi
15/0.7, GDS 99
(17/7/19) DPL:
12,9/37,2/7550/282000//80,7/28/34,7,
204D Herlindawat 35 4058921 Ca cervix stadium Ib residif dr. Kartwa Hadi N, SpOG(K) Kemoterapi
SGOT/PT: 18/28, alb: 4,5, Ur/cr: 30/0,9, GDS
146, e: 133/3,7/100
10/7/19 : DPL : 11.3/33/7000/428000,

Ca ovarium post debulking
204E Yuli Kadarsih 42 4385505 Dr. dr. Hariyono W, SpOG (K) OT/PT 63/98, Ureum/kreatnin 21/0.6, GDS Kemoterapi
diluar 149, elektrolit : 136/3.9/99
204F Dominiika 44 4381845 Ca cervix III B Dr. dr. Laila Nuranna, SpOG(K) 20/7/19 DPL : 12.2/36.8/4150/164000 Kemoterapi
23/7/19 elektrolit : 132/4.3/101, 22/7/19

POD 2 post laparotomi DPL : 14.4/43/11030/326000, OT/PT: 21/20,
eksplorasi, salpingektomi
sinistra, biopsi ovarium kiri, Ur/Cr :20/0.5, elektrolit : 136/4.5/106,
appendektomi ai kehamilan
205 A Nuryant 34 4275645 Dr. dr. Laila Nuranna, SpOG(K) 11.4/32/7990/407000, Estradiol 81.2, Perawatan post operasi
ektopik tuba kiri, Ca ovarium 15/7/19 DPL
stadium 1C3 (post conservatf 9.1/27.3/8310/523000//89/29/33
surgical staging dan
fibrinogen 562/d-dimer 23530 PT
kemoterapi 6x) 0,8x/APTT 0,8x SGOT 17/SGPT 24 /Alb 4.08
23/7/19 : DPL : 10.6/33/7860/189000,

PT/APTT: 0.9x/1.2x, OT/PT : 14/11, Ur/Cr :
Sarcoma Uteri 36/1.3, alb 4.26, elektrolit: 137/4.1/103, Ca
205 B Syafriant 49 4337425 Hidronefrosis bilateral on dj Dr. dr. Laila Nuranna, SpOG(K) 125 69.2 (23/5/2019) Pro relaparotomi debulking
stent DPL:10,2/30,5/7210/223000//85,9/28,7/33,
4, e: 137/3,5/104,4, ureum/creatnin:
36/1,3, sgot/pt: 13/10, GDS 94
23/7/19 elektrolit : 135/4.9/103, 22/7/19
POD 2 post laparotomi DPL : 11.7/35/16350/261000,elektrolit
Tet debulking ai Ca ovarium dr. Andi Darma Putra, SpOG(K) 136/4.1/103, Ur/Cr :34/0.8, alb 3.55, OT/PT :
205 C 43 4364622
Rahmawat advance stage, peningkatan 79/183 10/7/19 DPL 10.8/32/5800/248000 Perawatan post operasi
enzim transaminase Albumin 4,3 SGOT 64, Ur/Cr 27/0,8 Na/K/Cl
138/3,7/102
23/7/19 Ur/Cr 191/4.4, 22/7/19 DPL :

Konsul Pulmo : rncana USG thorax
NOK dengan bagian padat 8.9/26/51580/636000, elektrolit 122/5.7/86 dan stand by mini wsd, sudah
206 A susi natalia 51 4275645 susp maligna,asites, AKI Dr. dr. Hariyono W, SpOG (K) 15/7/19 DPL 10,7/32.6/36560/695000 dipungsi dan sudah di keluarkan
dd/acut on CKD, efusi pleura SGOT 40/SGPT18/ALB 3,2/ur 102/cr 4,1/N 2000 cc
136/K 5.4/Cl 96.3
23/7/19 SPL 8.8/25/27680/238000, Ur/Cr :

Ca cervix stadium IIIB post 164/2.9, elektrolit 127/3.1/99, 19/7/19 UL
radiasi eksterna 7 kali, anemia Rencana EGD 22/7/19, Nefrostomi
dbn, DPL 8.6/25.5/31.160/335.000 18/7/19
ec riwayat perdarahan, (+), Raber IPD: rencana HD pro CDL,
DPL 8,2/24,1/28350/369000, 18/7/29
206 B Nurlaela 36 4333066 riwayat hematemesis melena, Dr. dr. Gatot Purwoto, SpOG(K) Raber urologi : rencana
Ur/Cr 237/4,5 NaK/Cl 130/3,7/9916/7/19
riwayat syok hipovolemik, AKI sistoskopi, RencanaPaliatve
DPL 6,3/18,1/60750/558000, elektrolit :
ec uropat obstruktf, care. Sedang kultur urine.
127/5,7/94, PT/APTT : 0,9x/0,9x, OT/PT :
hiperkalemia, hiponatremia 19/6, alb 3,04, Ur/Cr : 230,1/5,3
Anemia ec riwayat 23/7/19 DPL 3.6/11/12150/495000, Transfusi PRC targer Hb >10, biopsi
206 C Tat 55 4386751 perdarahan, suspek Ca cervix Prof. Dr. dr. Andrijono, SpOG(K) elektrolit 133/3.1/104, GDS 148, Ur/Cr : dan USG
III B 16/0.8, alb 3.12, OT/PT: 14/7
23/7/19 elektrolit 126/4.5/100, alb 1.92,

Ca ovarium advanced stage 21/7/2019 Albumin 1.77 20/7/19 Albumin rencana koreksi albumin. Punksi
206 D Sit Zaetun 37 4382260 dengan asites on cystofix, Dr. dr. Sigit Purbadi, SpOG(K) 1,72 18/7/19 Ur/Cr 19/0,8 albumin 1,59 asites (+)
hipoalbumin, hiponatremia Na/K/Cl 125/2,5/ 95 DPL:
13.2/38/8000/528000
21/7/2019 10.4/31/29860/426000 20/7/19 Terpasang tampon (+), evaluasi

Ca cervix IVB, metastasis paru, DPL 8.4/25.2/31150/ 375000, 17/7/19 tampon 22/7/19, Raber gizi klinik
post radioterapi, cancer pain, Dr. dr. Laila Nuranna, SpOG(K) DPL: 9,2/26,9/27520/425000 16/7/19 : DLP
206 E Et sumiat 41 4391292 Raber Bedah vaskular: rencana
AKI dd acute on CKD,anemia 9.9/31/23440/805000 15/7/19 DPL
(8,4), leukositosis, meta buli 8.2/25.3/25900/880000/SGOT 16SGPT 9/Ur CT angiografi pelvis dan abdomen,
compression elastc verban
57.6/Cr 1.3GDS 67/ Na 134/K 3.5/Cl 105
23/7/19 DPL : 11.2/34/14640/694000, GDS
139, Ur/Cr : 42/0.3, alb 3.18, OT/PT : 15/24,
pt/aptt: 0.9x/1.1x, 21/7/2019 DPL
8.6/26/12530/629000 PCT 0.24elektrolit Rencana op 25/7/2018, Rencana
NOK suspek maligna dengan 125/4.8/89 18/7/19 Ca 125: 161/ CEA 1,6/ transfusi target Hb 10, IPD KHOM:
Anemia (hb 8,6), abdominal Ca 199: <2/ 15/7/19 Ca 125 118, 9/7/2019 toleransi op sedang, akan
pain ec ileus obstruktf, DPL 10/31/25590/909000 Gambaran darah dievaluasi pasca op, IPD: toleransi
206 F Mariana Wat hipoalbumin, peningkatan tepi: anemia mikrositk hipokrom, hematologi sedang berat,
49 4391856 dr. Kartwa Hadi N, SpOG(K)
Santoso enzim transaminase, anisopokilositosis, fragmentosist (+) ovalosit metabolik sedang, cardio ringan
leukositosis reaktf, (+), Urinalisa bakteria positf, darah +3, nitrit sedang pulmo sedang. IPD Kardio:
trombositosis, ISK positf, PCT 42 ng/dL, 8/7/2019 DPL ringan sedang. Bedah: tdak ada
asimtomatk, 11.4/35/13840/969000//64/20/31 PT 10.8 tatalaksana. Raber Gizi klinik dan
(10.4) aPTT 41.3 (34) SGOT/SGPT 55/58, IPD, dalam nutrisi parenteral, puasa
Ureum/Cr 40/0.86 GDS 101, Albumin 2.8,
elektrolit 133/4.6/109, asam urat 4.1, Mg
1.5 Ca darah 7.7
23/7/19 DPL : 12.4/37/21220/498000,

Ur/Cr : 73/3.1, elektrolit 132/4.3/109
20/7/19 DPL 9.4/27.5/24020/397000, Ur/Cr
158/6.6, Albumin 2,44 17/7/19
DPL:7,2/20,8/27920/376000, Ca:8,7,
Fosfat:5, e:130/4,7/103,4, Ur/cr: 157/6,7,
AGD: pH 7,6/pCO2 16/pO2 157/HCO3 17,7/
ttal CO2 18,2/BE 0,6/ SpO2 99,8/ Std HCO3
25/Std BE -3,2, 15/7/19 DPL
9.3/27/30180/467000, PT/APTT: 0.9x/1.2x,
hidronefrosis bilateral on Ur/Cr: 107/4.7, elektrolit : 136/4.2/102,
nefrostomi, anemia ec blood Koreksi albumin, Raber IPD dan
dr. T. Dewi Anggraeni, SpOG(K) 14/7/19 elektrolit 135/7.3/111 pasca
207 A Se Hiong 48 4382008 loss, leukositosis, Urologi (nefrostomi), konsul IPD
koreksi 132/7.2/109.6 13/7/19 elektrolit :
hiponatremia,AKI dd acute on (HD), tatalaksana melena
CKD, hiperkalemia, melena, 126/6.4/102, Ca 8.3, P darah 8.1, HbSAg dan
ant HCV non reaktf, D-dimer 190,
hipoalbumin Fibrinogen 522, PT/APTT : 0.9x/ 1.4x, Ur/Cr :
193/10.8, alb 2.93, AGD : pH 7.363, PCO2
24.9, PO2 105, HCO3 14.3, total CO2 15.1,
BE -8.9, O2 saturasi 97.4, 12/7/19 DPL
10/29.3/3.75/22.880/474.000 ur/crec
11.2/195 elektrolit 124/6.4/98.4 11/7/19
DPL 7.4/22/20160/470000, SGOT/SGPT 9/6,
Ur/Cr 191/12.3 GDS 87, Na/K/Cl
123/6.3/96.6
23/7/19 DPL : 14.2/41/6290/290000,
Ca ovarium advanced stage, Elektrolit : 139/3.3/107, PT/APTT : 0.9x/1.2x,
207 B Ideh BT Ukat 55 4335448 Prof. Dr. dr. Andrijono, SpOG(K) OT/PT : 23/11, alb 2.85, Ur/Cr: 20/0.5, GDS Rencana pungsi asites
post NAC 3 kali, asites
105
Lince Ca Cervix stadium IIB, suspek (22/7/19) DPL:

207 C 68 4380218 Dr. dr. Fitriyadi K, SpOG(K) Post kemoradiasi
Nababan SVT on terapi 12,6/35,7/6190/176000//83/29,3/35,3
16/7/19 DPL 11.5/35/13970/206000, alb

3.55, elektrolit 136/4/98, AFP 4.39, CEA
1461, Ca 19-9 26.7, Ca 125 530 13/7/19 DPL
NOK susp maligna dengan
riwayat penurunan kesadaran : 11.1/33/17020/193000, D-dimer : 3860,
dr. T. Dewi Anggraeni, SpOG(K) fibrinogen 196, 11/7/19 DPL Alih rawat ke obsgyn, raber dengan
207 D Sulastri 32 4385041 ec SOL, massa hepar susp 8.4/24.8/14860/286000//87.6/29.7/33.9 neuro
meetastasis, anemia post 8/7/19 DPL 5,5/16.4/28650/325000
transfusi, hipoalbuminemia Na/K/Cl 130/4.2/107 SGOT/SGPT 49/30
17,9/0.4 GDS 111
Ca cervix stadium IIIB dengan

23/7/19 DPL : 5.6/17.2/14760/297000,
kecurigaan invasi ke vesika
Farida dr. Andi Darma Putra, SpOG(K) elektrolit 131/4.6/101, PT/APTT: 0.9x/0.8x, Transfusi PRC targer Hb >10,
207 E 47 4384745 urinaria dengan anemia,
Matondang GDS 72, Ur/Cr: 38/1.8, OT/PT: 30/17, Alb rencana DJ stent dari urologi
hiponatremia, AKI dd akut on 3.42
CKD, hidronefrosis bilateral
23/7/19 DPL: 8.1/25/8190/231000,

NoK multlokular dengan transfusi prc, rencana pungsi asites
207 F Ekamalasari 24 4380843 Prof. Dr. dr. Andrijono, SpOG(K) elektrolit 134/3.2/98, GDS 139, Ur/Cr
asites, CKD on HD dan sitologi
76/6.9, alb 2.99, OT/PT: 12/7
23/7/19 DPL 9.3/28/10080/426000, PCT

POD V post laparatomi HTSOB, 0.39, Cr :24, 20/7/2019 DPL
debulking KGB pelvik bilateral, Konsul IPD kultur sputum, BTA,
9.9/29/16640/340000albumin 2.8 Ureum 73
debulking KGB paraaorta ai Ca gram, levofloxacin 1x750 mg,
Cr 2.5 elektrolit 138/3.6/106 18/7/2019
endometrium clinically fluimucil 3x200 mg, konsul pulmo
post op DPL 10,9/32,7/13660/275000,
210 B Emidi 61 3756596 advanced stage dan post Dr. dr. Tofan W Utami, SpOG(K) hari dan jam kerja, Drain (+), BNO
Na/K/Cl 137/3,9/105, 16/7/19 DPL:
reimplantasi ureter kiri dan 19/7/19, FC dipertahankan selama
12.3/35/7950/379000, OT/PT : 14/14, Alb
insersi DJ stent kanan atas 2 minggu, rencana perawatan post
3.68, Ur/Cr : 43/1.2, GDS 122, Elektrolit :
indikasi hidroureter bilateral, op
137/3.2/103, PT/APTT: 0.9x/1.1. x,
efusi pleura dan pneumonia FT4/FT3/TSH :0.88/2.05/5.234
22/7/19 DPL : 9.2/27/4480/131000, OT/PT :

Novi
210 C 47 4285730 Ca ovarium dengan anemia Prof. Dr. dr. Andrijono, SpOG(K) 34/68, Alb 4.45, Ur/Cr : 35/0.6, elektrolit Tranfusi PRC
Dewiyant 18/4.3/104
Ca ovarium dengan 22/7/19 DPL: 10.9/31/2650/68000, OT/PT : Transfusi TC, lekogen sudah
Endang
211 A 54 4365317 trombositopenia dan Prof. Dr. dr. Andrijono, SpOG(K) 21/25, alb 4.04, Ur/Cr : 19/0.7, elektrolit :
Prihwulan diberikan
leukopenia 135/3.8/99
23/7/19 DPL : 10/28/2950/137000, Alb

211 B Nuraini 49 4300167 Ca ovarium advance stage Dr. dr. Laila Nuranna, SpOG(K) 3.22, elektrolit : 127/3.6/94, (22/7/19): DPL: Tranfusi PRC
8,5/24,7/3260/170000//86,7/29,8/34,4
23/7/19 DPL : 11.6/344/3230/196000,

211 C Sit Marwiyah 34 4330138 Ca ovarium advance stage Dr. dr. Laila Nuranna, SpOG(K) (19/7/19) DPL:: Tranfusi PRC
9,5/27,7/2870/139000//84,2/28,9/34,3
Massa tunggul vagina suspek 23/7/19 DPL :

Ca cervix residif post 10/29/17180/32200022/7/2019
histerektomi total 3 tahun, 9.8/28/13100/353000 HbSag non reaktf konsul urologi --> rencana
hematuria gross ec suspek Ant HCV non reaktf 18/7/19 DPL
214 C Suhartni 52 4392151 Prof. Dr. dr. Andrijono, SpOG(K) sistoskopi, RPG bilateral,
metastasis buli, hidronefrosisi 9,7/28,2/18750/267000, 16/7/19 DPL
bilateral, anemia, leukositosis, 6.8/21/13400/396000, PT/APTT 0.9x/0.9x, nefrostomi bilateral
hiponatremia dan Elektrolit 133/4.6/110, OT/PT: 19/9, alb 3.46,
hipoalbuminemia UrCr 40/1.5, , GDS 120, asam urat 5.0
rencana CRRT (menunggu acc dr

Dita SpAN ), sudah transfusi TC
23/7/19 DPL : 9.5/27.6/12640/86000, Alb pooled
2.51, Ur/Cr : 80/3.4, elektrolit 135/4.3/99 NE 0,5 mcg/kg/mnt
21/7/2019 DPL 11.1/32/8220/44000 Dobutamin 10 mcg/kg/menit
albumin 2.4, PT 13 (11.3) aPTT 49 (32)
POD 4 post relaparatomi Furosemide 8 mg/jam
elektrolit 141/5.2/109 20/7/19 DPL
eksplorasi dan hemostasis ai Nutriflex 1250ml/24 jam
11.8/34.6/11580/41000 PT/APT 1.8x/2.4x
syok hipovolemik ec internal Ceftriaxone 1x2g
SGOT/SGPT 4365/644 Na/K/Cl 141/5,3/109
bleeding pada POD 6 post Asam traneksamat 3x1g
Ur/Cr 93/3.5 18/7/19 23.30 Hb 4,7
laparatomi optmal debulking Vit K 3x 10 mg
ICU Umi kulsum 46 4383754 dr. Kartwa Hadi N, SpOG(K) 18/7/19 post op DPL
ai tumor ganas mesenkimal Ranitdin 2x50 mg
8,5/26,5/11270/380000 PT/APTT 1,1/1,2x
(fibrosarkoma) clinically Metoclopramide 3x10 mg
ALbumin 2,0 SGOT/SGPT 17/16 Ur/Cr
advanced stage dengan Ca gluconas 3x1g
37/0,8 Na/K/Cl 137/4,0/105 17/7/19 jam
masalah AKI dan oliguria, DIC Albumin 20% 1 vial blm acc
06.03 DPL: 8,8/27,9/8510/579000, 16/7/19
overt, acute liver injury Tramadol 200 mg/24 jamOn
CEA 1.6, CA 19-9 <2, 15/7/19: DPL
ventlator SIMV PEEP 5, FiO2 40%
7,3/24.3/7850/549000//72,3.21.7/30 NE 0,7 mcg/kg/menit, dobutamin
Albumin 3,5/Na 137/K 4,4/Cl 101/ GDS 15 mcg/kg/mnt, transfusi FFP ,
61/SGOT 36/SGPT 7/ Ur 40/Cr 1,0 koreksi albumin, rencana
perawatan post op
Post syok hipovolemik grade I 22/7/19 DPL : 8.3/23.7/21670/207000,alb
ec hematoschezia ec susp 1.87, elektrolit 128/3.7/100 21/7/2019 ca
massa intralumen usus 125 107 Ca 19-9 2.6 CEA 1.2 AFP 1.3 LDH Kapten bedah digestf, rencana MRI
Lince Ria dengan : anemia, leukositosis 208 20/7/19 DPL
404 A 58 4386289 Prof. Dr. dr. Andrijono, SpOG(K) 6.4/18.5/36430/244000 Na/K/Cl Abdomen, transfusi PCR target Hb
Lubis reaktf dd/infektf, > 10g/dL
hipoalbuminemia, 135/3,5/117 PCT 1,86 laktat 1,7 PT/APTT
hiponatremia, hiperkalemia, 1.1x/1.0x SGOT/SGPT 32/7 Albumin 2,5
AKI dd/ acute on CKD Ur/Cr 74/1,3
metastasis buli, fistula 19/7/2019 9.9/31/10160/560000. 18/7/19 Kapten urologi dengan rencana
vesikovaginalis, pyelonefrits PT/APTT 0,9x/0,9x 14/7/19 DPL nefrostomi kanan, konsul
404 E Sri Hartni 57 4305095 kanan on nefrostomi, Prof. Dr. dr. Andrijono, SpOG(K) 11,5/35,6/9210/620000 albumin 2,65 radioterapi : saat ini tdak terdapat
hidronefrosis kiri on SGOT/SGPT 41/79 Kultur urine : E.coli indikasi radiasi paliatf,
nefrostomi, Riwayat DVT dan Ur/Cr 15.5/0,9
peningkatan PT/APTT
206 B, 206 E,
DNR dr. T. Dewi Anggraeni, SpOG(K) 207 A, 207D dr. Kartwa Hadi N, SpOG(K) 204D, 206F, ICU
207A
Dr. dr. Laila Nuranna, SpOG(K) 204C,204F, 205A, 205B, 206E, Dr. dr. Hariyono W, SpOG (K) 204A,204E,206A
211B
Prof. Dr. dr. Andrijono, 206C,206F,210C,211A,214C,404 Dr. dr. Tofan W Utami, SpOG(K) 210B
SpOG(K) A,404E
Dr. dr. Fitriyadi K, SpOG(K) 207C Dr. dr. Gatot Purwoto, SpOG(K) 206B
dr. Andi Darma Putra, SpOG (K) 205C,207E

Ward Map Ginekologi Onkologi Selasa 23 Juli 2019
(15/7/19): ur/cr
28/0,7, SGOT/PT:
Ca Cervix stadium IIIB Dr. dr.SpOG
Hariyono W, 16/11, DPL: Pro kemoterapi hari
204A Etty 70 4379150 (K) 12,3/36/4930/2 ini
41000//80,7/27,
6/34,2
(22/7/19) DPL:
Lince Ca Cervix stadium IIB, Dr. dr. Fitriyadi K, 12,6/35,7/6190/ Pro kemoterapi hari
204B 68 4380218
Nababan suspek SVT on terapi SpOG(K) 176000//83/29, ini
3/35,3
(18/7/19)
Ca Ovarium Stadium Dr. dr. Laila Kemoterapi, rencana
204C Sit Rohmah 41 4366258 IC1 (Germ cell tumor) Nuranna, SpOG(K) DPL:12,8/38,4/9 pulang
310/623000
(17/7/19) DPL:
12,9/37,2/7550/
282000//80,7/2
Ca cervix stadium Ib dr. Kartwa Hadi N, 8/34,7, SGOT/PT: Pro kemoterapi hari
204D Herlindawat 35 4058921 residif SpOG(K) 18/28, alb: 4,5, ini
Ur/cr: 30/0,9,
GDS 146, e:
133/3,7/100
(23/5/2019)
DPL:10,2/30,5/7
210/223000//85
Sarcoma Uteri Dr. dr. Laila ,9/28,7/33,4, e: Pro relaparotomi
205 B Syafriant 49 4337425 Hidronefrosis bilateral
Nuranna, SpOG(K) 137/3,5/104,4, debulking
on dj stent ureum/creatnin:
36/1,3, sgot/pt:
13/10, GDS 94
15/7/19 DPL Konsul ginjal

NOK dengan bagian 10,7/32.6/3656 hipertensi? Konsul
padat susp 0/695000 SGOT Pulmo : rncana USG
maligna,asites, AKI Dr. dr.SpOG
Hariyono W,
206 A susi natalia 51 4275645 40/SGPT18/ALB thorax dan stand by
(K)
dd/acut on CKD, efusi 3,2/ur 102/cr mini wsd, sudah
pleura 4,1/N 136/K dipungsi dan sudah di
5.4/Cl 96.3 keluarkan 2000 cc
19/7/19 UL dbn,
DPL
8.6/25.5/31.160
/335.000
18/7/19 DPL
Ca cervix stadium IIIB 8,2/24,1/28350/ Rencana EGD
post radiasi eksterna 369000, 22/7/19, Nefrostomi
7 kali, anemia ec 18/7/29 Ur/Cr (+), Raber IPD:
riwayat perdarahan, 237/4,5 NaK/Cl rencana HD pro CDL,
riwayat hematemesis Dr. dr. Gatot 130/3,7/9916/7 Raber urologi
206 B Nurlaela 36 4333066 melena, riwayat syok Purwoto, SpOG(K) /19 DPL : rencana sistoskopi,
hipovolemik, AKI ec 6,3/18,1/60750/
uropat obstruktf, 558000, RencanaPaliatve
hiperkalemia, elektrolit : care. Sedang kultur
hiponatremia 127/5,7/94, urine.
PT/APTT :
0,9x/0,9x, OT/PT
: 19/6, alb 3,04,
Ur/Cr :
230,1/5,3
DPL 20/7/2019
8.6/23.7/8960/9
Ca Cervix stadium IVB 0.000 Albumin Transfusi sampai Hb >
on radiasi 5x, ca 2.5 GDS 98 10g/dL, KGDH,
caput pancreas dd SGOT 55 SGPT sedang koreksi
metastasis dengan 18 Bil T/D/I elektrolit, konsul
DM tpe II, anemia Dr. dr. Laila 12.9/10.5/2.4 bedah: tdak ada
206 C Sri Sudarsih 30 4380499 (Hb 8.6), Nuranna, SpOG(K) Ur/Cr 20/0.6 tatalaksana, puasa,
trombositopeni ec elektrolit NGT alirkan. Konsul
CLD, Hipoalbumin, 129/2.1/87, PCT IPD: Koreksi KCL 50
ISK, Hipokalemia, 5.5, urinalisa: meq/12 jam, KGDH,
ileus paralitk nitrit positf, rontgen thorax
albumin +2,
bakteria +2
21/7/2019
Albumin 1.77
20/7/19
Albumin 1,72
Ca ovarium advanced Sudah koreksi
18/7/19 Ur/Cr
stage dengan asites Dr. dr. Sigit Purbadi, 19/0,8 albumin 21/7/2019,
206 D Sit Zaetun 37 4382260 on cystofix, rencana cek albumin
SpOG(K) albumin 1,59
hipoalbumin, pasca koreksi. Punksi
Na/K/Cl
hiponatremia asites (+)
125/2,5/ 95
DPL:
13.2/38/8000/5
28000
21/7/2019
10.4/31/29860/
426000 20/7/19
DPL
8.4/25.2/31150/
375000, Terpasang tampon
Ca cervix IVB, 17/7/19 DPL: (+), evaluasi tampon
metastasis paru, post 9,2/26,9/27520/ 22/7/19, Raber gizi
radioterapi, cancer 425000 klinik Raber
Dr. dr. Laila
206 E Et sumiat 41 4391292 pain, AKI dd acute on Nuranna, SpOG(K) 16/7/19 : DLP Bedah vaskular:
CKD,anemia (8,4), 9.9/31/23440/8 rencana CT angiografi
leukositosis, meta 05000 15/7/19 pelvis dan abdomen,
buli DPL compression elastc
8.2/25.3/25900/ verban
880000/SGOT
16SGPT 9/Ur
57.6/Cr 1.3GDS
67/ Na 134/K
3.5/Cl 105
21/7/2019 DPL
8.6/26/12530/6
29000 PCT
0.24elektrolit
125/4.8/89
18/7/19 Ca 125:
161/ CEA 1,6/ Ca
199: <2/
15/7/19 Ca 125
118, 9/7/2019
DPL
10/31/25590/90 Rencana op
9000 Gambaran 25/7/2018, Rencana
darah tepi: transfusi target Hb
anemia 10, IPD KHOM:
NOK suspek maligna mikrositk toleransi op sedang,
dengan Anemia (hb hipokrom, akan dievaluasi pasca
8,6), abdominal pain anisopokilositosi op, IPD: toleransi
ec ileus obstruktf, s, fragmentosist hematologi sedang
Mariana Wat hipoalbumin, dr. Kartwa Hadi N, (+) ovalosit (+), berat, metabolik
206 F 49 4391856
Santoso peningkatan enzim SpOG(K) Urinalisa sedang, cardio ringan
transaminase, bakteria positf, sedang pulmo
leukositosis reaktf, darah +3, nitrit sedang. IPD Kardio:
trombositosis, ISK positf, PCT 42 ringan sedang.
asimtomatk, ng/dL, 8/7/2019 Bedah: tdak ada
DPL tatalaksana. Raber
11.4/35/13840/ Gizi klinik dan IPD,
969000//64/20/ dalam nutrisi
31 PT 10.8 (10.4) parenteral, puasa
aPTT 41.3 (34)
SGOT/SGPT
55/58,
Ureum/Cr
40/0.86 GDS
101, Albumin
2.8, elektrolit
133/4.6/109,
asam urat 4.1,
Mg 1.5 Ca darah
7.7
17/7/19
DPL:7,2/20,8/27
920/376000,
Ca:8,7, Fosfat:5,
e:130/4,7/103,4
, Ur/cr: 157/6,7,
AGD: pH
7,6/pCO2
16/pO2
157/HCO3 17,7/
ttal CO2
18,2/BE 0,6/
SpO2 99,8/ Std
HCO3 25/Std BE
-3,2, 15/7/19
DPL
9.3/27/30180/4
67000, PT/APTT:
0.9x/1.2x, Ur/Cr:
107/4.7,
elektrolit :
136/4.2/102,
Ca cervix stadium IIB, 14/7/19
hidronefrosis bilateral elektrolit Rencana Cek Ur/Cr,
on nefrostomi, 135/7.3/111 rencana koreksi
anemia ec blood loss, pasca koreksi albumin, Transfusi
dr. T. Dewi
207 A Se Hiong 48 4382008 leukositosis, Anggraeni, SpOG(K) 132/7.2/109.6 PRC, Raber IPD dan
hiponatremia,AKI dd 13/7/19 Urologi (nefrostomi),
acute on CKD, elektrolit : konsul IPD (HD),
hiperkalemia, 126/6.4/102, Ca tatalaksana melena
melena, hipoalbumin 8.3, P darah 8.1,
HbSAg dan ant
HCV non reaktf,
D-dimer 190,
Fibrinogen 522,
PT/APTT : 0.9x/
1.4x, Ur/Cr :
193/10.8, alb
2.93, AGD : pH
7.363, PCO2
24.9, PO2 105,
HCO3 14.3, total
CO2 15.1, BE
-8.9, O2 saturasi
97.4, 12/7/19
DPL
10/29.3/3.75/22
.880/474.000
ur/crec 11.2/195
elektrolit
124/6.4/98.4
11/7/19 DPL
7.4/22/20160/4
20/7/2019 DPL
9.9/29/16640/3
40000albumin
2.8 Ureum 73 Cr
2.5 elektrolit
POD V post 138/3.6/106
laparatomi HTSOB, 18/7/2019 post Konsul IPD kultur
debulking KGB pelvik op DPL sputum, BTA, gram,
bilateral, debulking 10,9/32,7/1366 levofloxacin 1x750
KGB paraaorta ai Ca 0/275000, mg, fluimucil 3x200
endometrium Na/K/Cl mg, konsul pulmo
clinically advanced Dr. dr. Tofan W 137/3,9/105, hari dan jam kerja,
210 A Emidi 61 3756596 stage dan post Utami, SpOG(K) 16/7/19 DPL: Drain (+), BNO
reimplantasi ureter 12.3/35/7950/3 19/7/19, FC
kiri dan insersi DJ 79000, OT/PT : dipertahankan
stent kanan atas 14/14, Alb 3.68, selama 2 minggu,
indikasi hidroureter Ur/Cr : 43/1.2, rencana perawatan
bilateral, efusi pleura GDS 122, post op
dan pneumonia Elektrolit :
137/3.2/103,
PT/APTT:
0.9x/1.1. x,
FT4/FT3/TSH :
0.88/2.05/5.234
(22/7/19): DPL:
Ca ovarium advance Dr. dr. Laila 8,5/24,7/3260/1
211 B Nuraini 49 4300167 stage Nuranna, SpOG(K) 70000//86,7/29, Tranfusi PRC
8/34,4
(19/7/19) DPL::
Ca ovarium advance Dr. dr. Laila 9,5/27,7/2870/1
211 C Sit Marwiyah 34 4330138 stage Nuranna, SpOG(K) 39000//84,2/28, Tranfusi PRC
9/34,3
21/7/2019
11.9/38/8530/3
58000, HbsAg
non reaktf, Ant
HCV non reaktf, balance cairan
ca cervix stadium IIIB Dr. dr. Hariyono W, 20/7/2019 DPL seimbang, rencana
9.4/30.7/12910 nefrostomi dari
211 D Butet 46 4404852 dengan ec blood loss, SpOG (K) /360000, Ur/Cr urologi, cek ur/cr per
AKI dd/ acute on CKD 173/8.4, 3 hari, cek tanda
18/7/19 DPL uremikum
4.6/16.5/7780/4
46.000 ur/cr
164/9.3 OT/PT
29/37 GDS 100
22/7/2019
9.8/28/13100/3
53000 HbSag
non reaktf Ant
Massa tunggul vagina HCV non reaktf
suspek Ca cervix 18/7/19 DPL
residif post 9,7/28,2/18750/
histerektomi total 3 267000,
tahun, hematuria konsul urologi -->
16/7/19 DPL
gross ec suspek Prof. Dr. dr. rencana sistoskopi,
214 C Suhartni 52 4392151 metastasis buli, Andrijono, SpOG(K) 6.8/21/13400/3 RPG bilateral,
96000, PT/APTT
hidronefrosisi nefrostomi bilateral
0.9x/0.9x,
bilateral, anemia, Elektrolit
leukositosis, 133/4.6/110,
hiponatremia dan OT/PT: 19/9, alb
hipoalbuminemia 3.46, UrCr
40/1.5, , GDS
120, asam urat
5.0
21/7/2019 DPL
11.1/32/8220/4
4000 albumin
2.4, PT 13 (11.3)
aPTT 49 (32)
elektrolit
141/5.2/109
20/7/19 DPL
rencana CRRT
11.8/34.6/1158 (menunggu acc dr
0/41000 Dita SpAN ), sudah
PT/APT transfusi TC pooled
1.8x/2.4x NE 0,5 mcg/kg/mnt
SGOT/SGPT
Dobutamin 10
4365/644 mcg/kg/menit
Na/K/Cl Furosemide 8
POD 2 post 141/5,3/109 mg/jam
relaparatomi Ur/Cr 93/3.5
Nutriflex 1250ml/24
eksplorasi dan 18/7/19 jam
hemostasis ai syok 23.30 Hb 4,7 Ceftriaxone 1x2g
hipovolemik ec Asam traneksamat
internal bleeding 18/7/19 post op 3x1g
pada POD IV post DPL
Vit K 3x 10 mg
laparatomi optmal dr. Kartwa Hadi N, 8,5/26,5/11270
ICU Umi kulsum 46 4383754 Ranitdin 2x50 mg
debulking ai tumor SpOG(K) /380000 Metoclopramide
ganas mesenkimal PT/APTT 3x10 mg
(fibrosarkoma) 1,1/1,2x
Ca gluconas 3x1g
clinically advanced ALbumin 2,0 Albumin 20% 1 vial
stage dengan SGOT/SGPT blm acc
masalah AKI dan 17/16 Ur/Cr Tramadol 200 mg/24
oliguria, DIC overt, 37/0,8 Na/K/Cl jamOn ventlator
acute liver injury 137/4,0/10517/
SIMV PEEP 5, FiO2
7/19 jam 06.03 40% NE 0,7
DPL: mcg/kg/menit,
8,8/27,9/8510/5 dobutamin 15
79000, 16/7/19
CEA 1.6, CA 19-9 mcg/kg/mnt,
transfusi FFP , koreksi
<2, 15/7/19: albumin, rencana
DPL perawatan post op
7,3/24.3/7850/5
49000//72,3.21.
7/30 Albumin
3,5/Na 137/K
4,4/Cl 101/ GDS
61/SGOT
36/SGPT 7/ Ur
40/Cr 1,0
18/7/2019 post
op DPL
10,9/32,7/1366
POD I post laparatomi
0/275000,
HTSOB, debulking Na/K/Cl
KGB pelvik bilateral, 137/3,9/105,
debulking KGB 16/7/19 DPL: Drain (+), BNO
paraaorta ai Ca
12.3/35/7950/3 19/7/19, FC
endometrium Dr. dr. Tofan W 79000, OT/PT : dipertahankan
HCU Emidi 61 3756596 clinically advanced Utami, SpOG(K) 14/14, Alb 3.68, selama 2 minggu,
stage dan post Ur/Cr : 43/1.2, rencana perawatan
reimplantasi ureter GDS 122, post op
kiri dan insersi DJ
Elektrolit :
stent kanan atas 137/3.2/103,
indikasi hidroureter PT/APTT:
bilateral 0.9x/1.1. x,
FT4/FT3/TSH :
0.88/2.05/5.234
16/7/19 DPL
11.5/35/13970/
206000, alb
3.55, elektrolit
136/4/98, AFP
4.39, CEA 1461,
Ca 19-9 26.7, Ca
125 530
13/7/19 DPL :
11.1/33/17020/
NOK susp maligna 193000, D-
dengan riwayat Kapten neuro,Saran
dimer : 3860,
penurunan kesadaran raber hepatologi
fibrinogen 196,
ec SOL, massa hepar dr. T. Dewi MRI abdomen
519 F Sulastri 32 4385041 Anggraeni, SpOG(K) 11/7/19 DPL
susp meetastasis, dengan kontras (+),
8.4/24.8/14860/
anemia post rencana join
286000//87.6/2
transfusi, conference
9.7/33.9 8/7/19
hipoalbuminemia DPL
5,5/16.4/28650/
325000 Na/K/Cl
130/4.2/107
SGOT/SGPT
49/30 PT/APTT
0.9/0.9x
Albumin 2,91
Ur/Cr 17,9/0.4
GDS 111
21/7/2019 ca
125 107 Ca 19-9
Post syok hipovolemik 2.6 CEA 1.2 AFP
grade I ec 1.3 LDH 208
hematoschezia ec 20/7/19
susp massa DPL Kapten bedah
intralumen usus 6.4/18.5/36430/ digestf, rencana MRI
Lince Ria dengan : anemia, Prof. Dr. dr.
404 A 58 4386289 244000 Na/K/Cl Abdomen, transfusi
Lubis leukositosis reaktf Andrijono, SpOG(K) 135/3,5/117 PCR target Hb >
dd/infektf, PCT 1,86 laktat 10g/dL
hipoalbuminemia, 1,7 PT/APTT
hiponatremia, 1.1x/1.0x
hiperkalemia, AKI dd/ SGOT/SGPT 32/7
acute on CKD Albumin 2,5
Ur/Cr 74/1,3
19/7/2019
9.9/31/10160/5
Ca cerviks stadium IV 60000. 18/7/19 Kapten urologi
A metastasis buli, PT/APTT
fistula vesikovaginalis, dengan rencana
0,9x/0,9x
pyelonefrits kanan nefrostomi kanan,
404 E Sri Hartni 57 4305095 on nefrostomi, 11,5/35,6/9210/ konsul radioterapi :
hidronefrosis kiri on Andrijono, SpOG(K) 620000 albumin saat ini tdak terdapat
nefrostomi, Riwayat 2,65 SGOT/SGPT indikasi radiasi
DVT dan peningkatan paliatf,
41/79 Kultur
PT/APTT urine : E.coli
Ur/Cr 15.5/0,9
206C, 207 A, 207 C,

dr. T. Dewi Anggraeni, 210 A, 21O B, 210 dr. Kartwa Hadi 206F, ICU
DNR SpOG(K) N, SpOG(K)
C,211 A 519F, 419B
Dr. dr. Laila Nuranna, 205 A, 206 E, 210D Dr. dr. Hariyono 206 A, 211D
SpOG(K) W, SpOG (K)
Prof. Dr. dr. Andrijono, 206, 207 C, 214C Dr. dr. Tofan W 206 D, 210 A
SpOG(K) 404A 404C Utami, SpOG(K)
Dr. dr. Gatot
Dr. dr. Fitriyadi K, Purwoto,
SpOG(K) 206B
SpOG(K)
Dr. dr. Sigit Purbadi, 214B
SpOG(K)
dr. Andi Darma Putra, 204 A, 204 C, 204 E, 206 D, 207B, 207 F
Konsul ginjal
hipertensi?
15/7/19 DPL Konsul
NOK dengan 10,7/32.6/36 Pulmo :
bagian padat 560/695000 rncana USG
susp Dr. dr. SGOT
thorax dan
206 A susi natalia 51 4275645 maligna,asite Hariyono W, 40/SGPT18/A stand by mini
s, AKI dd/acut SpOG (K) LB 3,2/ur wsd, sudah
on CKD, efusi 102/cr 4,1/N dipungsi dan
pleura 136/K 5.4/Cl
sudah di
96.3 keluarkan
2000 cc
19/7/19 UL
dbn, DPL
8.6/25.5/31.1
Ca cervix 60/335.000 Rencana EGD
stadium IIIB 18/7/19 DPL 22/7/19,
post radiasi 8,2/24,1/283 Nefrostomi
eksterna 7 50/369000, (+), Raber
kali, anemia 18/7/29 IPD: rencana
ec riwayat Ur/Cr 237/4,5 HD pro CDL,
perdarahan, NaK/Cl
Dr. dr. Gatot 130/3,7/9916 Raber
riwayat
206 B Nurlaela 36 4333066 Purwoto, urologi :
hematemesis SpOG(K) /7/19 DPL rencana
melena, 6,3/18,1/607 sistoskopi,
riwayat syok 50/558000,
hipovolemik, elektrolit : RencanaPalia
AKI ec uropat 127/5,7/94, tve care.
obstruktf, PT/APTT : Sedang kultur
hiperkalemia, 0,9x/0,9x, urine.
hiponatremia OT/PT : 19/6,
alb 3,04,
Ur/Cr :
230,1/5,3
DPL Transfusi
Ca Cervix 20/7/2019 sampai Hb >
stadium IVB
8.6/23.7/896 10g/dL,
on radiasi 5x, 0/90.000 KGDH, sedang
ca caput Albumin 2.5 koreksi
pancreas dd GDS 98 SGOT elektrolit,
metastasis 55 SGPT 18 konsul bedah:
dengan DM
Dr. dr. Laila Bil T/D/I tdak ada
tpe II,
206 C Sri Sudarsih 30 4380499 Nuranna, 12.9/10.5/2.4 tatalaksana,
anemia (Hb SpOG(K) Ur/Cr 20/0.6 puasa, NGT
8.6), elektrolit alirkan.
trombositope
129/2.1/87, Konsul IPD:
ni ec CLD, PCT 5.5, Koreksi KCL
Hipoalbumin, urinalisa: 50 meq/12
ISK, nitrit positf, jam, KGDH,
Hipokalemia, albumin +2, rontgen
ileus paralitk
bakteria +2 thorax
21/7/2019
Albumin 1.77
20/7/19 Sudah koreksi
Ca ovarium Albumin 1,72 albumin
advanced
18/7/19 21/7/2019,
stage dengan Dr. dr. Sigit Ur/Cr 19/0,8 rencana cek
206 D Sit Zaetun 37 4382260 asites on Purbadi, albumin 1,59 albumin
cystofix, SpOG(K) Na/K/Cl pasca koreksi.
hipoalbumin, 125/2,5/ 95 Punksi asites
hiponatremia
DPL: (+)
13.2/38/8000
/528000
21/7/2019
10.4/31/2986
0/426000 Terpasang
20/7/19 DPL tampon (+),
8.4/25.2/311
Ca cervix IVB, evaluasi
50/ 375000,
metastasis tampon
17/7/19 DPL:
paru, post 22/7/19,
9,2/26,9/275
radioterapi, Raber gizi
cancer pain, Dr. dr. Laila 20/425000 klinik
Nuranna, 16/7/19 : DLP
206 E Et sumiat 41 4391292 AKI dd acute Raber Bedah
on SpOG(K) 9.9/31/23440 vaskular:
/805000
CKD,anemia rencana CT
15/7/19 DPL
(8,4), angiografi
8.2/25.3/259
leukositosis, pelvis dan
00/880000/S
meta buli abdomen,
GOT 16SGPT compression
9/Ur 57.6/Cr elastc verban
1.3GDS 67/
Na 134/K
3.5/Cl 105
21/7/2019
DPL
8.6/26/12530
/629000 PCT
0.24elektrolit
125/4.8/89
18/7/19 Ca
125: 161/
CEA 1,6/ Ca
199: <2/
15/7/19 Ca Rencana op
25/7/2018,
125 118,
9/7/2019 DPL Rencana
transfusi
10/31/25590 target Hb 10,
/909000 IPD KHOM:
NOK suspek Gambaran toleransi op
maligna darah tepi: sedang, akan
dengan anemia dievaluasi
Anemia (hb mikrositk pasca op, IPD:
8,6), hipokrom,
abdominal anisopokilosit toleransi
hematologi
pain ec ileus osis, sedang berat,
obstruktf, dr. Kartwa fragmentosist metabolik
Mariana Wat
206 F 49 4391856 hipoalbumin, Hadi N, (+) ovalosit
Santoso peningkatan SpOG(K) (+), Urinalisa sedang,
cardio ringan
enzim bakteria sedang pulmo
transaminase, positf, darah sedang. IPD
leukositosis +3, nitrit
positf, PCT 42 Kardio: ringan
reaktf, sedang.
trombositosis ng/dL,
8/7/2019 DPL Bedah: tdak
, ISK ada
asimtomatk, 11.4/35/1384 tatalaksana.
0/969000//6 Raber Gizi
4/20/31 PT klinik dan IPD,
10.8 (10.4) dalam nutrisi
aPTT 41.3 parenteral,
(34)
SGOT/SGPT puasa
55/58,
Ureum/Cr
40/0.86 GDS
101, Albumin
2.8, elektrolit
133/4.6/109,
asam urat
4.1, Mg 1.5
Ca darah 7.7
157/6,7,
AGD: pH
7,6/pCO2
16/pO2
157/HCO3
17,7/ ttal
CO2 18,2/BE
0,6/ SpO2
99,8/ Std
HCO3 25/Std
BE -3,2,
15/7/19 DPL
9.3/27/30180
/467000,
PT/APTT:
0.9x/1.2x,
Ur/Cr:
107/4.7,
elektrolit :
Ca cervix 136/4.2/102, Rencana Cek
stadium IIB, 14/7/19 Ur/Cr,
hidronefrosis elektrolit rencana
bilateral on 135/7.3/111 koreksi
nefrostomi, pasca koreksi albumin,
anemia ec 132/7.2/109.
dr. T. Dewi Transfusi PRC,
blood loss, 6 13/7/19
207 A Se Hiong 48 4382008 Anggraeni, Raber IPD dan
leukositosis, elektrolit :
SpOG(K) Urologi
hiponatremia, 126/6.4/102, (nefrostomi),
AKI dd acute Ca 8.3, P konsul IPD
on CKD, darah 8.1, (HD),
hiperkalemia, HbSAg dan tatalaksana
melena, ant HCV non melena
hipoalbumin reaktf, D-
dimer 190,
Fibrinogen
522,
PT/APTT :
0.9x/ 1.4x,
Ur/Cr :
193/10.8, alb
2.93, AGD :
pH 7.363,
PCO2 24.9,
PO2 105,
HCO3 14.3,
total CO2
15.1, BE -8.9,
O2 saturasi
97.4, 12/7/19
DPL
10/29.3/3.75
/22.880/474.
20/7/2019
DPL
9.9/29/16640
POD IV post /340000albu
laparatomi min 2.8
HTSOB, Ureum 73 Cr Konsul IPD
debulking 2.5 elektrolit kultur
KGB pelvik 138/3.6/106 sputum, BTA,
bilateral, 18/7/2019
gram,
debulking post op DPL levofloxacin
KGB 10,9/32,7/13 1x750 mg,
paraaorta ai 660/275000, fluimucil
Ca Na/K/Cl
3x200 mg,
endometrium Dr. dr. Tofan 137/3,9/105, konsul pulmo
clinically W Utami, 16/7/19 DPL:
210 A Emidi 61 3756596 hari dan jam
advanced 12.3/35/7950
SpOG(K) kerja, Drain
stage dan /379000, (+), BNO
post OT/PT :
19/7/19, FC
reimplantasi 14/14, Alb dipertahanka
ureter kiri dan 3.68, Ur/Cr : n selama 2
insersi DJ 43/1.2, GDS minggu,
stent kanan 122, Elektrolit
atas indikasi : rencana
perawatan
hidroureter 137/3.2/103, post op
bilateral, efusi PT/APTT:
pleura dan 0.9x/1.1. x,
pneumonia FT4/FT3/TSH
:
0.88/2.05/5.2
34
21/7/2019
11.9/38/8530
/358000,
HbsAg non
transfusi
reaktf, Ant target Hb>10,
HCV non balance
reaktf,
ca cervix cairan
20/7/2019
stadium IIIB seimbang,
Dr. dr. DPL
dengan ec rencana
211 D Butet 46 4404852 Hariyono W, 9.4/30.7/129
blood loss, nefrostomi
SpOG (K) 10/360000,
AKI dd/ acute dari urologi,
Ur/Cr
on CKD cek ur/cr per
173/8.4,
3 hari, cek
18/7/19 DPL tanda
4.6/16.5/778 uremikum
0/446.000
ur/cr 164/9.3
OT/PT 29/37
GDS 100
22/7/2019
Massa 9.8/28/13100
tunggul /353000
vagina suspek HbSag non
Ca cervix reaktf Ant
residif post HCV non
histerektomi reaktf
total 3 tahun, 18/7/19 DPL
hematuria 9,7/28,2/187 konsul urologi
gross ec Prof. Dr. dr. 50/267000, --> rencana
suspek Andrijono, 16/7/19 DPL sistoskopi,
214 C Suhartni 52 4392151 metastasis SpOG(K) 6.8/21/13400 RPG bilateral,
buli, /396000, nefrostomi
hidronefrosisi PT/APTT bilateral
bilateral, 0.9x/0.9x,
anemia, Elektrolit
leukositosis, 133/4.6/110,
hiponatremia OT/PT: 19/9,
dan alb 3.46, UrCr
hipoalbumine 40/1.5, , GDS
mia 120, asam
urat 5.0
21/7/2019
12/37/22610
/297000
Ureum 166 Cr
8.9 elektrolit Konsul Ginjal
125/4.3/98 hipertensi:
20/7/19 DPL AKI ec uropat
8.7/26.4/243 obstruktf,
Ca cerviks
Dr. dr. Sigit 10/354000, optmalisasi
dengan Hb, konsul
214 D Sit Zaenab 26 4364464 anemia, AKI Purbadi,
SpOG(K) 19/7/19 urologi untuk
dd/ acute on 8.7/26.4/24.3 pertmbangan
CKD
10/354.000 nefrostomi,
17/7/19 DPL: Tranfusi
5,5/17,1/212 PRC hingga
30/391000, Hb>10
SGOT/SGPT:
27/7, alb
3,91, Ur/cr:
119/6,1
21/7/2019
DPL
11.1/32/8220rencana CRRT
/44000 (menunggu
albumin 2.4,acc dr Dita
PT 13 (11.3)SpAN ), sudah
aPTT 49 (32)transfusi TC
elektrolit pooled
141/5.2/109 NE 0,5
20/7/19 DPL mcg/kg/mnt
11.8/34.6/11Dobutamin
580/41000 10
PT/APT mcg/kg/meni
1.8x/2.4x t
POD 2 post SGOT/SGPT Furosemide 8
relaparatomi 4365/644 mg/jam
eksplorasi Na/K/Cl Nutriflex
dan 141/5,3/109 1250ml/24
hemostasis ai Ur/Cr 93/3.5
jam
syok Ceftriaxone
hipovolemik 18/7/19 1x2g
ec internal 23.30 Hb 4,7 Asam
bleeding pada traneksamat
POD IV post 18/7/19 post 3x1g
laparatomi Vit K 3x 10
dr. Kartwa op DPL
optmal 8,5/26,5/112 mg
ICU Umi kulsum 46 4383754 Hadi N,
debulking ai SpOG(K) 70/380000 Ranitdin
tumor ganas PT/APTT 2x50 mg
mesenkimal 1,1/1,2x Metocloprami
(fibrosarkoma ALbumin 2,0 de 3x10 mg
) clinically SGOT/SGPT Ca gluconas
advanced 17/16 Ur/Cr 3x1g
stage dengan 37/0,8 Albumin 20%
masalah AKI Na/K/Cl 1 vial blm acc
dan oliguria, 137/4,0/1051 Tramadol 200
DIC overt, 7/7/19 jam mg/24 jamOn
acute liver 06.03 DPL: ventlator
injury 8,8/27,9/851 SIMV PEEP 5,
0/579000, FiO2 40%
16/7/19 CEA NE 0,7
1.6, CA 19-9 mcg/kg/meni
<2, 15/7/19: t, dobutamin
DPL 15
7,3/24.3/785 mcg/kg/mnt,
0/549000//7 transfusi FFP ,
2,3.21.7/30 koreksi
Albumin albumin,
3,5/Na 137/K rencana
4,4/Cl 101/ perawatan
GDS 61/SGOT post op
36/SGPT 7/
Ur 40/Cr 1,0
POD I post 18/7/2019
laparatomi post op DPL
HTSOB, 10,9/32,7/13
debulking 660/275000,
KGB pelvik Na/K/Cl
bilateral, 137/3,9/105,
debulking 16/7/19 DPL: Drain (+),
KGB 12.3/35/7950 BNO 19/7/19,
paraaorta ai /379000, FC
Ca OT/PT :
endometrium Dr. dr. Tofan dipertahanka
14/14, Alb
HCU Emidi 61 3756596 W Utami, n selama 2
clinically 3.68, Ur/Cr :
SpOG(K) minggu,
advanced 43/1.2, GDS rencana
stage dan 122, Elektrolit perawatan
post : post op
reimplantasi 137/3.2/103,
ureter kiri dan PT/APTT:
insersi DJ 0.9x/1.1. x,
stent kanan FT4/FT3/TSH
atas indikasi :
hidroureter 0.88/2.05/5.2
bilateral 34
16/7/19 DPL
11.5/35/1397
0/206000, alb
3.55,
elektrolit
136/4/98,
AFP 4.39, CEA
1461, Ca 19-9
26.7, Ca 125
530 13/7/19
NOK susp DPL :
maligna 11.1/33/1702 Kapten
dengan 0/193000, D- neuro,Saran
riwayat dimer : 3860, raber
penurunan fibrinogen hepatologi
kesadaran ec dr. T. Dewi 196, 11/7/19 MRI
519 F Sulastri 32 4385041 SOL, massa Anggraeni, DPL abdomen
hepar susp SpOG(K) 8.4/24.8/148 dengan
meetastasis, 60/286000// kontras (+),
anemia post 87.6/29.7/33. rencana join
transfusi, 9 8/7/19 DPL conference
hipoalbumine 5,5/16.4/286
mia 50/325000
Na/K/Cl
130/4.2/107
SGOT/SGPT
49/30
PT/APTT
0.9/0.9x
Albumin 2,91
Ur/Cr
17,9/0.4
GDS 111
21/7/2019 ca
Post syok 125 107 Ca
hipovolemik 19-9 2.6 CEA
grade I ec 1.2 AFP 1.3
hematoschezi LDH 208
a ec susp 20/7/19
massa DPL Kapten bedah
intralumen 6.4/18.5/364 digestf,
usus dengan : Prof. Dr. dr. 30/244000 rencana MRI
Lince Ria anemia,
404 A 58 4386289 Andrijono, Na/K/Cl Abdomen,
Lubis leukositosis SpOG(K) 135/3,5/117 transfusi PCR
reaktf PCT 1,86 target Hb >
dd/infektf, laktat 1,7 10g/dL
hipoalbumine PT/APTT
mia, 1.1x/1.0x
hiponatremia, SGOT/SGPT
hiperkalemia, 32/7
AKI dd/ acute Albumin 2,5
on CKD Ur/Cr 74/1,3
Ca cerviks 19/7/2019
stadium IV A 9.9/31/10160
metastasis Kapten
/560000.
buli, fistula urologi
18/7/19
vesikovaginali dengan
PT/APTT
s, rencana
0,9x/0,9x
pyelonefrits nefrostomi
kanan on kanan, konsul
404 E Sri Hartni 57 4305095 Andrijono, 11,5/35,6/92
nefrostomi, radioterapi :
SpOG(K) 10/620000
hidronefrosis saat ini tdak
albumin 2,65
kiri on terdapat
SGOT/SGPT
nefrostomi, indikasi
41/79 Kultur
Riwayat DVT radiasi
urine : E.coli
dan paliatf,
Ur/Cr
peningkatan 15.5/0,9
PT/APTT
206C, 207 A,
dr. T. Dewi 207 C, 210 A, dr. Kartwa
DNR Anggraeni, 21O B, 210 Hadi N, 206F, ICU
SpOG(K) C,211 A 519F, SpOG(K)
419B
Dr. dr. Laila Dr. dr.

Nuranna, 205 A, 206 E, Hariyono W, 206 A, 211D
SpOG(K) 210D SpOG (K)
Prof. Dr. dr. 206, 207 C, Dr. dr. Tofan
Andrijono, 214C 404A W Utami, 206 D, 210 A
SpOG(K) 404C SpOG(K)
Dr. dr. Dr. dr. Gatot

Fitriyadi K, Purwoto,
SpOG(K) SpOG(K)
206B
Dr. dr. Sigit
Purbadi, 214B
SpOG(K)
dr. Andi Darma204 A, 204 C, 204 E, 206 D, 207B, 207 F

Ward Map Ginekologi Onkologi Minggu 21 Juli 2019

11.4/32/7990/407000, Estradiol
Dr. dr. Laila 81.2, 15/7/19 DPL
Ca ovarium 9.1/27.3/8310/523000//89/29/33 Rencana laparotomi debulking
205 A Nuryant 34 4275645 Nuranna,
residif 22/7/19
SpOG(K) fibrinogen 562/d-dimer 23530
PT 0,8x/APTT 0,8x SGOT 17/SGPT
24 /Alb 4.08

inadequate dr. Andi Darma 10.8/32/5800/248000 Albumin Rencana laparotomi debulking
205 C Tet Rahmawat 43 4364622 surgical staging Putra, SpOG(K) 4,3 SGOT 64, Ur/Cr 27/0,8 22/7/19
dan post NAC Na/K/Cl 138/3,7/102
POD 6 Post 18/7/19 isolate 1 steril 15/7/19

laparotomi DPL 12.1/34/20300/207000,
adhesiolisis, OT/PT : 13/10, Alb 2.77, Ur/Cr :
histerektomi Dr. dr. Sigit 30/0.8, elektrolit : 137/3.4/105, Perawatan post-op, bladder
205 E Rukiyah 52 4381465 radikal, SOB, Purbadi, PT/APTT : 0.9X/0/8X11/7/2019 training, residu urine (+), diet tktp,
limfadenektomi SpOG(K) DPL 13.2/38.8/7560/231000 mobilisasi
pelvik bilateral, Ur/Cr 20/0.8 Na/K/Cl
atas indikasi Ca 138/3.4/104.9 Albumin 4.0
cervix IB2 SGOT/SGPT 12 11 PT/APTT 0.9/0.8
NOK dengan
bagian padat 15/7/19 DPL Konsul ginjal hipertensi? Konsul
susp Dr. dr. Hariyono 10,7/32.6/36560/695000 SGOT Pulmo : rncana USG thorax dan
206 A susi natalia 51 4275645 maligna,asites, W, SpOG (K) 40/SGPT18/ALB 3,2/ur 102/cr stand by mini wsd, sudah dipungsi
AKI dd/acut on 4,1/N 136/K 5.4/Cl 96.3 dan sudah di keluarkan 2000 cc
CKD, efusi pleura
Ca cervix
stadium IIIB post
radiasi eksterna
7 kali, anemia ec 19/7/19 UL dbn, DPL
riwayat 8.6/25.5/31.160/335.000 18/7/19
perdarahan, DPL 8,2/24,1/28350/369000, Rencana EGD 22/7/19, Nefrostomi
riwayat Dr. dr. Gatot 18/7/29 Ur/Cr 237/4,5 NaK/Cl (+), Raber IPD: rencana HD pro CDL,
206 B Nurlaela 36 4333066 hematemesis Purwoto, 130/3,7/9916/7/19 DPL Raber urologi : rencana
melena, riwayat SpOG(K) 6,3/18,1/60750/558000, elektrolit sistoskopi, RencanaPaliatve
syok : 127/5,7/94, PT/APTT : 0,9x/0,9x, care
hipovolemik, AKI OT/PT : 19/6, alb 3,04, Ur/Cr :
ec uropat 230,1/5,3
obstruktf,
hiperkalemia,
hiponatremia
Ca ovarium 20/7/19 Albumin 1,72 18/7/19

Dr. dr. Sigit
advanced stage Ur/Cr 19/0,8 albumin 1,59
206 D Sit Zaetun 37 4382260 Purbadi, Punksi asites (+)
dengan asites on Na/K/Cl 125/2,5/ 95 DPL:
SpOG(K)
cystofix 13.2/38/8000/528000
20/7/19 DPL 8.4/25.2/31150/

Ca cervix IVB, 375000, 17/7/19 DPL:
post raditerapi, Terpasang tampon (+), evaluasi
9,2/26,9/27520/425000
cancer pain, AKI tampon 22/7/19, koreksi albumin,
Dr. dr. Laila 16/7/19 : DLP
dd acute on Raber gizi klinik Raber Bedah
206 E Et sumiat 41 4391292 Nuranna, 9.9/31/23440/805000 15/7/19
CKD,anemia vaskular: rencana CT angiografi
SpOG(K) DPL
(8,2), pelvis dan abdomen, compression
8.2/25.3/25900/880000/SGOT
leukositosis, elastc verban
meta buli 16SGPT 9/Ur 57.6/Cr 1.3GDS 67/
Na 134/K 3.5/Cl 105
18/7/19 Ca 125: 161/ CEA 1,6/ Ca
NOK suspek 199: <2/ 15/7/19 Ca 125 118,
maligna dengan 9/7/2019 DPL
abdominal pain 10/31/25590/909000 Gambaran
ec ileus darah tepi: anemia mikrositk
obstruktf, hipokrom, anisopokilositosis, Rencana op 25/7/2018, Saran
hipoalbumin, fragmentosist (+) ovalosit (+), konsul IPD KHOM, Persiapan
Mariana Wat peningkatan dr. Kartwa Hadi Urinalisa bakteria positf, darah +3,
206 F 49 4391856 perioperatf, Raber Bedah, Gizi
Santoso enzim N, SpOG(K) nitrit positf, PCT 42 ng/dL, klinik dan IPD, dalam nutrisi
transaminase, 8/7/2019 DPL parenteral, puasa
leukositosis 11.4/35/13840/969000//64/20/3
infektf dd 1 PT 10.8 (10.4) aPTT 41.3 (34)
reaktf, SGOT/SGPT 55/58, Ureum/Cr
trombositosis, 40/0.86 GDS 101, Albumin 2.8,
ISK asimtomatk, elektrolit 133/4.6/109, asam urat
4.1, Mg 1.5 Ca darah 7.7
20/7/19 DPL
9.4/27.5/24020/397000, Ur/Cr
158/6.6, Albumin 2,44 17/7/19
DPL:7,2/20,8/27920/376000,
Ca:8,7, Fosfat:5, e:130/4,7/103,4,
Ur/cr: 157/6,7, AGD: pH 7,6/pCO2
16/pO2 157/HCO3 17,7/ ttal CO2
Ca cervix 18,2/BE 0,6/ SpO2 99,8/ Std HCO3
stadium IIB 25/Std BE -3,2, 15/7/19 DPL
dengan intake 9.3/27/30180/467000, PT/APTT:
sulit, 0.9x/1.2x, Ur/Cr: 107/4.7,
hidronefrosis elektrolit : 136/4.2/102, 14/7/19
bilateral on elektrolit 135/7.3/111 pasca
dr. T. Dewi Transfusi PRC, Raber IPD dan
nefrostomi, koreksi 132/7.2/109.6 13/7/19
207 A Se Hiong 48 4382008 Anggraeni, elektrolit : 126/6.4/102, Ca 8.3, P Urologi (nefrostomi), konsul IPD
anemia ec blood SpOG(K) (HD), tatalaksana melena
loss, darah 8.1, HbSAg dan ant HCV
leukositosis, non reaktf, D-dimer 190,
hiponatremia, Fibrinogen 522, PT/APTT : 0.9x/
acute on CKD, 1.4x, Ur/Cr : 193/10.8, alb 2.93,
hiperkalemia, AGD : pH 7.363, PCO2 24.9, PO2
melena 105, HCO3 14.3, total CO2 15.1,
BE -8.9, O2 saturasi 97.4, 12/7/19
DPL 10/29.3/3.75/22.880/474.000
ur/crec 11.2/195 elektrolit
124/6.4/98.4 11/7/19 DPL
7.4/22/20160/470000,
SGOT/SGPT 9/6, Ur/Cr 191/12.3
GDS 87, Na/K/Cl 123/6.3/96.6
Massa tunggul
vagina suspek Ca
cervix residif
post
histerektomi 20/7/19 DPL
total 3 tahun, 11.9/35.7/15550/310000
hematuria gross 18/7/19 DPL
ec suspek Prof. Dr. dr. 9,7/28,2/18750/267000, 16/7/19 konsul urologi --> rencana
207 B Suhartni 52 4392151 metastasis buli, Andrijono, DPL 6.8/21/13400/396000, sistoskopi, RPG bilateral,
hidronefrosisi SpOG(K) PT/APTT 0.9x/0.9x, Elektrolit nefrostomi bilateral
bilateral, 133/4.6/110, OT/PT: 19/9, alb
anemia, 3.46, UrCr 40/1.5, , GDS 120, asam
leukositosis, urat 5.0
hiponatremia
dan
hipoalbuminemi
a
20/7/19 Albumin 2,61 Na/K/Cl

Ca ovarium
Dr. dr. Sigit 125/4.4/95 18/7/19 DPL
advanced stage
207 C Rosdiana 46 4382217 Purbadi, 10.8/30.8/11810/690000, Punksi asites (+)
dengan asites on SpOG(K) Albumin 2.04, Na/K/Cl
cystofix 120/5,2/88.3
Ca ovarium
progresif dengan Dr.W,dr.SpOG
Hariyono 6/7/19 Albumin 3.16 DPL
207 D Inamariani 57 4384875 Punksi asites (+)
(K) 10.4/30.7/6030/175000
asites
20/7/2019 DPL
12.2/36.8/4150/164000,
Ca cervix dengan dr. Andi Darma 18/7/2019 DPL
207 F Dominiika Domi 44 4381845 Putra, SpOG(K) 9,6/29,3/4880/242000, 15/7/19 rencana transfusi target Hb 10
anemia DPL 7.6/22/3410/294000, OT/PT :
16/14, albumin 3.6, GDS 100,
elektrolit : 134/4/101
POD I post
laparatomi
HTSOB,
debulking KGB
pelvik bilateral,
debulking KGB 18/7/2019 post op DPL
paraaorta ai Ca 10,9/32,7/13660/275000,
endometrium Na/K/Cl 137/3,9/105, 16/7/19
Dr. dr. Tofan W DPL: 12.3/35/7950/379000, OT/PT Drain (+), BNO 19/7/19, FC
clinically
210 A Emidi 61 3756596 Utami, SpOG(K) : 14/14, Alb 3.68, Ur/Cr : 43/1.2, dipertahankan selama 2 minggu,
advanced stage
dan post GDS 122, Elektrolit : 137/3.2/103, rencana perawatan post op
reimplantasi PT/APTT: 0.9x/1.1. x,
ureter kiri dan FT4/FT3/TSH :0.88/2.05/5.234
insersi DJ stent
kanan atas
indikasi
hidroureter
bilateral
20/7/2019 Albumin 2.12

Ca ovarium 18/7/2019 Albumin 2,12 16/7/19
progresif susp DPL 11.3/31/11230/173000, alb
meta hepar dan 1.83, P darah 3.4, Mg 2.18,
paru, , ascites 10/7/2019 12.1/34/8620/196000
post pungsi, Albumin 2.5 9/7/19 DPL :
9.9/28/9490/210000, PT/APTT : Koreksi albumin, Raber gizi klinik
hipoalbuminemi dr. T. Dewi Raber Bedah vaskular: rencana
210 C Salindri 26 4329454 a, Anggraeni, 0.9x/0.8x, Na/K/Cl 124/5,0/91,2 CT angiografi pelvis dan abdomen,
hiponatremia,ly SpOG(K) LDH 852 OT/PT : 279/291,
mphedema ec Fibrinogen 265, D-dimer 35200, compression elastc verban
penekanan alb 2.14, Bil T/D/I :
massa, 10.8/7.94/2.88, AFP >80000
hipoalbumin, Ur/Cr: 28/0.5 8/7/19 Albumin
DVT bilateral 2.05 DPL
9.3/27/34.400/9150/195.000
ca cervix 20/7/2019 DPL transfusi target Hb>10, balance

stadium IIIB 9.4/30.7/12910/360000, Ur/Cr cairan seimbang, konsul urologi
dengan ec blood Dr.W,dr.SpOG
Hariyono
211 D Butet 46 4404852 173/8.4, 18/7/19 DPL untuk pemasangan neforstomy, cek
(K)
loss, AKI dd/ 4.6/16.5/7780/446.000 ur/cr ur/cr per 3 hari, cek tanda
acute on CKD 164/9.3 OT/PT 29/37 GDS 100 uremikum
ca pain dan 20/7/2019 DPL
intake sulit pada Dr. dr. Hariyono 9.9/31.1/11740/269000 PT/APTT
212 C Nonce 53 4309017 ca cervix 0,9x/1,1x Na/K/Cl Perbaikan KU
W, SpOG (K)
advance stage, 1334/4.0/99.1 Ur/Cr 22/0.9
residif Albumin 3,65 SGOT/SGPT 16/17
19/07/2019 DPL
NOK dengan 10,2/33,7/9700/525000
Dr. dr. Hariyono SGOT/SGPT 26/11 Albumin 3,48 Pungsi asites 2000 ml/hari
212 E Musaroh 31 4381555 bagian padat W, SpOG (K) Ur/Cr 22/0,5 Na/K/Cl 134/4,8/99
suspek maligna
25/6/19 ur/cr 22/0.5
20/7/19 DPL
8.7/26.4/24310/354000,
Ca cerviks Dr. dr. Sigit 19/7/19
dengan anemia, Konsul Ginjal hipertensi,
214 D Sit Zaenab 26 4364464 Purbadi, 8.7/26.4/24.310/354.000 17/7/19 Tranfusi PRC hingga Hb>10
AKI dd/ acute on SpOG(K) DPL: 5,5/17,1/21230/391000,
CKD SGOT/SGPT: 27/7, alb 3,91, Ur/cr:
119/6,1
POD I post
relaparatomi 20/7/19 DPL
eksplorasi dan 11.8/34.6/11580/41000 PT/APT
hemostasis ai 1.8x/2.4x SGOT/SGPT 4365/644
syok
Na/K/Cl 141/5,3/109 Ur/Cr
hipovolemik ec 93/3.5 18/7/19 23.30 Hb
internal bleeding 4,7 18/7/19 post
pada pPOD III op DPL 8,5/26,5/11270/380000 On ventlator PC PEEP 5, FiO2 50%
post laparatomi PT/APTT 1,1/1,2x ALbumin 2,0 NE 0,7 mcg/kg/menit,
optmal Dr. dr. Hariyono
ICU Umi kulsum 46 4383754 SGOT/SGPT 17/16 Ur/Cr 37/0,8 dobutamin 15 mcg/kg/mnt,
debulking ai W, SpOG (K) Na/K/Cl 137/4,0/10517/7/19 jam transfusi FFP , koreksi albumin,
tumor ganas 06.03 DPL: rencana perawatan post op
mesenkimal 8,8/27,9/8510/579000, 16/7/19
(fibrosarkoma)
CEA 1.6, CA 19-9 <2, 15/7/19: DPL
clinically 7,3/24.3/7850/549000//72,3.21.7
advanced stage /30 Albumin 3,5/Na 137/K
dengan anemia 4,4/Cl 101/ GDS 61/SGOT 36/SGPT
dan 7/ Ur 40/Cr 1,0
hipoalbuminemi
a
16/7/19 DPL
NOK susp 11.5/35/13970/206000, alb 3.55,
maligna dengan elektrolit 136/4/98, AFP 4.39, CEA
riwayat 1461, Ca 19-9 26.7, Ca 125 530
penurunan 13/7/19 DPL :
kesadaran ec 11.1/33/17020/193000, D-dimer : Kapten neuro,Saran raber
dr. T. Dewi
SOL, massa 3860, fibrinogen 196, 11/7/19
519 F Sulastri 32 4385041 Anggraeni, hepatologi MRI abdomen
hepar susp DPL
SpOG(K)
meetastasis, 8.4/24.8/14860/286000//87.6/29. dengan kontras (+)
anemia post 7/33.9 8/7/19 DPL
transfusi, 5,5/16.4/28650/325000 Na/K/Cl
hipoalbuminemi 130/4.2/107 SGOT/SGPT 49/30
a PT/APTT 0.9/0.9x Albumin 2,91
Ur/Cr 17,9/0.4 GDS 111
Post syok
hipovolemik
grade I ec
hematoschezia
ec susp massa
intralumen usus 20/7/19 DPL
dengan : Prof. Dr. dr. 6.4/18.5/36430/244000 Na/K/Cl Kapten bedah digestf dengan cek
anemia,
404 A Lince Ria Lubis 58 4386289 Andrijono, 135/3,5/117 PCT 1,86 laktat 1,7 tumor marker (CEA, Ca 125, Ca
leukositosis SpOG(K) PT/APTT 1.1x/1.0x SGOT/SGPT 199, AFP, LDH)
reaktf 32/7 Albumin 2,5 Ur/Cr 74/1,3
dd/infektf,
hipoalbuminemi
a, hiponatremia,
hiperkalemia,
AKI dd/ acute on
CKD
Ca cerviks
stadium IV A
metastasis buli,
fistula
vesikovaginalis, 18/7/19 PT/APTT 0,9x/0,9x Kapten urologi dengan rencana
pyelonefrits Prof. Dr. dr. 14/7/19 DPL nefrostomi ulang, konsul
404 E Sri Hartni 57 4305095 kanan on Andrijono, 11,5/35,6/9210/620000 albumin radioterapi (+), Evaluasi tampon
nefrostomi, SpOG(K) 2,65 SGOT/SGPT 41/79 Kultur 21/7/2019
hidronefrosis kiri urine : E.coli Ur/Cr 15.5/0,9
on nefrostomi,
Riwayat DVT dan
peningkatan
PT/APTT
13/7/19 DPL :
10.4/29/4950/477000, asam
Ileus obstruktf laktat 2.1, AGD: pH 7.4, PCO2 49,
post stoma
PO2 42.1, HCO3 33.3, total CO2
dengan Ca cervix dr. T. Dewi 34.8, BE 8.5, O2 saturasi 67.10, Rencana rawat jalan, Perawatan
419 B Coni Aresta 45 4310604 III B post rasiasi Anggraeni, 12/7/19 DPL : luka op, dengan kapten bedah
(Nov 2018) SpOG(K) 9.9/28/8420/430000, PT/APTT: 0.9
partal response- x/1.1x, OT/PT : 26/9, Ur/Cr :
NED
33/0.93, alb 3.97,GDS 110,
206C, 207 A,
206 B, 206 E, dr. T. Dewi 207 C, 210 A,
DNR 207 D, 207 A, Anggraeni, 21O B, 210 dr. Kartwa Hadi N, SpOG(K) 206F
210 C SpOG(K) C,211 A 519F,
419B
Dr. dr. Laila 205 A, 206 E,
Nuranna, Dr. dr. Hariyono W, SpOG (K) 206 A, 213 B
210D
SpOG(K)
Prof. Dr. dr.
Andrijono, 206, 207 C Dr. dr. Tofan W Utami, SpOG(K) 206 D
SpOG(K)
Dr. dr. Fitriyadi K, 204 B, 207D, Dr. dr. Gatot Purwoto, SpOG(K)
SpOG(K) 207E, 214 D 211 B
Dr. dr. Sigit
Purbadi, 205 E
SpOG(K)
dr. Andi Darma Pu204 A, 204 C, 204 E, 206 D, 207B, 207 F
Ward Map Ginekologi Onkologi Jumat, 19 Juli 2019

11.4/32/7990/407000, Estradiol
Dr. dr. Laila 81.2, 15/7/19 DPL
Ca ovarium 9.1/27.3/8310/523000//89/29/33 Rencana laparotomi debulking
205 A Nuryant 34 4275645 Nuranna,
residif 22/7/19
SpOG(K) fibrinogen 562/d-dimer 23530
PT 0,8x/APTT 0,8x SGOT 17/SGPT
24 /Alb 4.08

inadequate dr. Andi Darma 10.8/32/5800/248000 Albumin Rencana laparotomi debulking
205 C Tet Rahmawat 43 4364622 surgical staging Putra, SpOG(K) 4,3 SGOT 64, Ur/Cr 27/0,8 22/7/19
dan post NAC Na/K/Cl 138/3,7/102
POD 4 Post 18/7/19 isolate 1 steril 15/7/19

laparotomi DPL 12.1/34/20300/207000,
adhesiolisis, OT/PT : 13/10, Alb 2.77, Ur/Cr :
histerektomi Dr. dr. Sigit 30/0.8, elektrolit : 137/3.4/105, Rencana perawatan post-op,
205 E Rukiyah 52 4381465 radikal, SOB, Purbadi, PT/APTT : 0.9X/0/8X11/7/2019 bladder training, diet tktp,
limfadenektomi SpOG(K) DPL 13.2/38.8/7560/231000 mobilisasi
pelvik bilateral, Ur/Cr 20/0.8 Na/K/Cl
atas indikasi Ca 138/3.4/104.9 Albumin 4.0
cervix IB2 SGOT/SGPT 12 11 PT/APTT 0.9/0.8
Ca cerviks
stadium IIIB
pasca radiasi
luar 25 kali,
kemoterapi 3
kali dengan Ca 19/7/19
pain VAS 3, 9.4/28.1/3.49/18.690/372.000
anemia, Dr. dr. Tofan W 18/7/19 DPL
205 F Icih 32 4380115 Perbaikan KU
hidronefrosis Utami, SpOG(K) 7/20.4/19310/376000 Albumin
bilateral on 2,77 Ur/Cr 11,6/0,86 Na/K/Cl
nefrostomi, 127/3,1/101 SGOT/SGPT 30/13
intake sulit,
hipoalbuminemi
a, hiponatremia,
hipokalemia,
leukositosis
NOK dengan
bagian padat 15/7/19 DPL Konsul ginjal hipertensi? Konsul
susp Dr. dr. Hariyono 10,7/32.6/36560/695000 SGOT Pulmo : rncana USG thorax dan
206 A susi natalia 51 4275645 maligna,asites, W, SpOG (K) 40/SGPT18/ALB 3,2/ur 102/cr stand by mini wsd, sudah dipungsi
AKI dd/acut on 4,1/N 136/K 5.4/Cl 96.3 dan sudah di keluarkan 2000 cc
CKD, efusi pleura
Ca cervix
stadium IIIB post
radiasi eksterna
7 kali, anemia ec 19/7/19 UL dbn DPL
riwayat 8.6/25.5/31.160/335.000 18/7/19
perdarahan, DPL 8,2/24,1/28350/369000,
riwayat Dr. dr. Gatot 18/7/29 Ur/Cr 237/4,5 NaK/Cl Raber IPD: rencana HD,
206 B Nurlaela 36 4333066 hematemesis Purwoto, 130/3,7/9916/7/19 DPL Raber urologi : rencana sistoskopi,
melena, riwayat SpOG(K) 6,3/18,1/60750/558000, elektrolit RencanaPaliatve care
syok : 127/5,7/94, PT/APTT : 0,9x/0,9x,
hipovolemik, AKI OT/PT : 19/6, alb 3,04, Ur/Cr :
ec uropat 230,1/5,3
obstruktf,
hiperkalemia,
hiponatremia
Ca endometrium
stadium IIIC post
laparotomi
surgical staging,
dengan: intake
sulit, anemia An/7/19 DPL
normositk Dr. dr. Gatot 8/21,9/15510/110000, alb : 1,29, transfusi PRC hingga Hb >10 g/dl,
206 C Muliyah 58 4363341 normokromik, Purwoto, PT/APTT : 1.1x/1.2x, OT/PT :
trombositopenia SpOG(K) 44/75, Ur/Cr :53,9/0.9, GDS 115, raber IPD, albumer 20%
, peningkatan elektrolit : 131/2,0/108
enzim
transaminase,
leukositosis
reaktf
dd/infektf
Ca ovarium
advanced stage Dr. dr. Sigit 18/7/19 Ur/Cr 19/0,8 albumin
206 D Sit Zaetun 37 4382260 Purbadi, 1,59 Na/K/Cl 125/2,5/ 95 DPL: rencana punksi?
dengan asites on SpOG(K) 13.2/38/8000/528000
cystofix
Ca cervix IVB, 17/7/19 DPL:
post raditerapi, 9,2/26,9/27520/425000 Terpasang tampon (+), koreksi
cancer pain, AKI 16/7/19 : DLP
Dr. dr. Laila albumin, Raber gizi klinik
dd acute on 9.9/31/23440/805000 15/7/19
206 E Et sumiat 41 4391292 Nuranna, Raber Bedah vaskular: rencana CT
CKD,anemia DPL
SpOG(K) angiografi pelvis dan abdomen,
(8,2), 8.2/25.3/25900/880000/SGOT compression elastc verban
leukositosis, 16SGPT 9/Ur 57.6/Cr 1.3GDS 67/
meta buli Na 134/K 3.5/Cl 105
18/7/19 Ca 125: 161/ CEA 1,6/ Ca

NOK suspek 199: <2/ 15/7/19 Ca 125 118,
maligna dengan 9/7/2019 DPL
abdominal pain 10/31/25590/909000 Gambaran
ec ileus darah tepi: anemia mikrositk
obstruktf, hipokrom, anisopokilositosis,
hipoalbumin, fragmentosist (+) ovalosit (+), Saran konsul IPD KHOM, Persiapan
Mariana Wat peningkatan dr. Kartwa Hadi Urinalisa bakteria positf, darah +3, perioperatf, Raber Bedah, Gizi
206 F 49 4391856
Santoso enzim N, SpOG(K) nitrit positf, PCT 42 ng/dL, klinik dan IPD, dalam nutrisi
transaminase, 8/7/2019 DPL parenteral, puasa
leukositosis 11.4/35/13840/969000//64/20/3
infektf dd 1 PT 10.8 (10.4) aPTT 41.3 (34)
reaktf, SGOT/SGPT 55/58, Ureum/Cr
trombositosis, 40/0.86 GDS 101, Albumin 2.8,
ISK asimtomatk, elektrolit 133/4.6/109, asam urat
4.1, Mg 1.5 Ca darah 7.7
17/7/19
DPL:7,2/20,8/27920/376000,
Ca:8,7, Fosfat:5, e:130/4,7/103,4,
Ur/cr: 157/6,7, AGD: pH 7,6/pCO2
16/pO2 157/HCO3 17,7/ ttal CO2
18,2/BE 0,6/ SpO2 99,8/ Std HCO3
25/Std BE -3,2, 15/7/19 DPL
Ca cervix 9.3/27/30180/467000, PT/APTT:
stadium IIB 0.9x/1.2x, Ur/Cr: 107/4.7,
dengan intake elektrolit : 136/4.2/102, 14/7/19
sulit, elektrolit 135/7.3/111 pasca
hidronefrosis dr. T. Dewi koreksi 132/7.2/109.6 13/7/19 Transfusi PRC, Raber IPD dan
bilateral, anemia elektrolit : 126/6.4/102, Ca 8.3, P Urologi (rencana nefrostomi
207 A Se Hiong 48 4382008 Anggraeni,
ec blood loss, darah 8.1, HbSAg dan ant HCV bilateral), konsul IPD , rencana HD
SpOG(K)
leukositosis, non reaktf, D-dimer 190, 15/7/19, tatalaksana melena
hiponatremia, Fibrinogen 522, PT/APTT : 0.9x/
acute on CKD, 1.4x, Ur/Cr : 193/10.8, alb 2.93,
hiperkalemia, AGD : pH 7.363, PCO2 24.9, PO2
melena 105, HCO3 14.3, total CO2 15.1,
BE -8.9, O2 saturasi 97.4, 12/7/19
DPL 10/29.3/3.75/22.880/474.000
ur/crec 11.2/195 elektrolit
124/6.4/98.4 11/7/19 DPL
7.4/22/20160/470000,
SGOT/SGPT 9/6, Ur/Cr 191/12.3
GDS 87, Na/K/Cl 123/6.3/96.6
Massa tunggul
vagina suspek Ca
cervix residif
post
histerektomi
total 3 tahun, 18/7/19 DPL
hematuria gross 9,7/28,2/18750/267000, 16/7/19
ec suspek Prof. Dr. dr. DPL 6.8/21/13400/396000, transfusi PRC target hb>10, konsul
207 B Suhartni 52 4392151 metastasis buli, Andrijono, PT/APTT 0.9x/0.9x, Elektrolit urologi --> rencana sistoskopi, RPG
hidronefrosisi SpOG(K) 133/4.6/110, OT/PT: 19/9, alb bilateral, nefrostomi bilateral
bilateral, 3.46, UrCr 40/1.5, , GDS 120, asam
anemia, urat 5.0
leukositosis,
hiponatremia
dan
hipoalbuminemi
a
Ca ovarium 18/7/19 DPL
Dr. dr. Sigit
advanced stage 10.8/30.8/11810/690000,
207 C Rosdiana 46 4382217 Purbadi, Rencana punksi asites
dengan asites on Albumin 2.04, Na/K/Cl
SpOG(K)
cystofix 120/5,2/88.3
Asites masif,
susp Ca
endometrium
post HTSOB 1 Dr. dr. Gatot 17/7/19 DPL
207 E Hoberthina 61 4384464 tahun lalu, efusi Purwoto, 11.87/33.7/12320/665000, Punksi asites (+)
pleura bilateral, SpOG(K) Na/K/Cl 130/4,1/105
leukositosis
infektf,
trombositosis
18/7/2019 DPL
Ca cervix dengan dr. Andi Darma 9,6/29,3/4880/242000, 15/7/19
207 F Dominiika Domi 44 4381845 DPL 7.6/22/3410/294000, OT/PT : rencana transfusi target Hb 10
anemia Putra, SpOG(K) 16/14, albumin 3.6, GDS 100,
elektrolit : 134/4/101
POD I post
laparatomi
HTSOB,
debulking KGB
pelvik bilateral,
debulking KGB 18/7/2019 post op DPL
paraaorta ai Ca 10,9/32,7/13660/275000,
endometrium Na/K/Cl 137/3,9/105, 16/7/19
Dr. dr. Tofan W DPL: 12.3/35/7950/379000, OT/PT Drain (+), BNO 19/7/19, FC
clinically
210 A Emidi 61 3756596 dipertahankan selama 2 minggu,
advanced stage Utami, SpOG(K) : 14/14, Alb 3.68, Ur/Cr : 43/1.2, rencana perawatan post op
dan post GDS 122, Elektrolit : 137/3.2/103,
reimplantasi PT/APTT: 0.9x/1.1. x,
ureter kiri dan FT4/FT3/TSH :0.88/2.05/5.234
insersi DJ stent
kanan atas
indikasi
hidroureter
bilateral
18/7/2019 Albumin 2,12 16/7/19
Ca ovarium DPL 11.3/31/11230/173000, alb
progresif susp 1.83, P darah 3.4, Mg 2.18,
meta hepar dan 10/7/2019 12.1/34/8620/196000
paru, , ascites Albumin 2.5 9/7/19 DPL :
post pungsi,
9.9/28/9490/210000, PT/APTT : Koreksi albumin, Raber gizi klinik
hipoalbuminemi dr. T. Dewi 0.9x/0.8x, Na/K/Cl 124/5,0/91,2 Raber Bedah vaskular: rencana
210 C Salindri 26 4329454 a, Anggraeni, LDH 852 OT/PT : 279/291, CT angiografi pelvis dan abdomen,
hiponatremia,ly SpOG(K) Fibrinogen 265, D-dimer 35200, compression elastc verban
mphedema ec
alb 2.14, Bil T/D/I :
penekanan 10.8/7.94/2.88, AFP >80000
massa, Ur/Cr: 28/0.5 8/7/19 Albumin
hipoalbumin, 2.05 DPL
DVT bilateral 9.3/27/34.400/9150/195.000
Ca cervix
stadium III B 19/7/19 Ur/Cr 60/2.9
pasca radiasi 18/7/2019 DPL
lengkap (2016) 11.4/34.3/11280/357000 Ur/Cr
residif dengan 95/6,2 Na/K/Cl 132/4,3/101
metastasis KGB 17/7/19 e:129/4,9/101,2, ur/cr:
inguinalis on 10/65 16/7/19 Darah samar Raber IPD GH, urologi dan
paliatf dengan dr. T. Dewi tinja negatif, 15/7/19 DPL neurologi Tranfusi PRC hingga
Endang anemia (hb 7) ec
211 A 62 4143044 Anggraeni, 9.7/28/13200/493000, Ur/Cr Hb>10, cek ulang ur/cr dan USG
Setawat chronic disease, SpOG(K) 121/8.9, Elektrolit : abdomen post nefrostomi 2 hari
akut on ckd on 126/5.1/9513/7/19 DPL : lagi
HD dan 7/20/17040/595000, pt/aptt :
nefrostomi, 0.9X/1.1X, ot/pt : 24/7, albumin
hiponatermia, 3.07, Ur/Cr : 162/9.81, GDS 91,
dispepsia, elektrolit : 125/7.6/103, elektrolit
hipoalbuminemi post koreksi : 131/4.3/117
a, dispepsia,
leukositosis
POD 4 post
laparotomi 15/7/19 DPL
HTSOS, 12.1/35/12570/334000, PT/APTT:
omentektomi, 0.8x/0.9x, OT/PT 29/15, alb 2.68,
apendektomi, Ur/Cr : 21/0.70, elektrolit
limfadenektomi 137/3.3/102, 12/7/19 DPL :
Dr. dr. Gatot Drain (+) 100 cc/24 jam
pelvik bilateral, 13.7/41/5500/397000, OT/PT :
211 B Lie Siat 50 4353786 Purwoto, Rencana perawatan
paraaorta, 18/18, Ur/CR: 29/0.8, alb 4.4, GDS post-op
SpOG(K)
reseksi implan di 92, elektrolit : 138/4./102,
kavum douglas PT/APTT : 0.9x/1.2x 28/5/2019
atas indikasi Ca DPL 12.9/38.3/5590/325000, CEA
ovarium IIIC, 4.1 ca 125: 49,4 Ur/Cr 28/0,7
riwayat LO SOD na/K/Cl 138/3,9/107
post NAC 3X
ca cervix transfusi target Hb>10, balance

stadium IIIB Dr. dr. Hariyono 18/7/19 DPL cairan seimbang, konsul urologi
211 D Butet 46 4404852 dengan ec blood W, SpOG (K) 4.6/16.5/7780/446.000 ur/cr untuk pemasangan neforstomy, cek
loss, AKI dd/ 164/9.3 OT/PT 29/37 GDS 100 ur/cr per 3 hari, cek tanda
acute on CKD uremikum Ur/Cr
ca pain dan
intake sulit pada Dr. dr. Hariyono
212 C Nonce 53 4309017 ca cervix W, SpOG (K) sedang menunggu hasil Perbaikan KU
advance stage,
residif DPL
19/07/2019 DPL
NOK dengan Dr. dr. Hariyono 10,2/33,7/9700/525000
212 E Musaroh 31 4381555 bagian padat SGOT/SGPT 26/11 Albumin 3,48 Pungsi asites 2000 ml/hari
W, SpOG (K) Ur/Cr 22/0,5 Na/K/Cl 134/4,8/99
suspek maligna
25/6/19 ur/cr 22/0.5
19/7/19 8.7/26.4/24.310/354.000
Ca cerviks Dr. dr. Sigit 17/7/19 DPL:
dengan anemia, Konsul Ginjal hipertensi,
214 D Sit Zaenab 26 4364464 Purbadi, 5,5/17,1/21230/391000,
AKI dd/ acute on SpOG(K) SGOT/SGPT: 27/7, alb 3,91, Ur/cr: Tranfusi PRC hingga Hb>10
CKD 119/6,1
DPL
POD I post
relaparatomi
eksplorasi dan
hemostasis ai
syok 18/7/19 post op DPL
hipovolemik ec 8,5/26,5/11270/380000 PT/APTT
internal bleeding 1,1/1,2x ALbumin 2,0
pada pPOD III SGOT/SGPT 17/16 Ur/Cr 37/0,8
post laparatomi Na/K/Cl 137/4,0/10517/7/19 jam NE 0,3 mcg/kg/menit, transfusi PRC
optmal Dr. dr. Hariyono 06.03 DPL: , koreksi albumin, rencana
ICU Umi kulsum 46 4383754 debulking ai W, SpOG (K) 8,8/27,9/8510/579000, 16/7/19 perawatan post op--> sedang di OK
tumor ganas CEA 1.6, CA 19-9 <2, 15/7/19: DPL IGD
mesenkimal 7,3/24.3/7850/549000//72,3.21.7
(fibrosarkoma) /30 Albumin 3,5/Na 137/K
clinically 4,4/Cl 101/ GDS 61/SGOT 36/SGPT
advanced stage 7/ Ur 40/Cr 1,0
dengan anemia
dan
hipoalbuminemi
a
16/7/19 DPL
NOK susp 11.5/35/13970/206000, alb 3.55,
maligna dengan elektrolit 136/4/98, AFP 4.39, CEA
riwayat 1461, Ca 19-9 26.7, Ca 125 530
penurunan 13/7/19 DPL :
kesadaran ec 11.1/33/17020/193000, D-dimer : Kapten neuro,Saran raber
dr. T. Dewi
SOL, massa 3860, fibrinogen 196, 11/7/19
519 F Sulastri 32 4385041 Anggraeni, hepatologi MRI abdomen
hepar susp DPL
SpOG(K)
meetastasis, 8.4/24.8/14860/286000//87.6/29. dengan kontras (+)
anemia post 7/33.9 8/7/19 DPL
transfusi, 5,5/16.4/28650/325000 Na/K/Cl
hipoalbuminemi 130/4.2/107 SGOT/SGPT 49/30
a PT/APTT 0.9/0.9x Albumin 2,91
Ur/Cr 17,9/0.4 GDS 111
Ca cerviks
stadium IV A
metastasis buli,
fistula
vesikovaginalis, 18/7/19 PT/APTT 0,9x/0,9x Kapten urologi dengan rencana
pyelonefrits Prof. Dr. dr. 14/7/19 DPL nefrostomi ulang, konsul
404 E Sri Hartni 57 4305095 kanan on Andrijono, 11,5/35,6/9210/620000 albumin radioterapi (+), Evaluasi tampon
nefrostomi, SpOG(K) 2,65 SGOT/SGPT 41/79 Kultur 21/7/2019
hidronefrosis kiri urine : E.coli Ur/Cr 15.5/0,9
on nefrostomi,
Riwayat DVT dan
peningkatan
PT/APTT
13/7/19 DPL :
10.4/29/4950/477000, asam
Ileus obstruktf laktat 2.1, AGD: pH 7.4, PCO2 49,
post stoma PO2 42.1, HCO3 33.3, total CO2
dengan Ca cervix dr. T. Dewi
34.8, BE 8.5, O2 saturasi 67.10, Rencana rawat jalan, Perawatan
419 B Coni Aresta 45 4310604 III B post rasiasi Anggraeni, 12/7/19 DPL : luka op, dengan kapten bedah
(Nov 2018) SpOG(K) 9.9/28/8420/430000, PT/APTT: 0.9
partal response- x/1.1x, OT/PT : 26/9, Ur/Cr :
NED
33/0.93, alb 3.97,GDS 110,
206C, 207 A,
206 B, 206 E, dr. T. Dewi 207 C, 210 A,
DNR 207 D, 207 A, Anggraeni, 21O B, 210 dr. Kartwa Hadi N, SpOG(K) 206F
210 C SpOG(K) C,211 A 519F,
419B
Dr. dr. Laila 205 A, 206 E,
Nuranna, Dr. dr. Hariyono W, SpOG (K) 206 A, 213 B
210D
SpOG(K)
Prof. Dr. dr.
Andrijono, 206, 207 C Dr. dr. Tofan W Utami, SpOG(K) 206 D
SpOG(K)
Dr. dr. Fitriyadi K, 204 B, 207D, Dr. dr. Gatot Purwoto, SpOG(K)
SpOG(K) 207E, 214 D 211 B
Dr. dr. Sigit
Purbadi, 205 E
SpOG(K)
dr. Andi Darma Pu204 A, 204 C, 204 E, 206 D, 207B, 207 F
dr. Andi Darma 17/6/19 DPL: 10,2/29,2/5210/259000, 12/7/19 DPL:

204A Eka Sapitri 42 4379284 Ca cervix stadium IIB dengan anemia Putra, SpOG(K) 9.3/26/8490/316000, Ur/Cr : 54/1.2, elektrolit :
127/3.6/95.5
dr. Andi Darma 17/7/19 DPL 11.8/35.3/18150/266000 15/7/19 DPL

204 B Ropikoh 62 4367211 Ca cervix stadium IIIB dengan anemia Putra, SpOG(K) :Ur/Cr
9.6/29/16500/305000, OT/PT : 18/34, alb 2.2,
: 14/0.5, GDS 118, Elektrolit : 124/3.4/88
Dr. dr. Sigit
204 C Ismiyat 37 4327917 Ca ovarium Purbadi, 16/7/19 DPL 12,7/37.7/7300/278000
SpOG(K)
dr. Kartwa Hadi DPL 17/7/19: 13.9/41.6/6760/335000
204 D Suhart 39 4380996 Ca cerviks stadium III B
N, SpOG(K)
dr. T. Dewi 17/7/19 DPL 11,2/34,5/8400/352000 15/7/19 DPL:

Ca ovarium advance stage, anemia ec
204E Tarsih 26 4364464 Anggraeni, 8,6/26,8/10680/384000, SGOT/SGPT: 18/29, alb 3,18,
malignansi, hipoalbuminemia SpOG(K) Ur/cr: 45/0,7
Dr. dr. Sigit
204 F Erningsih 56 4383743 Ca cervix stadium II B Purbadi, 17/7/19 DPL 11,1/32/4360/221000
SpOG(K)
16/7/19 Estradiol 81.2 DPL 11.4/32/7990/407000,

Dr. dr. Laila Estradiol 81.2, 15/7/19 DPL
205 A Nuryant 34 4275645 Ca ovarium residif Nuranna, 9.1/27.3/8310/523000//89/29/33 fibrinogen 562/d-
SpOG(K) dimer 23530 PT 0,8x/APTT 0,8x SGOT 17/SGPT 24
/Alb 4.08
Ca ovarium post inadequate surgical staging dan dr. Andi Darma 10/7/19 DPL 10.8/32/5800/248000 Albumin 4,3
205 C Tet Rahmawat 43 4364622 post NAC Putra, SpOG(K) SGOT 64, Ur/Cr 27/0,8 Na/K/Cl 138/3,7/102
12/7/19 albumin 2.54 elektrolit 134/4.3/106 kalsium

POD 8 post laparatomi SOD-VC, HTSOS, 7.3 ca ion 0.91 mg 1.51 11/7/19 DPL post op
perinektomi, reseksi tumor ileocaecal dan stoma 10,6/31,8/12140/311000, PT/APTT 1,0/1,2
ileocolon ascenden double barrel atas indikasi SGOT/SGPT 13/6 Ur/Cr 13/0,3 Na/K/Cl
tumor ganas ovarium condong ke arah signet Dr. dr. Tofan W
205 D Then Yun Lan 69 4380589 135/2,9/103,1 Albumin 2,0 10/7/2019 DPL
ring cell primer di GI tract, metastasis ovarium Utami, SpOG(K) 11,7.35,2/12490/419000 Albumin 3.09 elektrolit
kanan dengan mioma uteri dan hidrosalping kiri 137/3.7/102. 8/7/19 DPL 9/27.4/10.370/474.000
dengan permasalahan hipoalbuminemia dan GDS 110, alb 2.7, elektrolit 130/3.3/98.4 OT/PT 15/7
hipokalemia ur/crec 13/0.4, pt/aptt : 1.1x/1.2x
15/7/19 DPL 12.1/34/20300/207000, OT/PT : 13/10,

POD 4 Post laparotomi adhesiolisis, histerektomi Dr. dr. Sigit Alb 2.77, Ur/Cr : 30/0.8, elektrolit : 137/3.4/105,
PT/APTT : 0.9X/0/8X11/7/2019 DPL
205 E Rukiyah 52 4381465 radikal, SOB, limfadenektomi pelvik bilateral, atas Purbadi, 13.2/38.8/7560/231000 Ur/Cr 20/0.8 Na/K/Cl
indikasi Ca cervix IB2 SpOG(K) 138/3.4/104.9 Albumin 4.0 SGOT/SGPT 12 11
PT/APTT 0.9/0.8
Ca cerviks stadium IIIB pasca radiasi luar 25 kali,
kemoterapi 3 kali dengan Ca pain VAS 3, anemia, Dr. dr. Tofan W 18/7/19 DPL 7/20.4/19310/376000 Albumin 2,77
205 F Icih 32 4380115 hidronefrosis bilateral on nefrostomi, intake sulit, Utami, SpOG(K) Ur/Cr 11,6/0,86 Na/K/Cl 127/3,1/101 SGOT/SGPT
hipoalbuminemia, hiponatremia, hipokalemia, 30/13
leukositosis
NOK dengan bagian padat susp maligna,asites, Dr. dr. Hariyono 15/7/19 DPL 10,7/32.6/36560/695000 SGOT
206 A susi natalia 51 4275645 AKI dd/acut on CKD, efusi pleura W, SpOG (K) 40/SGPT18/ALB 3,2/ur 102/cr 4,1/N 136/K 5.4/Cl 96.3
Ca cervix stadium IIIB post radiasi eksterna 7 kali, 18/7/19 DPL 8,2/24,1/28350/369000, 18/7/29
anemia ec riwayat perdarahan, riwayat Dr. dr. Gatot Ur/Cr 237/4,5 NaK/Cl 130/3,7/9916/7/19 DPL
206 B Nurlaela 36 4333066 hematemesis melena, riwayat syok hipovolemik, Purwoto, 6,3/18,1/60750/558000, elektrolit : 127/5,7/94,
AKI ec uropat obstruktf, hiperkalemia, SpOG(K) PT/APTT : 0,9x/0,9x, OT/PT : 19/6, alb 3,04, Ur/Cr :
hiponatremia 230,1/5,3
Ca endometrium stadium IIIC post laparotomi

surgical staging, dengan: intake sulit, anemia Dr. dr. Gatot 17/7/19 DPL 8/21,9/15510/110000, alb : 1,29,
206 C Muliyah 58 4363341 normositk normokromik, trombositopenia, Purwoto, PT/APTT : 1.1x/1.2x, OT/PT : 44/75, Ur/Cr :53,9/0.9,
peningkatan enzim transaminase, leukositosis SpOG(K) GDS 115, elektrolit : 131/2,0/108
reaktf dd/infektf
Dr. dr. Sigit

Ca ovarium advanced stage dengan asites on 18/7/19 Ur/Cr 19/0,8 albumin 1,59 Na/K/Cl
206 D Sit Zaetun 37 4382260 Purbadi,
cystofix 125/2,5/ 95 DPL: 13.2/38/8000/528000
SpOG(K)
17/7/19 DPL: 9,2/26,9/27520/425000 16/7/19 : DLP

Ca cervix IVB, post raditerapi, cancer pain, AKI dd Dr. dr. Laila 9.9/31/23440/805000 15/7/19 DPL
206 E Et sumiat 41 4391292 acute on CKD,anemia (8,2), leukositosis, meta Nuranna, 8.2/25.3/25900/880000/SGOT 16SGPT 9/Ur 57.6/Cr
buli SpOG(K) 1.3GDS 67/ Na 134/K 3.5/Cl 105
18/7/19 Ca 125: 161/ CEA 1,6/ Ca 199: <2/ 15/7/19

Ca 125 118, 9/7/2019 DPL 10/31/25590/909000
Gambaran darah tepi: anemia mikrositk hipokrom,
NOK suspek maligna dengan abdominal pain ec anisopokilositosis, fragmentosist (+) ovalosit (+),
Mariana Wat ileus obstruktf, hipoalbumin, peningkatan enzim dr. Kartwa Hadi Urinalisa bakteria positf, darah +3, nitrit positf, PCT
206 F 49 4391856
Santoso transaminase, leukositosis infektf dd reaktf, N, SpOG(K) 42 ng/dL, 8/7/2019 DPL
trombositosis, ISK asimtomatk, 11.4/35/13840/969000//64/20/31 PT 10.8 (10.4)
aPTT 41.3 (34) SGOT/SGPT 55/58, Ureum/Cr 40/0.86
GDS 101, Albumin 2.8, elektrolit 133/4.6/109, asam
urat 4.1, Mg 1.5 Ca darah 7.7
17/7/19 DPL:7,2/20,8/27920/376000, Ca:8,7,
Fosfat:5, e:130/4,7/103,4, Ur/cr: 157/6,7, AGD: pH
7,6/pCO2 16/pO2 157/HCO3 17,7/ ttal CO2 18,2/BE
0,6/ SpO2 99,8/ Std HCO3 25/Std BE -3,2, 15/7/19
DPL 9.3/27/30180/467000, PT/APTT: 0.9x/1.2x, Ur/Cr:
107/4.7, elektrolit : 136/4.2/102, 14/7/19 elektrolit
Ca cervix stadium IIB dengan intake sulit, 135/7.3/111 pasca koreksi 132/7.2/109.6 13/7/19
dr. T. Dewi
hidronefrosis bilateral, anemia ec blood loss, elektrolit : 126/6.4/102, Ca 8.3, P darah 8.1, HbSAg
leukositosis, hiponatremia, acute on CKD, dan ant HCV non reaktf, D-dimer 190, Fibrinogen
SpOG(K)
hiperkalemia, melena 522, PT/APTT : 0.9x/ 1.4x, Ur/Cr : 193/10.8, alb 2.93,
AGD : pH 7.363, PCO2 24.9, PO2 105, HCO3 14.3,
total CO2 15.1, BE -8.9, O2 saturasi 97.4, 12/7/19 DPL
10/29.3/3.75/22.880/474.000 ur/crec 11.2/195
elektrolit 124/6.4/98.4 11/7/19 DPL
7.4/22/20160/470000, SGOT/SGPT 9/6, Ur/Cr
191/12.3 GDS 87, Na/K/Cl 123/6.3/96.6
Massa tunggul vagina suspek Ca cervix residif 18/7/19 DPL 9,7/28,2/18750/267000, 16/7/19 DPL
post histerektomi total 3 tahun, hematuria gross Prof. Dr. dr.
6.8/21/13400/396000, PT/APTT 0.9x/0.9x, Elektrolit
207 B Suhartni 52 4392151 ec suspek metastasis buli, hidronefrosisi bilateral, Andrijono, 133/4.6/110, OT/PT: 19/9, alb 3.46, UrCr 40/1.5, ,
anemia, leukositosis, hiponatremia dan SpOG(K) GDS 120, asam urat 5.0
hipoalbuminemia
Ca ovarium advanced stage dengan asites on Dr. dr. Sigit 18/7/19 DPL 10.8/30.8/11810/690000, Albumin 2.04,
207 C Rosdiana 46 4382217 Purbadi,
cystofix Na/K/Cl 120/5,2/88.3
SpOG(K)
Asites masif, susp Ca endometrium post HTSOB 1 Dr. dr. Gatot 17/7/19 DPL 11.87/33.7/12320/665000, Na/K/Cl
207 E Hoberthina 61 4384464 tahun lalu, efusi pleura bilateral, leukositosis Purwoto,
130/4,1/105
infektf, trombositosis SpOG(K)
dr. Andi Darma 18/7/2019 DPL 9,6/29,3/4880/242000, 15/7/19 DPL

207 F Dominiika Domi 44 4381845 Ca cervix dengan anemia 7.6/22/3410/294000, OT/PT : 16/14, albumin 3.6,
Putra, SpOG(K) GDS 100, elektrolit : 134/4/101
Ca endometrium stadium IIIC dengan Dr. dr. Sigit

210 A RT Merani 69 4327743 Purbadi, 18/7/19 DPL: 11.4/33.7/2960/45000
trombositopenia dan leukopenia SpOG(K)
18/7/2019 Albumin 2,12 16/7/19 DPL

11.3/31/11230/173000, alb 1.83, P darah 3.4, Mg
2.18, 10/7/2019 12.1/34/8620/196000 Albumin 2.5
Ca ovarium progresif susp meta hepar dan paru, , dr. T. Dewi 9/7/19 DPL : 9.9/28/9490/210000, PT/APTT :
ascites post pungsi, hipoalbuminemia,
210 C Salindri 26 4329454 Anggraeni, 0.9x/0.8x, Na/K/Cl 124/5,0/91,2 LDH 852 OT/PT :
hiponatremia,lymphedema ec penekanan massa, SpOG(K) 279/291, Fibrinogen 265, D-dimer 35200, alb 2.14, Bil
hipoalbumin, DVT bilateral T/D/I : 10.8/7.94/2.88, AFP >80000 Ur/Cr: 28/0.5
8/7/19 Albumin 2.05 DPL
9.3/27/34.400/9150/195.000
18/7/2019 Ur/Cr 95/6,2 Na/K/Cl 132/4,3/101
Ca cervix stadium III B pasca radiasi lengkap 17/7/19 e:129/4,9/101,2, ur/cr: 10/65 16/7/19
(2016) residif dengan metastasis KGB inguinalis Darah samar tinja negatif, 15/7/19 DPL
dr. T. Dewi
Endang on paliatf dengan anemia (hb 7) ec chronic 9.7/28/13200/493000, Ur/Cr 121/8.9, Elektrolit :
211 A 62 4143044 Anggraeni,
Setawat disease, akut on ckd on HD dan nefrostomi, 126/5.1/9513/7/19 DPL : 7/20/17040/595000,
SpOG(K)
hiponatermia, dispepsia, hipoalbuminemia, pt/aptt : 0.9X/1.1X, ot/pt : 24/7, albumin 3.07, Ur/Cr :
dispepsia, leukositosis 162/9.81, GDS 91, elektrolit : 125/7.6/103, elektrolit
post koreksi : 131/4.3/117
15/7/19 DPL 12.1/35/12570/334000, PT/APTT:

0.8x/0.9x, OT/PT 29/15, alb 2.68, Ur/Cr : 21/0.70,
POD 4 post laparotomi HTSOS, omentektomi, elektrolit 137/3.3/102, 12/7/19 DPL :
apendektomi, limfadenektomi pelvik bilateral, Dr. dr. Gatot 13.7/41/5500/397000, OT/PT : 18/18, Ur/CR: 29/0.8,
211 B Lie Siat 50 4353786 paraaorta, reseksi implan di kavum douglas atas Purwoto, alb 4.4, GDS 92, elektrolit : 138/4./102, PT/APTT :
indikasi Ca ovarium IIIC, riwayat LO SOD post SpOG(K) 0.9x/1.2x 28/5/2019 DPL 12.9/38.3/5590/325000,
NAC 3X CEA 4.1 ca 125: 49,4 Ur/Cr 28/0,7 na/K/Cl
138/3,9/107
Dr. dr. Sigit 17/7/19 DPL: 5,5/17,1/21230/391000, SGOT/SGPT:

212 A Sit Zaenab 26 4364464 Ca cerviks dengan anemia, AKI dd/ acute on CKD Purbadi, 27/7, alb 3,91, Ur/cr: 119/6,1
SpOG(K)
18/7/19 post op DPL 8,5/26,5/11270/380000

PT/APTT 1,1/1,2x ALbumin 2,0 SGOT/SGPT 17/16
POD I post laparatomi optmal debulking ai Ur/Cr 37/0,8 Na/K/Cl 137/4,0/10517/7/19 jam
tumor ganas mesenkimal (fibrosarkoma) Dr. dr. Hariyono 06.03 DPL: 8,8/27,9/8510/579000, 16/7/19 CEA 1.6,
ICU Umi kulsum 46 4383754 clinically advanced stage dengan anemia dan W, SpOG (K) CA 19-9 <2, 15/7/19: DPL
hipoalbuminemia 7,3/24.3/7850/549000//72,3.21.7/30 Albumin
3,5/Na 137/K 4,4/Cl 101/ GDS 61/SGOT 36/SGPT 7/
Ur 40/Cr 1,0
POD I post laparatomi HTSOB, debulking KGB 18/7/2019 post op DPL 10,9/32,7/13660/275000,
pelvik bilateral, debulking KGB paraaorta ai Ca Na/K/Cl 137/3,9/105, 16/7/19 DPL:
HCU Emidi 61 3756596 endometrium clinically advanced stage dan post Dr. dr. Tofan W 12.3/35/7950/379000, OT/PT : 14/14, Alb 3.68,
reimplantasi ureter kiri dan insersi DJ stent kanan Utami, SpOG(K) Ur/Cr : 43/1.2, GDS 122, Elektrolit : 137/3.2/103,
atas indikasi hidroureter bilateral PT/APTT: 0.9x/1.1. x, FT4/FT3/TSH :0.88/2.05/5.234
16/7/19 DPL 11.5/35/13970/206000, alb 3.55,

elektrolit 136/4/98, AFP 4.39, CEA 1461, Ca 19-9 26.7,
NOK susp maligna dengan riwayat penurunan Ca 125 530 13/7/19 DPL : 11.1/33/17020/193000, D-
dr. T. Dewi
kesadaran ec SOL, massa hepar susp dimer : 3860, fibrinogen 196, 11/7/19 DPL
519 F Sulastri 32 4385041 Anggraeni,
meetastasis, anemia post transfusi, 8.4/24.8/14860/286000//87.6/29.7/33.9 8/7/19 DPL
SpOG(K)
hipoalbuminemia 5,5/16.4/28650/325000 Na/K/Cl 130/4.2/107
SGOT/SGPT 49/30 PT/APTT 0.9/0.9x Albumin 2,91
Ur/Cr 17,9/0.4 GDS 111
Ca cerviks stadium IV A metastasis buli, fistula Prof. Dr. dr. 18/7/19 PT/APTT 0,9x/0,9x 14/7/19 DPL
vesikovaginalis, pyelonefrits kanan on
404 E Sri Hartni 57 4305095 Andrijono, 11,5/35,6/9210/620000 albumin 2,65 SGOT/SGPT
nefrostomi, hidronefrosis kiri on nefrostomi, SpOG(K) 41/79 Kultur urine : E.coli Ur/Cr 15.5/0,9
Riwayat DVT dan peningkatan PT/APTT
13/7/19 DPL : 10.4/29/4950/477000, asam laktat 2.1,
AGD: pH 7.4, PCO2 49, PO2 42.1, HCO3 33.3, total
dr. T. Dewi
Ileus obstruktf post stoma dengan Ca cervix III B CO2 34.8, BE 8.5, O2 saturasi 67.10, 12/7/19 DPL :
419 B Coni Aresta 45 4310604 Anggraeni,
post rasiasi (Nov 2018) partal response- NED 9.9/28/8420/430000, PT/APTT: 0.9 x/1.1x, OT/PT :
SpOG(K) 26/9, Ur/Cr : 33/0.93, alb 3.97,GDS 110, elektrolit
134/3.2/113
206C, 207 A,
206 B, 206 E, 207 C, 210 A,
DNR 207 D, 207 A, dr. T. Dewi Anggraeni, SpOG(K) 21O B, 210 dr. Kartwa Hadi N, SpOG(K)
210 C C,211 A 519F,
419B
205 A, 206 E,
210D
Prof. Dr. dr. Andrijono, SpOG(K) 206, 207 C Dr. dr. Tofan W Utami, SpOG(K)
204 B, 207D,
207E, 214 D
Dr. dr. Sigit Purbadi, SpOG(K) 205 E
dr. Andi Darma Putra, SpOG (K) 204 A, 204 C, 204 E, 206 D, 207B, 207 F
Target
kemoterapi, pulang
kemoterapi, pulang
kemoterapi, pulang
kemoterapi, pulang
kemoterapi, pulang
kemoterapi, pulang
Rencana laparotomi debulking

22/7/19

22/7/19
Rencana rawat jalan, Perawatan

luka op, stoma (+)
Rencana perawatan post-op,

bladder training, diet tktp,
mobilisasi
Perbaikan KU
Konsul ginjal hipertensi?

Konsul Pulmo : rncana USG
thorax dan stand by mini wsd,
sudah dipungsi dan sudah di
keluarkan 2000 cc
Raber IPD: rencana HD,

Raber urologi : rencana
sistoskopi,
RencanaPaliatve care
transfusi PRC hingga Hb >10

g/dl, raber IPD, albumer 20%
rencana punksi?
Terpasang tampon (+), koreksi

albumin, Raber gizi klinik
Raber Bedah vaskular: rencana
CT angiografi pelvis dan
abdomen, compression elastc
verban
Saran konsul IPD KHOM,

Persiapan perioperatf, Raber
Bedah, Gizi klinik dan IPD,
dalam nutrisi parenteral, puasa
Transfusi PRC, Raber IPD dan
Urologi (rencana nefrostomi
bilateral), konsul IPD , rencana
HD 15/7/19, tatalaksana
melena
transfusi PRC target hb>10,

konsul urologi --> rencana
sistoskopi, RPG bilateral,
nefrostomi bilateral
Rencana punksi asites
Punksi asites (+)
rencana transfusi target Hb 10
Transfusi TC 10 bag
Koreksi albumin, Raber gizi

klinik Raber Bedah
vaskular: rencana CT angiografi
pelvis dan abdomen,
Raber IPD GH, urologi dan
neurologi Tranfusi PRC hingga
Hb>10, cek ulang ur/cr dan
USG abdomen post nefrostomi
2 hari lagi
Drain (+)
Rencana perawatan post-op
Konsul Ginjal hipertensi,

Tranfusi PRC hingga Hb>10
NE 0,3 mcg/kg/menit, transfusi

PRC , koreksi albumin, rencana
perawatan post op
Drain (+), BNO 19/7/19, FC

dipertahankan selama 2
minggu, rencana perawatan
post op
Kapten neuro,Saran raber

hepatologi Rencana MRI
abdomen dengan kontras
Kapten urologi dengan rencana

nefrostomi ulang, konsul
radioterapi (+), Evaluasi tampon
20/7/2019
Perawatan luka op, dengan
kapten bedah
206F
206 A, 213 B
206 D
211 B
Ward Map Ginekologi Onkologi Kamis, 18 Juli 2019
dr. Andi Darma 16/7/19 DPL 13,2/41,4/7980/380000, elektrolit :

204D Sumini 46 4255025 Ca ovarium residif, riwayat asites post pungsi Putra, SpOG(K) 134/4,5/100,2, GDS 112, Ur/Cr : 28/0.8, OT/PT :
38/27, Alb 3,2
17/7/19 DPL 10/32,1/4420/299000,

dr. Kartwa Hadi 9/7/19 OT/PT: 14/11, Ur/Cr 13/0.6, GDS 95,
204F Susi L 29 4382577 PTM high risk N, SpOG(K) elektrolit : 138/4/108,5
12/6/19 bHCG:2090 mlU/ml
16/7/19 DPL 11.4/32/7990/407000, Estradiol 81.2,

Dr. dr. Laila 15/7/19 DPL 9.1/27.3/8310/523000//89/29/33
205 A Nuryant 34 4275645 Ca ovarium residif Nuranna, fibrinogen 562/d-dimer 23530 PT 0,8x/APTT 0,8x
SpOG(K) SGOT 17/SGPT 24 /Alb 4.08

15/7/19 DPL 12.1/34/20300/207000, OT/PT : 13/10,

Alb 2.77, Ur/Cr : 30/0.8, elektrolit : 137/3.4/105,
POD 3 Post laparotomi adhesiolisis, histerektomi Dr. dr. Sigit PT/APTT : 0.9X/0/8X11/7/2019 DPL
205 E Rukiyah 52 4381465 radikal, SOB, limfadenektomi pelvik bilateral, atas Purbadi,
13.2/38.8/7560/231000 Ur/Cr 20/0.8 Na/K/Cl
PT/APTT 0.9/0.8
Dr. dr. Hariyono 15/7/19 DPL 10,7/32.6/36560/695000 SGOT

206 A susi natalia 51 4275645 NOK dengan bagian padat susp maligna,asites
W, SpOG (K) 40/SGPT18/ALB 3,2/ur 102/cr 4,1/N 136/K 5.4/Cl 96.3
Ca cervix stadium IIIB post radiasi eksterna 7 kali,

anemia ec riwayat perdarahan, riwayat Dr. dr. Gatot 16/7/19 DPL 6,3/18,1/60750/558000, elektrolit :
206 B Nurlaela 36 4333066 hematemesis melena, riwayat syok hipovolemik, Purwoto, 127/5,7/94, PT/APTT : 0,9x/0,9x, OT/PT : 19/6, alb
AKI ec uropat obstruktf, hiperkalemia, SpOG(K) 3,04, Ur/Cr : 230,1/5,3
hiponatremia
Ca endometrium stadium IIIC post laparotomi

surgical staging, dengan: intake sulit, anemia 17/7/19 DPL 8/21,9/15510/110000, alb : 1,29,
206 C Muliyah 58 4363341 normositk normokromik, trombositopenia, PT/APTT : 1.1x/1.2x, OT/PT : 44/75, Ur/Cr :53,9/0.9,
peningkatan enzim transaminase, leukositosis GDS 115, elektrolit : 131/2,0/108
reaktf dd/infektf
dr. Andi Darma 17/6/19 DPL: 10,2/29,2/5210/259000, 12/7/19 DPL:
206 D Eka Sapitri 42 4379284 Ca cervix dengan anemia Putra, SpOG(K) 9.3/26/8490/316000, Ur/Cr : 54/1.2, elektrolit :
127/3.6/95.5
17/7/19 DPL: 9,2/26,9/27520/425000 16/7/19 : DLP

Dr. dr. Laila
Ca cervix IVB, cancer pain, AKI dd acute on 9.9/31/23440/805000 15/7/19 DPL
206 E Et sumiat 41 4391292 Nuranna,
CKD,anemia (8,2), leukositosis, meta buli 8.2/25.3/25900/880000/SGOT 16SGPT 9/Ur 57.6/Cr
SpOG(K) 1.3GDS 67/ Na 134/K 3.5/Cl 105
15/7/19 Ca 125 118, 9/7/2019 DPL

10/31/25590/909000 Gambaran darah tepi: anemia
mikrositk hipokrom, anisopokilositosis, fragmentosist
NOK suspek maligna dengan abdominal pain ec (+) ovalosit (+), Urinalisa bakteria positf, darah +3,
Mariana Wat ileus obstruktf, hipoalbumin, peningkatan enzim dr. Kartwa Hadi nitrit positf, PCT 42 ng/dL, 8/7/2019 DPL
206 F 49 4391856
Santoso transaminase, leukositosis infektf dd reaktf, N, SpOG(K) 11.4/35/13840/969000//64/20/31 PT 10.8 (10.4)
trombositosis, ISK asimtomatk, aPTT 41.3 (34) SGOT/SGPT 55/58, Ureum/Cr 40/0.86
17/7/19 DPL:7,2/20,8/27920/376000, Ca:8,7,

Fosfat:5, e:130/4,7/103,4, Ur/cr: 157/6,7, AGD: pH
7,6/pCO2 16/pO2 157/HCO3 17,7/ ttal CO2 18,2/BE
0,6/ SpO2 99,8/ Std HCO3 25/Std BE -3,2, 15/7/19
DPL 9.3/27/30180/467000, PT/APTT: 0.9x/1.2x, Ur/Cr:
107/4.7, elektrolit : 136/4.2/102, 14/7/19 elektrolit
Ca cervix stadium IIB dengan intake sulit, 135/7.3/111 pasca koreksi 132/7.2/109.6 13/7/19
dr. T. Dewi
hidronefrosis bilateral, anemia ec blood loss, elektrolit : 126/6.4/102, Ca 8.3, P darah 8.1, HbSAg
leukositosis, hiponatremia, acute on CKD, dan ant HCV non reaktf, D-dimer 190, Fibrinogen
SpOG(K)
hiperkalemia, melena 522, PT/APTT : 0.9x/ 1.4x, Ur/Cr : 193/10.8, alb 2.93,
AGD : pH 7.363, PCO2 24.9, PO2 105, HCO3 14.3,
total CO2 15.1, BE -8.9, O2 saturasi 97.4, 12/7/19 DPL
10/29.3/3.75/22.880/474.000 ur/crec 11.2/195
elektrolit 124/6.4/98.4 11/7/19 DPL
7.4/22/20160/470000, SGOT/SGPT 9/6, Ur/Cr
191/12.3 GDS 87, Na/K/Cl 123/6.3/96.6
dr. Andi Darma 15/7/19 DPL : 9.6/29/16500/305000, OT/PT : 18/34,

207 B Ropikoh 62 4367211 Ca cervix stadium IIIB dengan anemia
Putra, SpOG(K) alb 2.2, Ur/Cr : 14/0.5, GDS 118, Elektrolit :
124/3.4/88
Massa tunggul vagina suspek Ca cervix residif

post histerektomi total 3 tahun, hematuria gross Prof. Dr. dr. 16/7/19 DPL 6.8/21/13400/396000, PT/APTT
207 C Suhartni 52 4392151 ec suspek metastasis buli, hidronefrosisi bilateral, Andrijono, 0.9x/0.9x, Elektrolit 133/4.6/110, OT/PT: 19/9, alb
anemia, leukositosis, hiponatremia dan SpOG(K) 3.46, UrCr 40/1.5, , GDS 120, asam urat 5.0
hipoalbuminemia
13/7/19 DPL : 8.4/25/26470/244000, Alb 2.3, Ur/Cr:
91/2.4, PT: 1.1X, Elektrolit: 136/3.9/103 11/7/19 DPL
9.7/28.4/28020/331000, Ur/Cr 101/2.2GDS 68,
Na/K/Cl 137/3.3/102 10/7/2019 PT 12.5 (11.7) APTT
35.5 (34.2) 9/7/19 DPL 8/23.4/29110/355000, alb
Ca cervix stadium III B dengan anemia, 2.34, Ur/Cr: 195/3.6, elektrolit : 130/3.6/105, HBsAg
hidronefrosis bilateral on nefrostomi, nefrostomi Dr. dr. Fitriyadi non reaktf, ant HVC non reaktf,
207 D Ika Handayani 37 4388904 kanan rembes dan nefrostomi kiri macet, Kusuma, 7/7/19 DPL 6,1/17,7/36440/383000 Albumin 2,06
leukositosis infektf, edema kedua tungkai suspek SpOG(K) Ur/Cr 189/3,4 Na/K/Cl 130/4,1/103 Fibrinogen
dvt, aki dd akut on ckd, hiponatremia 186,6 d-dimer 4760 5/7/19 :
DPL : 5.8/17/46470/575000, OT/PT : 15/7, Ur/Cr :
144/2.78, GDS 75, Elektrolit : 125/4.7/106, PT/APTT :
10 X/ 5X,6/7/19 UL : bakteri (+), leukosit 6-8/lpb,
albumin +1, darah +2, leukosit esterase +2
dr. Andi Darma 15/7/19 DPL 7.6/22/3410/294000, OT/PT : 16/14,

207 F Dominiika Domi 44 4381845 Ca cervix dengan anemia Putra, SpOG(K) albumin 3.6, GDS 100, elektrolit : 134/4/101
16/7/19 DPL: 12.3/35/7950/379000, OT/PT : 14/14,
dr. T. Dewi
Alb 3.68, Ur/Cr : 43/1.2, GDS 122, Elektrolit :
210B Emidi 61 3756596 Ca endometrium stadium II Anggraeni, 137/3.2/103, PT/APTT: 0.9x/1.1. x, FT4/FT3/TSH :
SpOG(K) 0.88/2.05/5.234
16/7/19 DPL 11.3/31/11230/173000, alb 1.83, P

darah 3.4, Mg 2.18, 10/7/2019
Ca ovarium progresif susp meta hepar dan paru, , 12.1/34/8620/196000 Albumin 2.5 9/7/19 DPL :
dr. T. Dewi
ascites post pungsi, hipoalbuminemia, 9.9/28/9490/210000, PT/APTT : 0.9x/0.8x, Na/K/Cl
210 C Salindri 26 4329454 Anggraeni,
hiponatremia,lymphedema ec penekanan massa, 124/5,0/91,2 LDH 852 OT/PT : 279/291, Fibrinogen
SpOG(K)
hipoalbumin, DVT bilateral 265, D-dimer 35200, alb 2.14, Bil T/D/I :
10.8/7.94/2.88, AFP >80000 Ur/Cr: 28/0.5 8/7/19
Albumin 2.05 DPL 9.3/27/34.400/9150/195.000
16/7/19 elektrolit 130/4.6/101, 15/7/19 DPL

10.5/32/9210/226000, OT/PT : 13/<6, Alb 2.71,
POD 3 Post laparotomi SOD-VC, histerektomi Dr. dr. Laila Ur/CR: 20/0.7, elektrolit 134/4.1/106, 13/7/19 DPL :
210 D Silvia Faulani 38 4367318 total, peritonektomi, atas indikasi kista Nuranna, 10.6/33.6/4850/236000, 11/7/2019 DPL
endometriosis,adenomyosis SpOG(K) 8.5/27.1/4430/258000 PT/APTT0.9/1.2x
SGOT/SGPT 12/<6 Ur/Cr 19/1.0 Na/K/Cl 139/3.7/102
Albumin 3.5 Ca 125: 455
17/7/19 e:129/4,9/101,2, ur/cr: 10/65 16/7/19

Ca cervix stadium III B pasca radiasi lengkap Darah samar tinja negatif, 15/7/19 DPL
(2016) residif dengan metastasis KGB inguinalis dr. T. Dewi 9.7/28/13200/493000, Ur/Cr 121/8.9, Elektrolit :
Endang on paliatf dengan anemia (hb 7) ec chronic
211 A 62 4143044 Anggraeni, 126/5.1/9513/7/19 DPL : 7/20/17040/595000,
Setawat disease, akut on ckd on nefrostomi,
SpOG(K) pt/aptt : 0.9X/1.1X, ot/pt : 24/7, albumin 3.07, Ur/Cr :
hiponatermia, dispepsia, hipoalbuminemia, 162/9.81, GDS 91, elektrolit : 125/7.6/103, elektrolit
dispepsia, leukositosis post koreksi : 131/4.3/117
15/7/19 DPL 12.1/35/12570/334000, PT/APTT:
0.8x/0.9x, OT/PT 29/15, alb 2.68, Ur/Cr : 21/0.70,
indikasi Ca ovarium IIIC, riwayat LO SOD post SpOG(K) 0.9x/1.2x 28/5/2019 DPL 12.9/38.3/5590/325000,
138/3,9/107
Ca ovarium advance stage, anemia ec 15/7/19 DPL: 8,6/26,8/10680/384000, SGOT/SGPT:

212 A Tarsih 26 4364464 malignansi, hipoalbuminemia 18/29, alb 3,18, Ur/cr: 45/0,7
17/7/19 jam 06.03 DPL: 8,8/27,9/8510/579000,
Dr. dr. Hariyono 16/7/19 CEA 1.6, CA 19-9 <2, 15/7/19: DPL
213B Umi kulsum 46 4383754 NOP susp maligna,anemia W, SpOG (K) 7,3/24.3/7850/549000//72,3.21.7/30 Albumin
3,5/Na 137/K 4,4/Cl 101/ GDS 61/SGOT 36/SGPT 7/
Ur 40/Cr 1,0
16/7/19 DPL 11.5/35/13970/206000, alb 3.55,

dr. T. Dewi
SpOG(K)
Ur/Cr 17,9/0.4 GDS 111
13/7/19 DPL : 10.4/29/4950/477000, asam laktat 2.1,

dr. T. Dewi
SpOG(K)
26/9, Ur/Cr : 33/0.93, alb 3.97,GDS 110, elektrolit
134/3.2/113
206C, 207 A,
206 B, 206 E, 207 C, 210 A,
210 C C,211 A 519F,
419B
205 A, 206 E,
210D
204 B, 207D,
207E, 214 D
Target
Perawatan luka op, stoma (+),

drain abdomen sudah dilepas

keluarkan 2000 cc
Paliatve care
transfusi PRC hingga Hb >10

g/dl, raber IPD, albumer 20%
cek ulang elektrolit


melena
transfusi target hb 10,

kemoterapi

konsul urologi --> menuggu
jawaban
Rencana revisi nefrostomi -->
urologi: akan diselipkan tgl
15/7/19. HD 11/7/19, CDL (+).
Konsul urologi : rencana APG
K/P revisi nefrostomi Konsul
Ginjal hipertensi : transfusi prc
300 cc, cek elektrolit, ur/cr per
2 hari bedah vaskular :
heparin bolus 5000 IU,
maintanance 15000 IU/24 jam,
elastc verband, CTA
ekstermitas bawah fase vena
Transfusi PRC
Koreksi albumin
iv
rencana laparotomi surgical

staging 18/7/19
Raber gizi klinik Raber

Bedah vaskular: rencana CT
angiografi pelvis dan abdomen,
perawatan post-op
Tranfusi PRC hingga Hb>10, cek

ulang ur/cr dan USG abdomen
post nefrostomi 2 hari lagi
Tranfusi PRC hingga Hb>10
transfusi PRC , menunggu hasil

DPL post tranfusi, rencana
lap.VC

abdomen dengan kontras, usg
FM

kapten bedah
206F
206 A, 213 B
206 D
211 B
Ward Map Ginekologi Onkologi Rabu, 17 Juli 2019
dr. Andi Darma
204A Sulkha 41 411-30-88 PTM high risk Putra, SpOG(K) 15/7/19 DPL : 12.1/35/5460/263000
Dr. dr. Fitriyadi 10/7/19 DPL 11.5/33/8340/290000, Ur/Cr : 74/2.4,
Dewi
204B 41 4379019 Ca serviks II B Kusuma,
Rustaningsih elektrolit : 312/3.7/99,
SpOG(K)
dr. Andi Darma 12/7/19 DPL 10.9/32/5500/299000, elektrolit :
204C Selvia Elisabeth 40 4379114 Ca cervix stadium III B
Putra, SpOG(K) 133/3.3/99, GDS 102, Ur/Cr : 16/0.7, OT/PT : 11/7
Ca ovarium stadium IA post laparotomi dr. Andi Darma 10/7/19 DPL 13.1/37/7850/331000, OT/PT: 16/14,
204E Tut Linda 53 4082335
surgicalstaging Putra, SpOG(K) Ur/Cr 30/0.7, GDS 116, elektrolit : 136/3.8/102
16/7/19 DPL 11.4/32/7990/407000, Estradiol 81.2,

Dr. dr. Laila 15/7/19 DPL 9.1/27.3/8310/523000//89/29/33
205 A Nuryant 34 4275645 Ca ovarium residif Nuranna, fibrinogen 562/d-dimer 23530 PT 0,8x/APTT 0,8x

15/7/19 DPL 12.1/34/20300/207000, OT/PT : 13/10,

Alb 2.77, Ur/Cr : 30/0.8, elektrolit : 137/3.4/105,
POD 2 Post laparotomi adhesiolisis, histerektomi Dr. dr. Sigit PT/APTT : 0.9X/0/8X11/7/2019 DPL
205 E Rukiyah 52 4381465 radikal, SOB, limfadenektomi pelvik bilateral, atas Purbadi, 13.2/38.8/7560/231000 Ur/Cr 20/0.8 Na/K/Cl
PT/APTT 0.9/0.8
Dr. dr. Hariyono 15/7/19 DPL 10,7/32.6/36560/695000 SGOT

206 A susi natalia 51 4275645 NOK dengan bagian padat susp maligna,asites W, SpOG (K) 40/SGPT18/ALB 3,2/ur 102/cr 4,1/N 136/K 5.4/Cl 96.3
Ca servix stadium IV A dengan penurunan

kesadaran ec metabolik dd metastasis, anemia Prof. Dr. dr. 15/7/19 DPL 9.3/18/17290/102000, elektrolit :
206 B Nuril 50 4379566 MH ec penyait kronik, hipoalbuminemia, AKI dd Andrijono, 130/5.3/125, PT/APTT : 1.1x/1.2x, OT/PT : 27/27, alb
akut on CKD, leukositosis reaktf dd infektf, SpOG(K) 2.38, Ur/Cr : 235/3.1
trombositopenia ec malignancy
15/7/19 DPL 10.2/32/16820/342000, Ca 125 551,
PCT 0.23, LDH 220, 14/7/19 DPL:
8.4/25/17230/356000, alb : 2.41, Bil T/D/I :
Suspek Ca cervix stadium IIB dengan anemia ec dr. T. Dewi
Selvia Yuliana 0.43/0.16/0.27, asam laktat 1.9, malaria tdak
206 C 26 4383457 riwayat perdarahan, febris hari ke 4 ec suspek Anggraeni,
Kaiway ditemukan hBSAg non reaktd, ant HCV 0,130 non
malaria dd infeksi bakteri dan Ca pain SpOG(K) reaktf 13/7/19 DPL : 9.3/28/17990/405000,
PT/APTT : 1.2x/1.2x, OT/PT : 17/17, Ur/Cr :12/0.6,
GDS 107, elektrolit : 133/3.3/107
dr. Andi Darma 12/7/19 DPL: 9.3/26/8490/316000, Ur/Cr : 54/1.2,

206 D Eka Sapitri 42 4379284 Ca cervix dengan anemia Putra, SpOG(K) elektrolit : 127/3.6/95.5
Dr. dr. Laila 16/7/19 : DLP 9.9/31/23440/805000 15/7/19 DPL

Ca cervix IVB, camcer pain, AKI dd acute on
206 E Et sumiat 41 4391292 Nuranna, 8.2/25.3/25900/880000/SGOT 16SGPT 9/Ur 57.6/Cr
CKD,anemia (8,2), leukositosis, meta buli
SpOG(K) 1.3GDS 67/ Na 134/K 3.5/Cl 105
15/7/19 Ca 125 118, 9/7/2019 DPL

10/31/25590/909000 Gambaran darah tepi: anemia
mikrositk hipokrom, anisopokilositosis, fragmentosist
NOK suspek maligna dengan abdominal pain ec
ileus obstruktf, hipoalbumin, peningkatan enzim dr. Kartwa Hadi (+) ovalosit (+), Urinalisa bakteria positf, darah +3,
Mariana Wat
206 F 49 4391856 N, SpOG(K) nitrit positf, PCT 42 ng/dL, 8/7/2019 DPL
Santoso transaminase, leukositosis infektf dd reaktf, 11.4/35/13840/969000//64/20/31 PT 10.8 (10.4)
15/7/19 DPL 9.3/27/30180/467000, PT/APTT:

0.9x/1.2x, Ur/Cr: 107/4.7, elektrolit : 136/4.2/102,
14/7/19 elektrolit 135/7.3/111 pasca koreksi
132/7.2/109.6 13/7/19 elektrolit : 126/6.4/102, Ca
8.3, P darah 8.1, HbSAg dan ant HCV non reaktf, D-
Ca cervix stadium IIB dengan intake sulit, dr. T. Dewi dimer 190, Fibrinogen 522, PT/APTT : 0.9x/ 1.4x,
hidronefrosis bilateral, anemia ec blood loss,
207 A Se Hiong 48 4382008 Anggraeni, Ur/Cr : 193/10.8, alb 2.93, AGD : pH 7.363, PCO2
leukositosis, hiponatremia, acute on CKD, SpOG(K) 24.9, PO2 105, HCO3 14.3, total CO2 15.1, BE -8.9, O2
hiperkalemia, melena saturasi 97.4, 12/7/19 DPL
10/29.3/3.75/22.880/474.000 ur/crec 11.2/195
elektrolit 124/6.4/98.4 11/7/19 DPL
7.4/22/20160/470000, SGOT/SGPT 9/6, Ur/Cr
191/12.3 GDS 87, Na/K/Cl 123/6.3/96.6
dr. Andi Darma 15/7/19 DPL : 9.6/29/16500/305000, OT/PT : 18/34,

207 B Ropikoh 62 4367211 Ca cervix stadium IIIB dengan anemia Putra, SpOG(K) alb 2.2, Ur/Cr : 14/0.5, GDS 118, Elektrolit :
124/3.4/88
Massa tunggul vagina suspek Ca cerix residif post
histerektomi total 3 tahun, hematuria gross ec Prof. Dr. dr. 16/7/19 DPL 6.8/21/13400/396000, PT/APTT
207 C Suhartni 52 4392151 suspek metastasis buli, hidronefrosisi bilateral, Andrijono, 0.9x/0.9x, Elektrolit 133/4.6/110, OT/PT: 19/9, alb
anemia, leukositosis, hiponatremia dan SpOG(K) 3.46, UrCr 40/1.5, , GDS 120, asam urat 5.0
hipoalbuminemia
13/7/19 DPL : 8.4/25/26470/244000, Alb 2.3, Ur/Cr:

9.7/28.4/28020/331000, Ur/Cr 101/2.2GDS 68,
Na/K/Cl 137/3.3/102 10/7/2019 PT 12.5 (11.7) APTT
35.5 (34.2) 9/7/19 DPL 8/23.4/29110/355000, alb
Ca cervix stadium III B dengan anemia,
hidronefrosis bilateral on nefrostomi, nefrostomi Dr. dr. Fitriyadi 2.34, Ur/Cr: 195/3.6, elektrolit : 130/3.6/105, HBsAg
non reaktf, ant HVC non reaktf,
DPL : 5.8/17/46470/575000, OT/PT : 15/7, Ur/Cr :
10/7/2019 DPL 11.1/33/8500/346000, elektrolit

136/3.4/105, Albumin 2.57, PT 10 (11,2) APTT 48
(32.2). 8/7/19 DPL : 9.3/27.5/8050/382000,
5/7/19 DPL 10.1/29.1/10550/353000
4/7/19 DPL 9,6/28,4/13050/407000 3/7/19 DPL:
8/23,7/10490/409000 2/7/19 DPL :
8.2/25/10130/450000 30/6/19 Ur/cr
24/0.5 28/6/2019 DPL
8,5/25,8/7.910/418.000
Suspek sarkoma Botryoides dd/ mioma Geburt Dr. dr. Fitriyadi 26/6/2019 DPL 5,7/17,3/9.500/375.000 Albumin 2,22
dengan hipoalbuminemia, riwayat syok
207 E Putri Diansyah 15 4381266 Kusuma, 22/6/2019 DPL 9,8/29,5/7.300/344.000
hipovolemik et causa perdarahan, retensio urin SpOG(K) 21/6/2019 DPL 8,3/25,3/6.860/336.000
ec suspek penekanan massa 19/6/2019 8/24,8/7.780/347.000 Albumin 2,32
18/6/2019 14,8/44,3/7.070/355.000 Na/K/Cl
135/3,4/94
17/6/2019 DPL 9,7/30,2/7.250/370.000 Albumin 1,9
15/6/2019 DPL 9,8/29,4/10.130/360.000
13/6/2019 DPL 7,7/24,7/6.600/386.000 Albumin 1,53
12/6/2019 DPL 2,8/10,3/7.350/428.000 Na/K/Cl
131/4,3/114 Ur/Cr 10,4/0,32 SGOT/SGPT 13,3/8,3
Albumin 1,81 GDS 113
dr. Andi Darma 15/7/19 DPL 7.6/22/3410/294000, OT/PT : 16/14,

207 F Dominiika Domi 44 4381845 Ca cervix dengan anemia Putra, SpOG(K) albumin 3.6, GDS 100, elektrolit : 134/4/101
15/7/19 GDS 101, 14/7/19: DPL
11/32.1/19700/431000 13/7/19 : DPL :
7.5/21/18710/349000, DPL post op 11/7/19
10,2/30,1/22680/ 272000 PT/APTT 0,9/0,7x 9/7/19
dr. T. Dewi
POD 5 post laparatomi surgical staging atas DPL : 11.2/33.2/8750/380000, HbA1C 5.5, PT/APTT :
210 A Esthi 60 3347315 Anggraeni,
indikasi Ca endometrium kklinis IIIC 0.9x/0.9x, OT/PT : 16/15, Ur/Cr : 29/0.9, alb 3.89, gds
SpOG(K) 93, elektrolit : 138/4/98 15/5/19 DPL
13.4/39.7/6821.000/213.000 HbSAg negatf, elektrolit
133/3.8/101.2 albumin 4.36 OT/PT 30/24
ur/crec28/0.7 PT/APTT 0.9/1.1
16/7/19 DPL: 12.3/35/7950/379000, OT/PT : 14/14,

dr. T. Dewi Alb 3.68, Ur/Cr : 43/1.2, GDS 122, Elektrolit :
210B Emidi 61 3756596 Ca endometrium stadium II Anggraeni, 137/3.2/103, PT/APTT: 0.9x/1.1. x, FT4/FT3/TSH :
SpOG(K) 0.88/2.05/5.234
16/7/19 DPL 11.3/31/11230/173000, alb 1.83, P

darah 3.4, Mg 2.18, 10/7/2019
Ca ovarium progresif susp meta hepar dan paru, , 12.1/34/8620/196000 Albumin 2.5 9/7/19 DPL :
dr. T. Dewi
ascites post pungsi, hipoalbuminemia, 9.9/28/9490/210000, PT/APTT : 0.9x/0.8x, Na/K/Cl
210 C Salindri 26 4329454 Anggraeni,
hiponatremia,lymphedema ec penekanan massa, 124/5,0/91,2 LDH 852 OT/PT : 279/291, Fibrinogen
SpOG(K)
hipoalbumin, DVT bilateral 265, D-dimer 35200, alb 2.14, Bil T/D/I :
10.8/7.94/2.88, AFP >80000 Ur/Cr: 28/0.5 8/7/19
Albumin 2.05 DPL 9.3/27/34.400/9150/195.000
16/7/19 elektrolit 130/4.6/101, 15/7/19 DPL

10.5/32/9210/226000, OT/PT : 13/<6, Alb 2.71,
POD 2 Post laparotomi SOD-VC, histerektomi Dr. dr. Laila Ur/CR: 20/0.7, elektrolit 134/4.1/106, 13/7/19 DPL :
210 D Silvia Faulani 38 4367318 total, peritonektomi, atas indikasi kista Nuranna, 10.6/33.6/4850/236000, 11/7/2019 DPL
endometriosis,adenomyosis SpOG(K) 8.5/27.1/4430/258000 PT/APTT0.9/1.2x
SGOT/SGPT 12/<6 Ur/Cr 19/1.0 Na/K/Cl 139/3.7/102
Albumin 3.5 Ca 125: 455
16/7/19 Darah samar tinja negatif, 15/7/19 DPL

Ca cervix stadium III B pasca radiasi lengkap
9.7/28/13200/493000, Ur/Cr 121/8.9, Elektrolit :
(2016) residif dengan metastasis KGB inguinalis dr. T. Dewi
Endang 126/5.1/9513/7/19 DPL : 7/20/17040/595000,
211 A 62 4143044 on paliatf dengan anemia (hb 7) ec chronic Anggraeni,
Setawat pt/aptt : 0.9X/1.1X, ot/pt : 24/7, albumin 3.07, Ur/Cr :
disease, akut on ckd, hiponatermia, dispepsia, SpOG(K) 162/9.81, GDS 91, elektrolit : 125/7.6/103, elektrolit
hipoalbuminemia, dispepsia, leukositosis post koreksi : 131/4.3/117
15/7/19 DPL 12.1/35/12570/334000, PT/APTT:

0.8x/0.9x, OT/PT 29/15, alb 2.68, Ur/Cr : 21/0.70,
indikasi Ca ovarium IIIC, riwayat LO SOD post SpOG(K)
0.9x/1.2x 28/5/2019 DPL 12.9/38.3/5590/325000,
138/3,9/107
16/7/19 CEA 1.6, CA 19-9 <2, 15/7/19: DPL
Dr. dr. Hariyono 7,3/24.3/7850/549000//72,3.21.7/30 Albumin
213B Umi kulsum 46 4383754 NOP susp maligna,anemia W, SpOG (K) 3,5/Na 137/K 4,4/Cl 101/ GDS 61/SGOT 36/SGPT 7/
Ur 40/Cr 1,0
Dr. dr. Fitriyadi 16/7/19 DPL 10.4/30/9270/828000,, GDS 90, Ur/Cr

Ca cervix stadium II a, suspek Ca endometrium,
214 D Titn Sariantn 46 4385781 Kusuma, 17/1.3, albumin 2.13, OT/PT 20/7, PT/APTT 1.1x/0.9x,
NOP kiri asites SpOG(K) elektrolit 128/4.2/99
16/7/19 DPL 11.5/35/13970/206000, alb 3.55,

dr. T. Dewi
SpOG(K)
Ur/Cr 17,9/0.4 GDS 111
13/7/19 DPL : 10.4/29/4950/477000, asam laktat 2.1,

dr. T. Dewi
SpOG(K)
26/9, Ur/Cr : 33/0.93, alb 3.97,GDS 110, elektrolit
134/3.2/113
206C, 207 A,
206 B, 206 E, 207 C, 210 A,
210 C C,211 A 519F,
419B
205 A, 206 E,
210D
204 B, 207D,
207E, 214 D
Target
Kemoterapi
kemoterapi
kemoterapi
kemoterapi


keluarkan 2000 cc
Paliatve care
konsul IPD: cek urinalisa, kurva
suhu demam, cek apusan darah
malaria saat demam mengigil,
konsul tropik hr jam kerja,
transfusi PRC target Hb >10
gr/dL


melena
transfusi target hb 10,

kemoterapi
konsul urologi --> menuggu
jawaban

15/7/19. HD 11/7/19, CDL (+).
elastc verband, CTA
Transfusi PRC
Koreksi albumin
iv
Rencana konsul perioperatf ke

IKA, IKA-KHOM, dan anestesi.
Hasil Tumor Board: rencana
operasi radikal dan kemoterapi,
kamis 18 juli 2019.
Periksa PA jaringan 4/7/19
(tunggu hasil) MRI
1/7/19:Massa padat heterogen
di cervix hingga vagina uk
10x12x12 cm mendesak VU
dan rektum, tdak ada infiltrasi
ke uterus, VU atau rektum.
Transfusi PRC target Hb ≥ 10
g/dL
Terpasang folley catheter V
(27/6/2019), gant tanggal
4/7/2019
Konsul Bedah Anak: konsul
ulang hasil MRI, sudah ada hasil
MRI
Konsul Gizi Klinik Anak:
Albumer 20% 100 cc 3x selama
3 hari berturut-turut, diet
nutrisi lanjut

Konsul endokrin : KGDH/ hari,
PerawataN post operasi

staging 18/7/19
Rencana CT angiografi 15/7/19,

Raber IPD Pulmo rencana
USG thorax dan pemasangan
mini wsd senin 15/7/19, on
pungsi cystofix, Raber gizi klinik
Raber Bedah vaskular:
rencana CT angiografi pelvis
dan abdomen, compression
elastc verban
perawatan post-op
rencana hemodialisa 15/7/19

jam pertama, konsul urologi

transfusi PRC , rencana lap.VC
post pungsi asites

FM

kapten bedah
206F
206 A, 213 B
206 D
211 B
Ward Map Ginekologi Onkologi Selasa, 16 Juli 2019
Dr. dr. Tofan W 9/7/19 DPL 9,8/29/3030/427000//94.2/31.8/33.8
204B nurbait 41 4361109 karsinoma tuba stadium IVB Utami, SpOG(K) SGOT 19/SGPT 24/albumin 4,05/ur 23/cr 0,6
Dr. dr. Tofan W 12/7/19 DPL 12/35.3/10970/874000//79/26/34
204C Rosdiana 46 4382217 Ca ovarium advance stage
Utami, SpOG(K) sgot 41/sgpt 38/ ur 16/cr 0.7/ Na 124/K 4.4/cl 88.7
Dr. dr. Tofan W 10/7/19 DPL 11,8/36.6/4510/561000 sgot 22/sgpt
204D Sit rohamah 40 Ca ovarium (GCT) stadium IC1
4366258 Utami, SpOG(K) 40/alb 4.4/ur 27/cr 0.7
DR.dr. Laila N, 15/7/19 DPL 9.1/27.3/8310/523000//89/29/33

205A Nuryant 34 Ca ovarium residif fibrinogen 562/d-dimer 23530 PT 0,8x/APTT 0,8x
4275645

Post laparotomi adhesiolisis, histerektomi Dr. dr. Sigit 11/7/2019 DPL 13.2/38.8/7560/231000 Ur/Cr 20/0.8
205 E (ICU) Rukiyah 52 4381465 radikal, SOB, limfadenektomi pelvik bilateral, atas Purbadi, Na/K/Cl 138/3.4/104.9 Albumin 4.0 SGOT/SGPT 12
indikasi Ca cervix IB2 SpOG(K) 11 PT/APTT 0.9/0.8
Dr.dr. Hariyono 15/7/19 DPL 10,7/32.6/36560/695000 SGOT

206A susi natalia 51 4275645 NOK dengan bagian padat susp maligna,asites W,SpOG(K) 40/SGPT18/ALB 3,2/ur 102/cr 4,1/N 136/K 5.4/Cl 96.3
14/7/19 DPL: 8.4/25/17230/356000, alb : 2.41, Bil
T/D/I : 0.43/0.16/0.27, asam laktat 1.9, malaria tdak
Suspek Ca cervix stadium IIB dengan anemia ec dr. T. Dewi
Selvia Yuliana ditemukan hBSAg non reaktd, ant HCV 0,130 non
206 C 26 4383457 riwayat perdarahan, febris hari ke 4 ec suspek Anggraeni,
Kaiway reaktf 13/7/19 DPL : 9.3/28/17990/405000,
malaria dd infeksi bakteri dan Ca pain SpOG(K) PT/APTT : 1.2x/1.2x, OT/PT : 17/17, Ur/Cr :12/0.6,
GDS 107, elektrolit : 133/3.3/107
Ca cervix IVB, camcer pain, AKI dd acute on DR.dr. Laila N, 15/7/19 DPL 8.2/25.3/25900/880000/SGOT 16SGPT
206 E Et sumiat 41 4391292 CKD,anemia (8,2), leukositosis, meta buli SpOG(K) 9/Ur 57.6/Cr 1.3GDS 67/ Na 134/K 3.5/Cl 105
9/7/2019 DPL 10/31/25590/909000 Gambaran darah

tepi: anemia mikrositk hipokrom, anisopokilositosis,
NOK suspek maligna dengan abdominal pain ec fragmentosist (+) ovalosit (+), Urinalisa bakteria
Mariana Wat ileus obstruktf, hipoalbumin, peningkatan enzim dr. Kartwa Hadi positf, darah +3, nitrit positf, PCT 42 ng/dL, 8/7/2019
206 F 49 4391856
Santoso transaminase, leukositosis infektf dd reaktf, N, SpOG(K) DPL 11.4/35/13840/969000//64/20/31 PT 10.8 (10.4)
14/7/19 elektrolit 135/7.3/111 pasca koreksi
132/7.2/109.6 13/7/19 elektrolit : 126/6.4/102, Ca
8.3, P darah 8.1, HbSAg dan ant HCV non reaktf, D-
dimer 190, Fibrinogen 522, PT/APTT : 0.9x/ 1.4x,
Ca cervix stadium IIB dengan intake sulit, dr. T. Dewi Ur/Cr : 193/10.8, alb 2.93, AGD : pH 7.363, PCO2
hidronefrosis bilateral, anemia ec blood loss,
207 A Se Hiong 48 4382008 Anggraeni, 24.9, PO2 105, HCO3 14.3, total CO2 15.1, BE -8.9, O2
leukositosis, hiponatremia, acute on CKD, SpOG(K) saturasi 97.4, 12/7/19 DPL
hiperkalemia, melena 10/29.3/3.75/22.880/474.000 ur/crec 11.2/195
elektrolit 124/6.4/98.4 11/7/19 DPL
7.4/22/20160/470000, SGOT/SGPT 9/6, Ur/Cr
191/12.3 GDS 87, Na/K/Cl 123/6.3/96.6
Ca cervix stadium III B pasca radiasi lengkap 13/7/19 DPL : 7/20/17040/595000, pt/aptt :
(2016) residif dengan metastasis KGB inguinalis dr. T. Dewi
Endang 0.9X/1.1X, ot/pt : 24/7, albumin 3.07, Ur/Cr :
207 C 62 4143044 on paliatf dengan anemia (hb 7) ec chronic Anggraeni,
Setawat 162/9.81, GDS 91, elektrolit : 125/7.6/103, elektrolit
disease, akut on ckd, hiponatermia, dispepsia, SpOG(K)
post koreksi : 131/4.3/117
hipoalbuminemia, dispepsia, leukositosis
13/7/19 DPL : 8.4/25/26470/244000, Alb 2.3, Ur/Cr:
9.7/28.4/28020/331000, Ur/Cr 101/2.2GDS 68,
Na/K/Cl 137/3.3/102 10/7/2019 PT 12.5 (11.7) APTT
35.5 (34.2) 9/7/19 DPL 8/23.4/29110/355000, alb
Ca cervix stadium III B dengan anemia,
hidronefrosis bilateral on nefrostomi, nefrostomi Dr. dr. Fitriyadi 2.34, Ur/Cr: 195/3.6, elektrolit : 130/3.6/105, HBsAg
non reaktf, ant HVC non reaktf,
DPL : 5.8/17/46470/575000, OT/PT : 15/7, Ur/Cr :
10/7/2019 DPL 11.1/33/8500/346000, elektrolit
136/3.4/105, Albumin 2.57, PT 10 (11,2) APTT 48
(32.2). 8/7/19 DPL : 9.3/27.5/8050/382000,
5/7/19 DPL 10.1/29.1/10550/353000
4/7/19 DPL 9,6/28,4/13050/407000 3/7/19 DPL:
8/23,7/10490/409000 2/7/19 DPL :
8.2/25/10130/450000 30/6/19 Ur/cr
24/0.5 28/6/2019 DPL
8,5/25,8/7.910/418.000
Suspek sarkoma Botryoides dd/ mioma Geburt
Dr. dr. Fitriyadi 26/6/2019 DPL 5,7/17,3/9.500/375.000 Albumin 2,22
Putri dengan hipoalbuminemia, riwayat syok
207 E 15 4381266 Kusuma, 22/6/2019 DPL 9,8/29,5/7.300/344.000
Diansyah hipovolemik et causa perdarahan, retensio urin SpOG(K) 21/6/2019 DPL 8,3/25,3/6.860/336.000
ec suspek penekanan massa 19/6/2019 8/24,8/7.780/347.000 Albumin 2,32
18/6/2019 14,8/44,3/7.070/355.000 Na/K/Cl
135/3,4/94
17/6/2019 DPL 9,7/30,2/7.250/370.000 Albumin 1,9
15/6/2019 DPL 9,8/29,4/10.130/360.000
13/6/2019 DPL 7,7/24,7/6.600/386.000 Albumin 1,53
12/6/2019 DPL 2,8/10,3/7.350/428.000 Na/K/Cl
131/4,3/114 Ur/Cr 10,4/0,32 SGOT/SGPT 13,3/8,3
14/7/19: DPL 11/32.1/19700/431000 13/7/19 : DPL

: 7.5/21/18710/349000, DPL post op 11/7/19
10,2/30,1/22680/ 272000 PT/APTT 0,9/0,7x 9/7/19
dr. T. Dewi DPL : 11.2/33.2/8750/380000, HbA1C 5.5, PT/APTT :
POD 5 post laparatomi surgical staging atas
210 A Esthi 60 3347315 Anggraeni, 0.9x/0.9x, OT/PT : 16/15, Ur/Cr : 29/0.9, alb 3.89, gds
indikasi Ca endometrium kklinis IIIC SpOG(K) 93, elektrolit : 138/4/98 15/5/19 DPL
13.4/39.7/6821.000/213.000 HbSAg negatf, elektrolit
133/3.8/101.2 albumin 4.36 OT/PT 30/24
210B Emidi 61 3756596 Ca endometrium stadium II
10/7/2019 12.1/34/8620/196000 Albumin 2.5

9/7/19 DPL : 9.9/28/9490/210000, PT/APTT :
Ca ovarium progresif susp meta hepar dan paru, , dr. T. Dewi 0.9x/0.8x, Na/K/Cl 124/5,0/91,2 LDH 852 OT/PT :
ascites post pungsi, hipoalbuminemia,
210 C Salindri 26 4329454 Anggraeni, 279/291, Fibrinogen 265, D-dimer 35200, alb 2.14, Bil
hiponatremia,lymphedema ec penekanan massa, SpOG(K) T/D/I : 10.8/7.94/2.88, AFP >80000 Ur/Cr: 28/0.5
hipoalbumin, DVT bilateral 8/7/19 Albumin 2.05 DPL
9.3/27/34.400/9150/195.000
13/7/19 DPL : 10.6/33.6/4850/236000, 11/7/2019

Post laparotomi SOD-VC, histerektomi total, Dr. dr. Laila DPL 8.5/27.1/4430/258000 PT/APTT0.9/1.2x
210 D (ICU) Silvia Faulani 38 4367318 peritonektomi, atas indikasi kista Nuranna, SGOT/SGPT 12/<6 Ur/Cr 19/1.0 Na/K/Cl 139/3.7/102
endometriosis,adenomyosis SpOG(K) Albumin 3.5 Ca 125: 455
post laparotomi HTSOS, omentektomi, 12/7/19 DPL :13.7/41/5500/397000, OT/PT : 18/18,
apendektomi, limfadenektomi pelvik bilateral, Dr. dr. Gatot Ur/CR: 29/0.8, alb 4.4, GDS 92, elektrolit : 138/4./102,
211 B (ICU) Lie Siat 50 4353786 paraaorta, reseksi implan di kavum douglas atas Purwoto, PT/APTT : 0.9x/1.2x 28/5/2019 DPL
indikasi Ca ovarium IIIC, riwayat LO SOD post SpOG(K) 12.9/38.3/5590/325000, CEA 4.1 ca 125: 49,4 Ur/Cr
NAC 3X 28/0,7 na/K/Cl 138/3,9/107
15/7/19: DPL 7,3/24.3/7850/549000//72,3.21.7/30

Dr. dr. Hariyono Albumin 3,5/Na 137/K 4,4/Cl 101/ GDS 61/SGOT
213B Umi kulsum 46 4383754 NOP susp maligna,anemia W, SpOG (K) 36/SGPT 7/ Ur 40/Cr 1,0
Dr. dr. Sigit 13/7/19 12.5/39/12000/217000 12/7/19

211D Nuraini 78 4371648 ca ovarium satdium III C Purbadi, 9.9/31.4/19510/203.000
SpOG(K)
13/7/19 DPL : 11.1/33/17020/193000, D-dimer :

NOK susp maligna dengan riwayat penurunan 3860, fibrinogen 196, 11/7/19 DPL
dr. T. Dewi
kesadaran ec SOL, massa hepar susp 8.4/24.8/14860/286000//87.6/29.7/33.9 8/7/19 DPL
519 F Sulastri 4385041 Anggraeni,
meetastasis, anemia post transfusi, 5,5/16.4/28650/325000 Na/K/Cl 130/4.2/107
SpOG(K)
hipoalbuminemia SGOT/SGPT 49/30 PT/APTT 0.9/0.9x Albumin 2,91
Ur/Cr 17,9/0.4 GDS 111
13/7/19 DPL : 10.4/29/4950/477000, asam laktat 2.1,
dr. T. Dewi
HCU Surgical Coni Aresta 45 4310604 Anggraeni,
SpOG(K) 26/9, Ur/Cr : 33/0.93, alb 3.97,GDS 110, elektrolit
134/3.2/113
206C, 207 A,
206 B, 206 E, 207 C, 210 C,
DNR dr. T. Dewi Anggraeni, SpOG(K) dr. Kartwa Hadi N, SpOG(K)
207 D, 207 A 519F, HCU
surgical
Dr. dr. Laila Nuranna, SpOG(K) 210D Dr. dr. Hariyono W, SpOG (K)
205 C, 206B,
207D, 207E
Dr. dr. Sigit Purbadi, SpOG(K) 205 E, 211 D
dr. Andi Darma Putra, SpOG (K)

Target
kemoterapi, pulang
kemoterapi, pulang
kemoterapi, pulang

rencana pungsi asites+sitologi

konsul IPD: cek urinalisa, kurva
suhu demam, cek apusan darah
malaria saat demam mengigil,
konsul tropik hr jam kerja,
transfusi PRC target Hb >10
gr/dL, terpasang tampon -->
evaluasi 15/7/19 jam 18.00

melena
rencana hemodialisa 15/7/19

jam pertama, konsul urologi
15/7/19. HD 11/7/19, CDL (+).
elastc verband, CTA
Transfusi PRC
Koreksi albumin
iv
Hasil Tumor Board: rencana
operasi radikal dan kemoterapi,
kamis 18 juli 2019.
Periksa PA jaringan 4/7/19
(tunggu hasil) MRI
1/7/19:Massa padat heterogen
di cervix hingga vagina uk
10x12x12 cm mendesak VU
dan rektum, tdak ada infiltrasi
ke uterus, VU atau rektum.
Transfusi PRC target Hb ≥ 10
g/dL
(27/6/2019), gant tanggal
4/7/2019
ulang hasil MRI, sudah ada hasil
MRI
Konsul Gizi Klinik Anak:
Albumer 20% 100 cc 3x selama
3 hari berturut-turut, diet
nutrisi lanjut

staging 18/7/19

USG thorax dan pemasangan
pungsi cystofix, Raber gizi klinik
Raber Bedah vaskular:
rencana CT angiografi pelvis
dan abdomen, compression
elastc verban
perawatan post-op
Rencana kemoterapi

FM
kapten bedah
206F
211 A
205D, 206 D, 211C
211 B
Ward Map Ginekologi Onkologi Selasa, 16 Juli 2019
Dr. dr. Sigit
204A Nuraini 78 4371648 ca ovarium satdium III C Purbadi, SpOG(K) 13/7/19 12.5/39/12000/217000 12/7/19 9.9/31.4/19510/203.000
POD 2 post laparatomi SOD-

VC, HTSOS, perinektomi,
reseksi tumor ileocaecal dan
stoma ileocolon ascenden 12/7/19 albumin 2.54 elektrolit 134/4.3/106 kalsium 7.3 ca ion 0.91
double barrel atas indikasi mg 1.51 11/7/19 DPL post op 10,6/31,8/12140/311000, PT/APTT
tumor ganas ovarium
condong ke arah signet ring Dr. dr. Tofan W 1,0/1,2 SGOT/SGPT 13/6 Ur/Cr 13/0,3 Na/K/Cl 135/2,9/103,1
205 D Then Yun Lan 69 4380589 Utami, SpOG(K) Albumin 2,0 10/7/2019 DPL 11,7.35,2/12490/419000 Albumin
cell primer di GI tract, 3.09 elektrolit 137/3.7/102. 8/7/19 DPL 9/27.4/10.370/474.000
metastasis ovarium kanan GDS 110, alb 2.7, elektrolit 130/3.3/98.4 OT/PT 15/7 ur/crec 13/0.4,
dengan mioma uteri dan pt/aptt : 1.1x/1.2x
hidrosalping kiri dengan
permasalahan
hipoalbuminemia dan
hipokalemia
Dr. dr. Sigit 11/7/2019 DPL 13.2/38.8/7560/231000 Ur/Cr 20/0.8 Na/K/Cl

205 E Rukiyah 52 4381465 Ca cerviks stadium IB
Purbadi, SpOG(K) 138/3.4/104.9 Albumin 4.0 SGOT/SGPT 12 11 PT/APTT 0.9/0.8
13/7/19 darah samar tnja negatf 12/7/19 darah samar tnja
Ca cerviks stadium IV B, negatf 11/7/19 SGOT/SGPT 97/49 Bil T/D/I 4.62/3.71/0.91 PCT 2.0
metastasis paru, metastasis 10/7/2019 Gram urin: tdak ditemukan kuman, Gram feses: batang
pankreas dd Ca pankreas gram negatf banyak, DPL 10.6/31/10070/201000, darah samar tnja:
(Caput) dengan negatf, analisa feses: hijau, lembek, lendir (+), amoeba (-) telur
permasalahan : observasi cacing (-), 9/7/19 : HbA1C 5.6, Darah samar tnja positf, analisa
febris hari ke 4, Leukositosis tnja : lendir (+), darah (-), pus (+), UL : keton (+) 8/7/19 DPL :
infektf, hiperglikemia ec DM Dr. dr. Fitriyadi 7.6/23/35810/78000, GDS 111 7/7/19 GDS 51- 121
206 B Sri Sudarsih 30 4380499 tpe II ec Ca caput pankreas, Kusuma, SpOG(K) 5/7/19 DPL :
peningkatan enzim 10.6/31.4/21650/418000, PT/APTT : 1.1x/0.9x, OT/PT : 139/89,
transaminase, hidroureter Albumin 3.47, Ur/Cr : 38/1.4, GDS 259, Elektrolit : 133/3.6/110,
dan hidronefrosis kanan, PCT : 186.3, UL : keton (+), albumin +2, darah +3, bilirubin +2,
hiponatremia, bakteria (+), leukosit 5-7/lpb, analisa tnja : darah (-), lendir (-), pus
hipochloremia, AKI dd akut (-) Hasil kultur feses: klabsiella pneummoniae, candida sp, sesnsitf :
on CKD, Intake sulit, Ca pain khloramfenicol, gentamisin, kanamisin, ampisilin sulbactam, co
amoxiclav, ciprofloxacin,lefofloxacin
Suspek Ca cervix stadium IIB 14/7/19 DPL: 8.4/25/17230/356000, alb : 2.41, Bil T/D/I :
dengan anemia ec riwayat dr. T. Dewi 0.43/0.16/0.27, asam laktat 1.9, malaria tdak ditemukan hBSAg non
Selvia Yuliana
206 C 26 4383457 perdarahan, febris hari ke 4 Anggraeni, reaktd, ant HCV 0,130 non reaktf 13/7/19 DPL :
Kaiway ec suspek malaria dd infeksi SpOG(K) 9.3/28/17990/405000, PT/APTT : 1.2x/1.2x, OT/PT : 17/17, Ur/Cr :
bakteri dan Ca pain 12/0.6, GDS 107, elektrolit : 133/3.3/107
Ca tuba stadium IV B meta

Dr. dr. Tofan W 12/7/19 DPL 12.1/35.1/3.97/2.980/369.000 9/7/19 DPL :
paru pasca optmal
206 D Nurbait 41 4361109 Utami, SpOG(K) 9.8/29/3030/427000 SGOT/SGPT 19/24, Ur/Cr 23/0,6 Na/K/Cl
debulking dan NACT (parsial 138/4.0/105
response) dengan anemia
NOK suspek maligna dengan 9/7/2019 DPL 10/31/25590/909000 Gambaran darah tepi: anemia
abdominal pain ec ileus mikrositk hipokrom, anisopokilositosis, fragmentosist (+) ovalosit
obstruktf, hipoalbumin, (+), Urinalisa bakteria positf, darah +3, nitrit positf, PCT 42 ng/dL,
Mariana Wat peningkatan enzim dr. Kartwa Hadi N, 8/7/2019 DPL 11.4/35/13840/969000//64/20/31 PT 10.8 (10.4)
206 F 49 4391856
Santoso transaminase, leukositosis SpOG(K) aPTT 41.3 (34) SGOT/SGPT 55/58, Ureum/Cr 40/0.86 GDS 101,
infektf dd reaktf, Albumin 2.8, elektrolit 133/4.6/109, asam urat 4.1, Mg 1.5 Ca darah
trombositosis, ISK 7.7
asimtomatk,
14/7/19 elektrolit 135/7.3/111 pasca koreksi 132/7.2/109.6
Ca cervix stadium IIB dengan 13/7/19 elektrolit : 126/6.4/102, Ca 8.3, P darah 8.1, HbSAg dan ant
intake sulit, hidronefrosis HCV non reaktf, D-dimer 190, Fibrinogen 522, PT/APTT : 0.9x/ 1.4x,
dr. T. Dewi
bilateral, anemia ec blood Ur/Cr : 193/10.8, alb 2.93, AGD : pH 7.363, PCO2 24.9, PO2 105,
loss, leukositosis, HCO3 14.3, total CO2 15.1, BE -8.9, O2 saturasi 97.4, 12/7/19 DPL
SpOG(K)
hiponatremia, acute on CKD, 10/29.3/3.75/22.880/474.000 ur/crec 11.2/195 elektrolit
hiperkalemia, melena 124/6.4/98.4 11/7/19 DPL 7.4/22/20160/470000, SGOT/SGPT 9/6,
Ur/Cr 191/12.3 GDS 87, Na/K/Cl 123/6.3/96.6
9/7/19 : AGD pH 7.536, PCO2 31.1, PO2 75.5, HCO3 26.6, Total CO2
Ca cervix stadium IV A 27.5, BE 4.9, O2 sat 96.2,BE 4.9, PCT 16.80, DPL :
dengan efusi pleura kanan 10.7/31.4/14360/461000, Hasil kultur UL : acinetobacter sp, colony
post pungsi ec metastasis >100.000 kuman/mL6/7/19 DPL : 9.6/28/17380/514000, asam
Dr. dr. Fitriyadi
207 B Ribka Winarni 36 4391318 paru dd TB paru, edema laktat 2.3, PT/APTT : 1.1x/0.9x, fibrinogen 419, D-dimer 300, OT/PT :
tungkai bilateral suspek DVT, Kusuma, SpOG(K) 38/23, albumin 2.9, Ur/Cr : 64/1.7, GDS 91, elektrolit : 129/3.7/105,
hipoalbuminemia, anemia, analisa cairan pleura : hitung jenis 570/ul, protein serum 5.7 g/dL,
hiponatremia LDH serum 269 U/L, kesan eksudat, urinalisa : bakteria (+), leukosit
5-6/LPB, albumin +2, darah +3, leukosit esterase trace
Ca cervix stadium III B pasca

radiasi lengkap (2016) residif
dengan metastasis KGB
inguinalis on paliatf dengan dr. T. Dewi 13/7/19 DPL : 7/20/17040/595000, pt/aptt : 0.9X/1.1X, ot/pt : 24/7,
207 C Endang Setawat 62 4143044 anemia (hb 7) ec chronic Anggraeni, albumin 3.07, Ur/Cr : 162/9.81, GDS 91, elektrolit : 125/7.6/103,
disease, akut on ckd, SpOG(K) elektrolit post koreksi : 131/4.3/117
hiponatermia, dispepsia,
hipoalbuminemia, dispepsia,
leukositosis
13/7/19 DPL : 8.4/25/26470/244000, Alb 2.3, Ur/Cr: 91/2.4, PT:

Ca cervix stadium III B 1.1X, Elektrolit: 136/3.9/103 11/7/19 DPL 9.7/28.4/28020/331000,
dengan anemia, Ur/Cr 101/2.2GDS 68, Na/K/Cl 137/3.3/102 10/7/2019 PT 12.5
hidronefrosis bilateral on (11.7) APTT 35.5 (34.2) 9/7/19 DPL 8/23.4/29110/355000, alb 2.34,
nefrostomi, nefrostomi Ur/Cr: 195/3.6, elektrolit : 130/3.6/105, HBsAg non reaktf, ant HVC
kanan rembes dan Dr. dr. Fitriyadi non reaktf,
207 D Ika Handayani 37 4388904 Kusuma, SpOG(K) Albumin 2,06 Ur/Cr 189/3,47/7/19 DPL 6,1/17,7/36440/383000
nefrostomi kiri macet, Na/K/Cl 130/4,1/103 Fibrinogen
leukositosis infektf, edema 186,6 d-dimer 4760 5/7/19 : DPL :
kedua tungkai suspek dvt, 5.8/17/46470/575000, OT/PT : 15/7, Ur/Cr : 144/2.78, GDS 75,
aki dd akut on ckd, Elektrolit : 125/4.7/106, PT/APTT : 10 X/ 5X,6/7/19 UL : bakteri (+),
hiponatremia leukosit 6-8/lpb, albumin +1, darah +2, leukosit esterase +2
10/7/2019 DPL 11.1/33/8500/346000, elektrolit 136/3.4/105,
Albumin 2.57, PT 10 (11,2) APTT 48 (32.2). 8/7/19 DPL :
9.3/27.5/8050/382000, 5/7/19 DPL 10.1/29.1/10550/353000
4/7/19 DPL 9,6/28,4/13050/407000 3/7/19 DPL:
8/23,7/10490/409000 2/7/19 DPL : 8.2/25/10130/450000
30/6/19 Ur/cr 24/0.5 28/6/2019 DPL
Suspek sarkoma Botryoides 8,5/25,8/7.910/418.000
dd/ mioma Geburt dengan
Dr. dr. Fitriyadi 26/6/2019 DPL 5,7/17,3/9.500/375.000 Albumin 2,22
hipoalbuminemia, riwayat
207 E Putri Diansyah 15 4381266 Kusuma, SpOG(K) 22/6/2019 DPL 9,8/29,5/7.300/344.000
syok hipovolemik et causa 21/6/2019 DPL 8,3/25,3/6.860/336.000
perdarahan, retensio urin ec 19/6/2019 8/24,8/7.780/347.000 Albumin 2,32
suspek penekanan massa 18/6/2019 14,8/44,3/7.070/355.000 Na/K/Cl 135/3,4/94
17/6/2019 DPL 9,7/30,2/7.250/370.000 Albumin 1,9
15/6/2019 DPL 9,8/29,4/10.130/360.000
13/6/2019 DPL 7,7/24,7/6.600/386.000 Albumin 1,53
12/6/2019 DPL 2,8/10,3/7.350/428.000 Na/K/Cl 131/4,3/114 Ur/Cr
10,4/0,32 SGOT/SGPT 13,3/8,3 Albumin 1,81 GDS 113
14/7/19: DPL 11/32.1/19700/431000 13/7/19 : DPL :

7.5/21/18710/349000, DPL post op 11/7/19 10,2/30,1/22680/
272000 PT/APTT 0,9/0,7x 9/7/19 DPL : 11.2/33.2/8750/380000,
POD 5 post laparatomi dr. T. Dewi HbA1C 5.5, PT/APTT : 0.9x/0.9x, OT/PT : 16/15, Ur/Cr : 29/0.9, alb
210 A Esthi 60 3347315 surgical staging atas indikasi Anggraeni, 3.89, gds 93, elektrolit : 138/4/98 15/5/19 DPL
Ca endometrium kklinis IIIC SpOG(K) 13.4/39.7/6821.000/213.000 HbSAg negatf, elektrolit
133/3.8/101.2 albumin 4.36 OT/PT 30/24 ur/crec28/0.7 PT/APTT
0.9/1.1
Ca ovarium progresif susp

meta hepar dan paru, , 10/7/2019 12.1/34/8620/196000 Albumin 2.5 9/7/19 DPL :
ascites post pungsi, dr. T. Dewi 9.9/28/9490/210000, PT/APTT : 0.9x/0.8x, Na/K/Cl 124/5,0/91,2
210 C Salindri 26 4329454 hipoalbuminemia, Anggraeni, LDH 852 OT/PT : 279/291, Fibrinogen 265, D-dimer 35200, alb 2.14,
hiponatremia,lymphedema SpOG(K) Bil T/D/I : 10.8/7.94/2.88, AFP >80000 Ur/Cr: 28/0.5 8/7/19 Albumin
ec penekanan massa, 2.05 DPL 9.3/27/34.400/9150/195.000
hipoalbumin, DVT bilateral
13/7/19 DPL : 10.6/33.6/4850/236000, 11/7/2019 DPL

Dr. dr. Laila
210 D Silvia Faulani 38 4367318 NOK susp maligna Nuranna, SpOG(K) 8.5/27.1/4430/258000 PT/APTT0.9/1.2x SGOT/SGPT 12/<6 Ur/Cr
19/1.0 Na/K/Cl 139/3.7/102 Albumin 3.5 Ca 125: 455
12/7/19 DPL :13.7/41/5500/397000, OT/PT : 18/18, Ur/CR: 29/0.8,

Dr. dr. Gatot alb 4.4, GDS 92, elektrolit : 138/4./102, PT/APTT : 0.9x/1.2x
211 B Lie Siat 50 4353786 Ca ovarium stadium IIIC Purwoto, SpOG(K) 28/5/2019 DPL 12.9/38.3/5590/325000, CEA 4.1 ca 125: 49,4
Ur/Cr 28/0,7 na/K/Cl 138/3,9/107
Ca ovarium residif, anemia,
trombositopenia, Dr. dr. Tofan W 14/7/19 albumin 2.40 13/7/19 10.7/30.8/5980/106000, alb 2.14
211 C Iriani Nasuton 60 4365294 leukopenia, Utami, SpOG(K) 12/7/2019 7.8/23.3/2.67/4810/142.000 8/7/2019
hipoalbuminemia, 6,6/20,1/3550/109000 Albumin 1,89 Na/K/Cl 135/2,4/96,1
hipokalemia
Dr. dr. Hariyono W, 15/7/19: DPL 7,3/24.3/7850/549000//72,3.21.7/30 Albumin
213B Umi kulsum 46 4383754 NOP susp maligna,anemia SpOG (K) 3,5/Na 137/K 4,4/Cl 101/ GDS 61/SGOT 36/SGPT 7/ Ur 40/Cr 1,0
NOK susp maligna dengan

riwayat penurunan 13/7/19 DPL : 11.1/33/17020/193000, D-dimer : 3860, fibrinogen
dr. T. Dewi
kesadaran ec SOL, massa 196, 11/7/19 DPL 8.4/24.8/14860/286000//87.6/29.7/33.9 8/7/19
519 F Sulastri 4385041 Anggraeni,
hepar susp meetastasis, DPL 5,5/16.4/28650/325000 Na/K/Cl 130/4.2/107 SGOT/SGPT
SpOG(K)
anemia post transfusi, 49/30 PT/APTT 0.9/0.9x Albumin 2,91 Ur/Cr 17,9/0.4 GDS 111
hipoalbuminemia
13/7/19 DPL : 10.4/29/4950/477000, asam laktat 2.1, AGD: pH 7.4,

Ileus obstruktf post stoma dr. T. Dewi PCO2 49, PO2 42.1, HCO3 33.3, total CO2 34.8, BE 8.5, O2 saturasi
dengan Ca cervix III B post
HCU Surgical Coni Aresta 45 4310604 Anggraeni, 67.10, 12/7/19 DPL : 9.9/28/8420/430000, PT/APTT: 0.9 x/1.1x,
rasiasi (Nov 2018) partal SpOG(K) OT/PT : 26/9, Ur/Cr : 33/0.93, alb 3.97,GDS 110, elektrolit
response- NED 134/3.2/113
206C, 207 A, 207

206 B, 206 E, 207 dr. T. Dewi Anggraeni,
DNR C, 210 C, 519F, dr. Kartwa Hadi N, SpOG(K)
D, 207 A SpOG(K) HCU surgical
Dr. dr. Laila Nuranna, 210D Dr. dr. Hariyono W, SpOG (K)
SpOG(K)
Prof. Dr. dr. Andrijono, Dr. dr. Tofan W Utami, SpOG(K)
SpOG(K)
Dr. dr. Fitriyadi K, SpOG(K) 205 C, 206B, Dr. dr. Gatot Purwoto, SpOG(K)
207D, 207E

Target
Kemoterapi
Perawatan luka op, stoma (+), drain

abdomen sudah dilepas
Rencana Histerektomi radikal dan

PLND 15/7/2019, op pk 8.30
Konsul IPD Infeksi tropik : Rencana
pemberian ciprofloxacin 2x 500 mg
dan metronidazole 3x500 mg iv,
smecta 3x1, cek HSV IgG dan IgM,
Konsul : radioterapi : saran

radiasi eksterna, nefrostomi oleh ts
urologi dan Hb >10,Konsul IPD
endokrin : Diet DM 1700 kkal,
KGDH/hari Konsul IPD: KGDH, cek
elektrolit per 3 har, DPL evaluasi 3 hari
setelah antbiotk
konsul IPD: cek urinalisa, kurva suhu

demam, cek apusan darah malaria
saat demam mengigil, konsul tropik hr
jam kerja, transfusi PRC target Hb >10
gr/dL, terpasang tampon --> evaluasi
15/7/19 jam 18.00
Rencana kemoterapi hari ini
Saran konsul IPD KHOM, Persiapan

perioperatf, Raber Bedah, Gizi klinik
dan IPD, dalam nutrisi parenteral,
puasa
Transfusi PRC, Raber IPD dan Urologi
(rencana nefrostomi bilateral), konsul
IPD , rencana HD 15/7/19, tatalaksana
melena
Saran : konsul ginjal hipertensi,

Konsul Pulmo : USG thorax alirkan
cairan pleura 1000 ml/hari, lanjutkan
antbiotk dan MST 3x10 mg, Bedah
vaskular : elastc bandage dan CT
angiografi ektremitas inferior fase
vena
IPD : rencana sputum BTA, kultur UL,
Ur/Cr per 3 hari, pasien dipuasakan,
aminofluid 1000/24 jam
rencana hemodialisa 15/7/19 jam

pertama, konsul urologi
Rencana revisi nefrostomi --> urologi:

akan diselipkan tgl 15/7/19. HD
11/7/19, CDL (+). Konsul urologi :
rencana APG K/P revisi nefrostomi
Konsul Ginjal hipertensi : transfusi prc
300 cc, cek elektrolit, ur/cr per 2 hari
bedah vaskular : heparin bolus 5000
IU, maintanance 15000 IU/24 jam,
elastc verband, CTA ekstermitas
bawah fase vena
Transfusi PRC
Koreksi albumin
iv
Rencana konsul perioperatf ke IKA,
IKA-KHOM, dan anestesi. Hasil Tumor
Board: rencana operasi radikal dan
kemoterapi, kamis 18 juli 2019.
Periksa PA jaringan 4/7/19 (tunggu
hasil) MRI 1/7/19:Massa
padat heterogen di cervix hingga
vagina uk 10x12x12 cm mendesak VU
dan rektum, tdak ada infiltrasi ke
uterus, VU atau rektum. Transfusi PRC
target Hb ≥ 10 g/dL
(27/6/2019), gant tanggal 4/7/2019
Konsul Bedah Anak: konsul ulang hasil
MRI, sudah ada hasil MRI
Konsul Gizi Klinik Anak: Albumer 20%
100 cc 3x selama 3 hari berturut-
turut, diet nutrisi lanjut


Raber IPD Pulmo rencana USG thorax
dan pemasangan mini wsd senin
15/7/19, on pungsi cystofix, Raber gizi
klinik Raber Bedah vaskular:
rencana CT angiografi pelvis dan
abdomen, compression elastc verban
Rencana laparatomi VC hingga surgical

staging 15/7/2019
Rencana op laparatamo debulking

15/7/19
koreksi albumin
Kapten neuro,Saran raber hepatologi

Rencana MRI abdomen dengan
kontras, usg FM
Perawatan luka op, dengan kapten

bedah
206F
211 A
205D, 206 D, 211C
211 B
Ward Map Ginekologi Onkologi Minggu, 14 Juli 2019
10/7/2019 Lactat 0.4 Mg 1.8, Ca Ion 1.12 Ca Darah 8.5

POD 6 post laparotomi Elektrolit 136/4/103 Albumin 2.8 Perawatan pasca operasi, drain
4359616 salpingoophorektommi kanan, Dr. dr. Fitriyadi 9/7/19 DPL : 10.8/32/15400/478000, Elektrolit :
205C Hulaelah 52 (+), rencana aff drain bila <100
adhesiolisis ai cystadenoma Kusuma, SpOG(K) 136/4.6/107 8/7/19 DPL : cc/ 24 jam
musinosum ovarium kanan 9.8/29/16800/416000, pt/aptt : 1.1x/1.2x, OT/PT :
12/11, Alb 2.21, Ur/Cr : 28/0.5, elektrolit 136/3.6/106
POD 2 post laparatomi SOD-VC,

HTSOS, perinektomi, reseksi 12/7/19 albumin 2.54 elektrolit 134/4.3/106 kalsium
tumor ileocaecal dan stoma 7.3 ca ion 0.91 mg 1.51 11/7/19 DPL post op
ileocolon ascenden double 10,6/31,8/12140/311000, PT/APTT 1,0/1,2
barrel atas indikasi tumor ganas SGOT/SGPT 13/6 Ur/Cr 13/0,3 Na/K/Cl 135/2,9/103,1 Perawatan luka op, stoma (+),
4380589 ovarium condong ke arah signet Dr. dr. Tofan W
205 D Then Yun Lan 69 Albumin 2,0 10/7/2019 DPL
ring cell primer di GI tract, Utami, SpOG(K) drain abdomen (+)
11,7.35,2/12490/419000 Albumin 3.09 elektrolit
metastasis ovarium kanan 137/3.7/102. 8/7/19 DPL 9/27.4/10.370/474.000
dengan mioma uteri dan GDS 110, alb 2.7, elektrolit 130/3.3/98.4 OT/PT 15/7
hidrosalping kiri dengan ur/crec 13/0.4, pt/aptt : 1.1x/1.2x
permasalahan hipoalbuminemia
dan hipokalemia
Dr. dr. Sigit Purbadi, 11/7/2019 DPL 13.2/38.8/7560/231000 Ur/Cr 20/0.8 Rencana Histerektomi radikal
205 E Rukiyah 52 4381465 Ca cerviks stadium IB Na/K/Cl 138/3.4/104.9 Albumin 4.0 SGOT/SGPT 12 11 dan PLND 15/7/2019, persiapan
SpOG(K) PT/APTT 0.9/0.8 colon
13/7/19 darah samar tnja negatf 12/7/19 darah

samar tnja negatf 11/7/19 SGOT/SGPT 97/49 Bil
T/D/I 4.62/3.71/0.91 PCT 2.0 10/7/2019 Gram urin: Konsul IPD Infeksi tropik :
tdak ditemukan kuman, Gram feses: batang gram
Ca cerviks stadium IV B, Rencana pemberian
negatf banyak, DPL 10.6/31/10070/201000, darah
metastasis paru, metastasis ciprofloxacin 2x 500 mg dan
pankreas dd Ca pankreas (Caput) samar tnja: negatf, analisa feses: hijau, lembek, lendir metronidazole 3x500 mg iv,
(+), amoeba (-) telur cacing (-), 9/7/19 : HbA1C 5.6,
dengan permasalahan : smecta 3x1, cek HSV IgG dan
Darah samar tnja positf, analisa tnja : lendir (+), darah
observasi febris hari ke 4, IgM,
(-), pus (+), UL : keton (+) 8/7/19 DPL :
Leukositosis infektf, Konsul :
Dr. dr. Fitriyadi 7.6/23/35810/78000, GDS 111 7/7/19 GDS 51- 121
206 B Sri Sudarsih 30 4380499 hiperglikemia ec DM tpe II ec Ca radioterapi : saran radiasi
Kusuma, SpOG(K) 5/7/19 DPL :
caput pankreas, peningkatan eksterna, nefrostomi oleh ts
10.6/31.4/21650/418000, PT/APTT : 1.1x/0.9x, OT/PT :
enzim transaminase, hidroureter urologi dan Hb >10,Konsul IPD
139/89, Albumin 3.47, Ur/Cr : 38/1.4, GDS 259,
dan hidronefrosis kanan, endokrin : Diet DM 1700 kkal,
Elektrolit : 133/3.6/110, PCT : 186.3, UL : keton (+),
hiponatremia, hipochloremia, KGDH/hari Konsul IPD:
AKI dd akut on CKD, Intake sulit, albumin +2, darah +3, bilirubin +2, bakteria (+), leukosit KGDH, cek elektrolit per 3 har,
5-7/lpb, analisa tnja : darah (-), lendir (-), pus (-) Hasil
Ca pain DPL evaluasi 3 hari setelah
kultur feses: klabsiella pneummoniae, candida sp, antbiotk
sesnsitf : khloramfenicol, gentamisin, kanamisin,
ampisilin sulbactam, co amoxiclav,
ciprofloxacin,lefofloxacin
Suspek Ca cervix stadium IIB 14/7/19 DPL: 8.4/25/17230/356000, alb : 2.41, Bil konsul ulang IPD, transfusi PRC
dengan anemia ec riwayat T/D/I : 0.43/0.16/0.27, asam laktat 1.9, malaria tdak
Selvia Yuliana dr. T. Dewi target Hb >10 gr/dL, terpasang
206 C 26 4383457 perdarahan, febris hari ke 4 ec ditemukan 13/7/19 DPL : 9.3/28/17990/405000,
Kaiway Anggraeni, SpOG(K) tampon --> evaluasi 14/7/19
suspek malaria dd infeksi bakteri PT/APTT : 1.2x/1.2x, OT/PT : 17/17, Ur/Cr :12/0.6, GDS jam 18.00
dan Ca pain 107, elektrolit : 133/3.3/107
Ca tuba stadium IV B meta paru 12/7/19 DPL 12.1/35.1/3.97/2.980/369.000 9/7/19 sudah masuk leukogen, cek dpl
4361109 pasca optmal debulking dan Dr. dr. Tofan W
206 D Nurbait 41 DPL : 9.8/29/3030/427000 SGOT/SGPT 19/24, Ur/Cr post pemberian leukogen,
NACT (parsial response) dengan Utami, SpOG(K) 23/0,6 Na/K/Cl 138/4.0/105 rencana kemoterapi
anemia
13/7/19 DPL : 7.7/23.6/93380/58000, Ca 9.3, Asam

Penurunan kesadaran ec susp Transfusi PRC dan TC, Rencana
urat 17.1, Ur/Cr : 146/0.6, PT/APTT : 1.2x/1.1x,UL :
metabolik, Ca ovarium progresif konsul rehab medik dihari dan
albumin (+) 12/7/19 DPL 10.3/31.4/3.44/82870/56.000
on kemoterapi, hiperglimia jam kerja, Raber neuro, gizi
dr. T. Dewi 11/7/19 Asam urat 17.4, Bil T/D/I : 1.3/0.6/0.7, Alb
206 E Ony Aisyarani 38 4383841 reaktf dd/ DM tpe II, anemia klinik, IPD endokrin (KGDH/hari,
Anggraeni, SpOG(K) 2.55, D-dimer 8900, Mg 1.36, Ca 1.43, GDS 77
normositk normokrom, cek GDN/2PP) IPD Gastro
10/7/19 DPL 6/17.9/81080/40000 SGOT/SGPT 13/7,
leukositosis, trombositopenia Terapi
Ur/Cr 103/0.6 GDS 248, Na/K/Cl 132/4.4/98.8 AGD
dan underweight, Paliatf Post radiasi 4/7/2019
7.501/21.8/186/17.2/-4.7/ SaO2 96.3
NOK suspek maligna dengan 9/7/2019 DPL 10/31/25590/909000 Gambaran darah

abdominal pain ec ileus fragmentosist (+) ovalosit (+), Urinalisa bakteria positf, Saran konsul IPD KHOM,
Mariana Wat dr. Kartwa Hadi N, darah +3, nitrit positf, PCT 42 ng/dL, 8/7/2019 DPL
206 F 49 4391856 peningkatan enzim 11.4/35/13840/969000//64/20/31 PT 10.8 (10.4) aPTT Persiapan perioperatf, Raber
Santoso SpOG(K)
transaminase, leukositosis Bedah, Gizi klinik dan IPD
41.3 (34) SGOT/SGPT 55/58, Ureum/Cr 40/0.86 GDS
infektf dd reaktf, trombositosis, 101, Albumin 2.8, elektrolit 133/4.6/109, asam urat 4.1,
ISK asimtomatk, Mg 1.5 Ca darah 7.7
13/7/19 elektrolit : 126/6.4/102, Ca 8.3, P darah 8.1,

HbSAg dan ant HCV non reaktf, D-dimer 190, Transfusi PRC, Raber IPD dan
Ca cervix stadium IIB dengan Fibrinogen 522, PT/APTT : 0.9x/ 1.4x, Ur/Cr : 193/10.8, Urologi (rencana nefrostomi
intake sulit, hidronefrosis alb 2.93, AGD : pH 7.363, PCO2 24.9, PO2 105, HCO3
dr. T. Dewi bilateral), konsul IPD sedang
207 A Se Hiong 48 4382008 bilateral, anemia ec blood loss, Anggraeni, SpOG(K) 14.3, total CO2 15.1, BE -8.9, O2 saturasi 97.4, 12/7/19 koreksi elektrolit, rencana HD
leukositosis, hiponatremia, acute DPL 10/29.3/3.75/22.880/474.000 ur/crec 11.2/195 sedang konsul anestesi untuk
on CKD, hiperkalemia elektrolit 124/6.4/98.4 11/7/19 DPL pasang CDL
7.4/22/20160/470000, SGOT/SGPT 9/6, Ur/Cr 191/12.3
GDS 87, Na/K/Cl 123/6.3/96.6
Ca cervix stadium III B pasca

radiasi lengkap (2016) residif
dengan metastasis KGB inguinalis 13/7/19 DPL : 7/20/17040/595000, pt/aptt : 0.9X/1.1X,
4143044 on paliatf dengan anemia (hb 7) dr. T. Dewi ot/pt : 24/7, albumin 3.07, Ur/Cr : 162/9.81, GDS 91, rencana hemodialisa 14/7/19
207 C Endang Setawat 62 ec chronic disease, akut on ckd, Anggraeni, SpOG(K) elektrolit : 125/7.6/103, elektrolit post koreksi : jam pertama, konsul urologi
hiponatermia, dispepsia, 131/4.3/117
hipoalbuminemia, dispepsia,
leukositosis
13/7/19 DPL : 8.4/25/26470/244000, Alb 2.3, Ur/Cr:
tunggu jadwal dari urologi HD
91/2.4, PT: 1.1X, Elektrolit: 136/3.9/103 11/7/19 DPL 11/7/19, CDL (+). Konsul urologi
9.7/28.4/28020/331000, Ur/Cr 101/2.2GDS 68, : rencana APG K/P revisi
Ca cervix stadium III B dengan Na/K/Cl 137/3.3/102 10/7/2019 PT 12.5 (11.7) APTT nefrostomi Konsul Ginjal
anemia, hidronefrosis bilateral 35.5 (34.2) 9/7/19 DPL 8/23.4/29110/355000, alb 2.34, hipertensi : transfusi prc 300 cc,
on nefrostomi, nefrostomi kanan Ur/Cr: 195/3.6, elektrolit : 130/3.6/105, HBsAg non
cek elektrolit, ur/cr per 2 hari
4388904 rembes dan nefrostomi kiri Dr. dr. Fitriyadi reaktf, ant HVC non reaktf, 7/7/19
207 D Ika Handayani 37 bedah vaskular : heparin bolus
macet, leukositosis infektf, Kusuma, SpOG(K) DPL 6,1/17,7/36440/383000 Albumin 2,06 Ur/Cr 5000 IU, maintanance 15000
edema kedua tungkai suspek 189/3,4 Na/K/Cl 130/4,1/103 Fibrinogen 186,6 d- IU/24 jam, elastc verband, CTA
dvt, aki dd akut on ckd, dimer 4760 5/7/19 : DPL :
hiponatremia 5.8/17/46470/575000, OT/PT : 15/7, Ur/Cr : 144/2.78,
GDS 75, Elektrolit : 125/4.7/106, PT/APTT : 10 X/ Transfusi PRC
5X,6/7/19 UL : bakteri (+), leukosit 6-8/lpb, albumin +1, Koreksi albumin
darah +2, leukosit esterase +2 iv

10/7/2019 DPL 11.1/33/8500/346000, elektrolit Hasil Tumor Board: rencana
136/3.4/105, Albumin 2.57, PT 10 (11,2) APTT 48 operasi radikal dan kemoterapi,
(32.2). 8/7/19 DPL : 9.3/27.5/8050/382000, kamis 18 juli 2019.
5/7/19 DPL 10.1/29.1/10550/353000 Periksa PA jaringan 4/7/19
4/7/19 DPL 9,6/28,4/13050/407000 3/7/19 DPL: (tunggu hasil) MRI
8/23,7/10490/409000 2/7/19 DPL : 1/7/19:Massa padat heterogen
8.2/25/10130/450000 30/6/19 Ur/cr 24/0.5 di cervix hingga vagina uk
Suspek sarkoma Botryoides dd/ 28/6/2019 DPL 8,5/25,8/7.910/418.000 10x12x12 cm mendesak VU dan
mioma Geburt dengan 26/6/2019 DPL 5,7/17,3/9.500/375.000 Albumin 2,22 rektum, tdak ada infiltrasi ke
4381266 hipoalbuminemia, riwayat syok Dr. dr. Fitriyadi 22/6/2019 DPL 9,8/29,5/7.300/344.000 uterus, VU atau rektum.
207 E Putri Diansyah 15 hipovolemik et causa Kusuma, SpOG(K) 21/6/2019 DPL 8,3/25,3/6.860/336.000 Transfusi PRC target Hb ≥ 10
perdarahan, retensio urin ec 19/6/2019 8/24,8/7.780/347.000 Albumin 2,32 g/dL
suspek penekanan massa 18/6/2019 14,8/44,3/7.070/355.000 Na/K/Cl Terpasang folley catheter V
135/3,4/94 (27/6/2019), gant tanggal
17/6/2019 DPL 9,7/30,2/7.250/370.000 Albumin 1,9 4/7/2019
15/6/2019 DPL 9,8/29,4/10.130/360.000 Konsul Bedah Anak: konsul
13/6/2019 DPL 7,7/24,7/6.600/386.000 Albumin 1,53 ulang hasil MRI, sudah ada hasil
12/6/2019 DPL 2,8/10,3/7.350/428.000 Na/K/Cl MRI
131/4,3/114 Ur/Cr 10,4/0,32 SGOT/SGPT 13,3/8,3 Konsul Gizi Klinik Anak: Albumer
Albumin 1,81 GDS 113 20% 100 cc 3x selama 3 hari
berturut-turut, diet nutrisi
lanjut
13/7/19 : DPL : 7.5/21/18710/349000, DPL post op
11/7/19 10,2/30,1/22680/ 272000 PT/APTT 0,9/0,7x
9/7/19 DPL : 11.2/33.2/8750/380000, HbA1C 5.5,
POD 2 post laparatomi surgical PT/APTT : 0.9x/0.9x, OT/PT : 16/15, Ur/Cr : 29/0.9, alb Konsul endokrin : KGDH/ hari,
dr. T. Dewi
210 A Esthi 60 3347315 staging atas indikasi Ca 15/5/19 DPL Perawata post operasi, transfusi
Anggraeni, SpOG(K) 3.89, gds 93, elektrolit : 138/4/98
endometrium kklinis IIIC 13.4/39.7/6821.000/213.000 HbSAg negatf, elektrolit PRC target Hb 10 gr/dL
133/3.8/101.2 albumin 4.36 OT/PT 30/24 ur/crec28/0.7
PT/APTT 0.9/1.1

Ca ovarium progresif susp meta 10/7/2019 12.1/34/8620/196000 Albumin 2.5 9/7/19
hepar dan paru, , ascites post DPL : 9.9/28/9490/210000, PT/APTT : 0.9x/0.8x, USG thorax dan pemasangan
4329454 pungsi, hipoalbuminemia, dr. T. Dewi Na/K/Cl 124/5,0/91,2 LDH 852 OT/PT : 279/291,
210 C Salindri 26 pungsi cystofix, Raber gizi klinik
hiponatremia,lymphedema ec Anggraeni, SpOG(K) Fibrinogen 265, D-dimer 35200, alb 2.14, Bil T/D/I : Raber Bedah vaskular:
penekanan massa, hipoalbumin, 10.8/7.94/2.88, AFP >80000 Ur/Cr: 28/0.5 8/7/19 rencana CT angiografi pelvis dan
DVT bilateral Albumin 2.05 DPL 9.3/27/34.400/9150/195.000
abdomen, compression elastc
verban
13/7/19 DPL : 10.6/33.6/4850/236000, 11/7/2019

Dr. dr. Laila DPL 8.5/27.1/4430/258000 PT/APTT0.9/1.2x Rencana laparatomi VC hingga
210 D Silvia Faulani 38 4367318 NOK susp maligna Nuranna, SpOG(K) SGOT/SGPT 12/<6 Ur/Cr 19/1.0 Na/K/Cl 139/3.7/102 surgical staging 15/7/2019
Albumin 3.5 Ca 125: 455
Dr. dr. Hariyono W, 13/3/19 DPL : 9.5/29/13650/192000, Alb 2.16 3/7/19 koreksi albumin rencana konsul
211 A Maria S 46 4384708 suspek ca ovarium ascites masif 11.1/34.3/14180/283.000 OT/PT 25/11 ur/crec 29/0.80 vascular, pro NAC, cek tumor
SpOG (K) GDS 84 elektrolit 131/3.4/96.4 marker
12/7/19 DPL :13.7/41/5500/397000, OT/PT : 18/18,

Ur/CR: 29/0.8, alb 4.4, GDS 92, elektrolit : 138/4./102,
Dr. dr. Gatot Rencana op laparatamo
211 B Lie Siat 4353786 Ca ovarium stadium IIIC Purwoto, SpOG(K) PT/APTT : 0.9x/1.2x 28/5/2019 DPL
12.9/38.3/5590/325000, CEA 4.1 ca 125: 49,4 Ur/Cr debulking 15/7/19
28/0,7 na/K/Cl 138/3,9/107
13/7/19 10.7/30.8/5980/106000, alb 2.14 12/7/2019

Ca ovarium residif, anemia, Dr. dr. Tofan W 7.8/23.3/2.67/4810/142.000 8/7/2019
211 C Iriani Nasuton 60 4365294 trombositopenia, leukopenia, koreksi albumin
Utami, SpOG(K) 6,6/20,1/3550/109000 Albumin 1,89 Na/K/Cl
hipoalbuminemia, hipokalemia 135/2,4/96,1
Dr. dr. Sigit Purbadi, 13/7/19 12.5/39/12000/217000 12/7/19

211D Nuraini 78 4371648 ca ovarium satdium III C Rencana kemoterapi
SpOG(K) 9.9/31.4/19510/203.000
13/7/19 DPL : 11.1/33/17020/193000, D-dimer : 3860,

NOK susp maligna dengan fibrinogen 196, 11/7/19 DPL Kapten neuro,
riwayat penurunan kesadaran ec dr. T. Dewi 8.4/24.8/14860/286000//87.6/29.7/33.9 8/7/19 DPL Saran raber hepatologi
519 F Sulastri 4385041 SOL, massa hepar susp
Anggraeni, SpOG(K) 5,5/16.4/28650/325000 Na/K/Cl 130/4.2/107 Rencana MRI abdomen dengan
meetastasis, anemia post SGOT/SGPT 49/30 PT/APTT 0.9/0.9x Albumin 2,91 kontras, usg FM
transfusi, hipoalbuminemia Ur/Cr 17,9/0.4 GDS 111
13/7/19 DPL : 10.4/29/4950/477000, asam laktat 2.1,
Ileus obstruktf post stoma AGD: pH 7.4, PCO2 49, PO2 42.1, HCO3 33.3, total CO2
HCU 4310604 dengan Ca cervix III B post rasiasi dr. T. Dewi 34.8, BE 8.5, O2 saturasi 67.10, 12/7/19 DPL : Perawatan luka op, dengan
Coni Aresta 45
Surgical (Nov 2018) partal response- Anggraeni, SpOG(K) 9.9/28/8420/430000, PT/APTT: 0.9 x/1.1x, OT/PT : kapten bedah
NED 26/9, Ur/Cr : 33/0.93, alb 3.97,GDS 110, elektrolit
134/3.2/113
206 B, 206C, 206 E, 207 A,

DNR 206 E, dr. T. Dewi Anggraeni, SpOG(K) 207 C, 210 C, 519F, dr. Kartwa Hadi N, SpOG(K) 206F
207 D HCU surgical
Dr. dr. Laila Nuranna, SpOG(K) 210D Dr. dr. Hariyono W, SpOG (K) 211 A
Prof. Dr. dr. Andrijono, SpOG(K) Dr. dr. Tofan W Utami, SpOG(K) 205D, 206 D, 211C
205 C, 206B, 207D,
207E 211 B

Ward Map Ginekologi Onkologi Sabtu, 13 Juli 2019
204 A Budi Rahayu 57 4137700 Ca endometrium Dr. dr. Tofan W DPL 11.2/32.7/10480/238.000 kemoterapi, rencana pulang
Utami, SpOG(K)
dr. Kartwa Hadi N, DPL 10.7/31.3/10.330/220.000

204 B Sumiyat 61 4310782 ca cervix stadium IB kemoterapi, rencana pulang
SpOG(K)
11/7/19 DPL 9,7/28,9/6450/128000 9/7/19 DPL
dr. Kartwa Hadi N, 10.6/31.7/5540/56000 SGOT/SGPT 28/31 Albumin 3.89 kemoterapi, rencana pulang
204 C RT Merani 69 4327743 Ca Ovarium stadium IIIC SpOG(K) Ureum/Creatnin 50/0.8 GDS138, elektrolit
137/4.3/102
dr. Kartwa Hadi N, DPL 12/37/4.81/7710/398.000
204 D Emilliana 44 Ca ovarium kemoterapi, rencana pulang
4380164 SpOG(K)
204 E Gusnarita 35 4380884 PTM high risk dr. T. Dewi DPL 12/34.1/13.190/309.000 kemoterapi, rencana pulang
Anggraeni, SpOG(K)
dr. Kartwa Hadi N, 9/7/2019 DPL 10.1/32/6210/323000 SGOT/GPT 14/11,

204 F Susi Listyawat 29 4382577 PTM high risk Albumin 4.28, Ureum/Creatnin 13/0.6, GDS 95, Kemoterapi
SpOG(K) elektrolit 138/4/108
11/7/2019 DPL 8.5/27.1/4430/258000 Rencana laparatomi VC hingga

205 A Silvia Faulani 38 4367318 NOK susp maligna Dr. dr. Laila PT/APTT0.9/1.2x SGOT/SGPT 12/<6 Ur/Cr 19/1.0 surgical staging 15/7/2019,
Nuranna, SpOG(K) Na/K/Cl 139/3.7/102 Albumin 3.5 Ca 125: 455 tanda tangan IC oleh suami
10/7/19 elektrolit 136/3.8/103 Ca darah 7,7 Ca Ion

1.05 Mg 1.66, PT 11,7 aPTT 42,6 (34.2) 9/7/19
elektrolit : 136/3.7/102, alb 2.62, Ca Ion 1.08, Mg 1.76
8/7/19 DPL : 11.2/35/12680/557000, elektrolit :
POD 4 post Laparotomi SOD, Dr. dr. Fitriyadi 137/3.9/104, C adarah 8, Ca ion 1.1, Mg darah 1.81,
205 B Utah 38 4368194 Adhesiolisis ai kistadenoma perawatan pasca operasi
Kusuma, SpOG(K) OT/PT: 8/15, alb 2.26, Ur/Cr : 10/0.8 DPL
musinosum borderline (4/7/2019): 11,2/35,8/5700/510000//85,9/26,9/31,3
Diff Count 0,7/3,7/64,5/24,6/6,5 PT/APTT 0,9/0,9
SGOT/SGPT 13/11 Albumin 3,17 Ur/Cr 16/0,8 GDS 76
Na/K/Cl 137/4,1/102
10/7/2019 Lactat 0.4 Mg 1.8, Ca Ion 1.12 Ca Darah 8.5

POD 4 post laparotomi Elektrolit 136/4/103 Albumin 2.8 Perawatan pasca operasi, drain
4359616 salpingoophorektommi kanan, Dr. dr. Fitriyadi 9/7/19 DPL : 10.8/32/15400/478000, Elektrolit :
205C Hulaelah 52 (+), NGT (+), DC (+) hingga
adhesiolisis ai cystadenoma Kusuma, SpOG(K) 136/4.6/107 8/7/19 DPL : 13/7/19--> rencana aff DC
musinosum ovarium kanan 9.8/29/16800/416000, pt/aptt : 1.1x/1.2x, OT/PT :
12/11, Alb 2.21, Ur/Cr : 28/0.5, elektrolit 136/3.6/106
POD I post laparatomi SOD-VC,
HTSOS, perinektomi, reseksi 11/7/19 DPL post op 10,6/31,8/12140/311000,
tumor ileocaecal dan stoma PT/APTT 1,0/1,2 SGOT/SGPT 13/6 Ur/Cr 13/0,3
ileocolon ascenden double
barrel atas indikasi tumor ganas Na/K/Cl 135/2,9/103,1 Albumin 2,0 10/7/2019
DPL 11,7.35,2/12490/419000 Albumin 3.09 elektrolit Perawatan luka op, stoma (+),
4380589 ovarium condong ke arah signet Dr. dr. Tofan W
205 D Then Yun Lan 69 137/3.7/102. 8/7/19 DPL 9/27.4/10.370/474.000
ring cell primer di GI tract, Utami, SpOG(K) drain abdomen (+)
GDS 110, alb 2.7, elektrolit 130/3.3/98.4 OT/PT 15/7
metastasis ovarium kanan ur/crec 13/0.4, pt/aptt : 1.1x/1.2x 12/7/19 albumin
dengan mioma uteri dan 2.54 elektrolit 134/4.3/106 kalsium 7.3 ca ion 0.91 mg
hidrosalping kiri dengan 1.51
permasalahan hipoalbuminemia
dan hipokalemia
Dr. dr. Sigit Purbadi, 11/7/2019 DPL 13.2/38.8/7560/231000 Ur/Cr 20/0.8 Rencana Histerektomi radikal
205 E Rukiyah 52 4381465 Ca cerviks stadium IB Na/K/Cl 138/3.4/104.9 Albumin 4.0 SGOT/SGPT 12 11 dan PLND 15/7/2019, persiapan
SpOG(K) PT/APTT 0.9/0.8 colon
Ca ovarium progresif dengan Dr. dr. Tofan W 12/7/19 9.5/29.7/6920/388.000 OT/PT 31/17 ur/crec
206 A Ellyana 47 4360870 dyspneu ec susp efusi pleura, Rencana punksi asites
Utami, SpOG(K) 38/1 GDS 94 elektrolit 128/4/93.4
dan asites
11/7/19 SGOT?SGPT 97/49 Bil T/D/I 4.62/3.71/0.91

PCT 2.0 10/7/2019 Gram urin: tdak ditemukan Konsul IPD Infeksi tropik :
kuman, Gram feses: batang gram negatf banyak, DPL
Ca cerviks stadium IV B, Rencana pemberian
10.6/31/10070/201000, darah samar tnja: negatf,
metastasis paru, metastasis ciprofloxacin 2x 500 mg dan
analisa feses: hijau, lembek, lendir (+), amoeba (-) telur
pankreas dd Ca pankreas (Caput) metronidazole 3x500 mg iv,
cacing (-), 9/7/19 : HbA1C 5.6, Darah samar tnja positf,
dengan permasalahan : smecta 3x1, cek HSV IgG dan
analisa tnja : lendir (+), darah (-), pus (+), UL : keton (+)
observasi febris hari ke 4, IgM,
8/7/19 DPL : 7.6/23/35810/78000, GDS 111 7/7/19
Leukositosis infektf, Konsul :
Dr. dr. Fitriyadi GDS 51- 121
206 B Sri Sudarsih 30 4380499 hiperglikemia ec DM tpe II ec Ca radioterapi : saran radiasi
Kusuma, SpOG(K) 5/7/19 DPL : 10.6/31.4/21650/418000, PT/APTT :
caput pankreas, peningkatan eksterna, nefrostomi oleh ts
1.1x/0.9x, OT/PT : 139/89, Albumin 3.47, Ur/Cr :
enzim transaminase, hidroureter urologi dan Hb >10,Konsul IPD
38/1.4, GDS 259, Elektrolit : 133/3.6/110, PCT : 186.3,
dan hidronefrosis kanan, endokrin : Diet DM 1700 kkal,
UL : keton (+), albumin +2, darah +3, bilirubin +2,
hiponatremia, hipochloremia, KGDH/hari Konsul IPD:
bakteria (+), leukosit 5-7/lpb, analisa tnja : darah (-),
AKI dd akut on CKD, Intake sulit, KGDH, cek elektrolit per 3 har,
lendir (-), pus (-) Hasil kultur feses: klabsiella
Ca pain DPL evaluasi 3 hari setelah
pneummoniae, candida sp, sesnsitf : khloramfenicol, antbiotk
gentamisin, kanamisin, ampisilin sulbactam, co
amoxiclav, ciprofloxacin,lefofloxacin
Ca tuba stadium IV B meta paru 9/7/19 DPL : 9.8/29/3030/427000 SGOT/SGPT 19/24,

4361109 pasca optmal debulking dan Dr. dr. Tofan W
206 D Nurbait 41 Ur/Cr 23/0,6 Na/K/Cl 138/4.0/105 12/7/19 DPL Rencana pulang
NACT (parsial response) dengan Utami, SpOG(K)
12.1/35.1/3.97/2.980/369.000
anemia
Penurunan kesadaran ec susp

metabolik, Ca ovarium progresif Raber neuro, gizi klinik, IPD
10/7/19 DPL 6/17.9/81080/40000 SGOT/SGPT 13/7,
on kemoterapi, hiperglimia endokrin (KGDH/hari, cek
dr. T. Dewi Ur/Cr 103/0.6 GDS 248, Na/K/Cl 132/4.4/98.8 AGD
206 E Ony Aisyarani 38 4383841 reaktf dd/ DM tpe II, anemia GDN/2PP) IPD Gastro
Anggraeni, SpOG(K) 7.501/21.8/186/17.2/-4.7/ SaO2 96.3 12/7/19 DPL
normositk normokrom, Terapi Paliatf
10.3/31.4/3.44/82870/56.000
leukositosis, trombositopenia Post radiasi 4/7/2019
dan underweight,
9/7/2019 DPL 10/31/25590/909000 Gambaran darah
NOK suspek maligna dengan
abdominal pain ec ileus fragmentosist (+) ovalosit (+), Urinalisa bakteria positf, Saran konsul IPD KHOM,
Mariana Wat dr. Kartwa Hadi N, darah +3, nitrit positf, PCT 42 ng/dL, 8/7/2019 DPL
206 F 49 4391856 peningkatan enzim 11.4/35/13840/969000//64/20/31 PT 10.8 (10.4) aPTT Persiapan perioperatf, Raber
Santoso SpOG(K)
transaminase, leukositosis Bedah, Gizi klinik dan IPD
41.3 (34) SGOT/SGPT 55/58, Ureum/Cr 40/0.86 GDS
infektf dd reaktf, trombositosis, 101, Albumin 2.8, elektrolit 133/4.6/109, asam urat 4.1,
ISK asimtomatk, Mg 1.5 Ca darah 7.7
Ca cervix stadium IIB dengan 11/7/19 DPL 7.4/22/20160/470000SGOT/SGPT 9/6, Transfusi PRC, Raber IPD dan
intake sulit, hidronefrosis dr. T. Dewi Ur/Cr 191/12.3 GDS 87, Na/K/Cl 123/6.3/96.6 12/7/19 Urologi (rencana nefrostomi
207 A Se Hiong 48 4382008 bilateral, anemia ec blood loss, Anggraeni, SpOG(K) DPL 10/29.3/3.75/22.880/474.000 ur/crec 11.2/195 bilateral), konsul IPD untuk
leukositosis, hiponatremia, acute elektrolit 124/6.4/98.4 koreksi hiperkalemia
on CKD, hiperkalemia
Saran : konsul ginjal hipertensi,

9/7/19 : AGD pH 7.536, PCO2 31.1, PO2 75.5, HCO3
Konsul Pulmo : USG thorax
26.6, Total CO2 27.5, BE 4.9, O2 sat 96.2,BE 4.9, PCT alirkan cairan pleura 1000
16.80, DPL : 10.7/31.4/14360/461000, Hasil kultur UL :
Ca cervix stadium IV A dengan ml/hari, lanjutkan antbiotk dan
acinetobacter sp, colony >100.000 kuman/mL6/7/19
efusi pleura kanan post pungsi ec MST 3x10 mg, Bedah vaskular :
DPL : 9.6/28/17380/514000, asam laktat 2.3, PT/APTT :
metastasis paru dd TB paru, Dr. dr. Fitriyadi elastc bandage dan CT
207 B Ribka Winarni 36 4391318 edema tungkai bilateral suspek Kusuma, SpOG(K) 1.1x/0.9x, fibrinogen 419, D-dimer 300, OT/PT : 38/23, angiografi ektremitas inferior
albumin 2.9, Ur/Cr : 64/1.7, GDS 91, elektrolit :
DVT, hipoalbuminemia, anemia, fase vena
129/3.7/105, analisa cairan pleura : hitung jenis 570/ul,
hiponatremia IPD : rencana sputum
protein serum 5.7 g/dL, LDH serum 269 U/L, kesan BTA, kultur UL, Ur/Cr per 3 hari,
eksudat, urinalisa : bakteria (+), leukosit 5-6/LPB,
pasien dipuasakan, aminofluid
albumin +2, darah +3, leukosit esterase trace 1000/24 jam
11/7/19 DPL 9.7/28.4/28020/331000, Ur/Cr HD 11/7/19, CDL (+). Konsul

101/2.2GDS 68, Na/K/Cl 137/3.3/102 10/7/2019 PT urologi : rencana APG K/P revisi
12.5 (11.7) APTT 35.5 (34.2) 9/7/19 DPL nefrostomi Konsul Ginjal
Ca cervix stadium III B dengan 8/23.4/29110/355000, alb 2.34, Ur/Cr: 195/3.6, hipertensi : transfusi prc 300 cc,
anemia, hidronefrosis bilateral elektrolit : 130/3.6/105, HBsAg non reaktf, ant HVC cek elektrolit, ur/cr per 2 hari
on nefrostomi, nefrostomi kanan
Dr. dr. Fitriyadi non reaktf, 7/7/19 DPL bedah vaskular : heparin bolus
4388904 rembes dan nefrostomi kiri
207 D Ika Handayani 37 Kusuma, SpOG(K) 6,1/17,7/36440/383000 Albumin 2,06 Ur/Cr 189/3,4 5000 IU, maintanance 15000
macet, leukositosis infektf, Na/K/Cl 130/4,1/103 Fibrinogen 186,6 d-dimer IU/24 jam, elastc verband, CTA
edema kedua tungkai suspek 4760 5/7/19 : DPL : ekstermitas bawah fase vena
dvt, aki dd akut on ckd, 5.8/17/46470/575000, OT/PT : 15/7, Ur/Cr : 144/2.78,
hiponatremia
GDS 75, Elektrolit : 125/4.7/106, PT/APTT : 10 X/ Transfusi PRC
5X,6/7/19 UL : bakteri (+), leukosit 6-8/lpb, albumin +1, Koreksi albumin
darah +2, leukosit esterase +2 iv
10/7/2019 DPL 11.1/33/8500/346000, elektrolit Hasil Tumor Board: rencana
136/3.4/105, Albumin 2.57, PT 10 (11,2) APTT 48 operasi radikal dan kemoterapi,
(32.2). 8/7/19 DPL : 9.3/27.5/8050/382000, Jumat 12 Juli 2019.
5/7/19 DPL 10.1/29.1/10550/353000 Periksa PA jaringan 4/7/19
4/7/19 DPL 9,6/28,4/13050/407000 3/7/19 DPL: (tunggu hasil) MRI
8/23,7/10490/409000 2/7/19 DPL : 1/7/19:Massa padat heterogen
8.2/25/10130/450000 30/6/19 Ur/cr 24/0.5 di cervix hingga vagina uk
Suspek sarkoma Botryoides dd/ 28/6/2019 DPL 8,5/25,8/7.910/418.000 10x12x12 cm mendesak VU dan
mioma Geburt dengan 26/6/2019 DPL 5,7/17,3/9.500/375.000 Albumin 2,22 rektum, tdak ada infiltrasi ke
4381266 hipoalbuminemia, riwayat syok Dr. dr. Fitriyadi 22/6/2019 DPL 9,8/29,5/7.300/344.000 uterus, VU atau rektum.
207 E Putri Diansyah 15 hipovolemik et causa Kusuma, SpOG(K) 21/6/2019 DPL 8,3/25,3/6.860/336.000 Transfusi PRC target Hb ≥ 10
perdarahan, retensio urin ec 19/6/2019 8/24,8/7.780/347.000 Albumin 2,32 g/dL
suspek penekanan massa 18/6/2019 14,8/44,3/7.070/355.000 Na/K/Cl Terpasang folley catheter V
135/3,4/94 (27/6/2019), gant tanggal
17/6/2019 DPL 9,7/30,2/7.250/370.000 Albumin 1,9 4/7/2019
15/6/2019 DPL 9,8/29,4/10.130/360.000 Konsul Bedah Anak: konsul
13/6/2019 DPL 7,7/24,7/6.600/386.000 Albumin 1,53 ulang hasil MRI, sudah ada hasil
12/6/2019 DPL 2,8/10,3/7.350/428.000 Na/K/Cl MRI
131/4,3/114 Ur/Cr 10,4/0,32 SGOT/SGPT 13,3/8,3 Konsul Gizi Klinik Anak: Albumer
Albumin 1,81 GDS 113 20% 100 cc 3x selama 3 hari
berturut-turut, diet nutrisi
lanjut
DPL post op 11/7/19 10,2/30,1/22680/ 272000

PT/APTT 0,9/0,7x 9/7/19 DPL :
11.2/33.2/8750/380000, HbA1C 5.5, PT/APTT : Konsul endokrin : KGDH/ hari,
POD I post laparatomi surgical dr. T. Dewi 0.9x/0.9x, OT/PT : 16/15, Ur/Cr : 29/0.9, alb 3.89, gds lanjutkan obat rutn, obat oral
210 A Esthi 60 3347315 staging atas indikasi Ca Anggraeni, SpOG(K) 93, elektrolit : 138/4/98 15/5/19 DPL terakhir rabu 10/7/19,
endometrium kklinis IIIC 13.4/39.7/6821.000/213.000 HbSAg negatf, elektrolit
133/3.8/101.2 albumin 4.36 OT/PT 30/24 ur/crec28/0.7
PT/APTT 0.9/1.1 *DPL
Ca ovarium progresif susp meta 10/7/2019 12.1/34/8620/196000 Albumin 2.5 9/7/19 Raber IPD Pulmo rencana
hepar dan paru, , ascites post DPL : 9.9/28/9490/210000, PT/APTT : 0.9x/0.8x, USG thorax dan pemasangan
dr. T. Dewi
4329454 pungsi, hipoalbuminemia, Na/K/Cl 124/5,0/91,2 LDH 852 OT/PT : 279/291, mini wsd, on pungsi cystofix,
210 C Salindri 26 Anggraeni, SpOG(K)
hiponatremia,lymphedema ec Fibrinogen 265, D-dimer 35200, alb 2.14, Bil T/D/I : Raber gizi klinik Raber
+F23:H23
penekanan massa, hipoalbumin, 10.8/7.94/2.88, AFP >80000 Ur/Cr: 28/0.5 8/7/19 Bedah vaskular: rencana CT
DVT bilateral Albumin 2.05 DPL 9.3/27/34.400/9150/195.000 angiografi pelvis dan abdomen,
rencana pungsi ascites, sitologi

Dr. dr. Hariyono W, 3/7/19 11.1/34.3/14180/283.000 OT/PT 25/11 ur/crec cairan ascites, konsul vascular,
211 A Maria S 46 4384708 suspek ca ovarium ascites masif pro NAC, cek tumor marker,
SpOG (K) 29/0.80 GDS 84 elektrolit 131/3.4/96.4 sedang cek dpl dan albumin
ulang
Dr. dr. Gatot 28/5/2019 DPL 12.9/38.3/5590/325000, CEA 4.1 ca Rencana op laparatamo
211 B Lie Siat 4353786 Ca ovarium stadium IIIC Purwoto, SpOG(K) 125: 49,4 Ur/Cr 28/0,7 na/K/Cl 138/3,9/107 debulking 15/7/19
Ca ovarium residif, anemia, 8/7/2019 6,6/20,1/3550/109000 Albumin 1,89

Dr. dr. Tofan W
211 C Iriani Nasuton 60 4365294 trombositopenia, leukopenia, Na/K/Cl 135/2,4/96,1 12/7/2019 Transfusi PRC dan albumin 20%
Utami, SpOG(K)
hipoalbuminemia, hipokalemia 7.8/23.3/2.67/4810/142.000
Dr. dr. Sigit Purbadi, 12/7/19 9.9/31.4/19510/203.000 Rencana kemoterapi, sedang

211D Nuraini 78 4371648 ca ovarium satdium III C SpOG(K) transfusi target Hb>10g/dL
Ca vulva stadium III dengan Sigit Purbadi, 11/7/19 DPL 8,6/24,7/14120/712000 SGOT/SGPT
212B Kustariyah 61 4368409 anemia, dan peningkatan enzim Dr. dr.SpOG(K) 62/73, UR/Cr 26,4/0,9 Na/K/Cl 132/4.4/108 12/7/19 Rencana pulang
transaminase 10.1/29.8/3.67/14.450/652.000
NOK susp maligna dengan 11/7/19 DPL 8.4/24.8/14860/286000//87.6/29.7/33.9 Kapten neuro,

riwayat penurunan kesadaran ec dr. T. Dewi 8/7/19 DPL 5,5/16.4/28650/325000 Na/K/Cl Saran raber hepatologi
519 F Sulastri 4385041 SOL, massa hepar susp Anggraeni, SpOG(K) 130/4.2/107 SGOT/SGPT 49/30 PT/APTT 0.9/0.9x Rencana MRI abdomen dengan
meetastasis, anemia post
Albumin 2,91 Ur/Cr 17,9/0.4 GDS 111 kontras, usg FM
transfusi, hipoalbuminemia
206 B,
207 B,
207 C, 204 A, 204 B, 204 D, 204 E, 204
DNR dr. T. Dewi Anggraeni, SpOG(K) 207 F, 210 A, 210C dr. Kartwa Hadi N, SpOG(K)
207 D, F, 205 C, 206 D, 206 F, 210B
207 F,
211 A Dr. dr. Laila Nuranna, SpOG(K) Dr. dr. Hariyono W, SpOG (K) 211 A
Prof. Dr. dr. Andrijono, SpOG(K) 204C Dr. dr. Tofan W Utami, SpOG(K) 205D
205 B, 206B, 207B,

Dr. dr. Fitriyadi K, SpOG(K) 207C, 207D, 207E, Dr. dr. Gatot Purwoto, SpOG(K)
401
211 B
Dr. dr. Sigit Purbadi, SpOG(K) 211 D, 212 B
dr. Andi Darma Putra, SpOG (K) 211A, 206 C

25/6/19 : DPL :
dr. Kartwa Hadi N, 12.8/38.5/11960/311000, Ur/Cr
204 A Yuniart 35 4058921 Ca cervix stadium IB residif kemoterapi
SpOG(K) 12/0.7, OT/PT : 15/22
Ca cervix stadium IIIB on radiasi eksterna dr. Kartwa Hadi N,

204 B Ropikoh 47 4367211 9/7/19 DPL : 9.5/29.7/18800/508000 kemoterapi
5 kali SpOG(K)
Prof. Dr. dr. 24/6/19 DPL :

204 C Sulkha 41 4113088 PTM high risk Andrijono, 10.7/32.1/4430/346000, Albumin kemoterapi
SpOG(K) 4.31, Ur/Cr : 24/0.5,OT/PT : 39/103
8/7/19 DPL : 9.5/29/5430/77000,

Transfusi PRC target Hb>
Ca ovarium, anemia dan trombositopenia dr. Kartwa Hadi N, OT/PT : 17/13, Ur/Cr : 30/0.7, Alb :
204 D Nuraini 49 4300167 10 gr/dL
SpOG(K) 3.67, GDS 108, elektrolit : Transfusi TC
137/3.6/103
dr. Kartwa Hadi N, 9/7/19 DPL : 9.9/27.4/5100/31000

205 A Rinna Hariyat 42 4333849 Ca ovarium dengan trombositopenia Transfusi TC
SpOG(K)
8/7/19 DPL 9/27.4/10.370/474.000

Dr. dr. Tofan W GDS 110, alb 2.7, elektrolit Rencana laparatomi VC
205 D Then Yun Lan 69 4380589 NOP suspek maligna
Utami, SpOG(K) 130/3.3/98.4 OT/PT 15/7 ur/crec 11/7/19
13/0.4, pt/aptt : 1.1x/1.2x
7/7/19 DPL : 13.2/39.5/6770/321000,

Ca ovarium residif dengan asites post dr. Kartwa Hadi N, pt/aptt : 0.9x/1.3x, alb 3.25, Ur/Cr : Rencana observasi post
206 A Sumini 46 4255025 pungsi SpOG(K) 23/0.75, GDS 106, elektrolit pungsi
142/4/116
9/7/19 : HbA1C 5.6, Darah samar tnja Konsul : radioterapi

positf, analisa tnja : lendir (+), darah :nefrostomi
saran radiasi eksterna,
oleh ts urologi
Ca cerviks stadium IV B, metastasis paru, (-), pus (+), UL : keton (+) 8/7/19 DPL : dan Hb >10,Konsul
metastasis pankreas dd Ca pankreas 7.6/23/35810/78000, GDS 111 7/7/19 endokrin : Diet DM IPD 1700
(Caput) dengan permasalahan : observasi GDS 51- 121 kkal, KGDH/hari
febris hari ke 4, Leukositosis infektf, 5/7/19 DPL :
Dr. dr. Fitriyadi 10.6/31.4/21650/418000, PT/APTT : Konsul IPD Infeksi tropik :
hiperglikemia ec DM tpe II ec Ca caput
206 B Sri Sudarsih 30 4380499 Rencana pemberian
pankreas, peningkatan enzim Kusuma, SpOG(K) 1.1x/0.9x, OT/PT : 139/89, Albumin ciprofloxacin 2x 400 mg
transaminase, hidroureter dan 3.47, Ur/Cr : 38/1.4, GDS 259, Cek DPL dan
hidronefrosis kanan, hiponatremia, Elektrolit : 133/3.6/110, PCT : 186.3, elektrolit 11/7/19
hipochloremia, AKI dd akut on CKD, Intake UL : keton (+), albumin +2, darah +3, Konsul IPD:
sulit, Ca pain bilirubin +2, bakteria (+), leukosit 5- KGDH, cek elektrolit per 3
7/lpb, analisa tnja : darah (-), lendir har, DPL evaluasi 3 hari
(-), pus (-) setelah antbiotk
Ca cervix stadium IV B dengan anemia 9/7/19 DPL : 8/24/13650/286000,
dr. Andi Darma 1.1x/1.1x, GDS 97, elektrolit Rencana Transfusi target
206 C Titn Sukaesih 60 4383215 mikrositk hipokrom, hiponatremia dan Putra, SpOG(K) PT/APTT hb >10 gr/dL
hipokalemia 135/34/115
9/7/19 DPL : 5.6/16.6/9200/104.000,

Alb 2.35, AGD : pH 7.567, PCO2 29.3,
PO2 137, HCO3 26.9, total CO2 27.8,
BE 5.3, O2 sat 97.5,Ur/Cr : 83/6.8,
Elektrolit : 137/4.1/105, Ca ion 1.02,
Ca darah 8.2, Mg 1.99, P darah 3.9,
8/7/19 Ur/Cr : 109/8.0
7/7/19 DPL 7,8/22,6/10480/87000
UR/Cr 104/7,5 Na/K/Cl Rencana EEG -->
Ca serviks stadium IIB dalam radiasi 134/4,8/102,4 6/7/19 DPL : penjadwalan (+), HD
6.2/17.7/8450/107000
eksterna 25 kali dan dalam 4 kali (4/9/19) 4/7/19 DPL 7,3/22/8270/129000
dengan penurunan kesadaran ec Terpasang tampon
Ur/Cr 70/5,3 Na/K/Cl 135/4,4/101
ensefalopat uremikum, anemia (evaluasi 10/7/19)
normositk normokrom ec perdarahan, dr. Kartwa Hadi N, 3/7/19 Ur/Cr 130/8,4 Na/K/Cl Transfusi PRC
206 D Sit Nur Muniroh 40 4374598 133/5,1/101,3 2/7/19 DPL :
hipokalemia, acute on CKD post HD SpOG(K) target Hb ≥ 10 g/dL,
9.7/29.1/10420/107000, Ur/Cr :
(4/7/19), hipoalbuminemia, fistula Raber Neurologi dan IPD
123/7.6, elektrolit : 134/5.4/102
rektovagina, suspek vesikovaginal, intake Ginjal hipertensi (post HD
1/7/19 PT/APTT : 1.3x/1.1x
sulit, hidronefrosis bilateral on nefrostomi 4/7/19)
bilateral, susp DVT tungkai kiri 30/6/19 DPL : Sudah terpasang
7.0/21.3/10640/127000, Ur/cr nefrostomi bilateral
91/6.2, GDS 99
29/6/2019 Na/K/Cl 129/5,4/107
Ur/Cr 146/8,9
28/6/2019 DPL
5,7/17,2/8.810/129.000 Ur 119 Cr 9,2
HIV HBsAg negatf Na/K/Cl
133/6,3/110 SGOT 10 SGPT 23
Albumin 2,12 GDS 105. 1/7/2019 PT
1x aPTT 1.1x
8/7/19 DPL : 5.4/16.2/10610/618000,

OT/PT : 66/19, Ur/Cr : 45/1.04, GDS
dr. Kartwa Hadi N, 93, elektrolit : 126/4.8/105, PT/APTT : Transfusi target Hb >10
206 E Sit Sopiah 40 4364940 Ca cervix stadium IIIB, anemia 1.3x/1.2x
SpOG(K) gr/Dl
18/6/19 DPL :
9.3/27.8/3.34/7860/375.000, e
133/4.3/90
9/7/19 : AGD pH 7.536, PCO2 31.1,
PO2 75.5, HCO3 26.6, Total CO2 27.5,
BE 4.9, O2 sat 96.2,BE 4.9, PCT 16.80,
DPL : 10.7/31.4/14360/461000, Hasil Konsul Pulmo : sudah
kultur UL : acinetobacter sp, colony dilakukan USG thorax dan
>100.000 kuman/mL6/7/19 DPL : pasang pigtail, Bedah
Ca cervix stadium IV A dengan efusi pleura
9.6/28/17380/514000, asam laktat vaskular : elastc bandage
kanan post pungsi ec metastasis paru dd Dr. dr. Fitriyadi 2.3, PT/APTT : 1.1x/0.9x, fibrinogen dan CT angiografi
207 B Ribka Winarni 36 4391318 TB paru, edema tungkai bilateral suspek Kusuma, SpOG(K) 419, D-dimer 300, OT/PT : 38/23, ektremitas inferior fase
DVT, hipoalbuminemia, anemia, albumin 2.9, Ur/Cr : 64/1.7, GDS 91, vena
hiponatremia
elektrolit : 129/3.7/105, analisa cairan IPD : rencana
pleura : hitung jenis 570/ul, protein sputum BTA, kultur UL,
serum 5.7 g/dL, LDH serum 269 U/L, Ur/Cr per 3 hari
kesan eksudat, urinalisa : bakteria (+),
leukosit 5-6/LPB, albumin +2, darah
+3, leukosit esterase trace
9/7/19, sputum I BTA negatf, Gram Konsul Ginjal hipertensi :

batang (-) : sedang, leukosit 20-25/lpk, Cek Ur/Cr per 2 hari,
epitel 20-25/lpk, sputum tercampur hidrasi dan balans cairan
saliva, mikroorganisme dapat berasal seimbang, USG ginjal bila
dari rongga mulut atau faring transportable
8/7/19 Elektrolit :
134/3.8/103, Ur/Cr 41/0.9, Fibrinogen Pulmo : Cek sputum BTA,
gram, cek DPL, PCT, laktat
215, D-dimer 9510
NOK bilateral suspek maligna dengan syok dan foto thorax setelah
Dr. dr. Fitriyadi 5/7/19 DPL:
207 C Sugiyat 49 4383778 sepsis ec pneumonia, hiponatremia, AKI pemberian antbiotk 7
Kusuma, SpOG(K) 10.8/30.8/31320/326000, Ur/Cr :
dd akut on CKD, Ca pain, Cephalgia hari
50.6/1.35, GDS 72, elektrolit :
6/7/19 Neuro : MRI kepala dengan
129/4.0/105 kontras, raber neuro
OT/PT: 46/10, pct 0.4, UL : bakteria IPD : USG abdomen,
(+), leukosit 9-11/LPB, albuminn +1, raber IPD saat ini sudah
keton +2, darah +3, leukosit esterase mendapat antbiotk
+1, D-dimer 1500, fibrinogen 248,
PT/APTT : 1.1x/1.1x, Mg 1.85, Fosfat meropenem sejak 6/7/19,
rencana 7 hari
3.1, Ca 7.8
Konsul Ginjal hipertensi :
9/7/19 DPL 8/23.4/29110/355000, transfusi prc 300 cc, cek
alb 2.34, Ur/Cr: 195/3.6, elektrolit : elektrolit, ur/cr per 2 hari
130/3.6/105, HBsAg non reaktf, ant bedah vaskular : heparin
HVC non reaktf, bolus 5000 IU,
7/7/19 DPL 6,1/17,7/36440/383000
Ca cervix stadium III B dengan anemia, maintanance 15000 IU/24
hidronefrosis bilateral on nefrostomi, jam, elastc verband, CTA
Dr. dr. Fitriyadi Na/K/Cl 130/4,1/103 Fibrinogen
nefrostomi kanan rembes dan nefrostomi ekstermitas bawah fase
207 D Ika Handayani 37 4388904 Kusuma, SpOG(K) 186,6 d-dimer 4760
kiri macet, leukositosis infektf, edema vena
5/7/19 : DPL :
kedua tungkai suspek dvt, aki dd akut on Transfusi PRC
5.8/17/46470/575000, OT/PT : 15/7,
ckd, hiponatremia
Ur/Cr : 144/2.78, GDS 75, Elektrolit : Koreksi albumin iv
125/4.7/106, PT/APTT : 10 X/ 5X,
6/7/19 UL : bakteri Konsul urologi : rencana
(+), leukosit 6-8/lpb, albumin +1, revisi nefrostomi bilateral ,
darah +2, leukosit esterase +2 cek pt/aptt
8/7/19 DPL : 9.3/27.5/8050/382000,

5/7/19 DPL 10.1/29.1/10550/353000
4/7/19 DPL
9,6/28,4/13050/407000 3/7/19
DPL: 8/23,7/10490/409000
2/7/19 DPL : 8.2/25/10130/450000 Periksa PA jaringan 4/7/19
30/6/19 Ur/cr 24/0.5 (tunggu hasil) MRI
28/6/2019 DPL 1/7/19:Massa padat
8,5/25,8/7.910/418.000 heterogen di cervix hingga
26/6/2019 DPL vagina uk 10x12x12 cm
5,7/17,3/9.500/375.000 Albumin 2,22 mendesak VU dan rektum,
22/6/2019 DPL tdak ada infiltrasi ke
9,8/29,5/7.300/344.000 uterus, VU atau rektum.
Suspek sarkoma Botryoides dd/ mioma 21/6/2019 DPL Transfusi PRC target Hb ≥
Geburt dengan anemia, hipoalbuminemia, Dr. dr. Fitriyadi 8,3/25,3/6.860/336.000 10 g/dL
207 E Putri Diansyah 15 4381266 riwayat syok hipovolemik et causa Kusuma, SpOG(K) 19/6/2019 8/24,8/7.780/347.000 Terpasang folley catheter V
perdarahan, retensio urin ec suspek Albumin 2,32 (27/6/2019), gant tanggal
penekanan massa 18/6/2019 14,8/44,3/7.070/355.000 4/7/2019
Na/K/Cl 135/3,4/94 Konsul Bedah Anak: konsul
17/6/2019 DPL ulang hasil MRI, sudah ada
9,7/30,2/7.250/370.000 Albumin 1,9 hasil MRI
15/6/2019 DPL Konsul Gizi Klinik Anak:
9,8/29,4/10.130/360.000 Albumer 20% 100 cc 3x
13/6/2019 DPL selama 3 hari berturut-
7,7/24,7/6.600/386.000 Albumin 1,53 turut, diet nutrisi lanjut
12/6/2019 DPL
2,8/10,3/7.350/428.000 Na/K/Cl
131/4,3/114 Ur/Cr 10,4/0,32
SGOT/SGPT 13,3/8,3 Albumin 1,81
GDS 113
9/7/19 DPL
11.2/34.7/12820/108000, Alb 2.71,
Ur/Cr : 119/0.9, Elektrolit :
146/3/110, Ca darah12.9 7/7/2019
DPL 9.2/28,1/7280/92000
6/7/19 DPL : 9.1/27.3/9400/93000
Karsinoma serviks stadium IIIB post-radiasi dr. T. Dewi 1/7/2019. Ureum 97 Creatnin Raber neuro, Terapi
207 F Tjong Lay Tjen 59 4335682 eksterna 25 kali, suspek metastasis otak, Anggraeni, 0.9 elektrolit 133/4.7/94. 25/6/19 Paliatf Post radiasi
anemia, susp DVT SpOG(K) DPL 11,4/34/17.160/218.000
22/6/2019 PT/APTT 1/0,8 Fibrinogen 4/7/2019
330 d-Dimer 2.420
20/6/2019 DPL
10,5/31,8/9.530/160.000
18/6/2019 DPL
8,2/25,7/9.500/214.000
9/7/19 DPL : 11.2/33.2/8750/380000,

HbA1C 5.5, PT/APTT : 0.9x/0.9x, OT/PT Konsul endokrin : KGDH/
: 16/15, Ur/Cr : 29/0.9, alb 3.89, gds hari, lanjutkan obat rutn,
dr. T. Dewi 93, elektrolit : 138/4/98 obat oral terakhir rabu
210 A Esthi 60 3347315 Ca endometrium stadium I B Anggraeni, 15/5/19 DPL 10/7/19,
SpOG(K) 13.4/39.7/6821.000/213.000 HbSAg rencana HTSOB kamis
negatf, elektrolit 133/3.8/101.2 11/7/19
albumin 4.36 OT/PT 30/24
dr. Kartwa Hadi N, 9/7/19 DPL 10.6/32/10470/544000

210 B Sri Umiyasih 61 4206729 Ca ovarium advance stage, anemia 14/6/19 DPL 9.328.6/11.710/787.000 kemoterapi
SpOG(K) ur/crec 26/0.5 elektrolit 130/4/96
9/7/19 DPL : 9.9/28/9490/210000,

PT/APTT : 0.9x/0.8x, OT/PT : 279/291,
dr. T. Dewi Fibrinogen 265, D-dimer 35200, alb
210 C Salindri 26 4329454 Ca ovarium, ascites post pungsi Anggraeni, 2.14, Bil T/D/I : 10.8/7.94/2.88, AFP observasi post pungsi
SpOG(K) >80000 Ur/Cr: 28/0.5 8/7/19
Albumin 2.05 DPL
9.3/27/34.400/9150/195.000
Ca ovarium stadium III C residif, 9/7/19 DPL : 10.2/31/9600/18000, UL

metastasisi supraklavikula kanan, pasca : Bakteri (+), albumin (+), leukosit 0-
kemoterapi 6kali dengan permasalahan dr. Andi Darma 3/LPB 8/7/19 Konsul pulmo di hari dan
211 A Yuniart 52 4195165 intake sulit, anemia, trombositopenia, Putra, SpOG(K) DPL 6/19/10300/31000, elektrolit : jam kerja, transfusi tc
hipoglikemia, elektrolit imbalance, efusi 131/3.2/94, OT/PT : 75/16, Ur/Cr :
pleura kanan 61/0.84, GDS 164
9/7/19 elektrolit : 136/3.7/102, alb
2.62, Ca Ion 1.08, Mg 1.76 8/7/19
DPL : 11.2/35/12680/557000,
elektrolit : 137/3.9/104, C adarah 8,
POD 2 post laparotomi Ca ion 1.1, Mg darah 1.81, OT/PT:
salpingoophorektommi kanan, Dr. dr. Fitriyadi 8/15, alb 2.26, Ur/Cr : 10/0.8 DPL Perawatan post operasi,
HCU surgical Utah 38 4368194 adhesiolisisai cystadenoma musinosum Kusuma, SpOG(K) (4/7/2019): rencana pindah ruangan
borderline ovarii 11,2/35,8/5700/510000//85,9/26,9/3
1,3 Diff Count 0,7/3,7/64,5/24,6/6,5
PT/APTT 0,9/0,9 SGOT/SGPT 13/11
Albumin 3,17 Ur/Cr 16/0,8 GDS 76
Na/K/Cl 137/4,1/102
9/7/19 DPL : 10.8/32/15400/478000,

Dr. dr. Fitriyadi Elektrolit : 136/4.6/107 8/7/19
salpingoophorektommi kanan, : 9.8/29/16800/416000, pt/aptt : Perawatan post operasi,
HCU surgical Hulaelah 52 4359616 adhesiolisisai cystadenoma musinosum Kusuma, SpOG(K) DPL rencana pindah ruangan
1.1x/1.2x, OT/PT : 12/11, Alb 2.21,
ovarium kanan Ur/Cr : 28/0.5, elektrolit 136/3.6/106
206 B,
207 B,
207 C, 204 A, 204 B, 204 D, 205 A,
DNR dr. T. Dewi Anggraeni, SpOG(K) 207 F, 210 A, 210C dr. Kartwa Hadi N, SpOG(K)
207 D, 206 A, 206 D, 206 E, 210B
207 F,
211 A
Prof. Dr. dr. Andrijono, SpOG(K) 204C Dr. dr. Tofan W Utami, SpOG(K) 205D
206B, 207B, 207C,

Dr. dr. Fitriyadi K, SpOG(K) 207D, 207E, HCU Dr. dr. Gatot Purwoto, SpOG(K)
surgical
dr. Andi Darma Putra, SpOG (K) 211A, 206 C

dr. Kartwa Hadi N,
2014 A Yeni 50 4364662 Caovarium residif pro kemoterapi kemoterapi
SpOG(K)
Prof. Dr. dr.
204 C Sulkga 41 4113088 PTM high risk Andrijono, kemoterapi
SpOG(K)
8/7/19 DPL
Dr. dr. Tofan W 9/27.4/2.470/10.370/474.000 GDS
205 D Then Yun Lan 69 4380589 NOK Rencana laparatomi VC
Utami, SpOG(K) 110 elektrolit 130/3.3/98.4 OT/PT
15/7 ur/crec 13/0.4
Ca cerviks stadium IV B, metastasis paru, 7/7/19 GDS 51- 121

metastasis pankreas dd Ca pankreas 5/7/19 DPL :
(Caput) dengan permasalahan : observasi 10.6/31.4/21650/418000, PT/APTT : Rencana konsul IPD Infeksi
febris hari ke 4, Leukositosis infektf, 1.1x/0.9x, OT/PT : 139/89, Albumin tropik
hiperglikemia ec DM tpe II ec Ca caput Dr. dr. Fitriyadi 3.47, Ur/Cr : 38/1.4, GDS 259, Cek DPL dan elektrolit
206 B Sri Sudarsih 30 4380499
pankreas, peningkatan enzim Kusuma, SpOG(K) Elektrolit : 133/3.6/110, PCT : 186.3, 8/7/19
transaminase, hidroureter dan UL : keton (+), albumin +2, darah +3, Konsul IPD: KGDH, cek
hidronefrosis kanan, hiponatremia, bilirubin +2, bakteria (+), leukosit 5- elektrolit per 3 hari
hipochloremia, AKI dd akut on CKD, Intake 7/lpb, analisa tnja : darah (-), lendir
sulit, Ca pain (-), pus (-)
dr. Kartwa Hadi N, DPL 11.6/333/10790/690.0000 OT?PT

206 C Hobertna 30 4380499 Suspek ca endometrium
SpOG(K) 32/8 albumin 3.15 ur/crrec 1.38/38
7/7/19 DPL 7,8/22,6/10480/87000

UR/Cr 104/7,5 Na/K/Cl
134/4,8/102,4 6/7/19 DPL :
6.2/17.7/8450/107000
4/7/19 DPL 7,3/22/8270/129000
Ur/Cr 70/5,3 Na/K/Cl 135/4,4/101 Rencana EEG, HD, koreksi
Ca serviks stadium IIB dalam radiasi 3/7/19 Ur/Cr 130/8,4 Na/K/Cl albumin 20% iv
eksterna 25 kali dan dalam 4 kali (4/9/19) 133/5,1/101,3 2/7/19 DPL :
dengan penurunan kesadaran ec 9.7/29.1/10420/107000, Ur/Cr : Terpasang tampon
ensefalopat uremikum, anemia 123/7.6, elektrolit : 134/5.4/102 (evaluasi 9/7/19)
normositk normokrom ec perdarahan, dr. Kartwa Hadi N, 1/7/19 PT/APTT : 1.3x/1.1x Transfusi PRC
206 D Sit Nur Muniroh 40 4374598 hipokalemia, acute on CKD post HD SpOG(K) 30/6/19 DPL : target Hb ≥ 10 g/dL,
(4/7/19), hipoalbuminemia, fistula 7.0/21.3/10640/127000, Ur/cr Raber Neurologi dan IPD
rektovagina, suspek vesikovaginal, intake 91/6.2, GDS 99 Ginjal hipertensi (post HD
sulit, hidronefrosis bilateral on nefrostomi 29/6/2019 Na/K/Cl 129/5,4/107 4/7/19)
bilateral, susp DVT tungkai kiri Ur/Cr 146/8,9 Sudah terpasang
28/6/2019 DPL nefrostomi bilateral
5,7/17,2/8.810/129.000 Ur 119 Cr 9,2
HIV HBsAg negatf Na/K/Cl
133/6,3/110 SGOT 10 SGPT 23
Albumin 2,12 GDS 105. 1/7/2019 PT
1x aPTT 1.1x
dr. Kartwa Hadi N, 18/6/19 9.3/27.8/3.34/7860/375.000,
206 E Sit Sopiah 40 4364940 Ca cervix stadium IIIB, anemia SpOG(K) e 133/4.3/90
6/7/19 DPL : 9.6/28/17380/514000,

asam laktat 2.3, PT/APTT : 1.1x/0.9x,
fibrinogen 419, D-dimer 300, OT/PT : Rencana Konsul Pulmo dan
Ca cervix stadium IV A dengan efusi pleura 38/23, albumin 2.9, Ur/Cr : 64/1.7, Bedah vaskular
kanan post pungsi ec metastasis paru dd Dr. dr. Fitriyadi GDS 91, elektrolit : 129/3.7/105, Transfusi PRC target Hb >
207 B Ribka Winarni 36 4391318 TB paru, edema tungkai bilateral suspek Kusuma, SpOG(K) analisa cairan pleura : hitung jenis 10g/dl
DVT, hipoalbuminemia, anemia, 570/ul, protein serum 5.7 g/dL, LDH IPD : rencana sputum
hiponatremia serum 269 U/L, kesan eksudat, BTA, kultur UL, Ur/Cr per 3
urinalisa : bakteria (+), leukosit 5- hari
6/LPB, albumin +2, darah +3, leukosit
esterase trace
Rencana konsul Ginjal

5/7/19 DPL: hipertensi dan Pulmo
10.8/30.8/31320/326000, Ur/Cr : Neuro : MRI kepala
50.6/1.35, GDS 72, elektrolit : dengan kontras, raber
NOK bilateral suspek maligna dengan syok 129/4.0/105 6/7/19 OT/PT: 46/10,
Dr. dr. Fitriyadi pct 0.4, UL : bakteria (+), leukosit 9- neuro IPD : USG
207 C Sugiyat 49 4383778 sepsis ec pneumonia, hiponatremia, AKI Kusuma, SpOG(K) 11/LPB, albuminn +1, keton +2, darah abdomen, raber IPD saat
dd akut on CKD, Ca pain, Cephalgia ini sudah mendapat
+3, leukosit esterase +1, D-dimer antbiotk meropenem
1500, fibrinogen 248, PT/APTT : sejak 6/7/19, rencana 7
1.1x/1.1x, Mg 1.85, Fosfat 3.1, Ca 7.8
hari
7/7/19 DPL 6,1/17,7/36440/383000 Rencana konsul Ginjal

Albumin 2,06 Ur/Cr 189/3,4 hipertensi dan bedah
Na/K/Cl 130/4,1/103 Fibrinogen
Ca cervix stadium III B dengan anemia, vaskular
186,6 d-dimer 4760
hidronefrosis bilateral on nefrostomi, Transfusi
5/7/19 : DPL :
nefrostomi kanan rembes dan nefrostomi Dr. dr. Fitriyadi PRC
207 D Ika Handayani 37 4388904 Kusuma, SpOG(K) 5.8/17/46470/575000, OT/PT : 15/7,
kiri macet, leukositosis infektf, edema Koreksi albumin
Ur/Cr : 144/2.78, GDS 75, Elektrolit :
kedua tungkai suspek dvt, aki dd akut on iv
125/4.7/106, PT/APTT : 10 X/ 5X,
ckd, hiponatremia Konsul urologi :
6/7/19 UL : bakteri rencana APG k/p, revisi
(+), leukosit 6-8/lpb, albumin +1, nefrostomi kanan
darah +2, leukosit esterase +2
5/7/19 DPL 10.1/29.1/10550/353000
4/7/19 DPL
9,6/28,4/13050/407000 3/7/19
DPL: 8/23,7/10490/409000
2/7/19 DPL : 8.2/25/10130/450000 Periksa PA jaringan 4/7/19
30/6/19 Ur/cr 24/0.5 (tunggu hasil) MRI
28/6/2019 DPL 1/7/19:Massa padat
8,5/25,8/7.910/418.000 heterogen di cervix hingga
26/6/2019 DPL
vagina uk 10x12x12 cm
5,7/17,3/9.500/375.000 Albumin 2,22 mendesak VU dan rektum,
22/6/2019 DPL tdak ada infiltrasi ke
9,8/29,5/7.300/344.000 uterus, VU atau rektum.
Suspek sarkoma Botryoides dd/ mioma 21/6/2019 DPL
Transfusi PRC target Hb ≥
Geburt dengan anemia, hipoalbuminemia, Dr. dr. Fitriyadi 8,3/25,3/6.860/336.000 10 g/dL
207 E Putri Diansyah 15 4381266 riwayat syok hipovolemik et causa Kusuma, SpOG(K) 19/6/2019 8/24,8/7.780/347.000 Terpasang folley catheter V
perdarahan, retensio urin ec suspek Albumin 2,32 (27/6/2019), gant tanggal
penekanan massa 18/6/2019 14,8/44,3/7.070/355.000 4/7/2019
Na/K/Cl 135/3,4/94
17/6/2019 DPL ulang hasil MRI, sudah ada
9,7/30,2/7.250/370.000 Albumin 1,9 hasil MRI
15/6/2019 DPL Konsul Gizi Klinik Anak:
9,8/29,4/10.130/360.000
13/6/2019 DPL Albumer 20% 100 cc 3x
selama 3 hari berturut-
7,7/24,7/6.600/386.000 Albumin 1,53 turut, diet nutrisi lanjut
12/6/2019 DPL
2,8/10,3/7.350/428.000 Na/K/Cl
131/4,3/114 Ur/Cr 10,4/0,32
SGOT/SGPT 13,3/8,3 Albumin 1,81
GDS 113
7/7/2019 DPL 9.2/28,1/7280/92000

6/7/19 DPL :
9.1/27.3/9400/93000
1/7/2019. Ureum 97 Creatnin 0.9 Raber neuro,
elektrolit 133/4.7/94. 25/6/19 DPL
Karsinoma serviks stadium IIIB post-radiasi dr. T. Dewi Transfusi PRC dan TC
11,4/34/17.160/218.000 22/6/2019
207 F Tjong Lay Tjen 59 4335682 eksterna 25 kali, suspek metastasis otak, Anggraeni, PT/APTT 1/0,8 Fibrinogen 330 d-
anemia, susp DVT SpOG(K) Terapi Paliatif Post
Dimer 2.420 radiasi 4/7/2019
20/6/2019 DPL
10,5/31,8/9.530/160.000
18/6/2019 DPL
8,2/25,7/9.500/214.000
15/5/19 DPL
13.4/39.7/6821.000/213.000 HbSAg
210 A Esthi 60 3347315 Ca endometrium stadium I B negatf, elektrolit 133/3.8/101.2 rencana HTSOB
albumin 4.36 OT/PT 30/24
dr. Andi Darma ur/crec28/0.7 PT/APTT 0.9/1.1
Putra, SpOG (K)
Ca ovarium advance stage, anemia Hb 9.3 dr. Kartwa Hadi N, 14/6/19 DPL 9.328.6/11.710/787.000 transfusi, perbaikan ku
210 B Sri Umiyasih 61 4206729
g/dL SpOG(K) ur/crec 26/0.5 elektrolit 130/4/96
dr. T. Dewi Albumin 2.05 DPL
210 C Salindri 26 4329454 Ca ovarium, ascites Anggraeni, Rencana pungsi
9.3/27/34.400/9150/195.000
SpOG(K)
207 B, 207 C, 207
DNR dr. T. Dewi Anggraeni, SpOG(K) 204 B, 207 F dr. Kartwa Hadi N, SpOG(K) 204 C, 205 A, 206 D, 206 F
D, 207 F
Dr. dr. Laila Nuranna, SpOG(K) 206 A Dr. dr. Hariyono W, SpOG (K)
Prof. Dr. dr. Andrijono, SpOG(K) 207A Dr. dr. Tofan W Utami, SpOG(K)
205B, 206B, 207B,

Dr. dr. Fitriyadi K, SpOG(K) 207C, 207D, 207E, Dr. dr. Gatot Purwoto, SpOG(K)
210A
116
Dr. dr. Sigit Purbadi, SpOG(K) 205 C
dr. Andi Darma Putra, SpOG (K) 210 A

Ward Map Ginekologi Onkologi Senin, 8 Juli 2019
2/7/19 : DPL : 11.5/33.9/4640/509000, B-HCG : 19.68,

204 B Gusnarita 35 4380884 PTM high risk OT/PT : 42/40, Albumin 4.32, Ur/Cr: 20/0.60, GDS 90, kemoterapi
SpOG(K) elektrolit : 137/4.6/103
DPL (4/7/2019):
11,2/35,8/5700/510000//85,9/26,9/31,3 Diff Count
NOK susp musinosum susp Dr. dr. Fitriyadi Kusuma,
205 B Utah 38 4368194 malignansi kiri, HbsAg reaktf 0,7/3,7/64,5/24,6/6,5 PT/APTT 0,9/0,9 SGOT/SGPT Rencana laparatomi VC 8/7/2019
SpOG(K) 13/11 Albumin 3,17 Ur/Cr 16/0,8 GDS 76 Na/K/Cl
137/4,1/102 HbsAg reaktf
5/7/19 PT/APTT 0,9/0,85 4/7/19 GDS 126 elektrolit:

135/4.8/96.1 3/7/19 DPL: 8,4/24,9/20070/ 523000,
e:135/4.8/96,1 Albumin 2,62 2/7/19 Mg 1.97, Ca
POD VII Post laparotomi 1.02,elektrolit : 130/4.5/103, Ur/Cr : 44/0.9, Albumin Rencana aff drain ?
debulking atas indikasi
Dr. dr. Sigit Purbadi, SpOG(K) 2.62 (1/7/2019) 10.9/32/23750/464000 SGOT 28 Perawatan post operasi, GV (+)
205 C Cindy Wulan 43 4379529 Carsinoma ovarium advance
SGPT 15 elektrolit 132/4.3/103. 28/6/2019 DPL koreksi hipoalbuminemia, diet
stage dengan hipoalbuminemia 10,5/32,2/20.970/504.000 ekstra puth telur
(2,6) 26/6/2019 DPL 8,8/27,5/19.020/503.000 PT/APTT
0,9x/0,9x INR 1 SGOT/SGPT 16/8 Ur/Cr 23/0,9 Albumin
3,39 Na/K/Cl 136/3,8/104
7/7/2019 DPL 10,8/31/9540/220000

6/7/19 DPL : 9.4/28.4/7060/188000
4/7/19 DPL 9,4/27,7/6680/196000 Rencana transfusi target Hb > 10 g/dl,
Ca Cervix IIB, Anemia (Hb 9.1 Dr. dr. Laila Nuranna, 3/7/19 DPL 9,1/26,4/7110/183000 2/7/19 DPL:
206 A Ria Sumarni 33 4334216 g/dL), cancer pain VAS 1-2 rencana aff tampon (9/7/19), rencana radiasi
SpOG(K) 8.5/24.9/6480/197000 (1/7/2019) DPL
5.3/16/15710/339.000 elektrolit 130/4.1/118 GDS 118 hemostasis ketga 8/7/19
Ureum 20 Creatinin 0.76 SGOT/SGPT 28/17 PT 0.9x
aPTT 0.8x
Ca cerviks stadium IV B,
metastasis paru, metastasis
pankreas dd Ca pankreas (Caput)
dengan permasalahan : 7/7/19 GDS 51- 121
observasi febris hari ke 4, 5/7/19 DPL : 10.6/31.4/21650/418000,
Rencana konsul IPD Infeksi tropik
Leukositosis infektf, PT/APTT : 1.1x/0.9x, OT/PT : 139/89, Albumin 3.47,
Dr. dr. Fitriyadi Kusuma, Cek DPL dan elektrolit 8/7/19
206 B Sri Sudarsih 30 4380499 hiperglikemia ec DM tpe II ec Ca Ur/Cr : 38/1.4, GDS 259, Elektrolit : 133/3.6/110, PCT :
SpOG(K) 186.3, UL : keton (+), albumin +2, darah +3, bilirubin +2, elektrolit per 3Konsul IPD: KGDH, cek
caput pankreas, peningkatan hari
enzim transaminase, hidroureter bakteria (+), leukosit 5-7/lpb, analisa tnja : darah (-),
dan hidronefrosis kanan, lendir (-), pus (-)
hiponatremia, hipochloremia,
AKI dd akut on CKD, Intake sulit,
Ca pain
Ca serviks stadium IIB dalam 7/7/19 DPL 7,8/22,6/10480/87000 UR/Cr 104/7,5
radiasi eksterna 25 kali dan Na/K/Cl 134/4,8/102,4 6/7/19 DPL :
dalam 4 kali (4/9/19) dengan 6.2/17.7/8450/107000 4/7/19 DPL
penurunan kesadaran ec 7,3/22/8270/129000 Ur/Cr 70/5,3 Na/K/Cl Rencana EEG, HD, koreksi albumin 20% iv
ensefalopat uremikum, anemia 135/4,4/101 3/7/19 Ur/Cr 130/8,4 Na/K/Cl Terpasang
normositk normokrom ec 133/5,1/101,3 2/7/19 DPL : 9.7/29.1/10420/107000, tampon (evaluasi 9/7/19)
Sit Nur 4374598 perdarahan, hipokalemia, acute dr. Kartwa Hadi N, SpOG(K) Ur/Cr : 123/7.6, elektrolit : 134/5.4/102
206 D 40 Transfusi PRC target Hb ≥ 10 g/dL,
Muniroh on CKD post HD (4/7/19), 1/7/19 PT/APTT : 1.3x/1.1x 30/6/19 DPL : Raber Neurologi dan IPD Ginjal hipertensi
hipoalbuminemia, fistula 7.0/21.3/10640/127000, Ur/cr 91/6.2, GDS 99 (post HD 4/7/19)
rektovagina, suspek 29/6/2019 Na/K/Cl 129/5,4/107 Ur/Cr Sudah terpasang nefrostomi bilateral
vesikovaginal, intake sulit, 146/8,9
hidronefrosis bilateral on 28/6/2019 DPL 5,7/17,2/8.810/129.000 Ur 119 Cr 9,2
nefrostomi bilateral, susp DVT HIV HBsAg negatf Na/K/Cl 133/6,3/110 SGOT 10 SGPT
tungkai kiri 23 Albumin 2,12 GDS 105. 1/7/2019 PT 1x aPTT 1.1x
6/7/19 DPL : 9.6/28/17380/514000, asam laktat 2.3,

Ca cervix stadium IV A dengan PT/APTT : 1.1x/0.9x, fibrinogen 419, D-dimer 300,
efusi pleura kanan post pungsi ec Rencana Konsul Pulmo dan Bedah vaskular
OT/PT : 38/23, albumin 2.9, Ur/Cr : 64/1.7, GDS 91,
4391318 metastasis paru dd TB paru, Dr. dr. Fitriyadi Kusuma, Transfusi PRC target Hb > 10g/dl
207 B Ribka Winarni 36 elektrolit : 129/3.7/105, analisa cairan pleura : hitung
edema tungkai bilateral suspek SpOG(K) IPD : rencana sputum BTA,
jenis 570/ul, protein serum 5.7 g/dL, LDH serum 269
DVT, hipoalbuminemia, anemia, kultur UL, Ur/Cr per 3 hari
U/L, kesan eksudat, urinalisa : bakteria (+), leukosit 5-
hiponatremia 6/LPB, albumin +2, darah +3, leukosit esterase trace
5/7/19 DPL: 10.8/30.8/31320/326000, Ur/Cr : Rencana konsul Ginjal hipertensi dan Pulmo
NOK bilateral suspek maligna 50.6/1.35, GDS 72, elektrolit : 129/4.0/105 6/7/19 Neuro : MRI kepala dengan kontras,
dengan syok sepsis ec
Dr. dr. Fitriyadi Kusuma, OT/PT: 46/10, pct 0.4, UL : bakteria (+), leukosit 9- raber neuro IPD : USG abdomen,
207 C Sugiyat 49 4383778 pneumonia, hiponatremia, AKI SpOG(K) 11/LPB, albuminn +1, keton +2, darah +3, leukosit raber IPD saat ini sudah mendapat
dd akut on CKD, Ca pain, esterase +1, D-dimer 1500, fibrinogen 248, PT/APTT : antbiotk meropenem sejak 6/7/19, rencana
Cephalgia 1.1x/1.1x, Mg 1.85, Fosfat 3.1, Ca 7.8 7 hari
Ca cervix stadium III B dengan 7/7/19 DPL 6,1/17,7/36440/383000 Albumin 2,06

anemia, hidronefrosis bilateral Ur/Cr 189/3,4 Na/K/Cl 130/4,1/103 Fibrinogen Rencana konsul Ginjal hipertensi dan bedah
on nefrostomi, nefrostomi kanan 186,6 d-dimer 4760 5/7/19 : vaskular
4388904 rembes dan nefrostomi kiri Dr. dr. Fitriyadi Kusuma, DPL : 5.8/17/46470/575000, OT/PT : 15/7, Ur/Cr : Transfusi PRC
207 D Ika Handayani 37 macet, leukositosis infektf, SpOG(K) 144/2.78, GDS 75, Elektrolit : 125/4.7/106, PT/APTT : Koreksi albumin iv
edema kedua tungkai suspek 10 X/ 5X, 6/7/19 UL : bakteri Konsul urologi : rencana APG k/p, revisi
dvt, aki dd akut on ckd, (+), leukosit 6-8/lpb, albumin +1, darah +2, leukosit nefrostomi kanan
hiponatremia esterase +2
5/7/19 DPL 10.1/29.1/10550/353000
4/7/19 DPL 9,6/28,4/13050/407000 3/7/19 DPL:
8/23,7/10490/409000 2/7/19 DPL : Periksa PA jaringan 4/7/19 (tunggu hasil)
8.2/25/10130/450000 30/6/19 Ur/cr 24/0.5 MRI 1/7/19:Massa padat heterogen di
28/6/2019 DPL 8,5/25,8/7.910/418.000 cervix hingga vagina uk 10x12x12 cm
26/6/2019 DPL 5,7/17,3/9.500/375.000 Albumin 2,22 mendesak VU dan rektum, tdak ada infiltrasi
Suspek sarkoma Botryoides dd/ 22/6/2019 DPL 9,8/29,5/7.300/344.000 ke uterus, VU atau rektum. Transfusi PRC
mioma Geburt dengan anemia, 21/6/2019 DPL 8,3/25,3/6.860/336.000 target Hb ≥ 10 g/dL
hipoalbuminemia, riwayat syok Dr. dr. Fitriyadi Kusuma,
207 E Putri Diansyah 15 4381266 hipovolemik et causa 19/6/2019 8/24,8/7.780/347.000 Albumin 2,32 Terpasang folley catheter V (27/6/2019),
SpOG(K) 18/6/2019 14,8/44,3/7.070/355.000 Na/K/Cl gant tanggal 4/7/2019
perdarahan, retensio urin ec 135/3,4/94 Konsul Bedah Anak: konsul ulang hasil MRI,
suspek penekanan massa 17/6/2019 DPL 9,7/30,2/7.250/370.000 Albumin 1,9 sudah ada hasil MRI
15/6/2019 DPL 9,8/29,4/10.130/360.000 Konsul Gizi Klinik Anak: Albumer 20% 100 cc
13/6/2019 DPL 7,7/24,7/6.600/386.000 Albumin 1,53 3x selama 3 hari berturut-turut, diet nutrisi
12/6/2019 DPL 2,8/10,3/7.350/428.000 Na/K/Cl lanjut
131/4,3/114 Ur/Cr 10,4/0,32 SGOT/SGPT 13,3/8,3
7/7/2019 DPL 9.2/28,1/7280/92000 6/7/19

DPL : 9.1/27.3/9400/93000 1/7/2019. Ureum
Karsinoma serviks stadium IIIB 97 Creatnin 0.9 elektrolit 133/4.7/94. 25/6/19 DPL Raber neuro, Transfusi PRC dan TC
4335682 post-radiasi eksterna 25 kali, dr. T. Dewi Anggraeni,
207 F Tjong Lay Tjen 59 11,4/34/17.160/218.000 22/6/2019 PT/APTT 1/0,8 Terapi Paliatif Post
suspek metastasis otak, anemia, SpOG(K) Fibrinogen 330 d-Dimer 2.420 radiasi 4/7/2019
susp DVT
20/6/2019 DPL 10,5/31,8/9.530/160.000
18/6/2019 DPL 8,2/25,7/9.500/214.000
207 B,
207 C,
207 D,
207 F
205B, 206B, 207B, 207C,

207D, 207E, 210A
116

Ward Map Ginekologi Onkologi Minggu,7 Juli 2019
2/7/19 : DPL : 11.5/33.9/4640/509000, B-HCG : 19.68,

204 B Gusnarita 35 4380884 PTM high risk OT/PT : 42/40, Albumin 4.32, Ur/Cr: 20/0.60, GDS 90, kemoterapi
SpOG(K) elektrolit : 137/4.6/103
204 C Endang 54 4365317 Ca ovarium stadium III C dr. Kartwa Hadi N, SpOG(K) 6/7/19 DPL : 12.2/35.3/5850/168000 4/7/19 Kemoterapi
Prihwulan DPL 9.7/8490/114.000
DPL post op (4/7/2019) 11.4/34,7/12080/329000 DPL

POD III post laparatomi SOS-VC (2/7/19): 12/36/7440/293000, (01/07/2019) DPL
205 A Wulan Fazriani 17 4379102 ai cystadenoma mucinosum dr. Kartwa Hadi N, SpOG(K) 9.8/31/4860/342000 SGOT 16 SGPT 11 Albumin 4.2 Perawatan post operasi
ovarii kiri Ureum 11 Creatnin 0,6 GDS 100 Elektrolit 138/3.3/106
PT 1x APTT 1.1x. 02/07/19 DPL : 12/36.1/7440/293000
DPL (4/7/2019):
11,2/35,8/5700/510000//85,9/26,9/31,3 Diff Count
4368194 NOK susp musinosum susp Dr. dr. Fitriyadi Kusuma, Rencana laparatomi VC 8/7/2019, sedang
205 B Utah 38 0,7/3,7/64,5/24,6/6,5 PT/APTT 0,9/0,9 SGOT/SGPT
malignansi kiri SpOG(K) persiapan colon
13/11 Albumin 3,17 Ur/Cr 16/0,8 GDS 76 Na/K/Cl
137/4,1/102
5/7/19 PT/APTT 0,9/0,85 4/7/19 GDS 126 elektrolit:

135/4.8/96.1 3/7/19 DPL: 8,4/24,9/20070/ 523000,
e:135/4.8/96,1 Albumin 2,62 2/7/19 Mg 1.97, Ca
POD VI Post laparotomi 1.02,elektrolit : 130/4.5/103, Ur/Cr : 44/0.9, Albumin Perawatan post operasi, GV (+)
debulking atas indikasi
Dr. dr. Sigit Purbadi, SpOG(K) 2.62 (1/7/2019) 10.9/32/23750/464000 SGOT 28
205 C Cindy Wulan 43 4379529 Carsinoma ovarium advance koreksi hipoalbuminemia, diet ekstra
SGPT 15 elektrolit 132/4.3/103. 28/6/2019 DPL
stage dengan hipoalbuminemia puth telur
10,5/32,2/20.970/504.000
(2,6) 26/6/2019 DPL 8,8/27,5/19.020/503.000 PT/APTT
3,39 Na/K/Cl 136/3,8/104
6/7/19 DPL : 9.4/28.4/7060/188000

4/7/19 DPL 9,4/27,7/6680/196000
3/7/19 DPL 9,1/26,4/7110/183000 2/7/19 DPL: Rencana transfusi target Hb > 10 g/dl,
4334216 Ca Cervix IIB, Anemia (Hb 9.1 Dr. dr. Laila Nuranna,
206 A Ria Sumarni 33 8.5/24.9/6480/197000 (1/7/2019) DPL rencana aff tampon (7/7/19), sudah radiasi
g/dL), cancer pain VAS 1-2 SpOG(K)
5.3/16/15710/339.000 elektrolit 130/4.1/118 GDS 118 hemostasis 6/7/19
aPTT 0.8x
Ca cerviks stadium IV B,
metastasis paru, metastasis
pankreas dd Ca pankreas (Caput)
dengan permasalahan : 5/7/19 DPL : 10.6/31.4/21650/418000, PT/APTT :
observasi febris hari ke 4,
1.1x/0.9x, OT/PT : 139/89, Albumin 3.47, Ur/Cr :
Leukositosis infektf, Dr. dr. Fitriyadi Kusuma, 38/1.4, GDS 259, Elektrolit : 133/3.6/110, PCT : 186.3, Konsul ulang IPD, KGDH, cek elektrolit per 3
206 B Sri Sudarsih 30 4380499 hiperglikemia ec DM tpe II ec Ca SpOG(K) UL : keton (+), albumin +2, darah +3, bilirubin +2, hari
caput pankreas, peningkatan bakteria (+), leukosit 5-7/lpb, analisa tnja : darah (-),
enzim transaminase, hidroureter
lendir (-), pus (-)
dan hidronefrosis kanan,
hiponatremia, hipochloremia,
AKI dd akut on CKD, Intake sulit,
Ca pain
Ca serviks stadium IIB dalam 6/7/19 DPL : 6.2/17.7/8450/107000

radiasi eksterna 25 kali dan 4/7/19 DPL 7,3/22/8270/129000 Ur/Cr 70/5,3
dalam 4 kali (4/9/19) dengan Na/K/Cl 135/4,4/101 3/7/19 Ur/Cr 130/8,4 Na/K/Cl
anemia normositk normokrom 133/5,1/101,3 2/7/19 DPL : 9.7/29.1/10420/107000,
ec perdarahan, hipokalemia, Ur/Cr : 123/7.6, elektrolit : 134/5.4/102 Terpasang tampon (evaluasi 7/7/19)
Sit Nur 4374598 acute on CKD post HD (4/7/19), dr. Kartwa Hadi N, SpOG(K) 1/7/19 PT/APTT : 1.3x/1.1x 30/6/19 DPL : Transfusi PRC target Hb ≥ 10 g/dL,
206 D 40
Muniroh hipoalbuminemia, fistula 7.0/21.3/10640/127000, Ur/cr 91/6.2, GDS 99 Raber IPD Ginjal hipertensi (post HD 4/7/19)
rektovagina, suspek 29/6/2019 Na/K/Cl 129/5,4/107 Ur/Cr Sudah terpasang nefrostomi bilateral
vesikovaginal, intake sulit, 146/8,9
hidronefrosis bilateral on 28/6/2019 DPL 5,7/17,2/8.810/129.000 Ur 119 Cr 9,2
nefrostomi bilateral, susp DVT HIV HBsAg negatf Na/K/Cl 133/6,3/110 SGOT 10 SGPT
tungkai kiri 23 Albumin 2,12 GDS 105. 1/7/2019 PT 1x aPTT 1.1x
Ina mariani 4384875 Ca Ovarium, Ascites post pungsi Sudah pungsi ascites 4700 cc tanggal 6/7/19,
206 F 57 dr. Kartwa Hadi N, SpOG(K) 6/7/19 DPL : 10.4/30.7/6030/175000, albumin 3.1
Muljosaputra ascites rencana pulang
6/7/19 DPL : 9.6/28/17380/514000, asam laktat 2.3,

Ca cervix stadium IV A dengan PT/APTT : 1.1x/0.9x, fibrinogen 419, D-dimer 300,
efusi pleura kanan post pungsi ec OT/PT : 38/23, albumin 2.9, Ur/Cr : 64/1.7, GDS 91,
4391318 metastasis paru dd TB paru, Dr. dr. Fitriyadi Kusuma, IPD : rencana sputum BTA, kultur UL, Ur/Cr
207 B Ribka Winarni 36 elektrolit : 129/3.7/105, analisa cairan pleura : hitung
edema tungkai bilateral suspek SpOG(K) per 3 hari
jenis 570/ul, protein serum 5.7 g/dL, LDH serum 269
DVT, hipoalbuminemia, anemia, U/L, kesan eksudat, urinalisa : bakteria (+), leukosit 5-
hiponatremia 6/LPB, albumin +2, darah +3, leukosit esterase trace
5/7/19 DPL: 10.8/30.8/31320/326000, Ur/Cr :
NOK bilateral suspek maligna
50.6/1.35, GDS 72, elektrolit : 129/4.0/105 6/7/19 Neuro : MRI kepala dengan kontras, raber
dengan syok sepsis ec Dr. dr. Fitriyadi Kusuma, OT/PT: 46/10, pct 0.4, UL : bakteria (+), leukosit 9- neuro IPD : USG abdomen, raber IPD
207 C Sugiyat 49 4383778 pneumonia, hiponatremia, AKI SpOG(K) 11/LPB, albuminn +1, keton +2, darah +3, leukosit saat ini sudah mendapat antbiotk
dd akut on CKD, Ca pain, esterase +1, D-dimer 1500, fibrinogen 248, PT/APTT : meropenem sejak 6/7/19, rencana 7 hari
Cephalgia 1.1x/1.1x, Mg 1.85, Fosfat 3.1, Ca 7.8
Ca cervix stadium III B dengan

anemia, hidronefrosis bilateral 5/7/19 : DPL : 5.8/17/46470/575000, OT/PT : 15/7,
on nefrostomi, nefrostomi kanan Ur/Cr : 144/2.78, GDS 75, Elektrolit : 125/4.7/106,
4388904 rembes dan nefrostomi kiri Dr. dr. Fitriyadi Kusuma, 6/7/19 UL : Konsul urologi : rencana APG k/p, revisi
207 D Ika Handayani 37 PT/APTT : 10 X/ 5X,
macet, leukositosis infektf, SpOG(K) nefrostomi kanan
bakteri (+), leukosit 6-8/lpb, albumin +1, darah +2,
edema kedua tungkai suspek leukosit esterase +2
dvt, aki dd akut on ckd,
hiponatremia
5/7/19 DPL 10.1/29.1/10550/353000

4/7/19 DPL 9,6/28,4/13050/407000 3/7/19 DPL:
8/23,7/10490/409000 2/7/19 DPL : Periksa PA jaringan 4/7/19 (tunggu hasil)
8.2/25/10130/450000 30/6/19 Ur/cr 24/0.5 MRI 1/7/19:Massa padat heterogen di cervix
28/6/2019 DPL 8,5/25,8/7.910/418.000 hingga vagina uk 10x12x12 cm mendesak VU
26/6/2019 DPL 5,7/17,3/9.500/375.000 Albumin 2,22 dan rektum, tdak ada infiltrasi ke uterus, VU
Suspek sarkoma Botryoides dd/ 22/6/2019 DPL 9,8/29,5/7.300/344.000 atau rektum. Transfusi PRC target Hb ≥ 10
mioma Geburt dengan anemia, 21/6/2019 DPL 8,3/25,3/6.860/336.000 g/dL
hipoalbuminemia, riwayat syok Dr. dr. Fitriyadi Kusuma,
207 E Putri Diansyah 15 4381266 hipovolemik et causa 19/6/2019 8/24,8/7.780/347.000 Albumin 2,32 Terpasang folley catheter V (27/6/2019),
SpOG(K) 18/6/2019 14,8/44,3/7.070/355.000 Na/K/Cl gant tanggal 4/7/2019
perdarahan, retensio urin ec 135/3,4/94 Konsul Bedah Anak: konsul ulang hasil MRI,
suspek penekanan massa 17/6/2019 DPL 9,7/30,2/7.250/370.000 Albumin 1,9 sudah ada hasil MRI
15/6/2019 DPL 9,8/29,4/10.130/360.000 Konsul Gizi Klinik Anak: Albumer 20% 100 cc
13/6/2019 DPL 7,7/24,7/6.600/386.000 Albumin 1,53 3x selama 3 hari berturut-turut, diet nutrisi
12/6/2019 DPL 2,8/10,3/7.350/428.000 Na/K/Cl lanjut
131/4,3/114 Ur/Cr 10,4/0,32 SGOT/SGPT 13,3/8,3
6/7/19 DPL : 9.1/27.3/9400/93000 1/7/2019.
Karsinoma serviks stadium IIIB Ureum 97 Creatnin 0.9 elektrolit 133/4.7/94. 25/6/19
4335682 post-radiasi eksterna 25 kali, dr. T. Dewi Anggraeni, DPL 11,4/34/17.160/218.000 22/6/2019 PT/APTT 1/0,8 Terapi Paliatif Post radiasi 4/7/2019
207 F Tjong Lay Tjen 59 suspek metastasis otak, anemia, SpOG(K) Fibrinogen 330 d-Dimer 2.420
susp DVT 20/6/2019 DPL 10,5/31,8/9.530/160.000
18/6/2019 DPL 8,2/25,7/9.500/214.000
5/7/19 PT/APTT 0,84/1.02 1/7/2019

10.5/31.6/23450/178.000. 28/6/2019 DPL
POD 5 Post HT Radikal - SOB dan 14,5/44/10.550/270.000 Na/K/Cl 141/3,2/106 PT 0,9x Perawatan pasca operasi
Dr. dr. Fitriyadi Kusuma,
210 A Habibah 53 4380847 PLND atas indikasi Karsinoma APTT 0,9x SGOT 17 SGPT 31 Albumin 4,26 Ur 20 Cr 0,8 BT mulai 4/7/19
SpOG(K)
serviks stadium IB1 GDS 134 GV (+)4/7/19
10/5/2019 DPL 12,7/38,5/7390/220.000; GDS 103/ E:
140/4,0/108,8; Ur/Cr 19/1,4; Alb 4,30; OT/PT 17/18
DPL post op 13,6/41/12040/273000 SGOT/SGPT 26/43

Ur/Cr 22/0,6 Na/K/Cl 136/4,0/106 2/7/2019 DPL
13.4/39.7/5920/275000//86.7/29.3/33.8 PT/APTT
POD 3 post laparatomi surgical
Marianne A Dr. dr. Gatot Purwoto, 0.9x/0.9x SGOT/SGPT 21/40 Albumin 4,2 Ur/Cr
116 61 th 4356300 staging ai Ca ovarium (teratoma Perawatan post op
Kawengian SpOG(K) 24/0.5 GDS 204 Na/K/Cl 135/4.1/105.2
matur transformasi maligna) PA: teratoma matur ovarium dengan transforma
maligna karisnoma sel skuamosa tdak berkeratn
berdiferensiasi sedang
207 B,
207 C,
207 D,
207 F
205B, 206B, 207B, 207C,

207D, 207E, 210A
116

Ca endometrium, anemia Dr. dr. Gatot
204 A Nurul Qomar 61 4303030 Purwoto, SpOG(K) DPL post transfusi 11/32.6/3.75/9.82/106.000 kemoterapi
Hb 9.1
dr. T. Dewi
204 B Gusnarita 35 4380884 PTM high risk Anggraeni, - kemoterapi
SpOG(K)
DPL post op (4/7/2019) 11.4/34,7/12080/329000 DPL

POD II post laparatomi dr. Kartwa Hadi N, (2/7/19): 12/36/7440/293000, (01/07/2019) DPL
205 A Wulan Fazriani 17 4379102 SOS-VC ai cystadenoma 9.8/31/4860/342000 SGOT 16 SGPT 11 Albumin 4.2 Perawatan post operasi
mucinosum ovarii kiri SpOG(K) Ureum 11 Creatnin 0,6 GDS 100 Elektrolit 138/3.3/106
PT 1x APTT 1.1x. 02/07/19 DPL : 12/36.1/7440/293000
DPL (4/7/2019):
11,2/35,8/5700/510000//85,9/26,9/31,3 Diff Count
NOK susp musinosum susp Dr. dr. Fitriyadi Rencana laparatomi VC 8/7/2019,
205 B Utah 38 4368194 malignansi kiri Kusuma, SpOG(K) 0,7/3,7/64,5/24,6/6,5 PT/APTT 0,9/0,9 SGOT/SGPT sedang persiapan colon
13/11 Albumin 3,17 Ur/Cr 16/0,8 GDS 76 Na/K/Cl
137/4,1/102
5/7/19 PT/APTT 0,9/0,85 4/7/19 GDS 126 e

135/4.8/96.1 3/7/19 DPL: 8,4/24,9/20070/ 523000,
e:135/4.8/96,1 Albumin 2,62 2/7/19 Mg 1.97, Ca
POD V Post laparotomi 1.02,elektrolit : 130/4.5/103, Ur/Cr : 44/0.9, Albumin Perawatan post operasi, GV (+)
debulking atas indikasi Dr. dr. Sigit 2.62 (1/7/2019) 10.9/32/23750/464000 SGOT 28
205 C Cindy Wulan 43 4379529 Carsinoma ovarium koreksi hipoalbuminemia,
Purbadi, SpOG(K) SGPT 15 elektrolit 132/4.3/103. 28/6/2019 DPL
advance stage dengan diet ekstra puth telur
10,5/32,2/20.970/504.000
hipoalbuminemia (2,6) 26/6/2019 DPL 8,8/27,5/19.020/503.000 PT/APTT
3,39 Na/K/Cl 136/3,8/104
4/7/19 DPL 9,4/27,7/6680/196000

3/7/19 DPL 9,1/26,4/7110/183000 2/7/19 DPL:
Ca Cervix IIB, Anemia (Hb Dr. dr. Laila 8.5/24.9/6480/197000 (1/7/2019) DPL Rencana transfusi target Hb > 10
206 A Ria Sumarni 33 4334216 9.1 g/dL), cancer pain VAS Nuranna, SpOG(K) 5.3/16/15710/339.000 elektrolit 130/4.1/118 GDS 118 g/dl, rencana aff tampon (7/7/19)
1-2
aPTT 0.8x
Ca cervix stadium III B, Rencana transfusi target Hb > 10

4335537 post raadiasi eksterna dan Dr. dr. Tofan W DPL (3/7/19): 9,2/26,8/10240/ 283000, 28/6/19 DPL :
206 B Tjoe Oy Ling 56 g/Dl, post radioterapi dan
brakiterapi 2 x (4/7/19) Utami, SpOG(K) 8.5/26.2/9080/363000, Ur/cr 22/1.1 brakiterapi kedua 4/7/19
dengan anemia (9,2)
5/7/19 10.3/29.7/3.73/4.970/104.000 4/7/19 pk 19.41
radiasi eksterna ke 2 Dr. dr. Gatot DPL 7.8/23,1/6110/110000 DPL(4/7/29 pk 01.50): tranfusi Hb sampai Hb>10, sudah
206 C Dominika 44 4381845 dengan anemia (8,2), ca Purwoto, SpOG(K) 8,2/24/6400/165000, OT/PT 13/12, Ur/cr 17/0,5, GDS aff tampon
Pain (VAS 2-3), 127, e: 139/3,5/111
Hiperkloremia (111)
Ca serviks stadium IIB

dalam radiasi eksterna 25
4/7/19 DPL 7,3/22/8270/129000 Ur/Cr 70/5,3
kali dan dalam 4 kali Na/K/Cl 135/4,4/101 3/7/19 Ur/Cr 130/8,4 Na/K/Cl
(4/9/19) dengan anemia 133/5,1/101,3 2/7/19 DPL : 9.7/29.1/10420/107000, Terpasang tampon (evaluasi
normositk normokrom ec Ur/Cr : 123/7.6, elektrolit : 134/5.4/102 7/7/19) Transfusi PRC
perdarahan, hipokalemia,
Sit Nur acute on CKD post HD dr. Kartwa Hadi N, 1/7/19 PT/APTT : 1.3x/1.1x 30/6/19 DPL : target Hb ≥ 10 g/dL,
206 D 40 4374598 (4/7/19), 7.0/21.3/10640/127000, Ur/cr 91/6.2, GDS 99 Raber IPD Ginjal hipertensi (post
Muniroh SpOG(K) 29/6/2019 Na/K/Cl 129/5,4/107 Ur/Cr HD 4/7/19)
hipoalbuminemia, fistula 146/8,9 Sudah terpasang nefrostomi
rektovagina, suspek 28/6/2019 DPL 5,7/17,2/8.810/129.000 Ur 119 Cr 9,2 bilateral
vesikovaginal, intake sulit,
HIV HBsAg negatf Na/K/Cl 133/6,3/110 SGOT 10 SGPT
hidronefrosis bilateral on 23 Albumin 2,12 GDS 105. 1/7/2019 PT 1x aPTT 1.1x
nefrostomi bilateral, susp
DVT tungkai kiri
Inamariani
206 F 57 4384875 Ca Ovarium, Ascites masif dr. Kartwa Hadi N, Rencana punksi asites 6/7/2019
Muljosaputra SpOG(K)
Ca cervix stadium III B on 4/7/19 DPL 10,5/31,3/13720/407000 DPL (3/7/19):

radiasi dengan Prof. Dr. dr. 9,2/27/16820/422000, DPL (2/7/19) :
207 A Yenny wat 72 4380516 permasalahan intake sulit Andrijono, Rencana pulang, koreksi elektrolit
perbaikan, hiponatremia, SpOG(K) 9.6/27/16900/489000, OT/PT: 64/60, Ur/Cr : 27/0.8,
GDS 280, elektrolit 123/4.1/99
dm tpe 2 on therapy
4/7/19 DPL 9,6/28,4/13050/407000 3/7/19 DPL: Periksa PA jaringan 4/7/19 (tunggu
8/23,7/10490/409000 2/7/19 DPL : hasil) MRI 1/7/19:Massa padat
8.2/25/10130/450000 30/6/19 Ur/cr 24/0.5 heterogen di cervix hingga vagina
28/6/2019 DPL 8,5/25,8/7.910/418.000 uk 10x12x12 cm mendesak VU dan
Suspek sarkoma 26/6/2019 DPL 5,7/17,3/9.500/375.000 Albumin 2,22 rektum, tdak ada infiltrasi ke
Botryoides dd/ mioma 22/6/2019 DPL 9,8/29,5/7.300/344.000 uterus, VU atau rektum. Transfusi
Geburt dengan anemia, 21/6/2019 DPL 8,3/25,3/6.860/336.000 PRC target Hb ≥ 10 g/dL
4381266 hipoalbuminemia, riwayat Dr. dr. Fitriyadi 19/6/2019 8/24,8/7.780/347.000 Albumin 2,32
207 E Putri Diansyah 15 Terpasang folley catheter V
syok hipovolemik et causa Kusuma, SpOG(K) 18/6/2019 14,8/44,3/7.070/355.000 Na/K/Cl (27/6/2019), gant tanggal
perdarahan, retensio urin 135/3,4/94 4/7/2019
ec suspek penekanan 17/6/2019 DPL 9,7/30,2/7.250/370.000 Albumin 1,9 Konsul Bedah Anak: konsul ulang
massa 15/6/2019 DPL 9,8/29,4/10.130/360.000 hasil MRI, sudah ada hasil MRI
13/6/2019 DPL 7,7/24,7/6.600/386.000 Albumin 1,53 Konsul Gizi Klinik Anak: Albumer
12/6/2019 DPL 2,8/10,3/7.350/428.000 Na/K/Cl 20% 100 cc 3x selama 3 hari
131/4,3/114 Ur/Cr 10,4/0,32 SGOT/SGPT 13,3/8,3 berturut-turut, diet nutrisi lanjut
1/7/2019. Ureum 97 Creatnin 0.9 elektrolit

Karsinoma serviks stadium 133/4.7/94. 25/6/19 DPL 11,4/34/17.160/218.000
dr. T. Dewi
4335682 IIIB post-radiasi eksterna 22/6/2019 PT/APTT 1/0,8 Fibrinogen 330 d-Dimer Terapi Paliatif Post radiasi
207 F Tjong Lay Tjen 59 Anggraeni,
25 kali, suspek metastasis 2.420 4/7/2019
SpOG(K)
otak, anemia, susp DVT 20/6/2019 DPL 10,5/31,8/9.530/160.000
18/6/2019 DPL 8,2/25,7/9.500/214.000
5/7/19 0,84/1.02 1/7/2019 10.5/31.6/23450/178.000.

POD 5 Post HT Radikal - 28/6/2019 DPL 14,5/44/10.550/270.000 Na/K/Cl Perawatan pasca operasi
4380847 SOB dan PLND atas indikasi Dr. dr. Fitriyadi 141/3,2/106 PT 0,9x APTT 0,9x SGOT 17 SGPT 31 BT mulai 4/7/19
210 A Habibah 53 Karsinoma serviks stadium Kusuma, SpOG(K) Albumin 4,26 Ur 20 Cr 0,8 GDS 134 GV
IB1 10/5/2019 DPL 12,7/38,5/7390/220.000; GDS 103/ E: (+)4/7/19
140/4,0/108,8; Ur/Cr 19/1,4; Alb 4,30; OT/PT 17/18
Endang 4365317 Ca ovarium stadium III C dr. Kartwa Hadi N, 4/7/19 DPL 9.7/8490/114.000 rencana kemoterapi, sedang cek
211 B 54
Prihwulan prokemoterapi, anemia SpOG(K) DPL post transfusi
DPL post op 13,6/41/12040/273000 SGOT/SGPT 26/43

Ur/Cr 22/0,6 Na/K/Cl 136/4,0/106 2/7/2019 DPL
POD 2 post laparatomi 13.4/39.7/5920/275000//86.7/29.3/33.8 PT/APTT
Marianne A surgical staging ai Ca Dr. dr. Gatot 0.9x/0.9x SGOT/SGPT 21/40 Albumin 4,2 Ur/Cr Perawatan post op, mulai diet
116 61 th 4356300 ovarium (teratoma matur
Kawengian Purwoto, SpOG(K) 24/0.5 GDS 204 Na/K/Cl 135/4.1/105.2 bertahap
transformasi maligna) PA: teratoma matur ovarium dengan transforma
maligna karisnoma sel skuamosa tdak berkeratn

DNR 207 F 204 B, 207 F dr. Kartwa Hadi N, SpOG(K) 205 A, 206D, 206 F, ICU IGD
SpOG(K)
Dr. dr. Laila Nuranna, 206 A Dr. dr. Hariyono W, SpOG (K)
SpOG(K)
Prof. Dr. dr. Andrijono, 207A Dr. dr. Tofan W Utami, SpOG(K) 206B
SpOG(K)
Dr. dr. Fitriyadi K, SpOG(K) 205 B, 207 E, 210 Dr. dr. Gatot Purwoto, SpOG(K) 204 A, 206 c, 116
A
Dr. dr. Sigit Purbadi, 205 B
SpOG(K)

Dr. dr. Gatot Purwoto, -
204 A Ariyani Setawat 62 4357273 Ca cervix stadium IIB SpOG(K)
Dr. dr. Hariyono W,
204 B Eka Sapitri 42 4379284 Ca cervix stadium IIB -
SpOG (K)
Dr. dr. Gatot Purwoto, -
204 C Hetty Atmadja 53 4240497 Ca endometrium susp residif
SpOG(K)
Dewi dr. Andi Darma Putra, -
204 D 36 4379019 Ca cervix stadium IIB
Rustaningsih SpOG(K)
DPL post op (4/7/2019)

11.4/34,7/12080/329000 DPL (2/7/19):
12/36/7440/293000, (01/07/2019) DPL
POD I post laparatomi SOS-VC ai dr. Kartwa Hadi N,
205 A Wulan Fazriani 17 4379102 9.8/31/4860/342000 SGOT 16 SGPT 11 Albumin
cystadenoma mucinosum ovarii kiri SpOG(K) 4.2 Ureum 11 Creatnin 0,6 GDS 100 Elektrolit
138/3.3/106 PT 1x APTT 1.1x. 02/07/19 DPL :
12/36.1/7440/293000
DPL (4/7/2019):
Dr. dr. Fitriyadi Kusuma, 11,2/35,8/5700/510000//85,9/26,9/31,3 Diff
NOK susp musinosum susp
205 B Utah 38 4368194 Count 0,7/3,7/64,5/24,6/6,5 PT/APTT 0,9/0,9
malignansi kiri SpOG(K) SGOT/SGPT 13/11 Albumin 3,17 Ur/Cr 16/0,8
GDS 76 Na/K/Cl 137/4,1/102
3/7/19 DPL: 8,4/24,9/20070/ 523000,

e:135/4.8/96,1 Albumin 2,62 2/7/19
Mg 1.97, Ca 1.02,elektrolit : 130/4.5/103, Ur/Cr :
POD 4 Post laparotomi debulking 44/0.9, Albumin 2.62 (1/7/2019)
atas indikasi Carsinoma ovarium Dr. dr. Sigit Purbadi, 10.9/32/23750/464000 SGOT 28 SGPT 15
205 C Cindy Wulan 43 4379529 advance stage dengan SpOG(K) elektrolit 132/4.3/103. 28/6/2019 DPL
hipoalbuminemia (2,6) 10,5/32,2/20.970/504.000
26/6/2019 DPL 8,8/27,5/19.020/503.000
PT/APTT 0,9x/0,9x INR 1 SGOT/SGPT 16/8 Ur/Cr
23/0,9 Albumin 3,39 Na/K/Cl 136/3,8/104
Kultur dasar luka : E.Coli dan klebsiella oxytoca
4/7/19 GDS 130/153/102
1/7/19 GDS 145/185/168
28/6/2019 GDS 97
27/6/2019 Urinalisis kesan kontaminasi, bakteri
(-)
Wound break pada POD 18 post 26/6/2019 DPL 10,9/32,1/12.960/265.000
radikal vulvektomi, limfadenektomi 25/6/2019 GDS 151
Dr. dr. Sigit Purbadi,
205 D Lucy Silalahi 66 4368362 inguinal bilateral atas indikasi 24/6/2019 GDS 137
SpOG(K)
karsinoma vulva stadium IB, DM 20/6/2019 GDS 182
tpe 2, hipertensi 19/6/2019 GDS 234
18/6/2019 GDS 371
17/6/2019 DPL 11,3/32,8/14.960/242.000
15/6/2019 HbA1c 6,9
13/6/2019 DPL 10,6/32,5/7.010/171.000
SGOT/SGPT 17/10 Albumin 3,66 Ur/Cr 42/1,1
GDS 105 Na/K/Cl 137/4,1/102 HBsAg non-reaktf
4/7/19 DPL 9,4/27,7/6680/196000

3/7/19 DPL 9,1/26,4/7110/183000 2/7/19
Ca Cervix IIB, Anemia (Hb 9.1 g/dL), Dr. dr. Laila Nuranna, DPL: 8.5/24.9/6480/197000 (1/7/2019) DPL
206 A Ria Sumarni 33 4334216 cancer pain VAS 1-2 SpOG(K) 5.3/16/15710/339.000 elektrolit 130/4.1/118
GDS 118 Ureum 20 Creatinin 0.76 SGOT/SGPT
28/17 PT 0.9x aPTT 0.8x
Ca cervix stadium III B, post raadiasi Dr. dr. Tofan W Utami, DPL (3/7/19): 9,2/26,8/10240/ 283000, 28/6/19
206 B Tjoe Oy Ling 56 4335537 eksterna dan brakiterapi 2 x SpOG(K) DPL : 8.5/26.2/9080/363000, Ur/cr 22/1.1
(4/7/19) dengan anemia (9,2)
Ca cervix stadium IIIB on radiasi 4/7/19 pk 19.41 DPL 7.8/23,1/6110/110000

eksterna ke 2 dengan anemia (8,2), Dr. dr. Gatot Purwoto, DPL(4/7/29 pk 01.50): 8,2/24/6400/165000,
206 C Dominika 44 4381845 ca Pain (VAS 2-3), Hiperkloremia SpOG(K) OT/PT 13/12, Ur/cr 17/0,5, GDS 127, e:
(111) 139/3,5/111
4/7/19 DPL 7,3/22/8270/129000 Ur/Cr 70/5,3

Na/K/Cl 135/4,4/101 3/7/19 Ur/Cr 130/8,4
Ca serviks stadium IIB dalam radiasi Na/K/Cl 133/5,1/101,3 2/7/19 DPL :
eksterna 25 kali dan dalam 4 kali 9.7/29.1/10420/107000, Ur/Cr : 123/7.6,
(4/9/19) dengan anemia normositk elektrolit : 134/5.4/102 1/7/19
normokrom ec perdarahan, PT/APTT : 1.3x/1.1x 30/6/19 DPL :
hipokalemia, acute on CKD post HD dr. Kartwa Hadi N,
206 D Sit Nur Muniroh 40 4374598 7.0/21.3/10640/127000, Ur/cr 91/6.2, GDS 99
(4/7/19), hipoalbuminemia, fistula SpOG(K) 29/6/2019 Na/K/Cl
rektovagina, suspek vesikovaginal, 129/5,4/107 Ur/Cr 146/8,9
intake sulit, hidronefrosis bilateral 28/6/2019 DPL 5,7/17,2/8.810/129.000 Ur 119
on nefrostomi bilateral, susp DVT Cr 9,2 HIV HBsAg negatf Na/K/Cl 133/6,3/110
tungkai kiri SGOT 10 SGPT 23 Albumin 2,12 GDS 105.
1/7/2019 PT 1x aPTT 1.1x
Ca ovarium residif dengan asites Dr. dr. Sigit Purbadi,
206 F Marmi 39 3897968 4/7/19 Albumin 3,15
masif SpOG(K)
Ca cervix stadium III B on radiasi 4/7/19 DPL 10,5/31,3/13720/407000 DPL

dengan permasalahan intake sulit Prof. Dr. dr. Andrijono, (3/7/19): 9,2/27/16820/422000, DPL (2/7/19) :
207 A Yenny wat 72 4380516 perbaikan, hiponatremia, dm tpe 2 SpOG(K) 9.6/27/16900/489000, OT/PT: 64/60, Ur/Cr :
on therapy 27/0.8, GDS 280, elektrolit 123/4.1/99
DPL (3/7/19): 10,2/30/11490/467000, (24/6/19)

dr. Andi Darma Putra, DPL : 7.9/23.7/8460/599000,OT/PT : 14/12, Alb
207 C Rosini 63 4382608 Ca cervix stadium III B SpOG(K) 3.08, Ur/Cr :25/1.1, GDS 107, Elektrolit :
131/4.5/101
Karsinoma serviks stadium IVA 02/07/19 DPL 13.8/42/39950/136000, Alb 1.93,

dengan permasalahan cancer pain, PCT 3.68, Mg 1.96, Ca 7.8 01/07/2019 DPL
acute on CKD, hidronefrosis 9.8/31/4860/342000 SGOT 16 SGPT 11 Albumin
Dr. dr. Hariyono W,
207 D Siska Hening 37 4305973 bilateral on nefrostomi bilateral, 4.2 Ureum 11 Creatnin 0,6 GDS 100 Elektrolit
SpOG (K)
riwayat gastroenterits akut dengan 138/3.3/106 PT 1x APTT 1.1x 29/6/2019 DPL
dehidrasi sedang, hiponatremia 15,2/43,6/73.120/177.000 Na/K/Cl 124/4,5/114
dan hipoklorida, fistula rektovagina Ur/Cr 126/4,26 SGOT/SGPT 25,3/27,9 GDS 78,9.
4/7/19 DPL 9,6/28,4/13050/407000 3/7/19

DPL: 8/23,7/10490/409000 2/7/19
DPL : 8.2/25/10130/450000 30/6/19
Ur/cr 24/0.5 28/6/2019 DPL
8,5/25,8/7.910/418.000
26/6/2019 DPL 5,7/17,3/9.500/375.000
Albumin 2,22
Suspek sarkoma Botryoides dd/ 22/6/2019 DPL 9,8/29,5/7.300/344.000
mioma Geburt dengan anemia, 21/6/2019 DPL 8,3/25,3/6.860/336.000
hipoalbuminemia, riwayat syok Dr. dr. Fitriyadi Kusuma, 19/6/2019 8/24,8/7.780/347.000 Albumin 2,32
207 E Putri Diansyah 15 4381266 hipovolemik et causa perdarahan, SpOG(K) 18/6/2019 14,8/44,3/7.070/355.000 Na/K/Cl
retensio urin ec suspek penekanan 135/3,4/94
massa 17/6/2019 DPL 9,7/30,2/7.250/370.000
Albumin 1,9
15/6/2019 DPL 9,8/29,4/10.130/360.000
13/6/2019 DPL 7,7/24,7/6.600/386.000
Albumin 1,53
12/6/2019 DPL 2,8/10,3/7.350/428.000 Na/K/Cl
131/4,3/114 Ur/Cr 10,4/0,32 SGOT/SGPT
13,3/8,3 Albumin 1,81 GDS 113

Karsinoma serviks stadium IIIB 133/4.7/94. 25/6/19 DPL
post-radiasi eksterna 25 kali, dr. T. Dewi Anggraeni, 11,4/34/17.160/218.000 22/6/2019 PT/APTT
207 F Tjong Lay Tjen 59 4335682
suspek metastasis otak, anemia, SpOG(K) 1/0,8 Fibrinogen 330 d-Dimer 2.420
susp DVT 20/6/2019 DPL 10,5/31,8/9.530/160.000
18/6/2019 DPL 8,2/25,7/9.500/214.000
(1/7/2019). 10.5/31.6/23450/178.000.
28/6/2019 DPL 14,5/44/10.550/270.000
POD 4 Post HT Radikal - SOB dan Dr. dr. Fitriyadi Kusuma, Na/K/Cl 141/3,2/106 PT 0,9x APTT 0,9x SGOT 17
210 A Habibah 53 4380847 PLND atas indikasi Karsinoma SGPT 31 Albumin 4,26 Ur 20 Cr 0,8 GDS 134
SpOG(K)
serviks stadium IB1 10/5/2019 DPL 12,7/38,5/7390/220.000; GDS
103/ E: 140/4,0/108,8; Ur/Cr 19/1,4; Alb 4,30;
OT/PT 17/18
Ca endometrium stadium IB post Dr. dr. Sigit Purbadi, 4/7/19 DPL 9,1/27,5/12100/115000 Albumin
210 B Nurul Qomar 60 4303930 radiasi komplit pro kemoterapi ke-6 SpOG(K) 2,91 Na/K/Cl 127/4,1/90,8
dengan anemia
4/7/2019 Albumin 2,02 Ur/Cr 20/0,93/7/19

Albumin 2,02, 2/7/19
DPL : 13.2/38/8000/528000, elektrolit :
127/5.4/97 alb 1.6, Ur/Cr : 19/0.8, GDS 101
10/6/19 DPL
14/40,9/11490/489000//87,6/30/34,2
SGOT/SGPT 10/8 Ur/Cr 23/0,8 Na/K/Cl
Ca ovarium advanced stage dengan
Dr. dr. Fitriyadi K, 125/4,7/96,5 Albumin 2,17 Ca 125: 1414,9
214A Sit Zaetun 38 4382260 asites masif on pungsi, SpOG(K) USG
hipoalbuminemia, hiponatremia Kintani 14/6/2019: massa kistk multlokuler uk
15,86x13,41x15,28 cm vol 1722 ml dengan
asites masif mencapai area infrahepatk, massa
dengan IOTA color score III. Tampak implan
multpel dengan vaskularisasi daerah kavum
douglasi dan permukaan rektum. Tampak
omental cake. Kesan advanced ovarian cancer
DPL post op 13,6/41/12040/273000 SGOT/SGPT

26/43 Ur/Cr 22/0,6 Na/K/Cl 136/4,0/106
2/7/2019 DPL
13.4/39.7/5920/275000//86.7/29.3/33.8
POD I post laparatomi surgical
Marianne A Dr. dr. Gatot Purwoto, PT/APTT 0.9x/0.9x SGOT/SGPT 21/40 Albumin
ICU IBP 61 th 4356300 staging ai Ca ovarium (teratoma
Kawengian SpOG(K) 4,2 Ur/Cr 24/0.5 GDS 204 Na/K/Cl
matur transformasi maligna) 135/4.1/105.2 PA: teratoma
matur ovarium dengan transforma maligna
karisnoma sel skuamosa tdak berkeratn
207 D, 207
DNR dr. T. Dewi Anggraeni, SpOG(K) 207 F dr. Kartwa Hadi N, SpOG(K)
F
Dr. dr. Laila Nuranna, SpOG(K) 206 A, 211 D Dr. dr. Hariyono W, SpOG (K)
Dr. dr. Fitriyadi K, SpOG(K) 206C, 207E, 211B Dr. dr. Gatot Purwoto, SpOG(K)
205 D, 210 B, HCU
Dr. dr. Sigit Purbadi, SpOG(K) surgical
dr. Andi Darma Putra, SpOG (K) 204 A, 204 C, 207c

Target
kemoterapi
kemoterapi
kemoterapi
kemoterapi
Rencana laparatomi VC 8/7/2019
Perawatan post operasi, GV (+)

koreksi hipoalbuminemia, diet ekstra puth
telur
Rencana rawat jalan 5/7/2019
Antbiotk Levofloxacin 1x500mg
Diet tnggi protein
Rawat bersama IPD-Endokrin: KGDH,
Gliquidon
Gant verban per hari Diet
DM 1700 kkal Raber
rehab medik : mobilisasi (+), lathan LGS hip
sesuai toleransi nyeri pasien
Rencana transfusi target Hb > 10 g/dl,

rencana aff tampon (7/7/19)
Rencana transfusi target Hb > 10 g/Dl, post

radioterapi dan brakiterapi kedua 4/7/19
tranfusi Hb sampai Hb>10, aff tampon

tanggal 6/7/19 jam 01.00
Terpasang tampon (evaluasi 7/7/19)

Transfusi PRC target Hb ≥ 10 g/dL,
Raber IPD Ginjal hipertensi (post HD
4/7/19)
Sudah terpasang nefrostomi bilateral
Rencana punksi asites 5/7/2019
Rencana pulang?? koreksi elektrolit
Rencana pulang?? Rencana CT scan torax

4/7/19 cek elektrolit hari ini
Kultur feses 3/7/19 (tunggu hasil) Koreksi

elektrolit koreksi
albumin
Analgetk MST 2 x 15 mg
Periksa PA jaringan 4/7/19 (tunggu hasil)

MRI 1/7/19:Massa padat heterogen di
cervix hingga vagina uk 10x12x12 cm
mendesak VU dan rektum, tdak ada
infiltrasi ke uterus, VU atau rektum.
Transfusi PRC target Hb ≥ 10 g/dL
Terpasang folley catheter V (27/6/2019),
gant tanggal 4/7/2019
Konsul Bedah Anak: konsul ulang hasil MRI,
sudah ada hasil MRI
Konsul Gizi Klinik Anak: Albumer 20% 100 cc
3x selama 3 hari berturut-turut, diet nutrisi
lanjut
Terapi Paliatif Post radiasi 4/7/2019

Perawatan pasca operasi BT mulai 4/7/19
GV (+)4/7/19
Transfusi PRC target Hb >10g/dl

Koreksi natrium dan albumin
Pro kemoterapi
Pungsi asites 2000 ml/hari, cek ulang

pemasangan pungsi (merembes),
koreksi albumin dan elektrolit
Perawatan post op
205 A, 206D, ICU IGD
207D
206B, 211 A
Ward Map Ginekologi Onkologi Kamis 4 Juli 2019
Dr. dr. Fitriyadi K, DPL : 10,4/32,7/5110/264000, OT/PT : 22/29,
204 A Liza 23 4363354 Ca Ovarium stadium IC SpOG(K) Alb 4.4, Ur/Cr : 17/0.4, GDS 83
dr. Andi Darma Putra, DPL : 10,3/30,3/5420/118000, OT/PT : 17/18,

204 B Sit Marwiyah 34 4330138 Ca ovarium stadium III A
SpOG (K) Alb 4.2, Ur/Cr : 24/0,5, GDS 91
Dr. dr. Fitriyadi K, DPL : 11,9/34,5/4570/165000, OT/PT : 14/11,

204 D Maryani 62 3992924 Ca Ovarium Sadium IIA SpOG(K) Alb 3,7, Ur/Cr : 26/0.1
dr. Andi Darma Putra, DPL : 11/33,4/4810/337000, OT/PT : 29/59, Alb

204 E Khoiriyah 54 3415475 Ca ovarium stadium III C SpOG(K) 4.3, Ur/Cr : 18/0,5, GDS 156
DPL (2/7/19): 12/36/7440/293000,

(01/07/2019) DPL 9.8/31/4860/342000 SGOT 16
dr. Kartwa Hadi N,
205 A Wulan Fazriani 17 4379102 NOK suspek borderline (RMI 116) SGPT 11 Albumin 4.2 Ureum 11 Creatnin 0,6
SpOG(K) GDS 100 Elektrolit 138/3.3/106 PT 1x APTT 1.1x.
02/07/19 DPL : 12/36.1/7440/293000

2/7/19 GDS 185 1/7/19
GDS 145 28/6/2019 GDS 97
(-)
26/6/2019 DPL 10,9/32,1/12.960/265.000
Wound break pada POD 15 post
25/6/2019 GDS 151
radikal vulvektomi, limfadenektomi Dr. dr. Sigit Purbadi, 24/6/2019 GDS 137
205 D Lucy Silalahi 66 4368362 inguinal bilateral atas indikasi SpOG(K) 20/6/2019 GDS 182
karsinoma vulva stadium IB, DM 19/6/2019 GDS 234
17/6/2019 DPL 11,3/32,8/14.960/242.000
15/6/2019 HbA1c 6,9
13/6/2019 DPL 10,6/32,5/7.010/171.000
2/7/19 DPL: 8.5/24.9/6480/197000 (1/7/2019)

Ca Cervix IIB, Anemia (Hb 5.3 g/dL), Dr. dr. Laila Nuranna, DPL 5.3/16/15710/339.000 elektrolit
206 A Ria Sumarni 33 4334216 cancer pain VAS 1-2 SpOG(K) 130/4.1/118 GDS 118 Ureum 20 Creatinin 0.76
SGOT/SGPT 28/17 PT 0.9x aPTT 0.8x
Ca cervix stadium III B, post raadiasi

Dr. dr. Tofan W Utami, DPL (3/7/19): 9,2/26,8/10240/ 283000, 28/6/19
206 B Tjoe Oy Ling 56 4335537 eksterna dan brakiterapi 1 x SpOG(K) DPL : 8.5/26.2/9080/363000, Ur/cr 22/1.1
(26/6/19) dengan anemia
Ca cervix stadium IIIB on radiasi

eksterna ke 2 dengan anemia (8,2), Dr. dr. Gatot Purwoto, DPL(4/7/29): 8,2/24/6400/165000, OT/PT 13/12,
206 C Dominika 44 4381845 ca Pain (VAS 2-3), Hiperkloremia SpOG(K) Ur/cr 17/0,5, GDS 127, e: 139/3,5/111
(111)
2/7/19 DPL : 9.7/29.1/10420/107000, Ur/Cr :
Ca serviks stadium IIB dalam radiasi 123/7.6, elektrolit : 134/5.4/102 1/7/19
eksterna 25 kali dan dalam 2 kali PT/APTT : 1.3x/1.1x 30/6/19 DPL :
dengan anemia normositk
7.0/21.3/10640/127000, Ur/cr 91/6.2, GDS 99
normokrom ec perdarahan, dr. Kartwa Hadi N, 29/6/2019 Na/K/Cl
206 D Sit Nur Muniroh 40 4374598 hipokalemia, acute on CKD, SpOG(K) 129/5,4/107 Ur/Cr 146/8,9
hipoalbuminemia, fistula 28/6/2019 DPL 5,7/17,2/8.810/129.000 Ur 119
rektovagina, suspek vesikovaginal,
Cr 9,2 HIV HBsAg negatf Na/K/Cl 133/6,3/110
intake sulit, hidronefrosis bilateral, SGOT 10 SGPT 23 Albumin 2,12 GDS 105.
susp DVT tungkai kiri 1/7/2019 PT 1x aPTT 1.1x
Ca cervix stadium III B on radiasi

Prof. Dr. dr. Andrijono, DPL (3/7/19): 9,2/27/16820/422000, DPL
dengan permasalahan anemia,
207 C Yenny wat 72 4380516 (2/7/19) : 9.6/27/16900/489000, OT/PT: 64/60,
intake sulit, hiponatremia, dm tpe SpOG(K) Ur/Cr : 27/0.8, GDS 280, elektrolit 123/4.1/99
2 on therapy
DPL (3/7/19): 10,2/30/11490/467000, (24/6/19)

Ca cervix stadium III B dengan dr. Andi Darma Putra, DPL : 7.9/23.7/8460/599000,OT/PT : 14/12, Alb
207 A Rosini 63 4382608 anemia,Hipoalbuminemia, SpOG(K) 3.08, Ur/Cr :25/1.1, GDS 107, Elektrolit :
hiponatremia 131/4.5/101

Dr. dr. Hariyono W,
SpOG (K)
3/7/19 DPL: 8/23,7/10490/409000

2/7/19 DPL : 8.2/25/10130/450000
30/6/19 Ur/cr 24/0.5 28/6/2019
DPL 8,5/25,8/7.910/418.000
26/6/2019 DPL 5,7/17,3/9.500/375.000
Albumin 2,22
22/6/2019 DPL 9,8/29,5/7.300/344.000
mioma Geburt dengan anemia, 19/6/2019 8/24,8/7.780/347.000 Albumin 2,32
hipoalbuminemia, riwayat syok Dr. dr. Fitriyadi Kusuma, 18/6/2019 14,8/44,3/7.070/355.000 Na/K/Cl
207 E Putri Diansyah 15 4381266 hipovolemik et causa perdarahan, SpOG(K) 135/3,4/94
retensio urin ec suspek penekanan 17/6/2019 DPL 9,7/30,2/7.250/370.000
massa Albumin 1,9
15/6/2019 DPL 9,8/29,4/10.130/360.000
13/6/2019 DPL 7,7/24,7/6.600/386.000
Albumin 1,53
12/6/2019 DPL 2,8/10,3/7.350/428.000 Na/K/Cl
131/4,3/114 Ur/Cr 10,4/0,32 SGOT/SGPT
13,3/8,3 Albumin 1,81 GDS 113
207 F Tjong Lay Tjen 59 4335682 suspek metastasis otak, anemia, SpOG(K) 1/0,8 Fibrinogen 330 d-Dimer 2.420
susp DVT 20/6/2019 DPL 10,5/31,8/9.530/160.000
18/6/2019 DPL 8,2/25,7/9.500/214.000
(1/7/2019). 10.5/31.6/23450/178.000.
28/6/2019 DPL 14,5/44/10.550/270.000
211 B Habibah 53 4380847 PLND atas indikasi Karsinoma SGPT 31 Albumin 4,26 Ur 20 Cr 0,8 GDS 134
SpOG(K)
103/ E: 140/4,0/108,8; Ur/Cr 19/1,4; Alb 4,30;
OT/PT 17/18
3/7/19 DPL: 10,3/29,5/70070/36000, PT/APTT:

0,9x/2x, Alb: 2,29, 1/7/2019
9.5/27/16130/169000 fibrinogen 632 D dimer
9300 Albumin 2.02 Ureum 87 Cr 1 elektrolit
129/4/199 29/6/2019 Ur/Cr 99/0,9 CA-125 113
Albumin 2,22
Karsinoma ovarium stadium IIIC 26/6/2019 DPL 10,5/30,4/13.400/423.000 GDS
pasca kemoterapi ke-4 dengan
Dr. dr. Laila Nuranna, 135 Na/K/Cl 124/4,3/86,9 Albumin 2,4 Ur/Cr
intake sulit, hipoalbuminemia,
211 D Lili Ramalia 59 4335692 153/2
asites masif, hiponatremia, AKI dd/ SpOG(K) 25/6/2019 DPL 10,5/30,4/13.400/423.000 GDS
acute on CKD, sindrom dispepsia 135 Na/K/Cl 124/4,3/86,9 PT/APTT 0,9x/0,9x
dengan alarm sign, hematemesis SGOT/SGPT 18/12 Albumin 2,4 Ur/Cr 153/2
24/6/2019 Abdomen 3 posisi: tdak tampak ileus
atau pneumoperitoneum
21/6/2019 DPL 11,9/32,6/8.530/510.000 Ur/Cr
77/1,49 SGOT/SGPT 33,9/18,2 Albumin 2,62 GDS
136 Na/K/Cl 127/4,4/100
3/7/19 Albumin 2,02,

2/7/19 DPL : 13.2/38/8000/528000, elektrolit :
127/5.4/97 alb 1.6, Ur/Cr : 19/0.8, GDS 101
10/6/19 DPL
14/40,9/11490/489000//87,6/30/34,2
Ca ovarium advanced stage dengan 125/4,7/96,5 Albumin 2,17 Ca 125: 1414,9
Dr. dr. Fitriyadi K,
214A Sit Zaetun 38 4382260 asites masif, hipoalbuminemia, USG
SpOG(K)
hiponatremia Kintani 14/6/2019: massa kistk multlokuler uk
15,86x13,41x15,28 cm vol 1722 ml dengan
2/7/2019 DPL
13.4/39.7/5920/275000//86.7/29.3/33.8
Ca ovarium (teratoma matur
Marianne A Dr. dr. Gatot Purwoto, 4,2 Ur/Cr 24/0.5 GDS 204 Na/K/Cl
116 61 th 4356300 transformasi maligna) post SOB
Kawengian SpOG(K) 135/4.1/105.2 PA: teratoma
(Maret 2019) matur ovarium dengan transforma maligna
POD 6 post colostomy transversum

ai obstruksi usus mekanik ec suspek 2/7/19 jam 23.37 DPL 9.8/28.4/1280/30000,
infiltrasi ca cervix dengan masalah:
PT/APTT : 0.9x/1.3 x 2/7/2019
syok sepsis on vasopressor ec dr. Kartwa Hadi N,
ICU IGD Sri Purwant 54 4120053 10.7/29/420/6100 Laktat 1.6 Elektrolit
suspek CIAI, ca cervix IIB post SpOG(K) 138/6/115. 28/6/2019 PCT 73. 1/7/2019 GDS
kemoterapi 5x post radiasi eksterna 173 Ureum 169 Creatnin 3.8
25x, DM tpe II, AKI dd acute on
CKD
3/7/19 DPL: 8,4/24,9/20070/ 523000,

e:134/4/99,3, 2/7/19 Mg 1.97, Ca
1.02,elektrolit : 130/4.5/103, Ur/Cr : 44/0.9,
Albumin 2.62 (1/7/2019)
POD 3 Post laparotomi debulking
Dr. dr. Sigit Purbadi, 10.9/32/23750/464000 SGOT 28 SGPT 15
HCU surgical Cindy Wulan 43 4379529 atas indikasi Carsinoma ovarium SpOG(K) elektrolit 132/4.3/103. 28/6/2019 DPL
advance stage 10,5/32,2/20.970/504.000
26/6/2019 DPL 8,8/27,5/19.020/503.000
23/0,9 Albumin 3,39 Na/K/Cl 136/3,8/104
207 D, 207
F
205 D, 210 B, HCU
Dr. dr. Sigit Purbadi, SpOG(K) surgical

Target
kemoterapi
kemoterapi
kemoterapi
kemoterapi
Rencana Laparotomi VC 4/7/2019
Perawatan post-operasi
Antbiotk clyndamisin
Diet tnggi protein
Gliquidon
DM 1700 kkal Raber
rehab medik : mobilisasi bertahap berdiri
dan berjalan, lathan LGS hip sesuai
toleransi nyeri pasien
Rencana transfusi target Hb > 10 g/Dl
Rencana transfusi target Hb > 10 g/Dl,

rencana konsul radioterapi untuk
penjadwalan ulang brakiterapi kedua
tranfusi Hb sampai Hb>10, aff tampon

tanggal 5/7/19 jam 01.00
Raber IPD Ginjal hipertensi untuk rencana
HD
rencana transfusi hingga hb > 10 gr/dL

koreksi elektrolit
Rencana CT scan torax 4/7/19

cek elektrolit hari ini
Koreksi elektrolit
koreksi albumin

sudah ada hasil MRI
lanjut
Terapi Paliatif
Perawatan pasca operasi

GV hari ini
Perbaikan keadaan umum

Konsul IPD Gastro: rencana EGD endoskopi,
tunggu HCU
Konsul gizi: rehidrasi dulu 1500 cc/24 jam

selama 2 hari
MRI albdomen kontras (4/7/2019), Konsul
bedah vaskuler: Heparin 5000 IU
maintenance 15000/24 jam
Heparin distop sementara karena
hematemesis
IPD: rencana tranfusi
FFP dan TC pooled hari ini
Pungsi asites 2000 ml/hari, cek ulang

pemasangan pungsi (merembes),
koreksi albumin dan elektrolit
Rencana surgical staging 4/7/2019

tunggu konsul Anestesi
Perawatan post operasi koreksi

hiponatremia rencana pindah
ruangan
207D
206B, 211 A
dr. Andi Darma Putra, DPL : 10.2/30/3640/134000, OT/PT : 27/51, Alb

204 A Novi Dewiyant 27 4285730 Ca Ovarium stadium III C 4.0, Ur/Cr : 28/0.6, GDS 154, Elektrolit :
SpOG(K) 136/4/102
DPL : 9.4/28.1/3640/329000, OT/PT : 23/22, Alb

dr. Andi Darma Putra, 4.6, Ur/Cr : 26/0.6, GDS 88, Elektrolit :
204 C Desi Mulyandari 23 4302772 PTM high risk SpOG(K) 137/4.2/104
01/07/2019 DPL 9.8/31/4860/342000 SGOT 16

dr. Kartwa Hadi N, SGPT 11 Albumin 4.2 Ureum 11 Creatnin 0,6
205 A Wulan Fazriani 17 4379102 NOK suspek borderline (RMI 116) SpOG(K) GDS 100 Elektrolit 138/3.3/106 PT 1x APTT 1.1x.
02/07/19 DPL : 12/36.1/7440/293000

2/7/19 GDS 185 1/7/19
GDS 145 28/6/2019 GDS 97
(-)
26/6/2019 DPL 10,9/32,1/12.960/265.000
Wound break pada POD 15 post 25/6/2019 GDS 151
radikal vulvektomi, limfadenektomi Dr. dr. Sigit Purbadi, 24/6/2019 GDS 137
205 D Lucy Silalahi 66 4368362 inguinal bilateral atas indikasi SpOG(K) 20/6/2019 GDS 182
karsinoma vulva stadium IB, DM
19/6/2019 GDS 234
17/6/2019 DPL 11,3/32,8/14.960/242.000
15/6/2019 HbA1c 6,9
13/6/2019 DPL 10,6/32,5/7.010/171.000
2/7/19 DPL: 8.5/24.9/6480/197000 (1/7/2019)

Ca Cervix IIB, Anemia (Hb 5.3 g/dL), Dr. dr. Laila Nuranna, DPL 5.3/16/15710/339.000 elektrolit
206 A Ria Sumarni 33 4334216 cancer pain VAS 1-2 SpOG(K) 130/4.1/118 GDS 118 Ureum 20 Creatinin 0.76
SGOT/SGPT 28/17 PT 0.9x aPTT 0.8x
Ca cervix stadium III B, post raadiasi

Dr. dr. Tofan W Utami, 28/6/19 DPL : 8.5/26.2/9080/363000, Ur/cr
206 B Tjoe Oy Ling 56 4335537 eksterna dan brakiterapi 1 x SpOG(K) 22/1.1
(26/6/19) dengan anemia
2/7/19 DPL : 11.9/34.5/4570/165000
Dr. dr. Fitriyadi Kusuma, 27/6/2019 DPL 9.1/27/3580/188000
206 C Maryani 62 3992924 Ca Ovarium advance stage SpOG(K) SGOT/SGPT 14/11 Albumin 3.76 Ureum/
Creatinin 26/1. Elektrolit 136/4.3/107
2/7/19 DPL : 9.7/29.1/10420/107000, Ur/Cr :

Ca serviks stadium IIB dalam radiasi 123/7.6, elektrolit : 134/5.4/102 1/7/19
eksterna 25 kali dan dalam 2 kali PT/APTT : 1.3x/1.1x 30/6/19 DPL :
dengan anemia normositk
7.0/21.3/10640/127000, Ur/cr 91/6.2, GDS 99
normokrom ec perdarahan, dr. Kartwa Hadi N, 29/6/2019 Na/K/Cl
206 D Sit Nur Muniroh 40 4374598 hipokalemia, acute on CKD, SpOG(K) 129/5,4/107 Ur/Cr 146/8,9
hipoalbuminemia, fistula 28/6/2019 DPL 5,7/17,2/8.810/129.000 Ur 119
rektovagina, suspek vesikovaginal, Cr 9,2 HIV HBsAg negatf Na/K/Cl 133/6,3/110
intake sulit, hidronefrosis bilateral,
SGOT 10 SGPT 23 Albumin 2,12 GDS 105.
susp DVT tungkai kiri 1/7/2019 PT 1x aPTT 1.1x
Ca cervix stadium III B on radiasi

dengan permasalahan anemia, Prof. Dr. dr. Andrijono, DPL : 9.6/27/16900/489000, OT/PT: 64/60, Ur/Cr
207 C Yenny wat 72 4380516 intake sulit, hiponatremia, dm tpe SpOG(K) : 27/0.8, GDS 280, elektrolit 123/4.1/99
2 on therapy
Ca cervix stadium III B dengan dr. Andi Darma Putra, 24/6/19, DPL : 7.9/23.7/8460/599000,OT/PT :
207 A Rosini 63 4382608 anemia,Hipoalbuminemia, 14/12, Alb 3.08, Ur/Cr :25/1.1, GDS 107,
SpOG(K)
hiponatremia Elektrolit : 131/4.5/101
Dr. dr. Hariyono W,
SpOG (K)
2/7/19 DPL : 8.2/25/10130/450000 30/6/19

Ur/cr 24/0.5 28/6/2019 DPL
8,5/25,8/7.910/418.000
26/6/2019 DPL 5,7/17,3/9.500/375.000
Albumin 2,22
22/6/2019 DPL 9,8/29,5/7.300/344.000
mioma Geburt dengan anemia, 19/6/2019 8/24,8/7.780/347.000 Albumin 2,32
hipoalbuminemia, riwayat syok Dr. dr. Fitriyadi Kusuma, 18/6/2019 14,8/44,3/7.070/355.000 Na/K/Cl
207 E Putri Diansyah 15 4381266 hipovolemik et causa perdarahan, SpOG(K) 135/3,4/94
massa Albumin 1,9
15/6/2019 DPL 9,8/29,4/10.130/360.000
13/6/2019 DPL 7,7/24,7/6.600/386.000
Albumin 1,53
12/6/2019 DPL 2,8/10,3/7.350/428.000 Na/K/Cl
131/4,3/114 Ur/Cr 10,4/0,32 SGOT/SGPT
13,3/8,3 Albumin 1,81 GDS 113

207 F Tjong Lay Tjen 59 4335682 suspek metastasis otak, anemia, SpOG(K) 1/0,8 Fibrinogen 330 d-Dimer 2.420
susp DVT 20/6/2019 DPL 10,5/31,8/9.530/160.000
18/6/2019 DPL 8,2/25,7/9.500/214.000
2/7/19 GDS 130

1/7/2019 SGOT 93 SGPT 83 Bilirubin T/D/I
Ca ovarium residif pasca surgical 13/9.4/3.6. 30/6/2019 Albumin 2.54.
Asri Widya staging dan kemoterapi lengkap Dr. dr. Sigit Purbadi, 29/6/2019 DPL 11,8/33,7/16.930/128.000
210 B 44 4330007
Ariyani dengan anemia, hipoalbuminemia, SpOG(K) 28/6/2019 DPL 9,6/27,4/16.030/184.000
intake sulit, cancer pain Albumin 2,18
26/6/2019 DPL 7,5/20,6/9.070/230.000
Ca Cervix IIIB, pasca kemoterapi 2x,
Dr. dr. Tofan W Utami, 1/7/2019 DPL 9.3/25.8/4790/235000. SGOT 21
Marlina radiasi eksterna 25x, on radiasi
211 A 65 4365565 SGPT 12. Albumin 3.6 Ureum 23 Creatnin 1.1.
Matondang dalam 1x, dengan cancer pain, SpOG(K) GDS 90 elektrolit 140/4.3/117. PT 0.9x apTT 1,8x
anemia
(1/7/2019). 10.5/31.6/23450/178.000.
28/6/2019 DPL 14,5/44/10.550/270.000
211 B Habibah 53 4380847 PLND atas indikasi Karsinoma SGPT 31 Albumin 4,26 Ur 20 Cr 0,8 GDS 134
SpOG(K)
103/ E: 140/4,0/108,8; Ur/Cr 19/1,4; Alb 4,30;
OT/PT 17/18
1/7/2019 9.5/27/16130/169000 fibrinogen 632

D dimer 9300 Albumin 2.02 Ureum 87 Cr 1
elektrolit 129/4/199 29/6/2019 Ur/Cr 99/0,9
CA-125 113 Albumin 2,22
26/6/2019 DPL 10,5/30,4/13.400/423.000 GDS
Karsinoma ovarium stadium IIIC 135 Na/K/Cl 124/4,3/86,9 Albumin 2,4 Ur/Cr
intake sulit, hipoalbuminemia, Dr. dr. Laila Nuranna, 153/2
211 D Lili Ramalia 59 4335692 25/6/2019 DPL 10,5/30,4/13.400/423.000 GDS
asites masif, hiponatremia, AKI dd/ SpOG(K) 135 Na/K/Cl 124/4,3/86,9 PT/APTT 0,9x/0,9x
acute on CKD, sindrom dispepsia
SGOT/SGPT 18/12 Albumin 2,4 Ur/Cr 153/2
dengan alarm sign 24/6/2019 Abdomen 3 posisi: tdak tampak ileus
atau pneumoperitoneum
21/6/2019 DPL 11,9/32,6/8.530/510.000 Ur/Cr
136 Na/K/Cl 127/4,4/100
2/7/19 DPL : 13.2/38/8000/528000, elektrolit :

127/5.4/97 alb 1.6, Ur/Cr : 19/0.8, GDS 101
10/6/19 DPL
14/40,9/11490/489000//87,6/30/34,2
125/4,7/96,5 Albumin 2,17 Ca 125: 1414,9
Ca ovarium advanced stage dengan Dr. dr. Fitriyadi K, USG
214A Sit Zaetun 38 4382260 asites masif, hipoalbuminemia, SpOG(K) Kintani 14/6/2019: massa kistk multlokuler uk
hiponatremia 15,86x13,41x15,28 cm vol 1722 ml dengan
2/7/2019 DPL
13.4/39.7/5920/275000//86.7/29.3/33.8
Ca ovarium (teratoma matur
Marianne A Dr. dr. Gatot Purwoto, 4,2 Ur/Cr 24/0.5 GDS 204 Na/K/Cl
116 61 th 4356300 transformasi maligna) post SOB
Kawengian SpOG(K) 135/4.1/105.2 PA: teratoma
(Maret 2019) matur ovarium dengan transforma maligna

ai obstruksi usus mekanik ec suspek 2/7/19 jam 23.37 DPL 9.8/28.4/1280/30000,
infiltrasi ca cervix dengan masalah: PT/APTT : 0.9x/1.3 x 2/7/2019
syok sepsis on vasopressor ec dr. Kartwa Hadi N,
ICU IGD Sri Purwant 54 4120053 10.7/29/420/6100 Laktat 1.6 Elektrolit
suspek CIAI, ca cervix IIB post SpOG(K) 138/6/115. 28/6/2019 PCT 73. 1/7/2019 GDS
kemoterapi 5x post radiasi eksterna 173 Ureum 169 Creatnin 3.8
CKD
2/7/19 Mg 1.97, Ca 1.02,elektrolit :

130/4.5/103, Ur/Cr : 44/0.9, Albumin 2.62
(1/7/2019) 10.9/32/23750/464000 SGOT 28
POD 2 Post laparotomi debulking Dr. dr. Sigit Purbadi, SGPT 15 elektrolit 132/4.3/103. 28/6/2019 DPL
HCU surgical Cindy Wulan 43 4379529 atas indikasi Carsinoma ovarium SpOG(K) 10,5/32,2/20.970/504.000
advance stage 26/6/2019 DPL 8,8/27,5/19.020/503.000
23/0,9 Albumin 3,39 Na/K/Cl 136/3,8/104
207 D, 207
F
205 D, 210 B, HCU
surgical
Target
kemoterapi
kemoterapi
Rencana Laparotomi VC 4/7/2019
Antbiotk clyndamisin
Diet tnggi protein
Gliquidon
DM 1700 kkal
Rencana rehab medik : mobilisasi bertahap
berdiri dan berjalan, lathan LGS hip sesuai
toleransi nyeri pasien
Rencana transfusi target Hb > 10 g/Dl
Rencana transfusi target Hb > 10 g/Dl,

rencana konsul radioterapi untuk
penjadwalan ulang brakiterapi kedua
Rencana kemoterapi

Raber IPD Ginjal hipertensi untuk rencana
HD
rencana transfusi hingga hb > 10 gr/dL

koreksi elektrolit
Rencana transfusi target Hb 10 g/dL

Rencana CT scan torax 4/7/19
Koreksi elektrolit
koreksi albumin

sudah ada hasil MRI
lanjut
Terapi Paliatif
Bedah vaskular : rencana heparinisasi,

elastc verban, CT scan pelvis
Rencana Pungsi asites Rencana
konsul IPD Hepatologi --> belum datang

tunggu HCU

selama 2 hari
MRI albdomen kontras (4/7/2019), Konsul
bedah vaskuler: Heparin 5000 IU
maintenance 15000/24 jam
Rencana punksi asites 3/7/2019 koreksi

albumin dan elektrolit
Rencana surgical staging 4/7/2019

Perawatan post operasi koreksi

hiponatremia rencana pindah
ruangan
207D
206B, 211 A
Ward Map Ginekologi Onkologi Selasa Juli 2019
Dr. dr. Fitriyadi Kusuma, DPL 10.5/31/10000/288000. SGOT 18 SGPT 23.

204 A Titn 61 3309401 Ca Ovarium Albumin 3.8. Ureum 35. Creatnin1.3. GDS kemoterapi
SpOG(K) 247elektrolit 133/4.8/99 Ca 125 264
01/07/2019 DPL 9.8/31/4860/342000 SGOT 16

dr. Kartwa Hadi N,
205 A Wulan Fazriani 17 4379102 NOK suspek borderline (RMI 116) SGPT 11 Albumin 4.2 Ureum 11 Creatnin 0,6 Rencana Laparotomi VC 4/7/2019
SpOG(K) GDS 100 Elektrolit 138/3.3/106 PT 1x APTT 1.1x
28/6/2019 GDS 97
(-) Perawatan post-operasi
26/6/2019 DPL 10,9/32,1/12.960/265.000 Menunggu hasil kultur dasar luka
25/6/2019 GDS 151
Wound break pada POD 14 post Antbiotk Bactesyn dan Metronidazole
24/6/2019 GDS 137
radikal vulvektomi, limfadenektomi Diet tnggi protein
Dr. dr. Sigit Purbadi, 20/6/2019 GDS 182
205 D Lucy Silalahi 66 4368362 inguinal bilateral atas indikasi Rawat bersama IPD-Endokrin: KGDH,
karsinoma vulva stadium IB, DM SpOG(K) 19/6/2019 GDS 234 Gliquidon
18/6/2019 GDS 371
tpe 2, hipertensi Gant verban per hari Diet DM
17/6/2019 DPL 11,3/32,8/14.960/242.000 1700 kkal konsul Rehab Medik
15/6/2019 HbA1c 6,9
13/6/2019 DPL 10,6/32,5/7.010/171.000
(1/7/2019) DPL 5.3/16/15710/339.000

Ca Cervix IIB, Anemia (Hb 5.3 g/dL), Dr. dr. Fitriyadi Kusuma, elektrolit 130/4.1/118 GDS 118 Ureum 20 Rencana transfusi target Hb > 10 g/dL
206 A Ria Sumarni 33 4334216 cancer pain VAS 1-2 SpOG(K) Creatinin 0.76 SGOT/SGPT 28/17 PT 0.9x Rencana aff tampon
aPTT 0.8x
Ca Ovarium advance stage dengan Dr. dr. Fitriyadi Kusuma, 27/6/2019 DPL 9.1/27/3580/188000 Transfusi PRC target Hb ≥ 10 g/dL
206 C Maryani 62 3992924 SGOT/SGPT 14/11 Albumin 3.76 Ureum/ Rencana
masalah Anemia SpOG(K)
Creatinin 26/1. Elektrolit 136/4.3/107 kemoterapi
Ca serviks stadium IIB dalam radiasi

eksterna 25 kali dan dalam 2 kali
dengan anemia normositk 29/6/2019 Na/K/Cl 129/5,4/107 Ur/Cr 146/8,9 Transfusi PRC target Hb ≥ 10 g/dL
normokrom ec perdarahan, 28/6/2019 DPL 5,7/17,2/8.810/129.000 Ur 119 20% 100 mL
dr. Kartwa Hadi N,
206 D Sit Nur Muniroh 40 4374598 hipokalemia, acute on CKD, Cr 9,2 HIV HBsAg negatf Na/K/Cl 133/6,3/110 HD Rabu-Sabtu
SpOG(K)
hipoalbuminemia, fistula SGOT 10 SGPT 23 Albumin 2,12 GDS 105. KGDH
rektovagina, suspek vesikovaginal, 1/7/2019 PT 1x aPTT 1.1x Rencana nefrostomi bilateral
intake sulit, hidronefrosis bilateral,
susp DVT tungkai kiri
1/7/2019 DPL 12.2/35/7130/273000

29/6/2019 DPL 8,6/24,7/6.050/184.000
28/6/2019 DPL 8,6/24,9/6.210/179.000
Karsinoma ovarium stadium IC dr. T. Dewi Anggraeni, 27/6/2019 DPL 9/26,2/6.000/194.000 Hasil Konsul IPD KHOM: cek retkulosit dan
206 E Nuryant 34 4275645 suspek progresif dengan anemia, SpOG(K) 26/6/2019 DPL 8,5/24,4/13.390/263.000 ADT
cancer pain, konstpasi, asites PT/APTT 1x/0,9x Na/K/Cl 140/4,3/110 Ur/Cr
22,4/0,35 SGOT/SGPT 13,7/27,3 GDS 151.
Karsinoma serviks stadium IVA 01/07/2019 DPL 9.8/31/4860/342000 SGOT 16
dengan permasalahan cancer pain, SGPT 11 Albumin 4.2 Ureum 11 Creatnin 0,6
acute on CKD, hidronefrosis Dr. dr. Hariyono W, GDS 100 Elektrolit 138/3.3/106 PT 1x APTT 1.1x Koreksi elektrolit, cek albumin pasca koreksi
207 D Siska Hening 37 4305973 bilateral on nefrostomi bilateral,
riwayat gastroenterits akut dengan SpOG (K) 29/6/2019 DPL 15,2/43,6/73.120/177.000 Analgetk MST 2 x 15 mg
Na/K/Cl 124/4,5/114 Ur/Cr 126/4,26 SGOT/SGPT
dehidrasi sedang, hiponatremia 25,3/27,9 GDS 78,9.
dan hipoklorida, fistula rektovagina
28/6/2019 DPL 8,5/25,8/7.910/418.000

26/6/2019 DPL 5,7/17,3/9.500/375.000
Albumin 2,22
22/6/2019 DPL 9,8/29,5/7.300/344.000 Transfusi PRC target Hb ≥ 10 g/dL
21/6/2019 DPL 8,3/25,3/6.860/336.000 Terpasang folley catheter V (27/6/2019),
Suspek sarkoma Botryoides dd/ 19/6/2019 8/24,8/7.780/347.000 Albumin 2,32 gant tanggal 4/7/2019
mioma Geburt dengan anemia, 18/6/2019 14,8/44,3/7.070/355.000 Na/K/Cl Konsul Bedah Anak: saran CT scan abdomen
hipoalbuminemia, riwayat syok Dr. dr. Fitriyadi Kusuma, 135/3,4/94
207 E Putri Diansyah 15 4381266 + pelvis dengan kontras dan follow-up hasil
hipovolemik et causa perdarahan, SpOG(K) 17/6/2019 DPL 9,7/30,2/7.250/370.000 review PA, konsul ulang jika ada hasil
retensio urin ec suspek penekanan Albumin 1,9 Konsul Gizi Klinik Anak: Albumer 20% 100 cc
massa 15/6/2019 DPL 9,8/29,4/10.130/360.000 3x selama 3 hari berturut-turut, diet nutrisi
13/6/2019 DPL 7,7/24,7/6.600/386.000 lanjut
Albumin 1,53
12/6/2019 DPL 2,8/10,3/7.350/428.000 Na/K/Cl
131/4,3/114 Ur/Cr 10,4/0,32 SGOT/SGPT
13,3/8,3 Albumin 1,81 GDS 113

207 F Tjong Lay Tjen 59 4335682 Terapi Paliatif
suspek metastasis otak, anemia, SpOG(K) 1/0,8 Fibrinogen 330 d-Dimer 2.420
susp DVT 20/6/2019 DPL 10,5/31,8/9.530/160.000
18/6/2019 DPL 8,2/25,7/9.500/214.000
1/7/2019 SGOT 93 SGPT 83 Bilirubin T/D/I

13/9.4/3.6. 30/6/2019 Albumin 2.54.
Ca ovarium residif pasca surgical 29/6/2019 DPL 11,8/33,7/16.930/128.000 Konsul Bedah vaskuler (susp. DVT), cek
Asri Widya staging dan kemoterapi lengkap Dr. dr. Sigit Purbadi,
210 B 44 4330007 28/6/2019 DPL 9,6/27,4/16.030/184.000 albumin, Rencana Pungsi asites
Ariyani dengan anemia, hipoalbuminemia, SpOG(K)
intake sulit, cancer pain Albumin 2,18 Rencana konsul IPD Hepatologi
26/6/2019 DPL 7,5/20,6/9.070/230.000
Ca Cervix IIIB, pasca kemoterapi 2x, 1/7/2019 DPL 9.3/25.8/4790/235000. SGOT 21

Marlina radiasi eksterna 25x, on radiasi Dr. dr. Fitriyadi Kusuma, SGPT 12. Albumin 3.6 Ureum 23 Creatnin 1.1. Transfusi PRC target Hb ≥ 10 g/dL
211 A 65 4365565
Matondang dalam 1x, dengan cancer pain, SpOG(K) GDS 90 elektrolit 140/4.3/117. PT 0.9x apTT 1,8x
anemia
(1/7/2019). 10.5/31.6/23450/178.000.
28/6/2019 DPL 14,5/44/10.550/270.000
Post HT Radikal - SOB dan PLND Dr. dr. Fitriyadi Kusuma, Na/K/Cl 141/3,2/106 PT 0,9x APTT 0,9x SGOT 17
211 B Habibah 53 4380847 atas indikasi Karsinoma serviks SGPT 31 Albumin 4,26 Ur 20 Cr 0,8 GDS 134 Perawatan pasca operasi
SpOG(K)
stadium IB1 10/5/2019 DPL 12,7/38,5/7390/220.000; GDS
103/ E: 140/4,0/108,8; Ur/Cr 19/1,4; Alb 4,30;
OT/PT 17/18
1/7/2019 9.5/27/16130/169000 fibrinogen 632

D dimer 9300 Albumin 2.02 Ureum 87 Cr 1
elektrolit 129/4/199 29/6/2019 Ur/Cr 99/0,9
CA-125 113 Albumin 2,22 Perbaikan keadaan umum
26/6/2019 DPL 10,5/30,4/13.400/423.000 GDS Konsul IPD Gastro: rencana EGD endoskopi,
Karsinoma ovarium stadium IIIC 135 Na/K/Cl 124/4,3/86,9 Albumin 2,4 Ur/Cr tunggu HCU
intake sulit, hipoalbuminemia, Dr. dr. Laila Nuranna, 153/2
211 D Lili Ramalia 59 4335692 25/6/2019 DPL 10,5/30,4/13.400/423.000 GDS Konsul gizi: rehidrasi dulu 1500 cc/24 jam
asites masif, hiponatremia, AKI dd/ SpOG(K)
135 Na/K/Cl 124/4,3/86,9 PT/APTT 0,9x/0,9x selama 2 hari
acute on CKD, sindrom dispepsia SGOT/SGPT 18/12 Albumin 2,4 Ur/Cr 153/2 MRI albdomen kontras (4/7/2019), Konsul
dengan alarm sign 24/6/2019 Abdomen 3 posisi: tdak tampak ileus bedah vaskuler: Heparin 5000 IU
atau pneumoperitoneum maintenance 15000/24 jam
21/6/2019 DPL 11,9/32,6/8.530/510.000 Ur/Cr
136 Na/K/Cl 127/4,4/100

ai obstruksi usus mekanik ec suspek
infiltrasi ca cervix dengan masalah: 2/7/2019 10.7/29/420/6100 Laktat 1.6
syok sepsis on vasopressor ec dr. Kartwa Hadi N, Konsul IPD Gastro: rencana EGD endoskopi,
ICU IGD Sri Purwant 54 4120053 Elektrolit 138/6/115. 28/6/2019 PCT 73.
suspek CIAI, ca cervix IIB post SpOG(K) tunggu konsul Anestesi
1/7/2019 GDS 173 Ureum 169 Creatnin 3.8
kemoterapi 5x post radiasi eksterna
CKD
(1/7/2019) 10.9/32/23750/464000 SGOT 28

SGPT 15 elektrolit 132/4.3/103. 28/6/2019 DPL
Post laparotomi debulking atas Dr. dr. Sigit Purbadi, 10,5/32,2/20.970/504.000
ICU IBP Cindy Wulan 43 4379529 indikasi Carsinoma ovarium SpOG(K) 26/6/2019 DPL 8,8/27,5/19.020/503.000
advance stage PT/APTT 0,9x/0,9x INR 1 SGOT/SGPT 16/8 Ur/Cr
23/0,9 Albumin 3,39 Na/K/Cl 136/3,8/104
207 D, 207
DNR dr. T. Dewi Anggraeni, SpOG(K) 206 E, 207 F dr. Kartwa Hadi N, SpOG(K) 205 A, 206D, ICU IGD
F
Dr. dr. Laila Nuranna, SpOG(K) 211 D Dr. dr. Hariyono W, SpOG (K) 207D
206 A, 206C, 207E, 211
A, 211B,
Dr. dr. Sigit Purbadi, SpOG(K) 205 D, 210 B
Ward Map Ginekologi Onkologi. Senin, 1 Juli 2019
POD 7 post laparotomi optmal

debulking atas indikasi karsinoma dr. T. Dewi
4364464 ovarium advanced stage pasca NACT
205 C Tarsih 26 Anggraeni,
3x dengan: SpOG(K)
- Hipoalbuminemia
- Hiponatremia
Wound break pada POD 13 post radikal
4368362 vulvektomi, limfadenektomi inguinal Dr. dr. Sigit
205 D Lucy Silalahi 66 bilateral atas indikasi karsinoma vulva Purbadi, SpOG(K)
stadium IB, DM tpe 2, hipertensi
Suspek karsinoma serviks stadium IIIB DPJP Ginekologi

dengan anemia et causa riwayat Umum Dr. dr.
206 B Sit Halimah 57 4391407 perdarahan, hiperkalemia, Yuditya
hiponatremia, acute on CKD dengan Purwosunu,
hidronefrosis bilateral post HD SpOG(K), PhD
Karsinoma ovarium stadium IC suspek dr. T. Dewi
206 E Nuryant 34 4275645 progresif dengan anemia, cancer pain, Anggraeni,
konstpasi, asites SpOG(K)

eksterna 25 kali dan dalam 2 kali
dengan anemia normositk normokrom
Sit Nur 4374598 ec perdarahan, hipokalemia, acute on dr. Kartwa Hadi N,
206 F 40
Muniroh SpOG(K)
CKD, hipoalbuminemia, fistula
intake sulit, hidronefrosis bilateral
4381845 Karsinoma serviks stadium IIIB dengan Dr. dr. Hariyono W,

207 A Dominiika 44 anemia et causa riwayat perdarahan SpOG (K)
dr. Andi Darma

207 B Sumiat 47 4381885 Ca cervix stadium IIIB: anemia, Ca pain Putra, SpOG (K)
Karsinoma serviks stadium IVA dengan

permasalahan cancer pain, acute on
CKD, hidronefrosis bilateral on Dr. dr. Hariyono W,
207 D Siska Hening 37 4305973 nefrostomi bilateral, riwayat SpOG (K)
gastroenterits akut dengan dehidrasi
sedang, hiponatremia dan hipoklorida,
fistula rektovagina
dr. T. Dewi
Tjong Lay 4335682 Karsinoma serviks stadium IIIB post-
207 F 59 Anggraeni,
Tjen radiasi eksterna 25 kali, anemia SpOG(K)
Ca ovarium residif pasca surgical

Asri Widya 4330007 staging dan kemoterapi lengkap Dr. dr. Sigit
210 B 44
Ariyani dengan anemia, hipoalbuminemia, Purbadi, SpOG(K)
intake sulit, cancer pain
Dr. dr. Fitriyadi

211 A Habibah 53 4380847 Karsinoma serviks stadium IB1 Kusuma, SpOG(K)
Karsinoma ovarium stadium IIIC pasca
kemoterapi ke-4 dengan intake sulit, Dr. dr. Laila
211 D Lili Ramalia 59 4335692 hipoalbuminemia, asites masif, Nuranna, SpOG(K)
hiponatremia, AKI dd/ acute on CKD,
sindrom dispepsia dengan alarm sign
4379529 Karsinoma ovarium suspek advance Dr. dr. Sigit

212 A Cindy Wulan 43 stage, anemia Purbadi, SpOG(K)
Suspek sarkoma Botryoides dd/ mioma
Geburt dengan anemia,
Putri 4381266 hipoalbuminemia, riwayat syok Dr. dr. Fitriyadi
212 D 15
Diansyah hipovolemik et causa perdarahan, Kusuma, SpOG(K)
retensio urin ec suspek penekanan
massa
207 205 C, 206 E, 207

DNR D, dr. T. Dewi Anggraeni, SpOG(K)
207 F F, 210 C
Dr. dr. Laila Nuranna, SpOG(K) 211 D

Prof. Dr. dr. Andrijono, SpOG(K) 211 C
Dr. dr. Fitriyadi K, SpOG(K) 211 A, 212D
205 D, 210 B, 212
Dr. dr. Sigit Purbadi, SpOG(K) A
Laboratorium Target
26/6/2019 GDS 106, Laktat 2,1

25/6/2019 DPL 9,3/28,2/8.600/195.000
Albumin 2,95
24/6/2019 DPL 11,8/34,7/12.880/269.000
Na/K/Cl 129/5,0/102,4 Ca 7,6 Mg 1,23
Albumin 2,57 Ur/Cr 23/0,5 SGOT/SGPT Perawatan post-operasi
19/18
21/6/2019 DPL 10,2/30,8/5.140/313.000 Rencana rawat jalan bila produksi drain <
50 cc
SGOT/SGPT 15/9 Protein Total 7,2 Ur/Cr
16/0,5 GDS 77 Na/K/Cl 135/3,6/104
PT/APTT 0,9/1,1
10/6/2019 DPL 10,5/31/3.950/249.500
SGOT/SGPT 14/9 Ur/Cr 17/0,5 GDS 83
Albumin 3,8 Na/K/Cl 135/3,8/105
28/6/2019 GDS 97
27/6/2019 Urinalisis kesan kontaminasi,
bakteri (-)
26/6/2019 DPL 10,9/32,1/12.960/265.000 Perawatan post-operasi
25/6/2019 GDS 151 Menunggu hasil kultur dasar luka
24/6/2019 GDS 137 Antbiotk Bactesyn dan Metronidazole
20/6/2019 GDS 182 Diet tnggi protein
19/6/2019 GDS 234 Rawat bersama IPD-Endokrin: KGDH,
18/6/2019 GDS 371 Gliquidon
17/6/2019 DPL 11,3/32,8/14.960/242.000 Gant verban per hari
15/6/2019 HbA1c 6,9 Cek GDP dan G2PP Senin 1 Juli
13/6/2019 DPL 10,6/32,5/7.010/171.000 2019
SGOT/SGPT 17/10 Albumin 3,66 Ur/Cr
42/1,1 GDS 105 Na/K/Cl 137/4,1/102
HBsAg non-reaktf
(30/6/2019) DPL:
7,8/23,8/20350/289000,e: 130/6,5/106,5,
CRP: 127, PCT <0,05Ur/Cr:
26,9/16129/6/2019 Na/K/Cl 129/4,9/113
GDS 83
28/6/2019 DPL 9,4/27/2.2410/200.000 Ur Transfusi PRC target Hb ≥ 10 g/dL
99 Cr 23,4 Na/K/Cl 128/5,2/101 GDS 92 HD hari ini
26/6/2019 Na/K/Cl 124/6,6/115 GDS 39,6
25/10/2019 DPL 8,9/25,7/11.250/253.000
PT/APTT 1x/0,8x Na/K/Cl 135/7,6/109
Ur/Cr 140/32,6 SGOT/SGPT 16,6/6,2
Albumin 3,5 GDS 71,6
29/6/2019 DPL 8,6/24,7/6.050/184.000
28/6/2019 DPL 8,6/24,9/6.210/179.000
27/6/2019 DPL 9/26,2/6.000/194.000 Transfusi PRC target Hb ≥ 10 g/dL
26/6/2019 DPL 8,5/24,4/13.390/263.000 Konsul IPD KHOM
PT/APTT 1x/0,9x Na/K/Cl 140/4,3/110 hari ini
Ur/Cr 22,4/0,35 SGOT/SGPT 13,7/27,3 GDS
151
29/6/2019 Na/K/Cl 129/5,4/107 Ur/Cr Transfusi PRC target Hb ≥ 10 g/dL

146/8,9 Transfusi Albumin 20% 100 mL
28/6/2019 DPL 5,7/17,2/8.810/129.000 Ur HD inisial hari ini (Minggu, 30/6/2019) lalu
119 Cr 9,2 HIV HBsAg negatf Na/K/Cl HD rutn 2 kali dalam seminggu Rabu-Sabtu
133/6,3/110 SGOT 10 SGPT 23 Albumin KGDH
2,12 GDS 105 Konsul Urologi untuk perbaikan nefrostomi

Na/K/Cl 135/3,7/119 Ur/Cr 20,4/0,8 Aff tampon hari ini (Minggu, 30/6/2019)
SGOT/SGPT 11,2/9,5GDS 108 pukul 10.00
(29/6/2019)
8,7/27,2/11460/460000//66/21/32, Ur/Cr
19,3/1,3, PT/APTT 0,9x/0,9x, SGOT/SGPT cek DPL post tranfusi hari ini
17,4/18,9, Albumin 3,6, GDS 128,5, UL:
LEA +1, bakteri +
29/6/2019 DPL 15,2/43,6/73.120/177.000 Koreksi elektrolit hari ini

Na/K/Cl 124/4,5/114 Ur/Cr 126/4,26 Analgetk MST 2 x 15 mg
SGOT/SGPT 25,3/27,9 GDS 78,9
25/6/19 DPL 11,4/34/17.160/218.000
22/6/2019 PT/APTT 1/0,8 Fibrinogen 330
d-Dimer 2.420 Terapi Paliatif
20/6/2019 DPL 10,5/31,8/9.530/160.000
18/6/2019 DPL 8,2/25,7/9.500/214.000
29/6/2019 DPL 11,8/33,7/16.930/128.000

28/6/2019 DPL 9,6/27,4/16.030/184.000 Konsul Bedah vaskuler (susp. DVT), cek
Albumin 2,18 albumin, Pungsi asites bila alb >2,5
26/6/2019 DPL 7,5/20,6/9.070/230.000
28/6/2019 DPL 14,5/44/10.550/270.000

Na/K/Cl 141/3,2/106 PT 0,9x APTT 0,9x
SGOT 17 SGPT 31 Albumin 4,26 Ur 20 Cr 0,8
GDS 134 Laparotomi HT radikal Senin, 1/7/2019
10/5/2019 DPL 12,7/38,5/7390/220.000;
GDS 103/ E: 140/4,0/108,8; Ur/Cr 19/1,4;
Alb 4,30; OT/PT 17/18
29/6/2019 Ur/Cr 99/0,9 CA-125 113
Albumin 2,22
26/6/2019 DPL 10,5/30,4/13.400/423.000 Perbaikan keadaan umum
GDS 135 Na/K/Cl 124/4,3/86,9 Albumin 2,4 Konsul IPD Gastro: rencana EGD endoskopi,
Ur/Cr 153/2 tunggu konsul Anestesi
25/6/2019 DPL 10,5/30,4/13.400/423.000 Family meeting (Senin, 1/7/2019 dengan
GDS 135 Na/K/Cl 124/4,3/86,9 PT/APTT Dr. dr. Laila, SpOG(K))
0,9x/0,9x SGOT/SGPT 18/12 Albumin 2,4 Konsul gizi: rehidrasi dulu 1500 cc/24 jam
Ur/Cr 153/2 selama 2 hari
24/6/2019 Abdomen 3 posisi: tdak tampak Cek ulang Ur/Cr, Albumin, eGFR, elektrolit
ileus atau pneumoperitoneum (Senin 1/7/2019)
21/6/2019 DPL 11,9/32,6/8.530/510.000 MRI albdomen kontras (1/7/2019), Konsul
Ur/Cr 77/1,49 SGOT/SGPT 33,9/18,2 bedah vaskuler (susp.DVT)
Albumin 2,62 GDS 136 Na/K/Cl
127/4,4/100
28/6/2019 DPL 10,5/32,2/20.970/504.000

26/6/2019 DPL 8,8/27,5/19.020/503.000 Laparotomi debulking Senin, 1 Juli 2019
PT/APTT 0,9x/0,9x INR 1 SGOT/SGPT 16/8 Konsul Bedah Digestf: acc join op (DPJP dr.
Ur/Cr 23/0,9 Albumin 3,39 Na/K/Cl Yaman, SpB-KBD)
136/3,8/104
28/6/2019 DPL 8,5/25,8/7.910/418.000
26/6/2019 DPL 5,7/17,3/9.500/375.000
Albumin 2,22
21/6/2019 DPL 8,3/25,3/6.860/336.000 Terpasang folley catheter III (27/6/2019),
19/6/2019 8/24,8/7.780/347.000 Albumin gant tanggal 4/7/2019
2,32 Konsul Bedah Anak: saran CT scan
18/6/2019 14,8/44,3/7.070/355.000 abdomen + pelvis dengan kontras dan
Na/K/Cl 135/3,4/94 follow-up hasil review PA, konsul ulang jika
17/6/2019 DPL 9,7/30,2/7.250/370.000 ada hasil
Albumin 1,9 Konsul Gizi Klinik Anak: Albumer 20% 100
15/6/2019 DPL 9,8/29,4/10.130/360.000 cc 3x selama 3 hari berturut-turut, diet
13/6/2019 DPL 7,7/24,7/6.600/386.000 nutrisi lanjut
Albumin 1,53 MRI Senin, (1/7/2019)
12/6/2019 DPL 2,8/10,3/7.350/428.000
Na/K/Cl 131/4,3/114 Ur/Cr 10,4/0,32
SGOT/SGPT 13,3/8,3 Albumin 1,81 GDS 113
dr. Kartwa Hadi N, SpOG(K) 206 D, 207 F
Dr. dr. Hariyono W, SpOG (K) 206 A, 207 A, 207 D

Dr. dr. Gatot Purwoto, SpOG(K) 210 A
Ward Map Ginekologi Onkologi. Minggu, 30 Juni 2019
26/6/2019 GDS 106, Laktat 2,1

25/6/2019 DPL 9,3/28,2/8.600/195.000
Albumin 2,95
24/6/2019 DPL 11,8/34,7/12.880/269.000
POD 6 post laparotomi optmal Na/K/Cl 129/5,0/102,4 Ca 7,6 Mg 1,23
debulking atas indikasi karsinoma Albumin 2,57 Ur/Cr 23/0,5 SGOT/SGPT
dr. T. Dewi
4364464 ovarium advanced stage pasca NACT 19/18
3x dengan: 21/6/2019 DPL 10,2/30,8/5.140/313.000
SpOG(K)
- Hipoalbuminemia SGOT/SGPT 15/9 Protein Total 7,2 Ur/Cr
- Hiponatremia 16/0,5 GDS 77 Na/K/Cl 135/3,6/104
PT/APTT 0,9/1,1
10/6/2019 DPL 10,5/31/3.950/249.500
Albumin 3,8 Na/K/Cl 135/3,8/105
28/6/2019 GDS 97
27/6/2019 Urinalisis kesan kontaminasi,
bakteri (-)
26/6/2019 DPL 10,9/32,1/12.960/265.000
25/6/2019 GDS 151
24/6/2019 GDS 137
Wound break pada POD 12 post radikal 20/6/2019 GDS 182
Lucy 4368362 vulvektomi, limfadenektomi inguinal Dr. dr. Sigit
205 D 66 bilateral atas indikasi karsinoma vulva Purbadi, SpOG(K) 19/6/2019 GDS 234
Silalahi 18/6/2019 GDS 371
stadium IB, DM tpe 2, hipertensi 17/6/2019 DPL 11,3/32,8/14.960/242.000
15/6/2019 HbA1c 6,9
13/6/2019 DPL 10,6/32,5/7.010/171.000
42/1,1 GDS 105 Na/K/Cl 137/4,1/102
HBsAg non-reaktf
29/6/2019 DPL 10,5/32,4/8.080/673.000

25/6/2019 DPL 8,3/26,2/10.120/728.000
NOK suspek maligna dengan anemia Dr. dr. Hariyono W, Asam urat 6.2 GDP 85 Na/K/Cl 136/4,1/101
206 A Ngatni 44 4380141 normositk normokromik ec penyakit SpOG (K) HbsAg dan HIV NR Ca-125 2201 PT 0,9x
kronis APTT 1,2x UL normal SGOT 25 SGPT 36
Albumin 3,25 Ur 26 Cr 0,5
29/6/2019 Na/K/Cl 129/4,9/113 GDS 83
Suspek karsinoma serviks stadium IIIB DPJP Ginekologi 28/6/2019 DPL 9,4/27/2.2410/200.000 Ur
Umum Dr. dr. 99 Cr 23,4 Na/K/Cl 128/5,2/101 GDS 92
dengan anemia et causa riwayat
Sit 26/6/2019 Na/K/Cl 124/6,6/115 GDS 39,6
206 B Halimah 57 4391407 perdarahan, hiperkalemia, Yuditya 25/10/2019 DPL 8,9/25,7/11.250/253.000
hiponatremia, acute on CKD dengan Purwosunu, PT/APTT 1x/0,8x Na/K/Cl 135/7,6/109
hidronefrosis bilateral post HD SpOG(K), PhD Ur/Cr 140/32,6 SGOT/SGPT 16,6/6,2
30/6/2019 Na/K/Cl 134/4,2/111 Ur/Cr
168/7
28/6/2019 Na/K/Cl 132/4,6/108 Ur 152 Cr
9,3
27/6/2019 DPL 8,6/25,9/9.810/198.000
25/6/2019 DPL 8,2/24,7/12.320/245.000
24/6/2019 Na/K/Cl 133/5,9/107 PT/APTT
1x/1,2x
23/6/2019 Na/K/Cl 137/5,9/119
Karsinoma serviks stadium IIIB dengan
dr. Kartwa Hadi N, 23/6/2019 DPL 10/29/11.880/241.000
4383701 acute on CKD dengan hidronefrosis
206 D Salwat 53 (80% Netrofilia) Na/K/Cl 139/6,6/119 Ur
bilateral post-nefrostomi, hipertensi, SpOG(K) 192 Cr 12 SGOT 8 SGPT 12 GDS 88 Albumin
hiperkalemia, cancer pain 4,2
23/6/2019 USG Ginjal Buli RSCM: massa

padat dengan karakteristk maligna di
serviks uteri yang menginfiltrasi dinding
posterior vesika urinaria, menyebabkan
hidronefrosis grade III dan hidroureter
bilateral. Gambaran chronic parenchymal
kidney disease bilateral terutama kanan.
29/6/2019 DPL 8,6/24,7/6.050/184.000

28/6/2019 DPL 8,6/24,9/6.210/179.000
Karsinoma ovarium stadium IC suspek dr. T. Dewi 27/6/2019 DPL 9/26,2/6.000/194.000
206 E Nuryant 34 4275645 progresif dengan anemia, cancer pain, Anggraeni, 26/6/2019 DPL 8,5/24,4/13.390/263.000
konstpasi, asites SpOG(K) PT/APTT 1x/0,9x Na/K/Cl 140/4,3/110
Ur/Cr 22,4/0,35 SGOT/SGPT 13,7/27,3 GDS
151
29/6/2019 Na/K/Cl 129/5,4/107 Ur/Cr
eksterna 25 kali dan dalam 2 kali 146/8,9
Sit Nur 4374598 ec perdarahan, hipokalemia, acute on dr. Kartwa Hadi N, 28/6/2019 DPL 5,7/17,2/8.810/129.000 Ur
206 F Muniroh 40 SpOG(K) 119 Cr 9,2 HIV HBsAg negatf Na/K/Cl
CKD, hipoalbuminemia, fistula 133/6,3/110 SGOT 10 SGPT 23 Albumin
2,12 GDS 105
serviks stadium IIIB dengan Dr. dr. Hariyono W, 29/6/2019 DPL 7,7/23,3/4.230/199.000
207 A Dominiika 44 4381845 Karsinoma Na/K/Cl 135/3,7/119 Ur/Cr 20,4/0,8
anemia et causa riwayat perdarahan SpOG (K) SGOT/SGPT 11,2/9,5GDS 108
Karsinoma serviks stadium IVA dengan

permasalahan cancer pain, acute on
CKD, hidronefrosis bilateral on Dr. dr. Hariyono W, 29/6/2019 DPL 15,2/43,6/73.120/177.000
Siska
207 D 37 4305973 nefrostomi bilateral, riwayat Na/K/Cl 124/4,5/114 Ur/Cr 126/4,26
Hening SpOG (K)
gastroenterits akut dengan dehidrasi SGOT/SGPT 25,3/27,9 GDS 78,9
sedang, hiponatremia dan hipoklorida,
fistula rektovagina
25/6/19 DPL 11,4/34/17.160/218.000

dr. T. Dewi 22/6/2019 PT/APTT 1/0,8 Fibrinogen 330
207 F Tjong Lay 4335682 Karsinoma serviks stadium IIIB post-
59 Anggraeni, d-Dimer 2.420
Tjen radiasi eksterna 25 kali, anemia SpOG(K) 20/6/2019 DPL 10,5/31,8/9.530/160.000
18/6/2019 DPL 8,2/25,7/9.500/214.000
29/6/2019 Na/K/Cl 140/4,1/108
28/6/2019 DPL 9,5/30,1/10.370/301.000
Na/K/Cl 135/4,6/106
26/6/2019 DPL 10,1/32,5/7.850/387.000
POD 3 post laparotomi optimal 25/6/2019 DPL 9,5/31,6/7.580/423.000
Sri 4379323 debulking atas indikasi karsinoma Dr. dr. Gatot
210 A Muryani 60 Purwoto, SpOG(K) PT/APTT 1x/1x Ur/Cr 16/0,6 Na/K/Cl
ovarium (clinically) stadium IIIC, 133/4,1/99,8 SGOT/SGPT 14/9 Albumin
anemia 3,62 GDS 85
12/6/2019 DPL 8,6/28,2/8.140/399.000
PT/APTT 1x/0,87x Na/K/Cl 133/4,6/99,8
GDS 91 Ur/Cr 16/0,5 Albumin 3,3
29/6/2019 DPL 11,8/33,7/16.930/128.000

28/6/2019 DPL 9,6/27,4/16.030/184.000
210 B Asri Widya 44 4330007 staging dan kemoterapi lengkap Dr. dr. Sigit
Purbadi, SpOG(K) Albumin 2,18
Ariyani dengan anemia, hipoalbuminemia, 26/6/2019 DPL 7,5/20,6/9.070/230.000
intake sulit, cancer pain Albumin 1,91 Ur/Cr 92/0,9 GDS 73
27/6/19 DPL 9/28,7/18.560/218.000

POD 3 post laparotomi HTSOB 27/6/2019 Urinalisis Bakteria negatf LEA
modifiikasi atas indikasi karsinoma dr. T. Dewi negatf Leukosit 5-6
210 C Essy Ella 74 4356856 endometrium stadium IA, hipertensi Anggraeni, 17/6/2019 DPL 11/35,3/4.970/256.000
Therik grade 1, anemia et causa riwayat SpOG(K) Na/K/Cl 138/4,3/105,7 PT/APTT 0,9x/0,9x
perdarahan SGOT/SGPT 13/10 Albumin 4,03 Ur/Cr
24/0,8 GDS 97
28/6/2019 DPL 14,5/44/10.550/270.000
Na/K/Cl 141/3,2/106 PT 0,9x APTT 0,9x
Dr. dr. Fitriyadi SGOT 17 SGPT 31 Albumin 4,26 Ur 20 Cr 0,8
211 A Habibah 53 4380847 Karsinoma serviks stadium IB1 GDS 134
Kusuma, SpOG(K) 10/5/2019 DPL 12,7/38,5/7390/220.000;
GDS 103/ E: 140/4,0/108,8; Ur/Cr 19/1,4;
Alb 4,30; OT/PT 17/18
29/6/2019 DPL 10,5/28,6/1.790/75.000

Karsinoma ovarium post inkomplit Prof. Dr. dr.
Rinna 28/6/2019 DPL 10,2/28,7/2.490/34.000
211 C Hariyant 42 4333849 surgical staging post kemoterapi VI, Andrijono, 26/6/2019 DPL 10/27,9/2.100/62.000
anemia, trombositopenia SpOG(K) 25/6/2019 DPL 8,8/24,1/3.760/61.000
29/6/2019 Ur/Cr 99/0,9 CA-125 113

Albumin 2,22
26/6/2019 DPL 10,5/30,4/13.400/423.000
GDS 135 Na/K/Cl 124/4,3/86,9 Albumin 2,4
Ur/Cr 153/2
Karsinoma ovarium stadium IIIC pasca 25/6/2019 DPL 10,5/30,4/13.400/423.000
kemoterapi ke-4 dengan intake sulit, GDS 135 Na/K/Cl 124/4,3/86,9 PT/APTT
Lili Dr. dr. Laila
211 D Ramalia 59 4335692 hipoalbuminemia, asites masif, Nuranna, SpOG(K) 0,9x/0,9x SGOT/SGPT 18/12 Albumin 2,4
hiponatremia, AKI dd/ acute on CKD, Ur/Cr 153/2
sindrom dispepsia dengan alarm sign 24/6/2019 Abdomen 3 posisi: tdak tampak
ileus atau pneumoperitoneum
21/6/2019 DPL 11,9/32,6/8.530/510.000
Ur/Cr 77/1,49 SGOT/SGPT 33,9/18,2
127/4,4/100
28/6/2019 DPL 10,5/32,2/20.970/504.000
26/6/2019 DPL 8,8/27,5/19.020/503.000
Cindy 4379529 Karsinoma ovarium suspek advance Dr. dr. Sigit
212 A 43 Purbadi, SpOG(K) PT/APTT 0,9x/0,9x INR 1 SGOT/SGPT 16/8
Wulan stage, anemia Ur/Cr 23/0,9 Albumin 3,39 Na/K/Cl
136/3,8/104
28/6/2019 DPL 8,5/25,8/7.910/418.000

26/6/2019 DPL 5,7/17,3/9.500/375.000
Albumin 2,22
22/6/2019 DPL 9,8/29,5/7.300/344.000
21/6/2019 DPL 8,3/25,3/6.860/336.000
19/6/2019 8/24,8/7.780/347.000 Albumin
Suspek sarkoma Botryoides dd/ mioma 2,32
Dr. dr. Fitriyadi 18/6/2019 14,8/44,3/7.070/355.000
Putri 4381266 hipoalbuminemia, riwayat syok
212 D Diansyah 15 Na/K/Cl 135/3,4/94
hipovolemik et causa perdarahan, Kusuma, SpOG(K) 17/6/2019 DPL 9,7/30,2/7.250/370.000
retensio urin ec suspek penekanan Albumin 1,9
massa 15/6/2019 DPL 9,8/29,4/10.130/360.000
13/6/2019 DPL 7,7/24,7/6.600/386.000
Albumin 1,53
12/6/2019 DPL 2,8/10,3/7.350/428.000
Na/K/Cl 131/4,3/114 Ur/Cr 10,4/0,32
207 205 C, 206 E, 207

DNR D, dr. T. Dewi Anggraeni, SpOG(K) dr. Kartwa Hadi N, SpOG(K)
207 F F, 210 C
dr. Andi Darma Putra, SpOG (K) Dr. dr. Hariyono W, SpOG (K)
Dr. dr. Laila Nuranna, SpOG(K) 211 D Dr. dr. Tofan W Utami, SpOG(K)
Prof. Dr. dr. Andrijono, SpOG(K) 211 C Dr. dr. Gatot Purwoto, SpOG(K)
205 D, 210 B, 212
Dr. dr. Sigit Purbadi, SpOG(K) A
Target
Rencana rawat jalan bila produksi drain <
50 cc
Menunggu hasil kultur dasar luka
Antbiotk Bactesyn dan Metronidazole
Diet tnggi protein
Gliquidon
Gant verban per hari
Rawat jalan
HD rutn
Rawat bersama IPD dan Urologi
Konsul IPD: dalam koreksi hiperkalemia,
belum indikasi HD cito, pantau balans
cairan seimbang, Kalitake 3 x 1, Amlodipine
1 x 10 mg
Urologi: nefrostomi sudah dilakukan Selasa,
25 Juni 2019; evaluasi Ur/Cr

Transfusi Albumin 20% 100 mL
HD inisial hari ini (Minggu, 30/6/2019) lalu
HD rutn 2 kali dalam seminggu Rabu-Sabtu
KGDH
Konsul Urologi untuk perbaikan nefrostomi

Aff tampon hari ini (Minggu, 30/6/2019)
pukul 10.00
Koreksi elektrolit
Joint conference: paliatf

Perawatan post-op
Transfusi PRC target Hb ≥ 10 g/dL ?
Gant verban dan aff kateter hari ini
(Minggu, 30/6/2019)
Rawat jalan
Transfusi PRC target Hb ≥ 10 g/dL ?

Gant verban hari ini (Minggu, 30/6/2019)
Laparotomi HT radikal Senin, 1/7/2019
Injeksi Leukogen
Transfusi TC hingga Trombosit ≥ 100.000

Family meeting (Minggu, 30/6/2019
dengan Dr. dr. Laila, SpOG(K))
selama 2 hari
Cek ulang DPL, Ur/Cr, Albumin, PT/APTT
(30/6/2019)
MRI albdomen kontras (1/7/2019)
Laparotomi debulking Senin, 1 Juli 2019
Konsul Bedah Digestf: acc join op (DPJP dr.
Yaman, SpB-KBD)

Terpasang folley catheter III (27/6/2019),
Konsul Bedah Anak: saran CT scan
abdomen + pelvis dengan kontras dan
follow-up hasil review PA, konsul ulang jika
ada hasil
Konsul Gizi Klinik Anak: Albumer 20% 100
cc 3x selama 3 hari berturut-turut, diet
nutrisi lanjut
MRI Senin, (1/7/2019)
206 D, 207 F
206 A, 207 A, 207 D

210 A
Ward Map Onkologi. Sabtu, 29 Juni 2019
26/6/19 GDS 106, laktat 2,1

25/6/2019 DPL 9,3/28,2/8.600/195.000
Albumin 2,95
24/6/2019 DPL 11,8/34,7/12.880/269.000
dr. T. Dewi
3x dengan: 21/6/2019 DPL 10,2/30,8/5.140/313.000
SpOG(K)
PT/APTT 0,9/1,1
10/6/2019 DPL 10,5/31/3.950/249.500
Albumin 3,8 Na/K/Cl 135/3,8/105
27/6/19 UL kesan kontaminasi, bakteri (-)
26/6/2019 DPL 10,9/32,1/12.960/265.000
25/6/2019 GDS 151
24/6/2019 GDS 137
vulvektomi dengan luka operasi 19/6/2019 GDS 234
Lucy Dr. dr. Sigit
205 D 66 4368362 terbuka, limfadenektomi inguinal 18/6/2019 GDS 371
Silalahi bilateral atas indikasi karsinoma vulva Purbadi, SpOG(K) 17/6/2019 DPL 11,3/32,8/14.960/242.000
stadium IB, DM tpe 2, hipertensi 15/6/2019 HbA1c 6,9
13/6/2019 DPL 10,6/32,5/7.010/171.000
42/1,1 GDS 105 Na/K/Cl 137/4,1/102
HBsAg non-reaktf
25/6/2019 DPL 8.3/26.2/10120/728000,

NOK suspek maligna, dengan anemia Dr. dr. Hariyono W, UA 6.2, GDP 85, E 136/4.1/101, HbsAg dan
206 A Ngatni 44 4380141 normositk normokromik ec penyakit HOV NR, Ca-125 2201, PT 0.9x / APTT 1.2x,
SpOG (K)
kronis UL normal, OT 25 / PT 36, albumin 3.25, Ur
26 / Cr 0.5
28/6/2019 DPL 9.4/27/22410/200000, Ur

99 /Cr 23.4 (GFR 1.4), E 128/5.2/101, GDS
Suspek karsinoma serviks stadium IIIB DPJP gin umum 92
dengan anemia et causa riwayat
Sit Dr. dr. Yuditya 26/6/2019 Na/K/Cl 124/6,6/115 GDS 39,6
206 B Halimah 57 4391407 perdarahan, hiperkalemia, Purwosunu, 25/10/2019 DPL 8,9/25,7/11.250/253.000
hiponatremia, acute on CKD dengan SpOG(K), PhD PT/APTT 1x/0,8x Na/K/Cl 135/7,6/109
hidronefrosis bilateral post HD Ur/Cr 140/32,6 SGOT/SGPT 16,6/6,2
Ca cervix st IIIB on radiasi eksterna
dengan anemia perbaikan pasca 28/6/2019 DPL 10.4/30.6/4290/259000
Dr. dr. Sigit
206 C Rohayat 54 4374858 transfusi, cancer pain VAS 2 9dalam Purbadi, SpOG(K) 27/6/19 DPL 9/25,6/6190/249.000; GDS
durogesic patch 12 mg), vulvovaginits 83; Ur/Cr 16/0,7; E: 133/3,6/103
ec radiasi
28/6/2019 E 132/4.6/108, Ur 152 / Cr 9.3

(GFR 4.4)
27/6/19 DPL 8,6/25,9/9810/198.000
25/6/2019 DPL 8,2/24,7/12.320/245.000
24/6/2019 Na/K/Cl 133/5,9/107 PT/APTT
1x/1,2x
23/6/2019 Na/K/Cl 137/5,9/119
23/6/2019 DPL 10/29/11.880/241.000
dr. Kartwa Hadi N, (80% Netrofilia) Na/K/Cl 139/6,6/119 Ur
206 D Salwat 53 192 Cr 12 SGOT 8 SGPT 12 GDS 88 Albumin
bilateral post-nefrostomi, hipertensi, SpOG(K) 4,2
hiperkalemia, cancer pain
23/6/2019 USG Ginjal Buli RSCM: massa
28/6/2019 DPL 8.6/24.9/6210/179000
27/6/2019 DPL 9/26,2/6000/194.000
Karsinoma ovarium stadium IC suspek dr. T. Dewi 26/6/2019 DPL 8,5/24,4/13.390/263.000
206 E Nuryant 34 4275645 progresif dengan anemia, cancer pain, Anggraeni, PT/APTT 1x/0,9x Na/K/Cl 140/4,3/110
konstpasi, asites SpOG(K) Ur/Cr 22,4/0,35 SGOT/SGPT 13,7/27,3 GDS
151

eksterna 25 kali dan dalam 2 kali 28/6/2019 DPL 5.7/17.2/8810/129000, Ur
Sit Nur 4374598 ec perdarahan, hipokalemia, acute on dr. Kartwa Hadi N, 119 / Cr 9.2, HIV HBsAg neg, E
206 F Muniroh 40 SpOG(K) 133/6.3/110, OT 10 / PT 23, albumin 2.12,
CKD, hipoalbuminemia, fistula GDS 105
27/6/19 DPL 9,9/29/14.220/411.000; Ur/Cr
123/5,0; E: 130/3,7/96,7
25/6/2019 9,0/26/14.150/449.000
24/6/2019 DPL 9,4/27/3.290/467.000
Albumin 3,23 Na/K/Cl 123/5,1/94,6
Ca serviks stadium IIIB dengan acute on 26/6/2019 HIV HbsAg NR
Ribka CKD dengan hidronefrosis bilateral, dr. Kartwa Hadi N, 23/6/2019 Na/K/Cl 129/5,0/105 Ur 207 Cr
207 B 36 4391318 hiponatremia, hiperkalemia, cancer
Winarni SpOG(K) 10 AGD pH 7.37 pCO2 18 PO2 95 O2 Sat
pain 96% BE -12 HCO3 14.8 Total COW 11.4
23/6/2019 DPL 10,5/30,3/17.300/783.000
90% Netrofilia Na/K/Cl 127/6,1/104 Ur 227
Cr 11 SGOT 12 SGPT 25 Albumin 3.68 GDS
72.5 PT 0.98 APTT 1.1, Fibrinogen 468 D-
dimer 1.32
27/6/19 Fib/d-Dimer 100/>20.000;

PT/aPTT 1,5x/1,5x
Ca serviks stadium IIIB pasca radiasi 18/6/2019 DPL
lengkap, suspek metastasis tulang dan 10,8/33,6/41.500/240.000 PT/APTT 1,1/1,2
hepar, leukositosis ec reaktf dd/
Elisabeth Prof. Dr. dr. Na/K/Cl 131/4,8/105 Ur/Cr 72,1/1,46
4370835 infektf dd/ keganasan, cancer pain,
207 C Veronica 40 Andrijono, SGOT/SGPT 303/80 Albumin 2,79 GDS 108
pneumothorax, peningkatan enzim
De Groot SpOG(K) Fibrinogen 193 d-Dimer 4
transaminase, riwayat syok 15/6/2019 DPL 11,1/36,1/40.080/305.000
hipovolemik et causa dehidrasi, AKI dd/ 13/6/2019 DPL 8,8/28,2/47.210/332.000;
acute on CKD Ur/Cr 19,2/0,652; Na/K/Cl 127/4,5/102;
GDS 88
25/6/19 DPL 11,4/34/17.160/218.000
18/6/2019 DPL 8,2/25,7/9.500/214.000
Ca ovarium residif pasca surgical 28/6/2019 DPL 9.6/27.4/16030/184000,

210 B Asri Widya 44 4330007 staging dan kemoterapi lengkap Dr. dr. Sigit Alb 2.18
Ariyani dengan anemia, hipoalbuminemia, Purbadi, SpOG(K) 26/6/2019 DPL 7,5/20,6/9070/230.000;
intake sulit, cancer pain Alb 1,91; Ur/Cr 92/0,9; GDS 73
27/6/19 DPL 9/28,7/18.560/218.000

27/6/2019 Urinalisis Bakteria negatf LEA
POD 2 post laparotomi HTSOB dr. T. Dewi negatf Leukosit 5-6
210 C Essy Ella 4356856 modifiikasi ai Ca endometrium st IA,
74 Anggraeni, 17/6/2019 DPL 11/35,3/4.970/256.000
Therik Ibu dengan hipertensi grade 1, anemia SpOG(K) Na/K/Cl 138/4,3/105,7 PT/APTT 0,9x/0,9x
ec perdarahan SGOT/SGPT 13/10 Albumin 4,03 Ur/Cr
24/0,8 GDS 97
Ca Cervix st IV A post HTSOB di luar

(2019) dalam radiasi eksterna dengan 25/6/19 DPL 10,7/31,4/17.100/177.000;
efusi pleura kiri susp malignansi, fistula dr. T. Dewi
Nuril PT/aPTT >12x/2,7x;E 132/3,7/122;Ur/Cr
210 D Hidayah 50 4379566 rektovagina, DVT tungkai kiri, Anggraeni, 78/1,922; OT/PT 26,6,/15,2; Alb 2,46; GDS
hipoalbuminemia, pemanjangan SpOG(K) 150
PT/aPTT, acute on CKD dengan
hidronefrosis bilateral, suspek CAP
28/6/2019 DPL14.5/44.0/10550/270000, E
141/3.2/106, PT 0.9x / APTT 0.9x, OT 17 /
Dr. dr. Fitriyadi PT 31, albumin 4.26, Ur 20 / Cr 0.8, GDS
211 A Habibah 53 4380847 Ca Cervix st IB1 134
Kusuma, SpOG(K) 10/5/2019 DPL 12,7/38,5/7390/220.000;
GDS 103/ E: 140/4,0/108,8; Ur/Cr 19/1,4;
Alb 4,30; OT/PT 17/18
Ca ovarium post inkomplit surgical Prof. Dr. dr. 28/6/2019 DPL 10.2/28.7/2490/34000
Rinna
211 C Hariyant 42 4333849 staging post kemoterapi VI, anemia, Andrijono, 26/6/2019 DPL 10/27,9/2.100/62.000
trombositopenia SpOG(K) 25/6/2019 DPL 8,8/24,1/3.760/61.000
26/6/19 DPL 10,5/30,4/13.400/423.000;

GDS 135; E 124/4,3/86,9 Alb 2,4; Ur/Cr
153/2,0 25/6/2019 DPL
10,5/30,4/13.400/423.000 GDS 135
Karsinoma ovarium stadium IIIC pasca Na/K/Cl 124/4,3/86,9 PT/APTT 0,9x/0,9x
kemoterapi ke-4 dengan intake sulit,
Lili Dr. dr. Laila SGOT/SGPT 18/12 Albumin 2,4 Ur/Cr 153/2
211 D Ramalia 59 4335692 hipoalbuminemia, asites masif, Nuranna, SpOG(K) 24/6/2019 Abdomen 3 posisi: tdak tampak
hiponatremia, AKI dd/ acute on CKD, ileus atau pneumoperitoneum
sindrom dyspepsia dgn alarm sign 21/6/2019 DPL 11,9/32,6/8.530/510.000
Ur/Cr 77/1,49 SGOT/SGPT 33,9/18,2
127/4,4/100
28/6/2019 DPL 10.5/32.2/20970/504000

26/6/2019 DPL 8,8/27,5/19.020/503.000
Cindy Karsinoma ovarium suspek advance Dr. dr. Sigit
212 A 43 4379529 stage, anemia Purbadi, SpOG(K) PT/APTT 0,9x/0,9x INR 1 SGOT/SGPT 16/8
Wulan Ur/Cr 23/0,9 Albumin 3,39 Na/K/Cl
136/3,8/104
28/6/2019 DPL 8.5/25.8/7910/418000
26/6/2019 DPL 5,7/17,3/9.500/375.000
Albumin 2,22
22/6/2019 DPL 9,8/29,5/7.300/344.000
21/6/2019 DPL 8,3/25,3/6.860/336.000
19/6/2019 8/24,8/7.780/347.000 Albumin
Dr. dr. Fitriyadi 18/6/2019 14,8/44,3/7.070/355.000
212 D Diansyah 15 Na/K/Cl 135/3,4/94
hipovolemik et causa perdarahan, Kusuma, SpOG(K) 17/6/2019 DPL 9,7/30,2/7.250/370.000
massa 15/6/2019 DPL 9,8/29,4/10.130/360.000
13/6/2019 DPL 7,7/24,7/6.600/386.000
Albumin 1,53
12/6/2019 DPL 2,8/10,3/7.350/428.000
Na/K/Cl 131/4,3/114 Ur/Cr 10,4/0,32
28/6/2019 DPL 9.5/30.1/10370/301000, E

135/4.6/106, CA 8.1, Mg 1.82
26/6/2019 DPL 10,1/32,5/7.850/387.000
25/6/2019 DPL 9,5/31,6/7.580/423.000
HCU Sri 4379323 Post laparotomi optmal debulking ai Dr. dr. Gatot PT/APTT 1x/1x Ur/Cr 16/0,6 Na/K/Cl
60
613 B Muryani Ca Ovarium (clinically) st III C Purwoto, SpOG(K) 133/4,1/99,8 SGOT/SGPT 14/9 Albumin
3,62 GDS 85
12/6/2019 DPL 8,6/28,2/8.140/399.000
PT/APTT 1x/0,87x Na/K/Cl 133/4,6/99,8
207C, 205 C, 206 E, 207
207 F F, 210 C, 210 D,
Prof. Dr. dr. Andrijono, SpOG(K) 207 C, 211 C Dr. dr. Gatot Purwoto, SpOG(K)
205 D, 206 C, 210
Dr. dr. Sigit Purbadi, SpOG(K) B, 212 A
Target

Sudah gant perban
Rencana pulang setelah dapat buang air
besar
Diet tnggi protein
Gliquidon

Terpasang tampon, aff besok pk 07.00
HD rutn
Rencana rawat jalan

1 x 10 mg
Cek DPL post-transfusi, rawat jalan bila Hb
≥ 10 g/dL

Transfusi albumin 20% 100 ml
Rencana HD inisial Sabtu 29/6/2019 lalu HD
rutn 2 kali dalam seminggu Rabu Sabtu,
KGDH, dan konsul uro untuk perbaikan
nefrostomi. USG ginjal buli
sudah inital HD (terpasang CDL jugular
kanan), pantau balans cairan seimbang, HD
rutn —> tanyakan apakah boleh pulang?
Ambulatory HD?
Konsul Urologi: sudah dilakukan nefrostomi
Selasa, 26/6/2019
Rencana rawat jalan
Menolak pasang WSD. Paliatf

Transfusi TC (?)
Konsul Rehab Medik (1/07/2019)
Edukasi perburukan ke keluarga
Sudah joint conference, sudah konsul
paliatf

Perbaikan KU
Perawatan post op; GV hari ke-3

Transfusi PRC, target Hb ≥ 10 g/dl
Bladder training stop —> Aff kateter pagi
ini 07.00 lalu residu jam 13.00

Perbaikan KU
Radiasi hari kerja
Rencana rawat jalan
Rencana laparotomi HT radikal Senin
Injeksi Leukogen

Konsul IPD Gastro : rencana EGD
endoskopi, tunggu konsul anestesi
Family meetng (30/6/2019 dengan Dr. dr.
Laila, SpOG(K))
Konsul gizi : rehidrasi dulu 1500 cc/24 jam
selama 2 hari
Cek ulang DPL, Ur/Cr, albumin, PT/APTT
(30/6/2019)
MRI albdomen kontras (1/7/2019)

Konsul Bedah Digestf : acc join op (DPJP dr.
Yaman, SpB-KBD)
gant tanggal 4/7/19
ada hasil
nutrisi lanjut
MRI Senin, (1/7/2019)
Perawatan post-op, rencana pindah

ruangan
206 D, 207 B,
HCU 613 B
Ward Map Onkologi. Jumat, 28 Juni 2019
26/6/19 GDS 106, laktat 2,1

25/6/2019 DPL 9,3/28,2/8.600/195.000
Albumin 2,95
24/6/2019 DPL 11,8/34,7/12.880/269.000
dr. T. Dewi
3x dengan: 21/6/2019 DPL 10,2/30,8/5.140/313.000
SpOG(K)
PT/APTT 0,9/1,1
10/6/2019 DPL 10,5/31/3.950/249.500
Albumin 3,8 Na/K/Cl 135/3,8/105
27/6/19 UL kesan kontaminasi, bakteri (-)
26/6/2019 DPL 10,9/32,1/12.960/265.000
25/6/2019 GDS 151
24/6/2019 GDS 137
vulvektomi dengan luka operasi 19/6/2019 GDS 234
Lucy Dr. dr. Sigit
205 D 66 4368362 terbuka, limfadenektomi inguinal 18/6/2019 GDS 371
Silalahi bilateral atas indikasi karsinoma vulva Purbadi, SpOG(K) 17/6/2019 DPL 11,3/32,8/14.960/242.000
stadium IB, DM tpe 2, hipertensi 15/6/2019 HbA1c 6,9
13/6/2019 DPL 10,6/32,5/7.010/171.000
42/1,1 GDS 105 Na/K/Cl 137/4,1/102
HBsAg non-reaktf
Suspek karsinoma serviks stadium IIIB 26/6/2019 Na/K/Cl 124/6,6/115 GDS 39,6
DPJP gin umum
dengan anemia et causa riwayat 25/10/2019 DPL 8,9/25,7/11.250/253.000
Sit Dr. dr. Yuditya
206 B Halimah 57 4391407 perdarahan, hiperkalemia, PT/APTT 1x/0,8x Na/K/Cl 135/7,6/109
Purwosunu,
hiponatremia, acute on CKD dengan Ur/Cr 140/32,6 SGOT/SGPT 16,6/6,2
SpOG(K), PhD
hidronefrosis bilateral post HD Albumin 3,5 GDS 71,6
Ca cervix st IIIB on radiasi eksterna

Dr. dr. Sigit 27/6/19 DPL 9/25,6/6190/249.000; GDS
206 C Rohayat 54 4374858 dengan anemia, cancer pain, Purbadi, SpOG(K) 83; Ur/Cr 16/0,7; E: 133/3,6/103
vulvovaginits ec radiasi
27/6/19 DPL 8,6/25,9/9810/198.000
25/6/2019 DPL 8,2/24,7/12.320/245.000
24/6/2019 Na/K/Cl 133/5,9/107 PT/APTT
1x/1,2x
23/6/2019 Na/K/Cl 137/5,9/119
23/6/2019 DPL 10/29/11.880/241.000
(80% Netrofilia) Na/K/Cl 139/6,6/119 Ur
dr. Kartwa Hadi N, 192 Cr 12 SGOT 8 SGPT 12 GDS 88 Albumin
206 D Salwat 53 4,2
bilateral post-nefrostomi, hipertensi, SpOG(K)
hiperkalemia, cancer pain 23/6/2019 USG Ginjal Buli RSCM: massa
27/6/19 DPL 9/26,2/6000/194.000

Karsinoma ovarium stadium IC suspek dr. T. Dewi 26/6/2019 DPL 8,5/24,4/13.390/263.000
206 E Nuryant 34 4275645 progresif dengan anemia, cancer pain, Anggraeni, PT/APTT 1x/0,9x Na/K/Cl 140/4,3/110
konstpasi, asites SpOG(K) Ur/Cr 22,4/0,35 SGOT/SGPT 13,7/27,3 GDS
151
27/6/19 DPL 9,9/29/14.220/411.000; Ur/Cr
123/5,0; E: 130/3,7/96,7
25/6/2019 9,0/26/14.150/449.000
24/6/2019 DPL 9,4/27/3.290/467.000
Albumin 3,23 Na/K/Cl 123/5,1/94,6
Ca serviks stadium IIIB dengan acute on
dr. Kartwa Hadi N, 23/6/2019 Na/K/Cl 129/5,0/105 Ur 207 Cr
Ribka 4391318 CKD dengan hidronefrosis bilateral,
207 B 36 10 AGD pH 7.37 pCO2 18 PO2 95 O2 Sat
Winarni hiponatremia, hiperkalemia, cancer SpOG(K) 96% BE -12 HCO3 14.8 Total COW 11.4
pain 23/6/2019 DPL 10,5/30,3/17.300/783.000
dimer 1.32
28/6/2019 DPL 6.2/19.9/77450/59000, E

122/5.3/102, Ur 68 / Cr 0.6 (GFR 114)
Ca serviks stadium IIIB pasca radiasi 27/6/2019 Fib/d-Dimer 100/>20.000;
lengkap, suspek metastasis tulang dan PT/aPTT 1,5x/1,5x
hepar, leukositosis ec reaktf dd/ 18/6/2019 DPL 10,8/33,6/41.500/240.000
Elisabeth Prof. Dr. dr.
4370835 infektf dd/ keganasan, cancer pain, PT/APTT 1,1/1,2 Na/K/Cl 131/4,8/105 Ur/Cr
207 C Veronica 40 Andrijono,
pneumothorax, peningkatan enzim 72,1/1,46 SGOT/SGPT 303/80 Albumin 2,79
De Groot SpOG(K)
transaminase, riwayat syok GDS 108 Fibrinogen 193 d-Dimer 4
hipovolemik et causa dehidrasi, AKI dd/ 15/6/2019 DPL 11,1/36,1/40.080/305.000
acute on CKD 13/6/2019 DPL 8,8/28,2/47.210/332.000;
Ur/Cr 19,2/0,652; Na/K/Cl 127/4,5/102;
GDS 88
25/6/19 DPL 11,4/34/17.160/218.000
18/6/2019 DPL 8,2/25,7/9.500/214.000
Ca ovarium IIIC pasca laparotomi

optmal debulking dan kemoterapi
adjuvan 4 siklus (2009), post kolostomi
atas indikasi ca kolorektal sugestf
residif ovarium (2015), post DJ stent 27/6/19 DPL 8,2/25,1/20.450/445.000
atas indikasi hidronefrosis bilateral 26/6/2019 DPL 8,4/25,2/18.470/580.000
dengan permasalahan: 23/6/2019 DPL 10,8/31,9/23.060/524.000
Hj. Sudji 3023696 - Anemia ec perdarahan (melena pada dr. Kartwa Hadi N,
210 A Noerbekt 76 21/6/2019 DPL 9,0/26,3/23.350/52.6000
SpOG(K)
anus dan stoma) ec massa residif (78% Netrofilia) PT 1x APTT 1x SGOT 27
kolorektal SGPT 36 Albumin 2,26 Ur 53 Cr 1,9 GDS
- AKI dd/ acute on CKD on DJ stent 141 Na/K/Cl 127/3,9/103
- Peningkatan enzim transaminase
- Hipoalbuminemia
- Riwayat TB Paru
- Leukositosis reaktf

Asri Widya staging dan kemoterapi lengkap Dr. dr. Sigit 26/6/19 DPL 7,5/20,6/9070/230.000; Alb
210 B Ariyani 44 4330007 dengan anemia, hipoalbuminemia, Purbadi, SpOG(K) 1,91; Ur/Cr 92/0,9; GDS 73
intake sulit, cancer pain
27/6/19 DPL 9/28,7/18.560/218.000
POD 1 post laparotomi HTSOB dr. T. Dewi negatf Leukosit 5-6
210 C Essy Ella 4356856 modifiikasi ai Ca endometrium st IA,
74 Anggraeni, 17/6/2019 DPL 11/35,3/4.970/256.000
Therik Ibu dengan hipertensi grade 1, anemia SpOG(K) Na/K/Cl 138/4,3/105,7 PT/APTT 0,9x/0,9x
ec perdarahan SGOT/SGPT 13/10 Albumin 4,03 Ur/Cr
24/0,8 GDS 97
Ca Cervix st IV A post HTSOB di luar

(2019) dalam radiasi eksterna dengan 25/6/19 DPL 10,7/31,4/17.100/177.000;
efusi pleura kiri susp malignansi, fistula dr. T. Dewi
Nuril PT/aPTT >12x/2,7x;E 132/3,7/122;Ur/Cr
210 D Hidayah 50 4379566 rektovagina, DVT tungkai kiri, Anggraeni, 78/1,922; OT/PT 26,6,/15,2; Alb 2,46; GDS
hipoalbuminemia, pemanjangan SpOG(K) 150
PT/aPTT, acute on CKD dengan
hidronefrosis bilateral, suspek CAP
Dr. dr. Fitriyadi 10/5/19 DPL 12,7/38,5/7390/220.000; GDS

211 A Habibah 53 4380847 Ca Cervix st IB1 103/ E: 140/4,0/108,8; Ur/Cr 19/1,4; Alb
Kusuma, SpOG(K) 4,30; OT/PT 17/18
Ca ovarium post inkomplit surgical Prof. Dr. dr.

Rinna 26/6/2019 DPL 10/27,9/2.100/62.000
211 C Hariyant 42 4333849 staging post kemoterapi VI, anemia, Andrijono, 25/6/2019 DPL 8,8/24,1/3.760/61.000
26/6/19 DPL 10,5/30,4/13.400/423.000;
GDS 135; E 124/4,3/86,9 Alb 2,4; Ur/Cr
153/2,0 25/6/2019 DPL
10,5/30,4/13.400/423.000 GDS 135
Karsinoma ovarium stadium IIIC pasca Na/K/Cl 124/4,3/86,9 PT/APTT 0,9x/0,9x
kemoterapi ke-4 dengan intake sulit,
Lili Dr. dr. Laila SGOT/SGPT 18/12 Albumin 2,4 Ur/Cr 153/2
211 D Ramalia 59 4335692 hipoalbuminemia, asites masif, Nuranna, SpOG(K) 24/6/2019 Abdomen 3 posisi: tdak tampak
hiponatremia, AKI dd/ acute on CKD, ileus atau pneumoperitoneum
sindrom dyspepsia dgn alarm sign 21/6/2019 DPL 11,9/32,6/8.530/510.000
Ur/Cr 77/1,49 SGOT/SGPT 33,9/18,2
127/4,4/100
26/6/2019 DPL 8,8/27,5/19.020/503.000

Cindy 4379529 Karsinoma ovarium suspek advance Dr. dr. Sigit PT/APTT 0,9x/0,9x INR 1 SGOT/SGPT 16/8
212 A 43
Wulan stage, anemia Purbadi, SpOG(K) Ur/Cr 23/0,9 Albumin 3,39 Na/K/Cl
136/3,8/104
25/6/2019 Na/K/Cl 134/6,4/105 PT/APTT

1,1x/1,2x Fibrinogen 272 d-Dimer 2280
SGOT/SGPT 11/7 Ur/Cr 25/0,7
POD 4 post laparotomi debulking atas 24/6/2019 DPL 12,3/35,7/11.280/326.000
Prof. Dr. dr.
4362940 indikasi tumor musinosum atpia Na/K/Cl 134/3,4/104 Ur/Cr 25/0,7
212 C Painten 53 Andrijono,
(kemungkinan tumor musinosum SGOT/SGPT 11/7 Fibrinogen/d-Dimer
SpOG(K)
sekunder) dengan imbalans elektrolit 272/2280
21/6/2019 DPL 11,1/32,9/7.850/358.000,
Na/K/Cl 138/3,5/102 GDS 95 Ur 32 Cr 0,9
SGOT 11 SGPT 10 Albumin 3,56
26/6/2019 DPL 5,7/17,3/9.500/375.000
Albumin 2,22
22/6/20219 DPL 9,8/29,5/7.300/344.000
21/6/2019 DPL 8,3/25,3/6.860/336.000
19/6/2019 8/24,8/7.780/347.000 Albumin
Geburt dengan anemia, 18/6/2019 14,8/44,3/7.070/355.000
Putri hipoalbuminemia, riwayat syok Dr. dr. Fitriyadi Na/K/Cl 135/3,4/94
212 D Diansyah 15 4381266 hipovolemik et causa perdarahan, Kusuma, SpOG(K) 17/6/2019 DPL 9,7/30,2/7.250/370.000
massa 15/6/2019 DPL 9,8/29,4/10.130/360.000
13/6/2019 DPL 7,7/24,7/6.600/386.000
Albumin 1,53
12/6/2019 DPL 2,8/10,3/7.350/428.000
Na/K/Cl 131/4,3/114 Ur/Cr 10,4/0,32
26/6/2019 DPL 10,1/32,5/7.850/387.000

25/6/2019 DPL 9,5/31,6/7.580/423.000
PT/APTT 1x/1x Ur/Cr 16/0,6 Na/K/Cl
ICU
Sri 4379323 Post laparotomi optmal debulking ai Dr. dr. Gatot 133/4,1/99,8 SGOT/SGPT 14/9 Albumin
(Bed 60
Muryani Ca Ovarium (clinically) st III C Purwoto, SpOG(K) 3,62 GDS 85
6) 12/6/2019 DPL 8,6/28,2/8.140/399.000
PT/APTT 1x/0,87x Na/K/Cl 133/4,6/99,8
207C, 205 C, 206 E, 207
207 F F, 210 C, 210 D
207 C, 211 C, 212
Prof. Dr. dr. Andrijono, SpOG(K) Dr. dr. Gatot Purwoto, SpOG(K)
C
205 D, 206 C, 210
Dr. dr. Sigit Purbadi, SpOG(K) B, 212 A
Target
Gant verban hari ini (?)
Diet tnggi protein
Gliquidon
Terpasang tampon, aff besok pk 17.00

Sudah diberikan durogesic tgl 27/6/19
Rencana konsul kulit
1 x 10 mg

≥ 10 g/dL
kanan), pantau balans cairan seimbang, HD
rutn —> tanyakan apakah boleh pulang?
Ambulatory HD?
Selasa, 26/6/2019
Rencana rawat jalan

Sudah joint conference, rencana konsul
paliatf

Perbaikan KU
IPD tdak acc raber
Sedang konsul bedah digestf dan radiologi
intervensi

Perbaikan KU
Perawatan post op; GV hari ke-3
Transfusi PRC, target Hb ≥ 10 g/dl

Perbaikan KU
Transfusi albumin 20% 100 ml, radiasi hari
ini, rencana konsul IPD-HOM dan urologi
Rencana laparotomi HT radikal Senin,

sedang cek lab ulang
Injeksi Leukogen
Infus Aminofluid 1000 cc/24 jam
Konsul IPD Gastro --> rencana EGD
endoskopi, tunggu konsul anestesi

Konsul Bedah Digestf (sudah kirim,
menunggu hasil)
Perawatan post-op
GV hari ini
Rawat jalan
gant tanggal 4/7/19
ada hasil
nutrisi lanjut
MRI Senin, 1/7/2019
Perawatan post-op, rencana pindah

ruangan
206 D, 207 B, 210 A
ICU Bed 6
Ward Map Onkologi. Kamis, 27 Juni 2019
25/6/2019 DPL 9,3/28,2/8.600/195.000

Albumin 2,95
24/6/2019 DPL 11,8/34,7/12.880/269.000
Na/K/Cl 129/5,0/102,4 Ca 7,6 Mg 1,23
POD 3 post laparotomi optmal Albumin 2,57 Ur/Cr 23/0,5 SGOT/SGPT
debulking atas indikasi karsinoma dr. T. Dewi 19/18
4364464 ovarium advanced stage pasca NACT
205 C Tarsih 26 Anggraeni, 21/6/2019 DPL 10,2/30,8/5.140/313.000
3x dengan: SpOG(K) SGOT/SGPT 15/9 Protein Total 7,2 Ur/Cr
- Hipoalbuminemia 16/0,5 GDS 77 Na/K/Cl 135/3,6/104
- Hiponatremia PT/APTT 0,9/1,1
10/6/2019 DPL 10,5/31/3.950/249.500
Albumin 3,8 Na/K/Cl 135/3,8/105
26/6/2019 DPL 10,9/32,1/12.960/265.000

25/6/2019 GDS 151
24/6/2019 GDS 137
20/6/2019 GDS 182
POD 9 post radikal vulvektomi dengan 19/6/2019 GDS 234
luka operasi terbuka, limfadenektomi
Lucy Dr. dr. Sigit 18/6/2019 GDS 371
205 D 66 4368362 inguinal bilateral atas indikasi
Silalahi Purbadi, SpOG(K) 17/6/2019 DPL 11,3/32,8/14.960/242.000
karsinoma vulva stadium IB, DM tpe 2, 15/6/2019 HbA1c 6,9
hipertensi 13/6/2019 DPL 10,6/32,5/7.010/171.000
42/1,1 GDS 105 Na/K/Cl 137/4,1/102
HBsAg non-reaktf
26/6/2019 DPL 9,7/29,4/7.800/476.000
Prof. Dr. dr. 25/6/2019 DPL 8,5/26,1/6.890/470.000
4382716 Suspek karsinoma serviks stadium IIIB,
206 A Ratna 64 Andrijono, PT/APTT 1x/1x Ur/Cr 16/8 Alb 4,5
anemia SpOG(K) SGOT/SGPT 16/8 GDS 87 Na/K/Cl
136/3,7/103
Suspek karsinoma serviks stadium IIIB 26/6/2019 Na/K/Cl 124/6,6/115 GDS 39,6
dengan anemia et causa riwayat dr. T. Dewi 25/10/2019 DPL 8,9/25,7/11.250/253.000
Sit 4391407 perdarahan, hiperkalemia,
206 B Halimah 57 Anggraeni, PT/APTT 1x/0,8x Na/K/Cl 135/7,6/109
hiponatremia, acute on CKD dengan
SpOG(K) Ur/Cr 140/32,6 SGOT/SGPT 16,6/6,2
hidronefrosis bilateral pro HD (sudah Albumin 3,5 GDS 71,6
terpasang CDL)
25/6/2019 DPL 8,2/24,7/12.320/245.000

24/6/2019 Na/K/Cl 133/5,9/107 PT/APTT
1x/1,2x
23/6/2019 Na/K/Cl 137/5,9/119
23/6/2019 DPL 10/29/11.880/241.000
(80% Netrofilia) Na/K/Cl 139/6,6/119 Ur
Karsinoma serviks stadium IIIB dengan 192 Cr 12 SGOT 8 SGPT 12 GDS 88 Albumin
acute on CKD dengan hidronefrosis dr. Kartwa Hadi N, 4,2
206 D Salwat 53 4383701 bilateral post-nefrostomi, hipertensi, SpOG(K)
hiperkalemia, cancer pain 23/6/2019 USG Ginjal Buli RSCM: massa
26/6/2019 DPL 8,5/24,4/13.390/263.000

Karsinoma ovarium stadium IC suspek dr. T. Dewi PT/APTT 1x/0,9x Na/K/Cl 140/4,3/110
206 E Nuryant 34 4275645 progresif dengan anemia, cancer pain, Anggraeni, Ur/Cr 22,4/0,35 SGOT/SGPT 13,7/27,3 GDS
konstpasi, asites SpOG(K) 151
25/6/2019 DPL 10,5/32/9.060/387.000
24/6/19 Ant HCV dan HBsAg NR, Albumin
2,30 22/6/2019 DPL
Karsinoma serviks stadium IIB post
11,6/35,4/8.270/501.000 Albumin 2,33
radiasi luar 6x, hidronefrosis bilateral Dr. dr. Gatot Na/K/Cl 129/4,7/101,5 21/6/2019 DPL
207 A Sri Lestari 49 4369055 post nefrostomi bilateral, riwayat Purwoto, SpOG(K) 9,5/29,1/10.740/508.000 Ur 11 Cr 0,4
anemia, hipoalbuminemia, Albumin 1,86
hiponatremia 18/6/2019 DPL 5,2/16/13.840/882.000
SGOT SGPT 19/24 Albumin 1,79 GDS 95
Na/K/Cl 128/3,6/93
25/6/2019 9,0/26/14.150/449.000
24/6/2019 DPL 9,4/27/3.290/467.000
Albumin 3,23 Na/K/Cl 123/5,1/94,6
23/6/2019 Na/K/Cl 129/5,0/105 Ur 207 Cr
dr. Kartwa Hadi N, 10 AGD pH 7.37 pCO2 18 PO2 95 O2 Sat
207 B 36 96% BE -12 HCO3 14.8 Total COW 11.4
Winarni hiponatremia, hiperkalemia, cancer SpOG(K) 23/6/2019 DPL 10,5/30,3/17.300/783.000
pain
dimer 1.32
Ca serviks stadium IIIB pasca radiasi 18/6/2019 DPL 10,8/33,6/41.500/240.000

lengkap, suspek metastasis tulang dan PT/APTT 1,1/1,2 Na/K/Cl 131/4,8/105 Ur/Cr
hepar, leukositosis ec reaktf dd/ 72,1/1,46 SGOT/SGPT 303/80 Albumin 2,79
4370835 infektf dd/ keganasan, cancer pain, GDS 108 Fibrinogen 193 d-Dimer 4
pneumothorax, peningkatan enzim 15/6/2019 DPL 11,1/36,1/40.080/305.000
De Groot SpOG(K)
transaminase, riwayat syok 13/6/2019 DPL 8,8/28,2/47.210/332.000;
hipovolemik et causa dehidrasi, AKI dd/ Ur/Cr 19,2/0,652; Na/K/Cl 127/4,5/102;
acute on CKD GDS 88
Karsinoma endometrium metastasis
ovarium dan serviks dengan anemia, 26/6/2019 DPL 11,3/33,4/12.450/494.000
hemiparesis dekstra et causa stroke dr. T. Dewi 26/6/2019 DPL 9,3/27,4/16.910/489.000
207 D Marsanih 56 4382775 iskemik, leukositosis et causa suspek Anggraeni, Na/K/Cl 133/4,5/112 Ur/Cr 81,6/2,34
infeksi, hipoalbumin, AKI dd/ acute on SpOG(K) SGOT/SGPT 7/3 Albumin 2,59 GDS 300
CKD, hiperglikemia et causa DM tpe 2, Keton 1,8
intake sulit, asites
26/6/2019 DPL 11,5/36,1/17.720/511.000

Albumin 2,7
Suspek karsinoma serviks stadium IIIB Dr. dr. Gatot 23/6/2019 DPL 3,6/14,3/12.510/606.000
207 E Et Sumiat 41 4391292 dengan anemia et causa riwayat Purwoto, SpOG(K) GDS 78,9 SGOT 10 SGPT 8 Ur 20,5 Cr 0,8
perdarahan dan hidronefrosis bilateral Na/K/Cl 136/3,2/115, ant-HIV non-reaktf
HbsAg non-reaktf
25/6/19 DPL 11,4/34/17.160/218.000

4335682 Karsinoma serviks stadium IIIB post-
207 F Tjong 59 Anggraeni, d-Dimer 2.420
radiasi eksterna 25 kali, anemia SpOG(K) 20/6/2019 DPL 10,5/31,8/9.530/160.000
18/6/2019 DPL 8,2/25,7/9.500/214.000
residif ovarium (2015), post DJ stent 26/6/2019 DPL 8,4/25,2/18.470/580.000
dengan permasalahan:
Hj. Sudji 3023696 - Anemia ec perdarahan (melena pada dr. Kartwa Hadi N, 21/6/2019 DPL 9,0/26,3/23.350/52.6000
210 A Noerbekt 76 SpOG(K) (78% Netrofilia) PT 1x APTT 1x SGOT 27
anus dan stoma) ec massa residif SGPT 36 Albumin 2,26 Ur 53 Cr 1,9 GDS
kolorektal 141 Na/K/Cl 127/3,9/103
- AKI dd/ acute on CKD on DJ stent
- Hipoalbuminemia
- Riwayat TB Paru

negatf Leukosit 5-6
dr. T. Dewi
210 C Essy Ella 17/6/2019 DPL 11/35,3/4.970/256.000
74 4356856 Karsinoma endometrium stadium IB Anggraeni,
Therik Na/K/Cl 138/4,3/105,7 PT/APTT 0,9x/0,9x
SpOG(K) SGOT/SGPT 13/10 Albumin 4,03 Ur/Cr
24/0,8 GDS 97
26/6/2019 DPL 10,1/32,5/7.850/387.000

25/6/2019 DPL 9,5/31,6/7.580/423.000
PT/APTT 1x/1x Ur/Cr 16/0,6 Na/K/Cl
Sri 4379323 NOK dengan bagian padat suspek Dr. dr. Gatot 133/4,1/99,8 SGOT/SGPT 14/9 Albumin
211 B Muryani 60 maligna, hipertensi grade I Purwoto, SpOG(K) 3,62 GDS 85
12/6/2019 DPL 8,6/28,2/8.140/399.000
PT/APTT 1x/0,87x Na/K/Cl 133/4,6/99,8
Rinna 26/6/2019 DPL 10/27,9/2.100/62.000
211 C Hariyant 42 4333849 staging post kemoterapi VI, anemia, Andrijono, 25/6/2019 DPL 8,8/24,1/3.760/61.000
25/6/2019 DPL 10,5/30,4/13.400/423.000

GDS 135 Na/K/Cl 124/4,3/86,9 PT/APTT
0,9x/0,9x SGOT/SGPT 18/12 Albumin 2,4
Karsinoma ovarium stadium IIIC pasca Ur/Cr 153/2
Lili 4335692 kemoterapi ke-4 dengan intake sulit, Dr. dr. Laila 24/6/2019 Abdomen 3 posisi: tdak tampak
211 D Ramalia 59 hipoalbuminemia, asites masif, Nuranna, SpOG(K) ileus atau pneumoperitoneum
hiponatremia 21/6/2019 DPL 11,9/32,6/8.530/510.000
Ur/Cr 77/1,49 SGOT/SGPT 33,9/18,2
127/4,4/100
26/6/2019 DPL 8,8/27,5/19.020/503.000

Cindy 4379529 Karsinoma ovarium suspek advance Dr. dr. Sigit PT/APTT 0,9x/0,9x INR 1 SGOT/SGPT 16/8
212 A 43
Wulan stage, anemia Purbadi, SpOG(K) Ur/Cr 23/0,9 Albumin 3,39 Na/K/Cl
136/3,8/104
25/6/2019 Na/K/Cl 134/6,4/105 PT/APTT

1,1x/1,2x Fibrinogen 272 d-Dimer 2280
SGOT/SGPT 11/7 Ur/Cr 25/0,7
POD 3 post laparotomi debulking atas 24/6/2019 DPL 12,3/35,7/11.280/326.000
Prof. Dr. dr.
4362940 indikasi tumor musinosum atpia Na/K/Cl 134/3,4/104 Ur/Cr 25/0,7
(kemungkinan tumor musinosum SGOT/SGPT 11/7 Fibrinogen/d-Dimer
SpOG(K)
sekunder) dengan imbalans elektrolit 272/2280
21/6/2019 DPL 11,1/32,9/7.850/358.000,
Na/K/Cl 138/3,5/102 GDS 95 Ur 32 Cr 0,9
26/6/2019 DPL 5,7/17,3/9.500/375.000
Albumin 2,22
22/6/20219 DPL 9,8/29,5/7.300/344.000
21/6/2019 DPL 8,3/25,3/6.860/336.000
19/6/2019 8/24,8/7.780/347.000 Albumin
Geburt dengan anemia, 18/6/2019 14,8/44,3/7.070/355.000
Putri hipoalbuminemia, riwayat syok Dr. dr. Fitriyadi Na/K/Cl 135/3,4/94
massa 15/6/2019 DPL 9,8/29,4/10.130/360.000
13/6/2019 DPL 7,7/24,7/6.600/386.000
Albumin 1,53
12/6/2019 DPL 2,8/10,3/7.350/428.000
Na/K/Cl 131/4,3/114 Ur/Cr 10,4/0,32
205 C, 206 B, 206

DNR 207C dr. T. Dewi Anggraeni, SpOG(K) E, 207 D, 207 F, dr. Kartwa Hadi N, SpOG(K)
210 C
206 A, 207 C, 211
C, 212 C
Dr. dr. Sigit Purbadi, SpOG(K) 205 D, 212 A
Target
Gant verban hari ini (Kamis, 27/6/2019)
Rawat jalan
Antbiotk Bactecyn dan Metronidazole
Diet tnggi protein
Gliquidon
≥ 10 g/dL
Rencana biopsi ulang
DPJP rencana masih oleh Ginekologi umum

(Dr. dr. Yuditya P, SpOG(K))
Rencana pindah zona B
HD hari ini di IGD lantai 4 pukul 09.00
(konfirmasi)

1 x 10 mg
25 Juni 2019
Rawat jalan

≥ 10 g/dL
Urologi: sistoskopi, RPG bilateral, dan
insersi DJ stent bilateral sudah dilakukan
Selasa, 25 Juni 2019
Rawat jalan

kanan), pantau balans cairan seimbang
Selasa, 26/6/2019
Konsul IPD-Ginjal Hipertensi: pro HD

Rawat bersama Neurologi
Konsul IPD Endokrin hari ini (Kamis,
27/6/2019)
Konsul Urologi: rencana sistoskopi, RPG

bilateral, dan DJ stent bilateral
(penjadwalan). Persiapan toleransi
tndakan dilanjutkan
Sudah CT scan, follow up hasil hari ini

(Kamis, 27/6/2019)
Edukasi DNR atau paliatf?
Transfusi Albumer 20% 100 cc
Perbaikan KU
IPD tdak acc raber
Konsul IPD-KGEH: kolonoskopi hari ini
(Kamis, 27/6/2019)
Rencana laparotomi surgical staging Kamis,

27/6/2019
Rencana laparotomi VC Kamis, 27/6/2019

Injeksi Leukogen

Infus Aminofluid 1000 cc/24 jam
Konsul IPD Gastro belum ada jawaban

Cek PT/APTT, Fibrinogen, dan d-Dimer
Konsul Bedah Digestf
Perawatan post-op
Konsul IPD untuk permasalahan
hiperkalemia
GV hari ini (Kamis, 27/6/2019)
Rawat jalan
Terpasang folley catheter II 20/6/2019,
gant hari ini (Kamis, 27/6/2019)
ada hasil
nutrisi lanjut
MRI Senin, 1/7/2019
206 D, 207 B, 210 A
207 A, 207 E, 211 B

Ward Map Onkologi. Rabu, 26 Juni 2019
24/6/19 DPL 10,7/33,3/7790/262.000

Sri 4120053 Ca serviks stadium IIB pasca radiasi Dr. dr. Sigit
204 A Purwant 54 Purbadi, SpOG(K) 22/6/2019 DPL 9,0/28/6.780/249.000
lengkap suspek residif 21/6/2019 DPL 7,2/22,9/6.690/300.000
20/6/2019 GDS 182

19/6/2019 GDS 234
18/6/2019 GDS 371
POD 8 post radikal vulvektomi, 17/6/2019 DPL 11,3/32,8/14.960/242.000
Lucy 4368362 limfadenektomi inguinal bilateral atas Dr. dr. Sigit
205 A 66 indikasi ca vulva stadium IB, DM tpe 2, Purbadi, SpOG(K) 15/6/2019 HbA1c 6,9
Silalahi 13/6/2019 DPL 10,6/32,5/7.010/171.000
hipertensi SGOT/SGPT 17/10 Albumin 3,66 Ur/Cr
42/1,1 GDS 105 Na/K/Cl 137/4,1/102
HBsAg non-reaktf
Prof. Dr. dr. 25/6/19 DPL 8,5/26,1/6890/470000

206 A Ratna 64 4382716 Susp Ca cervix stadium IIIB, anemia Andrijono, PT/APTT 1x/1x Ur/Cr 16/8 Alb 4,5 OT/PT
SpOG(K) 16/8 GDS 87 Na/K/Cl 136/3,7/103
Ca ovarium residif post HTSOB di luar 1 24/6/19 Alb 2,44 22/6/2019 DPL
tahun yang lalu, post kemoterapi di
Winny 11,7/33,4/9.270/408.000 PT/APTT 1/0,9
4382569 luar dengan asites masif on cystofix, Dr. dr. Sigit
206 B Bernadett 70 SGOT/SGPT 24,9/21,4 Albumin 3,02 GDS
dispnea ec penekanan massa dd/ asites Purbadi, SpOG(K)
e 154 Protein total 6,07 Na/K/Cl 126/4,6/99
masif (perbaikan), intake sulit, Ur/Cr 81,4/1,62 Asam urat 12,38
hiperurisemia, hipoalbuminemia
Ca serviks staium IVA (metastasis buli)

pasca radiasi lengkap dengan :
- anemia ec perdarahan 24/6/19 DPL 9,1/28/25.630/73.000
- diare akut ec suspek colits radiasi 22/6/2019 DPL 8.4/25.9/61390/533000
Siska 4305973 -- leukositosis reaktf dd/ infektf dr. Kartwa Hadi N,
206 C 37 (93% netrofilia), E 131/5.4/116, GDS 111,
Hening trombositopenia SpOG(K) Ur 115 / Cr 3.8, OT 19 / PT 34, albumin
- hiponatremia
2.20, HIV dan HbsAg NR
-acute on CKD
- hidronefrosis bilateral (pasca gant -
nefrostomi bilateral)
24/6/19 Na/K/Cl 133/5,9/107; PT/aPTT
1x/1,2x 23/6/2019 pasca koreksi elektrolit
E 137/5.9/119, AGD pH 7.335 / pCO2 24 /
pO2 88/ satO2 94%/ BE -11/ HCO3 15 /
Total CO2 13
Ca serviks stadium IIIB dengan acute on dr. Kartwa Hadi N, 23/6/2019 DPL 10/29/11880/241000 (80%
netrofilia), E 139/6.6/119, Ur 192 / Cr 12,
206 D Salwat 53 4383701 CKD dengan hidronefrosis bilateral, SpOG(K) OT 8 / PT 12, GDS 88, albumin 4.2
hipertensi, hiperkalemia, cancer pain USG Ginjal Buli RSCM : Ginjal kanan
hidronefrosis moderate, ginjal kiri
hidronefrosis mild-moderate, vesika
urinaria tampak massa infiltratf dinding
posterior vesika kesan metastasis dari
uterus
Ca serviks staium IVA pasca radiasi

komplit suspek residif dengan : 24/6/19 DPL 8,6/26/3340/241.000
Ika 4369481 -- anemia ec perdarahan pervaginam Dr. dr. Gatot 23/6/2019 DPL 6.1/17.7/4110/258000, PT
206 F Kamentna 56 hidronefrosis bilateral dalam Purwoto, SpOG(K) 1x / APTT 0.8x, E 138/3.9/109, Ur 18.7 / Cr
nefrostomi 0.68, OT 13 / PT 10, GDS 153, albumin 2.32,
- fistula rektovagina HIV HbsAg NR
25/6/2019 DPL 10,5/32/9060/387000

24/6/19 Ant HCV dan HBsAg NR, Alb 2,30
22/6/2019 DPL 11,6/35,4/8.270/501.000
Ca serviks stadium IIB post radiasi luar Albumin 2,33 Na/K/Cl 129/4,7/101,5
4369055 6x, hidronefrosis bilateral post Dr. dr. Gatot
207 A Sri Lestari 49 Purwoto, SpOG(K) 21/6/2019 DPL 9,5/29,1/10.740/508.000
nefrostomi bilateral, anemia, Ur 11 Cr 0,4 Albumin 1,86
18/6/2019 DPL 5,2/16/13.840/882.000
Na/K/Cl 128/3,6/93
24/6/2019 DPL 9,4/27/3290/467000 Alb
3,23 Na/K/Cl 123/5,1/94,6 23/6/2019
pasca koreksi elektrolit E 129/5.0/105, Ur
207 / Cr 10, AGD pH 7.37 / pCO2 18 /PO2
dr. Kartwa Hadi N, 95 / O2 sat 96% / BE -12 / HCO3 14.8 /
207 B 36 Total COW 11.4
Winarni hiponatremia, hiperkalemia, cancer SpOG(K) 23/6/2019 DPL 10.5/30.3/17300/783000,
pain 90% netrofilia, E 127/6.1/104, Ur 227 / Cr
11, OT 12 / PT 25, albumin 3.68, GDS 72.5,
PT 0.98 / APTT 1.1, fibrinogen 468 / D-
dimer 1.32

De Groot SpOG(K)
acute on CKD GDS 88
Suspek ca serviks st IIIB dengan anemia 23/6/2019 DPL 3.6/14.3/12510/606000,

Dr. dr. Gatot
207 E Et Sumiat 41 4391292 ec perdarahan dan hidronefrosis Purwoto, SpOG(K) GDS 78.9, OT 10 / PT 8, Ur 20.5 / Cr 0.8, E
bilateral 136 / 3.2 / 115, HIV HbsAg NR
25/6/19 DPL 11,4/34/17160/218000

4335682 Ca cervix stadium IIIB post-radiasi
207 F Tjong 59 Anggraeni, d-Dimer 2.420
eksterna 25 kali, anemia SpOG(K) 20/6/2019 DPL 10,5/31,8/9.530/160.000
18/6/2019 DPL 8,2/25,7/9.500/214.000
residif ovarium (2015), post DJ stent
Hj. Sudji 3023696 - Anemia ec perdarahan (melena pada dr. Kartwa Hadi N,
210 A Noerbekt 76 (78% Netrofilia) PT 1x APTT 1x SGOT 27
SpOG(K)
- Hipoalbuminemia
- Riwayat TB Paru
17/6/19 DPL 11/35,3/4970/256.000;

dr. T. Dewi
210 C Essy Ella Na/K/Cl 138/4,3/105,7; PT/aPTT
74 4356856 Ca endometrium st IB Anggraeni,
Therik 0,88x/0,88x; OT/PT 13/10; Alb 4,03; Ur/Cr
SpOG(K) 24/0,8; GDS 97
12/6/19 DPL 8,6/28,2/8140/399.000;
Sri 4379323 NOK dengan bagian padat suspek Dr. dr. Gatot
211 B Muryani 60 Purwoto, SpOG(K) PT/aPTT 1x/0,87x; Na/K/Cl 133/4,6/99,8;
maligna, hipertensi grade I GDS 91; Ur/Cr 16/0,5; Alb 3,3

Rinna
211 C Hariyant 42 4333849 staging post kemoterapi VI, anemia, Andrijono, 25/6/2019 DPL 8,8/24,1/3760/61000
24/6/19 Abd 3 posisi : tdak tampak ileus

Ca Ovarium stadium IIIC pasca atau pneumoperitoneum 21/6/2019 DPL
Lili 4335692 kemoterapi ke-4 dengan intake sulit, Dr. dr. Laila
211 D Ramalia 59 Nuranna, SpOG(K) 11,9/32,6/8530/510.000; Ur/Cr 77/1,49;
hipoalbuminemia, asites masif, OT/PT 33,9/18,2; Alb 2,62; GDS 136;
hiponatremia Na/K/Cl 127/4,4/100
22/6/20219 DPL 9,8/29,5/7.300/344.000
21/6/2019 DPL 8,3/25,3/6.860/336.000
19/6/2019 8/24,8/7.780/347.000 Albumin
2,32
Suspek sarkoma Botryoides dd/ mioma 18/6/2019 14,8/44,3/7.070/355.000
Geburt dengan anemia, Na/K/Cl 135/3,4/94
Putri hipoalbuminemia, riwayat syok Dr. dr. Fitriyadi 17/6/2019 DPL 9,7/30,2/7.250/370.000
212 D Diansyah 15 4381266 hipovolemik et causa perdarahan, Kusuma, SpOG(K) Albumin 1,9
massa 13/6/2019 DPL 7,7/24,7/6.600/386.000
Albumin 1,53
12/6/2019 DPL 2,8/10,3/7.350/428.000
Na/K/Cl 131/4,3/114 Ur/Cr 10,4/0,32
24/6/19 DPL 12,3/35,7/11.280/326.000;

POD I Post laparotomi debulking ai Na/K/Cl 134/3,4/104; Ur/Cr 25/0,7; OT/PT
Prof. Dr. dr.
4362940 tumor musinosum atypia 11/7; Fib/d-dimer 272/2280 21/6/2019
(kemungkinan tumor musinosum DPL 11,1/32,9/7.850/358.000, Na/K/Cl
SpOG(K)
sekunder) dengan imbalans elektrolit 138/3,5/102 GDS 95 Ur 32 Cr 0,9 SGOT 11
SGPT 10 Albumin 3,56
25/6/19 DPL 9,3/28,2/8600/195000

24/6/19 DPL 11,8/34,7/12.880/269.000;
Na/K/Cl 129/5,0/102,4; Ca: 7,6; Mg 1,23;
POD II Post laparotomi optmal Alb 2,57; Ur/Cr 23/0,5; OT/PT 19/18
debulking ai Ca Ovarium advanced dr. T. Dewi 21/6/2019 DPL 10,2/30,8/5.140/313.000
HCU Tarsih 26 4364464 stage pasca NACT 3x dengan: Anggraeni, SGOT/SGPT 15/9 Protein total 7,2 Ur/Cr
612 A - hipoalbuminemia SpOG(K) 16/0,5 GDS 77 Na/K/Cl 135/3,6/104
- hiponatremia PT/APTT 0,9/1,1
10/6/2019 DPL 10,5/31/3.950/249.500
Albumin 3,8 Na/K/Cl 135/3,8/105
207 F, 210 C, HCU

207C dr. T. Dewi Anggraeni, SpOG(K) dr. Kartwa Hadi N, SpOG(K)
DNR 612A
Dr. dr. Laila Nuranna, SpOG(K) Dr. dr. Tofan W Utami, SpOG(K)
206 A, 207 C, 212
C
204 A, 205 A, 206
Dr. dr. Sigit Purbadi, SpOG(K) B
Target
Rencana rawat jalan
Imobilisasi 7 hari
Diet tnggi protein
Rawat bersama IPD: KGDH, Gliquidon
Rencana transfusi Hb 10 g/dl, rencana

biopsi ulang rencana konsul gizi klinik
Alirkan asites 2 liter per hari

Rencana transfusi albumin

Edukasi konsul paliatf?
Konsul IPD : Levofloxacin 1x750, cek kultur
urin, kultur darah, PCT, evaluasi ke arah
sindrom paraneoplastk
Konsul ginjal hipertensi (pertmbangan HD)
Raber Urologi dan IPD
Konsul IPD : dalam koreksi hiperkalemia,
cairan seimbang, kalitake 3x1, amlodipine
1x10 mg
Rencana nefrostomi hari ini
Aff tampon Selasa, 25/6/2019

Urologi: post nefrostomi Rencana lanjut
radiasi
Konsul Urologi : akan dijadwalkan
nefrostomi
Konsul IPD GH (Senin, 24/6/2019)
Cek Ur / Cr, elektrolit, AGD ulang post HD
(24/6/2019)

Cek DPL dan elektrolit ulang pasca transfusi
Konsul urologi ulang bila sudah perbaikan
KU untuk rencana RPG dan pemasangan DJ
stent
Sudah CT scan, tunggu hasil 27/06/19

Perbaikan KU
IPD tdak acc raber
Konsul IPD KGEH --> rencana endosokopi
kamis 27/6/2019
Rencana laparotomi Kamis, 27/6/19
Rencana laparotomi VC, Kamis 27/6/19
Rencana tranfusi Hb > 10 g/dl
Perbaikan keadaan umum; Infus Aminofluid

1000 cc/24 jam konsul IPD gastro
gant 27/6/2019
Konsul Bedah Anak : Saran CT scan
abdomen + pelvis dgn kontras dan follow-
up hasil review PA --> Konsul ulang jika ada
hasil
Konsul Gizi Klinik Anak (Belum ada
jawaban)
USG Onkologi dan penilaian DPJP (Selasa,
25/6/2019)
Perawatan post-op
Perawatan pasca operasi, rencana pindah

ruang rawat ruangan tunggu acc anestesi,
mulai diet bertahap (tnggi protein)
206 C, 206 D, 207 B, 210 A
206 F, 207 A, 207 E, 211 B

Ward Map Onkologi. Selasa, 25 Juni 2019
dr. T. Dewi
Sit 4366258 Ca Ovarium stadium IC dalam 19/6/19 DPL 12,6/38,3/8090/522.000; GDS
204 A Rohamah 40 Anggraeni,
kemoterapi VAC (ke-1) 97; Ur/Cr 27/0,6; Na/K/Cl 136/5,1/103
SpOG(K)
20/6/2019 GDS 182

19/6/2019 GDS 234
18/6/2019 GDS 371
POD 8 post radikal vulvektomi, 17/6/2019 DPL 11,3/32,8/14.960/242.000
Lucy limfadenektomi inguinal bilateral atas Dr. dr. Sigit
205 A 66 4368362 indikasi ca vulva stadium IB, DM tpe 2, Purbadi, SpOG(K) 15/6/2019 HbA1c 6,9
Silalahi 13/6/2019 DPL 10,6/32,5/7.010/171.000
hipertensi SGOT/SGPT 17/10 Albumin 3,66 Ur/Cr
42/1,1 GDS 105 Na/K/Cl 137/4,1/102
HBsAg non-reaktf
21/6/2019 DPL 10,7/32,5/9.700/430.000

Na/K/Cl 135/3,9/103
POD 5 post laparotomi HTSOB, 20/6/2019 DPL 12,5/ 38,9/16.540/565000
Loe Ay 4366627 limfadenektomi bilateral paraaorta ai Dr. dr. Hariyono W, 19/6/2019 DPL 10,3/32,4/6.340/597.000
205 B 48
Tjen Ca endometrium stadium IIIC2, tubo- SpOG (K) 17/6/2019 DPL 8,6/27,5/8.910/706.000
ovarian abses bilateral SGOT/SGPT 16/10 Ur/Cr 24/0,8 Albumin
3,06 Fibrinogen 411,5 d-Dimer 700 Na/K/Cl
135/3,8/103,8 HBsAg non-reaktf
24/12/19 OT/PT 24/47
Ca serviks stadium IIIB pasca radiasi Kolonoskopi : Hemoroid eksterna, interna
lengkap, ca ovarium stadium IIIC pasca gr II, proktts radiasi
kemoterapi, riwayat anemia, dr. Andi Darma 21/9/2019 DPL 10,9/33,6/4.200/153.000
206 A Iriant 56 4264185 hematoskezia ec proktts radiasi, Putra, SpOG (K) 18/6/2019 DPL
20/6/2019 9,8/30,6/3.840/146.000
peningkatan enzim transaminase, AKI DPL 1,9/7,3/4.730/199.000
dd/ acute on CKD, hiponatremia, intake PT/APTT 1,1/0,8 SGOT/SGPT 108/140 Ur/Cr
sulit, gangguan pendengaran 50/1,4 Albumin 3,35 GDS 102 Na/K/Cl
131/3,9/102
Ca ovarium residif post HTSOB di luar 1 24/6/19 Alb 2,44

tahun yang lalu, post kemoterapi di 22/6/2019 DPL 11,7/33,4/9.270/408.000
Winny
4382569 luar dengan asites masif on cystofix, Dr. dr. Sigit PT/APTT 1/0,9 SGOT/SGPT 24,9/21,4
206 B Bernadett 70 dispnea ec penekanan massa dd/ asites Purbadi, SpOG(K) Albumin 3,02 GDS 154 Protein total 6,07
e masif (perbaikan), intake sulit, Na/K/Cl 126/4,6/99 Ur/Cr 81,4/1,62 Asam
hiperurisemia, hipoalbuminemia urat 12,38

- anemia ec perdarahan 24/6/19 DPL 9,1/28/25.630/73.000
- diare akut ec suspek colits radiasi 22/6/2019 DPL 8.4/25.9/61390/533000
Siska - leukositosis reaktf dd/ infektf dr. Kartwa Hadi N,
206 C 37 4305973 - trombositopenia (93% netrofilia), E 131/5.4/116, GDS 111,
Hening SpOG(K) Ur 115 / Cr 3.8, OT 19 / PT 34, albumin
- hiponatremia 2.20, HIV dan HbsAg NR
-acute on CKD
24/6/19 Na/K/Cl 133/5,9/107; PT/aPTT
1x/1,2x 23/6/2019 pasca koreksi elektrolit
E 137/5.9/119, AGD pH 7.335 / pCO2 24 /
pO2 88/ satO2 94%/ BE -11/ HCO3 15 /
Total CO2 13
Ca serviks stadium IIIB dengan acute on dr. Kartwa Hadi N, 23/6/2019 DPL 10/29/11880/241000 (80%
netrofilia), E 139/6.6/119, Ur 192 / Cr 12,
206 D Salwat 53 4383701 CKD dengan hidronefrosis bilateral, SpOG(K) OT 8 / PT 12, GDS 88, albumin 4.2
hipertensi, hiperkalemia, cancer pain USG Ginjal Buli RSCM : Ginjal kanan
hidronefrosis moderate, ginjal kiri
hidronefrosis mild-moderate, vesika
uterus

komplit suspek residif dengan : 24/6/19 DPL 8,6/26/3340/241.000
Ika 4369481 -- anemia ec perdarahan pervaginam Dr. dr. Gatot 23/6/2019 DPL 6.1/17.7/4110/258000, PT
206 F Kamentna 56 hidronefrosis bilateral dalam Purwoto, SpOG(K) 1x / APTT 0.8x, E 138/3.9/109, Ur 18.7 / Cr
nefrostomi 0.68, OT 13 / PT 10, GDS 153, albumin 2.32,
- fistula rektovagina HIV HbsAg NR
24/6/19 Ant HCV dan HBsAg NR, Alb 2,30

22/6/2019 DPL 11,6/35,4/8.270/501.000
Albumin 2,33 Na/K/Cl 129/4,7/101,5
Ca serviks stadium IIB post radiasi luar Dr. dr. Gatot 21/6/2019 DPL 9,5/29,1/10.740/508.000
207 A Sri Lestari 49 4369055 6x, hidronefrosis bilateral, anemia, Purwoto, SpOG(K) Ur 11 Cr 0,4 Albumin 1,86
hipoalbuminemia, hiponatremia 18/6/2019 DPL 5,2/16/13.840/882.000
Na/K/Cl 128/3,6/93
23/6/2019 pasca koreksi elektrolit E
129/5.0/105, Ur 207 / Cr 10, AGD pH 7.37 /
pCO2 18 /PO2 95 / O2 sat 96% / BE -12 /
dr. Kartwa Hadi N, HCO3 14.8 / Total COW 11.4
207 B 36 23/6/2019 DPL 10.5/30.3/17300/783000,
Winarni hiponatremia, hiperkalemia, cancer SpOG(K) 90% netrofilia, E 127/6.1/104, Ur 227 / Cr
pain 11, OT 12 / PT 25, albumin 3.68, GDS 72.5,
PT 0.98 / APTT 1.1, fibrinogen 468 / D-
dimer 1.32

De Groot SpOG(K)
acute on CKD GDS 88
24/6/19 DPL 10,7/33,3/7790/262.000

Sri Ca serviks stadium IIB pasca radiasi Dr. dr. Sigit
207 D Purwant 54 4120053 lengkap suspek residif Purbadi, SpOG(K) 22/6/2019 DPL 9,0/28/6.780/249.000
21/6/2019 DPL 7,2/22,9/6.690/300.000
Suspek ca serviks st IIIB dengan anemia 23/6/2019 DPL 3.6/14.3/12510/606000,

Dr. dr. Gatot
207 E Et Sumiat 41 4391292 ec perdarahan dan hidronefrosis Purwoto, SpOG(K) GDS 78.9, OT 10 / PT 8, Ur 20.5 / Cr 0.8, E
bilateral 136 / 3.2 / 115, HIV HbsAg NR
22/6/2019 PT/APTT 1/0,8 Fibrinogen 330
dr. T. Dewi
4335682 Ca cervix stadium IIIB post-radiasi d-Dimer 2.420
207 F Tjong 59 Anggraeni,
eksterna 25 kali, anemia 20/6/2019 DPL 10,5/31,8/9.530/160.000
SpOG(K) 18/6/2019 DPL 8,2/25,7/9.500/214.000

Hj. Sudji dr. Kartwa Hadi N,
210 A Noerbekt 76 3023696 - Anemia ec perdarahan (melena pada (78% Netrofilia) PT 1x APTT 1x SGOT 27
SpOG(K)
- Hipoalbuminemia
- Riwayat TB Paru
17/6/19 DPL 11/35,3/4970/256.000;

dr. T. Dewi
210 C Essy Ella Na/K/Cl 138/4,3/105,7; PT/aPTT
74 4356856 Ca endometrium st IB Anggraeni,
Therik 0,88x/0,88x; OT/PT 13/10; Alb 4,03; Ur/Cr
SpOG(K) 24/0,8; GDS 97
12/6/19 DPL 8,6/28,2/8140/399.000;
Sri 4379323 NOK dengan bagian padat suspek Dr. dr. Gatot
211 B Muryani 60 maligna, hipertensi grade I Purwoto, SpOG(K) PT/aPTT 1x/0,87x; Na/K/Cl 133/4,6/99,8;
GDS 91; Ur/Cr 16/0,5; Alb 3,3
24/6/19 Abd 3 posisi : tdak tampak ileus
Ca Ovarium stadium IIIC pasca atau pneumoperitoneum
Lili 4335692 kemoterapi ke-4 dengan intake sulit, Dr. dr. Laila
211 D Ramalia 59 Nuranna, SpOG(K) 21/6/2019 DPL 11,9/32,6/8530/510.000;
hipoalbuminemia, asites masif, Ur/Cr 77/1,49; OT/PT 33,9/18,2; Alb 2,62;
hiponatremia GDS 136; Na/K/Cl 127/4,4/100
22/6/20219 DPL 9,8/29,5/7.300/344.000

21/6/2019 DPL 8,3/25,3/6.860/336.000
19/6/2019 8/24,8/7.780/347.000 Albumin
2,32
Suspek sarkoma Botryoides dd/ mioma 18/6/2019 14,8/44,3/7.070/355.000
Geburt dengan anemia, Na/K/Cl 135/3,4/94
212 D Diansyah 15 4381266 hipovolemik et causa perdarahan, Kusuma, SpOG(K) Albumin 1,9
massa 13/6/2019 DPL 7,7/24,7/6.600/386.000
Albumin 1,53
12/6/2019 DPL 2,8/10,3/7.350/428.000
Na/K/Cl 131/4,3/114 Ur/Cr 10,4/0,32
24/6/19 DPL 11,8/34,7/12.880/269.000;
Na/K/Cl 129/5,0/102,4; Ca: 7,6; Mg 1,23;
Alb 2,57; Ur/Cr 23/0,5; OT/PT 19/18
Post laparotomi optmal debulking ai
21/6/2019 DPL 10,2/30,8/5.140/313.000
Ca Ovarium advanced stage pasca dr. T. Dewi
ICU SGOT/SGPT 15/9 Protein total 7,2 Ur/Cr
Tarsih 26 4364464 NACT 3x dengan: Anggraeni,
Bed 2 16/0,5 GDS 77 Na/K/Cl 135/3,6/104
- hipoalbuminemia SpOG(K) PT/APTT 0,9/1,1
- hiponatremia 10/6/2019 DPL 10,5/31/3.950/249.500
Albumin 3,8 Na/K/Cl 135/3,8/105
24/6/19 DPL 12,3/35,7/11.280/326.000;

Post laparotomi debulking 16 jam yll ai Na/K/Cl 134/3,4/104; Ur/Cr 25/0,7; OT/PT
ICU Prof. Dr. dr.
4362940 tumor musinosum atypia 11/7; Fib/d-dimer 272/2280
Bed Painten 53 Andrijono,
(kemungkinan tumor musinosum 21/6/2019 DPL 11,1/32,9/7.850/358.000,
14 SpOG(K)
sekunder) dengan imbalans elektrolit Na/K/Cl 138/3,5/102 GDS 95 Ur 32 Cr 0,9
204 A, 207 F, 210

207C dr. T. Dewi Anggraeni, SpOG(K) dr. Kartwa Hadi N, SpOG(K)
DNR C, ICU Bed 2
dr. Andi Darma Putra, SpOG (K) 206 A Dr. dr. Hariyono W, SpOG (K)
Prof. Dr. dr. Andrijono, SpOG(K) 207 C, ICU Bed 14 Dr. dr. Gatot Purwoto, SpOG(K)
205 A, 206 B, 207
Dr. dr. Sigit Purbadi, SpOG(K) D
Target
Rencana rawat jalan
Imobilisasi 7 hari
Diet tnggi protein
Rawat bersama IPD: KGDH, Gliquidon

Mobilisasi aktf
Rencana rawat jalan
Rencana rawat jalan, menunggu
assessment Gastro ulang
Alirkan asites 2 liter per hari

Rencana transfusi albumin

Edukasi konsul paliatf?
Konsul IPD : Levofloxacin 1x750, cek kultur
urin, kultur darah, PCT, evaluasi ke arah
sindrom paraneoplastk
Konsul ginjal hipertensi (pertmbangan HD)
cairan seimbang, kalitake 3x1, amlodipine
1x10 mg
Rencana nefrostomi hari ini

Konsul Urologi: rencana sistoskopi, RPG
bilateral, dan insersi DJ stent bilateral hari
ini Rencana lanjut radiasi
Konsul Urologi : akan dijadwalkan
nefrostomi
Konsul IPD GH (Senin, 24/6/2019)
Cek Ur / Cr, elektrolit, AGD ulang post HD
(24/6/2019)
Rencana kemoterapi

Konsul urologi ulang bila sudah perbaikan
KU untuk rencana RPG dan pemasangan DJ
stent
Sudah CT scan, tunggu hasil

Perbaikan KU
IPD tdak acc raber
Konsul IPD KGEH --> Sudah dikirim,
menunggu jawaban
Rencana laparotomi Kamis, 27/6/19
Rencana laparotomi VC, Kamis 27/6/19

Perbaikan keadaan umum; Infus Aminofluid
1000 cc/24 jam

gant 27/6/2019
Konsul Bedah Anak : Saran CT scan
abdomen + pelvis dgn kontras dan follow-
up hasil review PA --> Konsul ulang jika ada
hasil
Konsul Gizi Klinik Anak (Belum ada
jawaban)
USG Onkologi dan penilaian DPJP (Selasa,
25/6/2019)
Perawatan pasca operasi, rencana pindah
ruang rawat, mulai diet bertahap (tnggi
protein)
Perawatan post-op, weaning sesuai

anestesi
206 C, 206 D, 207 B, 210 A
205 B
206 F, 207 A, 207 E, 211 B

Ward Map Onkologi. Senin, 24 Juni 2019
Desi 17/6/2019 DPL 10,1/29,9/3.410/369.000,

204 C Mulyandar 23 4302772 PTM high risk pro kemoterapi Dr. dr. Fitriyadi Lanjut kemoterapi terakhir (rencana rawat
Kusuma, SpOG(K) SGOT 21 SGPT 26 Albumin 4,3 Ur 25 Cr 0,7 jalan sore ini)
i Na/K/Cl 138/4,2/103 b-HCG 8,39 GDS 87
20/6/2019 GDS 182

19/6/2019 GDS 234
POD 7 post radikal vulvektomi, 18/6/2019 GDS 371 Perawatan post-operasi
Lucy limfadenektomi inguinal bilateral atas Dr. dr. Sigit 17/6/2019 DPL 11,3/32,8/14.960/242.000 Imobilisasi 7 hari
205 A Silalahi 66 4368362 indikasi ca vulva stadium IB, DM tpe 2, Purbadi, SpOG(K) 15/6/2019 HbA1c 6,9 Diet tnggi protein
hipertensi 13/6/2019 DPL 10,6/32,5/7.010/171.000 Rawat bersama IPD: KGDH, Gliquidon
SGOT/SGPT 17/10 Albumin 3,66 Ur/Cr Gant verban per hari
42/1,1 GDS 105 Na/K/Cl 137/4,1/102
HBsAg non-reaktf
21/6/2019 DPL 10,7/32,5/9.700/430.000

Na/K/Cl 135/3,9/103 Perawatan pasca operasi
POD 4 post laparotomi HTSOB, 20/6/2019 DPL 12,5/ 38,9/16.540/565000 Mobilisasi aktf
205 B Loe Ay 48 4366627 limfadenektomi bilateral paraaorta ai Dr. dr. Hariyono W, 19/6/2019 DPL 10,3/32,4/6.340/597.000 Tunda aff CVC, obat injeksi lanjut 3 hari
Tjen Ca endometrium stadium IIIC2, tuba SpOG (K) 17/6/2019 DPL 8,6/27,5/8.910/706.000 (rencana gant obat oral dan lepas CVC
ovarian abses bilateral SGOT/SGPT 16/10 Ur/Cr 24/0,8 Albumin Senin, 24/6/2019)
3,06 Fibrinogen 411,5 d-Dimer 700 Na/K/Cl GV hari ini (Senin, 24/6/2019)
21/6/2019 DPL 10,2/30,8/5.140/313.000

SGOT/SGPT 15/9 Protein total 7,2 Ur/Cr
dr. T. Dewi 16/0,5 GDS 77 Na/K/Cl 135/3,6/104
205 C Tarsih 26 4364464 Ca ovarium advanced stage, post Anggraeni, PT/APTT 0,9/1,1 Laportomi debulking Senin, 24/6/2019
NAC 3 kali SpOG(K) 10/6/2019 DPL 10,5/31/3.950/249.500
Albumin 3,8 Na/K/Cl 135/3,8/105
Ca serviks stadium IIIB pasca radiasi

lengkap, ca ovarium stadium IIIC pasca 21/9/2019 DPL 10,9/33,6/4.200/153.000
kemoterapi, riwayat anemia, 20/6/2019 DPL 9,8/30,6/3.840/146.000
hematoskezia et causa suspek kolits dr. Andi Darma 18/6/2019 DPL 1,9/7,3/4.730/199.000 Konsul IPD-GEH: kolonoskopi Senin,
206 A Iriant 56 4264185 radiasi, peningkatan enzim Putra, SpOG (K) PT/APTT 1,1/0,8 SGOT/SGPT 108/140 Ur/Cr 24/6/2019
transaminase, AKI dd/ acute on CKD, 50/1,4 Albumin 3,35 GDS 102 Na/K/Cl Rencana rawat jalan?
hiponatremia, intake sulit, gangguan 131/3,9/102
pendengaran
Ca ovarium residif post HTSOB di luar 1 22/6/2019 DPL 11,7/33,4/9.270/408.000

Winny tahun yang lalu, post kemoterapi di PT/APTT 1/0,9 SGOT/SGPT 24,9/21,4 Alirkan asites 2 liter per hari --> sudah tdak
luar dengan asites masif post pungsi, Dr. dr. Sigit keluar
206 B Bernadett 70 4382569 dispnea ec penekanan massa dd/ asites Purbadi, SpOG(K) Albumin 3,02 GDS 154 Protein total 6,07 Rencana rawat jalan (menunggu hasil
e masif (perbaikan), intake sulit, Na/K/Cl 126/4,6/99 Ur/Cr 81,4/1,62 Asam albumin hari ini, Senin 24/6/2019)
urat 12,38
hiperurisemia

- anemia ec perdarahan
- diare akut ec suspek colits radiasi
- leukositosis reaktf dd/ infektf Transfusi PRC target Hb ≥ 10 g/dL
22/6/2019 DPL 8.4/25.9/61390/533000 Transfusi Albumer 20% 100 cc
Siska - trombositosis ec malignansi dr. Kartwa Hadi N, (93% netrofilia), E 131/5.4/116, GDS 111, Edukasi konsul paliatf?
206 C 37 4305973 - hiponatremia
Hening - hipochloremia SpOG(K) Ur 115 / Cr 3.8, OT 19 / PT 34, albumin Konsul IPD : Levofloxacin 1x750, cek kultur
- riwayat penurunan kesadaran ec 2.20, HIV dan HbsAg NR urin, kultur darah, PCT, evaluasi ke arah
suspek - ensefalopat uremikum, sindrom paraneoplastk
-acute on CKD
23/6/2019 pasca koreksi elektrolit E

137/5.9/119, AGD pH 7.335 / pCO2 24 /
pO2 88/ satO2 94%/ BE -11/ HCO3 15 / Raber Urologi dan IPD
Total CO2 13 Konsul IPD : dalam koreksi hiperkalemia,
23/6/2019 DPL 10/29/11880/241000 (80% belum indikasi HD cito, pantau balans
Ca serviks stadium IIIB dengan acute on dr. Kartwa Hadi N, netrofilia), E 139/6.6/119, Ur 192 / Cr 12, cairan seimbang
206 D Salwat 53 4383701 CKD dengan hidronefrosis bilateral, OT 8 / PT 12, GDS 88, albumin 4.2
hipertensi, hiperkalemia, cancer pain SpOG(K) USG Ginjal Buli RSCM : Ginjal kanan Konsul Urologi : akan dijadwalkan
hidronefrosis moderate, ginjal kiri nefrostomi
hidronefrosis mild-moderate, vesika Cek Ur / Cr per 3 hari (26/6/2019)
uterus

21/6/2019 DPL 7,4/21,3/3.000/148.000 Obat ARV tertnggal di rumah, obat ARV
206 E Silvia 40 4379880 Ca serviks stadium IIB dengan Dr. dr. Hariyono W, (88% Netrofilia) PT 0.9x APTT 1x Na/K/Cl RSCM hanya dapat diambil di Pokdisus (hari
Kurnia pansitopenia, HIV on ARV SpOG (K) 133/3,3/112 Ur 41,8 Cr 1,36 SGOT 12,9 kerja)
SGPT 14,5 GDS 119, urinalisis dalam batas Konsul Kulit Kelamin Senin 24/6/2019
normal Konsul IPD Imunologi Senin 24/6/2019

komplit suspek residif dengan : 23/6/2019 DPL 6.1/17.7/4110/258000, PT Transfusi PRC target Hb ≥ 10 g/dL
Ika - anemia ec perdarahan pervaginam Dr. dr. Gatot
206 F Kamentna 56 4369481 - hidronefrosis bilateral dalam Purwoto, SpOG(K) 1x / APTT 0.8x, E 138/3.9/109, Ur 18.7 / Cr Transfusi Albumer 20% 100 cc
nefrostomi 0.68, OT 13 / PT 10, GDS 153, albumin 2.32, Aff Tampon Senin, 24/6/2019 —> Sudah
HIV HbsAg NR
- fistula rektovagina
22/6/2019 DPL 11,6/35,4/8.270/501.000

Albumin 2,33 Na/K/Cl 129/4,7/101,5 Transfusi Albumer 20% 100 cc
Ca serviks stadium IIB post radiasi luar Dr. dr. Gatot 21/6/2019 DPL 9,5/29,1/10.740/508.000 Konsul Urologi: rencana sistoskopi, RPG
207 A Sri Lestari 49 4369055 6x, hidronefrosis bilateral, anemia, Purwoto, SpOG(K) Ur 11 Cr 0,4 Albumin 1,86 bilateral, dan insersi DJ stent bilateral
hipoalbuminemia, hiponatremia 18/6/2019 DPL 5,2/16/13.840/882.000 (Selasa, 26/6/2019)
SGOT SGPT 19/24 Albumin 1,79 GDS 95 Radiasi lanjut besok (Senin, 25/6/2019)
Na/K/Cl 128/3,6/93
23/6/2019 pasca koreksi elektrolit E Raber Urologi dan IPD

129/5.0/105, Ur 207 / Cr 10, AGD pH 7.37 / Konsul IPD : dalam koreksi hiperkalemia,
pCO2 18 /PO2 95 / O2 sat 96% / BE -12 / sudah inital HD (terpasang CDL jugular
Ca serviks stadium IIIB dengan acute on HCO3 14.8 / Total COW 11.4 kanan), pantau balans cairan seimbang
207 B Ribka 36 4391318 CKD dengan hidronefrosis bilateral, dr. Kartwa Hadi N, 23/6/2019 DPL 10.5/30.3/17300/783000, Konsul Urologi : akan dijadwalkan
Winarni hiponatremia, hiperkalemia, cancer SpOG(K) 90% netrofilia, E 127/6.1/104, Ur 227 / Cr nefrostomi
pain
11, OT 12 / PT 25, albumin 3.68, GDS 72.5, Konsul IPD GH (Senin, 24/6/2019)
PT 0.98 / APTT 1.1, fibrinogen 468 / D- Cek Ur / Cr, elektrolit, AGD ulang post HD
dimer 1.32 (24/6/2019)

207 C Veronica 40 4370835 infektf dd/ keganasan, cancer pain, Andrijono,
GDS 108 Fibrinogen 193 d-Dimer 4 Menolak pasang WSD. Paliatf
De Groot pneumothorax, peningkatan enzim SpOG(K) 15/6/2019 DPL 11,1/36,1/40.080/305.000
acute on CKD GDS 88

207 D Sri 54 4120053 Ca serviks stadium IIB pasca radiasi Dr. dr. Sigit 22/6/2019 DPL 9,0/28/6.780/249.000 menunggu hasil DPL post transfusi
Purwant lengkap, ca endometrium, anemia Purbadi, SpOG(K) 21/6/2019 DPL 7,2/22,9/6.690/300.000 Kemoterapi pasca perbaikan KU

23/6/2019 DPL 3.6/14.3/12510/606000,
207 E Et Sumiat 41 4391292 Suspek ca serviks dengan anemia ec Dr. dr. Gatot GDS 78.9, OT 10 / PT 8, Ur 20.5 / Cr 0.8, E Konsul urologi ulang bila sudah perbaikan
perdarahan dan hidronefrosis bilateral Purwoto, SpOG(K) 136 / 3.2 / 115, HIV HbsAg NR KU untuk rencana RPG dan pemasangan DJ
stent
Aff tampon Senin, 24/6/2019 —> sudah
dr. T. Dewi 22/6/2019 PT/APTT 1/0,8 Fibrinogen 330 Suspek metastasis otak, rencana CT scan
Ca cervix stadium IIIB post-radiasi d-Dimer 2.420 kepala dengan kontras, follow up kembali
207 F Tjong 59 4335682 eksterna 25 kali, anemia Anggraeni, 20/6/2019 DPL 10,5/31,8/9.530/160.000 Radiologi Pusat
SpOG(K) 18/6/2019 DPL 8,2/25,7/9.500/214.000 Edukasi DNR atau paliatf?

residif ovarium (2015), post DJ stent Transfusi PRC target Hb ≥ 10 g/dL
atas indikasi hidronefrosis bilateral 21/6/2019 DPL 9,0/26,3/23.350/52.6000 Transfusi Albumer 20% 100 cc
dengan permasalahan: Perbaikan KU
210 A Hj. Sudji 76 3023696 - Anemia ec perdarahan (melena pada dr. Kartwa Hadi N, (78% Netrofilia) PT 1x APTT 1x SGOT 27 IPD tdak acc raber
Noerbekt anus dan stoma) ec massa residif SpOG(K) SGPT 36 Albumin 2,26 Ur 53 Cr 1,9 GDS Konsul IPD KGEH (Senin, 24/6/2019) —>
kolorektal 141 Na/K/Cl 127/3,9/103 terkait kemungkinan endoskopi atau
- AKI dd/ acute on CKD on DJ stent kolonoskopi
- Hipoalbuminemia
- Riwayat TB Paru
21/6/2019 Na/K/Cl 130/4,1/100 GDS 252

20/6/2019 DPL 11,5/35,5/20.030/515.000
23/0,7 Na/K/Cl 130/3,9/100 Perawatan pasca operasi
POD 3 post laparotomi surgical staging GV hari ini (Minggu, 23/6/2019) --> luka
211 C Maria 62 4380514 atas indikasi karsinoma ovarium Dr. dr. Fitriyadi 19/6/2019 132/4.1/100 agak kemerahan
Emersiana clinically early stage Kusuma, SpOG(K) 18/6/2019 HbA1c 6,8 Rencana GV ulang?
17/6/2019 DPL 8,5/25,8/14.790/622.000 Rencana rawat jalan
Na/K/Cl 127/4,9/91,9 HBsAg non-reaktf
PT/APTT 0,9/1,2
212 C
22/6/20219 DPL 9,8/29,5/7.300/344.000

21/6/2019 DPL 8,3/25,3/6.860/336.000
19/6/2019 8/24,8/7.780/347.000 Albumin
2,32 Transfusi PRC target Hb ≥ 10 g/dL
Suspek sarkoma Botryoides dd/ mioma 18/6/2019 14,8/44,3/7.070/355.000 Transfusi Albumer 20% 100 cc
Geburt dengan anemia, Na/K/Cl 135/3,4/94 Terpasang folley catheter II 20/6/2019,
212 D Putri 15 4381266 hipoalbuminemia, riwayat syok Dr. dr. Fitriyadi 17/6/2019 DPL 9,7/30,2/7.250/370.000 gant 27/6/2019
Diansyah hipovolemik et causa perdarahan, Kusuma, SpOG(K) Albumin 1,9 Konsul Bedah Anak (Senin, 24/6/2019)
retensio urin ec suspek penekanan 15/6/2019 DPL 9,8/29,4/10.130/360.000 Konsul Gizi Klinik Anak (Senin, 24/6/2019)
massa 13/6/2019 DPL 7,7/24,7/6.600/386.000 USG Onkologi dan penilaian DPJP (Selasa,
Albumin 1,53 25/6/2019)
12/6/2019 DPL 2,8/10,3/7.350/428.000
Na/K/Cl 131/4,3/114 Ur/Cr 10,4/0,32
Ca ovarium suspek advanced stage

post NAC 3x, post HTSOD atas indikasi Prof. Dr. dr. 21/6/2019 DPL 11,1/32,9/7.850/358.000,
213 B Painten 53 4362940 leimioma dan adenomioma uterus dan Andrijono, Laparotomi debulking Senin, VC 24/6/2019.
Na/K/Cl 138/3,5/102 GDS 95 Ur 32 Cr 0,9 Bedah Digestf tdak acc join operasi
kista endometriosis ovarium kanan SpOG(K) SGOT 11 SGPT 10 Albumin 3,56
(2016)
207C dr. T. Dewi Anggraeni, SpOG(K) 205 C, 207 F dr. Kartwa Hadi N, SpOG(K) 206 C, 206 D, 207 B, 210 A
DNR
dr. Andi Darma Putra, SpOG (K) 206 A Dr. dr. Hariyono W, SpOG (K) 205 B, 206 E
Prof. Dr. dr. Andrijono, SpOG(K) 207 C, 213 B Dr. dr. Gatot Purwoto, SpOG(K) 206 F, 207 A, 207 E
Dr. dr. Fitriyadi K, SpOG(K) 204F, 211C, 212D
205 A, 206 B, 207
Dr. dr. Sigit Purbadi, SpOG(K) D
Ward Map Onkologi. Minggu, 23 Juni 2019
Desi 17/6/2019 DPL 10,1/29,9/3.410/369.000,

Dr. dr. Fitriyadi SGOT 21 SGPT 26 Albumin 4,3 Ur 25 Cr 0,7
204 C Mulyandar 23 4302772 PTM high risk pro kemoterapi Kusuma, SpOG(K) Na/K/Cl 138/4,2/103 b-HCG 8,39 GDS 87 Lanjut kemoterapi
i
20/6/2019 GDS 182

19/6/2019 GDS 234
18/6/2019 GDS 371 Perawatan post-operasi
POD 6 post radikal vulvektomi, 17/6/2019 DPL 11,3/32,8/14.960/242.000 Imobilisasi 7 hari
205 A Lucy 66 4368362 limfadenektomi inguinal bilateral atas Dr. dr. Sigit
Silalahi indikasi ca vulva stadium IB, DM tpe 2, Purbadi, SpOG(K) 15/6/2019 HbA1c 6,9 Diet tnggi protein
hipertensi 13/6/2019 DPL 10,6/32,5/7.010/171.000 Rawat bersama IPD: KGDH, Gliquidon
SGOT/SGPT 17/10 Albumin 3,66 Ur/Cr Gant verban per hari
42/1,1 GDS 105 Na/K/Cl 137/4,1/102
HBsAg non-reaktf
21/6/2019 DPL 10,7/32,5/9.700/430.000

Na/K/Cl 135/3,9/103
POD 3 post laparotomi HTSOB, 20/6/2019 DPL 12,5/ 38,9/16.540/565000 Perawatan pasca operasi
Loe Ay limfadenektomi bilateral paraaorta ai Dr. dr. Hariyono W, 19/6/2019 DPL 10,3/32,4/6.340/597.000 Mobilisasi aktf
205 B Tjen 48 4366627 Ca endometrium stadium IIIC2, tuba SpOG (K) 17/6/2019 DPL 8,6/27,5/8.910/706.000 Tunda aff CVC, obat injeksi lanjut 3 hari
ovarian abses bilateral SGOT/SGPT 16/10 Ur/Cr 24/0,8 Albumin GV hari ini (Minggu, 23/6/2019)
3,06 Fibrinogen 411,5 d-Dimer 700 Na/K/Cl
21/6/2019 DPL 10,2/30,8/5.140/313.000

SGOT/SGPT 15/9 Protein total 7,2 Ur/Cr
dr. T. Dewi 16/0,5 GDS 77 Na/K/Cl 135/3,6/104
205 C Tarsih 26 4364464 Ca ovarium advanced stage, post Anggraeni, PT/APTT 0,9/1,1 Laportomi debulking Senin, 24/6/2019
NAC 3 kali SpOG(K) 10/6/2019 DPL 10,5/31/3.950/249.500
Albumin 3,8 Na/K/Cl 135/3,8/105
Ca serviks stadium IIIB pasca radiasi

lengkap, ca ovarium stadium IIIC pasca 21/9/2019 DPL 10,9/33,6/4.200/153.000
kemoterapi, riwayat anemia, 20/6/2019 DPL 9,8/30,6/3.840/146.000
hematoskezia et causa suspek kolits dr. Andi Darma 18/6/2019 DPL 1,9/7,3/4.730/199.000 Konsul IPD-GEH: kolonoskopi Senin,
206 A Iriant 56 4264185 radiasi, peningkatan enzim Putra, SpOG (K) PT/APTT 1,1/0,8 SGOT/SGPT 108/140 Ur/Cr 24/6/2019
transaminase, AKI dd/ acute on CKD, 50/1,4 Albumin 3,35 GDS 102 Na/K/Cl
hiponatremia, intake sulit, gangguan 131/3,9/102
pendengaran
Ca ovarium residif post HTSOB di luar 1 22/6/2019 DPL 11,7/33,4/9.270/408.000

Winny tahun yang lalu, post kemoterapi di PT/APTT 1/0,9 SGOT/SGPT 24,9/21,4
luar dengan asites masif post pungsi, Dr. dr. Sigit
206 B Bernadett 70 4382569 dispnea ec penekanan massa dd/ asites Purbadi, SpOG(K) Albumin 3,02 GDS 154 Protein total 6,07 Alirkan asites 2 liter per hari
e masif (perbaikan), intake sulit, Na/K/Cl 126/4,6/99 Ur/Cr 81,4/1,62 Asam
hiperurisemia urat 12,38
22/6/2019 DPL 11,6/35,4/8.270/501.000

Albumin 2,33 Na/K/Cl 129/4,7/101,5
Ca serviks stadium IIIB on radiasi, Dr. dr. Laila 21/6/2019 DPL 9,5/29,1/10.740/508.000
206 D Yenny Wat 72 4380516 anemia, dispepsia dengan intake sulit Nuranna, SpOG(K) Ur 11 Cr 0,4 Albumin 1,86 Rawat jalan
18/6/2019 DPL 5,2/16/13.840/882.000
Na/K/Cl 128/3,6/93
22/6/2019 DPL 8,7/25,1/3.150/133.000

Silvia Ca serviks stadium IIB dengan Dr. dr. Hariyono W, (88% Netrofilia) PT 0.9x APTT 1x Na/K/Cl Obat ARV tertnggal di rumah, obat ARV
206 E Kurnia 40 4379880 pansitopenia, HIV on ARV SpOG (K) 133/3,3/112 Ur 41,8 Cr 1,36 SGOT 12,9 RSCM hanya dapat diambil di Pokdisus (hari
SGPT 14,5 GDS 119, urinalisis dalam batas kerja)
normal
22/6/2019 DPL 11,6/35,4/8.270/501.000

Albumin 2,33 Na/K/Cl 129/4,7/101,5 Transfusi Albumer 20% 100 cc
Ca serviks stadium IIB post radiasi luar 21/6/2019 DPL 9,5/29,1/10.740/508.000
Dr. dr. Gatot Konsul Urologi: rencana sistoskopi, RPG
207 A Sri Lestari 49 4369055 6x, hidronefrosis bilateral, anemia, Ur 11 Cr 0,4 Albumin 1,86
Purwoto, SpOG(K) 18/6/2019 DPL 5,2/16/13.840/882.000 bilateral, dan insersi DJ stent bilateral
SGOT SGPT 19/24 Albumin 1,79 GDS 95 (Senin, 24/6/2019)
Na/K/Cl 128/3,6/93
Selvia 20/6/2019 DPL 6,8/23,7/13.790/517.000

207 B Yuliana 26 4383457 Ca serviks stadium IIIB, anemia Dr. dr. Hariyono W, Na/K/Cl 134/3,5/100 PT 1x/APTT 1x SGOT Transfusi PRC target Hb ≥ 10 g/dL
Kaiway SpOG (K) 15 SGPT 13 Albumin 3,33 Ur 8 Cr 0,6 GDS
99

Elisabeth infektf dd/ keganasan, cancer pain, Prof. Dr. dr. GDS 108 Fibrinogen 193 d-Dimer 4
207 C Veronica 40 4370835 pneumothorax, peningkatan enzim Andrijono, 15/6/2019 DPL 11,1/36,1/40.080/305.000 Menolak pasang WSD. Paliatf
De Groot SpOG(K)
acute on CKD GDS 88
Sri Ca serviks stadium IIB pasca radiasi Dr. dr. Sigit 22/6/2019 DPL 9,0/28/6.780/249.000 Transfusi PRC target Hb ≥ 10 g/dL
207 D Purwant 54 4120053 lengkap, ca endometrium, anemia Purbadi, SpOG(K) 21/6/2019 DPL 7,2/22,9/6.690/300.000 Kemoterapi pasca perbaikan KU
22/6/2019 TSH 0,07 T3 0,4 T4 5,06 fT4 0,85

21/6/2019 DPL 10,5/30,8/10.050/270.000 Konsul ulang IPD terkait suspek
20/6/2019 DPL 9,2/26,5/8.360/292.000 trotoksikosis (hasil TSH, T3, T4, dan fT4
Koriokarsinoma stadium III post dr. Andi Darma 19/6/2019 DPL 3,5/10,8/12.960/295.000 sudah ada)
207 E Nariah 46 4390116 histerektomi total di luar 2 bulan yang Putra, SpOG (K) SI/TIBC/Saturasi Transferin 5/167/3 Konsul IPD Kardiologi untuk toleransi
lalu, suspek trotoksikosis
18/6/2019 DPL 4,3/13,6/16.870/382.000 kemoterapi (Senin, 24/6/2019)
PT/APTT 1/1,1 Na/K/Cl 131/3,8/108 Ur/Cr Rencana EMACO
54,5/1,6 SGOT/SGPT 18,8/20,7 GDS 135
dr. T. Dewi 22/6/2019 PT/APTT 1/0,8 Fibrinogen 330 Suspek metastasis otak, rencana CT scan
Ca cervix stadium IIIB post-radiasi Anggraeni, d-Dimer 2.420 kepala dengan kontras, follow up kembali
207 F Tjong 59 4335682 eksterna 25 kali, anemia 20/6/2019 DPL 10,5/31,8/9.530/160.000
SpOG(K) Radiologi Pusat
18/6/2019 DPL 8,2/25,7/9.500/214.000

atas indikasi hidronefrosis bilateral Transfusi PRC target Hb ≥ 10 g/dL
dengan permasalahan: 21/6/2019 DPL 9,0/26,3/23.350/52.6000 Transfusi Albumer 20% 100 cc
Hj. Sudji dr. Kartwa Hadi N, (78% Netrofilia) PT 1x APTT 1x SGOT 27
210 A Noerbekt 76 3023696 - Anemia ec perdarahan (melena pada SpOG(K) SGPT 36 Albumin 2,26 Ur 53 Cr 1,9 GDS Perbaikan KU
anus dan stoma) ec massa residif 141 Na/K/Cl 127/3,9/103 IPD tdak acc raber
kolorektal Konsul Bedah Digestf (Senin, 24/6/2019)
- Hipoalbuminemia
- Riwayat TB Paru
21/6/2019 Na/K/Cl 130/4,1/100 GDS 252

20/6/2019 DPL 11,5/35,5/20.030/515.000
23/0,7 Na/K/Cl 130/3,9/100
Maria POD 3 post laparotomi surgical staging Dr. dr. Fitriyadi 19/6/2019 132/4.1/100 Perawatan pasca operasi
211 C Emersiana 62 4380514 atas indikasi karsinoma ovarium Kusuma, SpOG(K) 18/6/2019 HbA1c 6,8 GV hari ini (Minggu, 23/6/2019)
clinically early stage 17/6/2019 DPL 8,5/25,8/14.790/622.000
PT/APTT 0,9/1,2
22/6/20219 DPL 9,8/29,5/7.300/344.000

21/6/2019 DPL 8,3/25,3/6.860/336.000
19/6/2019 8/24,8/7.780/347.000 Albumin
2,32 Transfusi PRC target Hb ≥ 10 g/dL
Suspek sarkoma Botryoides dd/ mioma 18/6/2019 14,8/44,3/7.070/355.000 Transfusi Albumer 20% 100 cc
Geburt dengan anemia, Na/K/Cl 135/3,4/94 Terpasang folley catheter II 20/6/2019,
Putri hipoalbuminemia, riwayat syok Dr. dr. Fitriyadi 17/6/2019 DPL 9,7/30,2/7.250/370.000 gant 27/6/2019
212 D Diansyah 15 4381266 hipovolemik et causa perdarahan, Kusuma, SpOG(K) Albumin 1,9 Konsul Bedah Anak (Senin, 24/6/2019)
retensio urin ec suspek penekanan 15/6/2019 DPL 9,8/29,4/10.130/360.000 Konsul Gizi Klinik Anak (Senin, 24/6/2019)
massa 13/6/2019 DPL 7,7/24,7/6.600/386.000 USG Onkologi dan penilaian DPJP (Selasa,
Albumin 1,53 25/6/2019)
12/6/2019 DPL 2,8/10,3/7.350/428.000
Na/K/Cl 131/4,3/114 Ur/Cr 10,4/0,32
Ca ovarium suspek advanced stage

post NAC 3x, post HTSOD atas indikasi Prof. Dr. dr. 21/6/2019 DPL 11,1/32,9/7.850/358.000,
213 B Painten 53 4362940 leimioma dan adenomioma uterus dan Andrijono, Na/K/Cl 138/3,5/102 GDS 95 Ur 32 Cr 0,9 Laparotomi debulking Senin, VC 24/6/2019.
Bedah Digestf tdak acc join operasi
kista endometriosis ovarium kanan SpOG(K) SGOT 11 SGPT 10 Albumin 3,56
(2016)
207C dr. T. Dewi Anggraeni, SpOG(K) 205C, 207F dr. Kartwa Hadi N, SpOG(K) 210A
DNR
dr. Andi Darma Putra, SpOG (K) 206A, 207E Dr. dr. Hariyono W, SpOG (K) 205B, 205D, 206E
Dr. dr. Laila Nuranna, SpOG(K) 206D Dr. dr. Tofan W Utami, SpOG(K)
Prof. Dr. dr. Andrijono, SpOG(K) 207C, 213B Dr. dr. Gatot Purwoto, SpOG(K) 207A
Dr. dr. Sigit Purbadi, SpOG(K) 205A, 206B, 207D
Ward Map Onkologi. Sabtu, 22 Juni 2019
Ca cervix stadium IIB pasca HTSOB- Dr. dr. Sigit

204 A Sumiyat 61 4310782 debulking KGB pelvik Purbadi, SpOG(K) 17/6/2019 DPL 12.1/35.7/10990/192000 Rencana rawat jalan
dr. T Dewi 21/6/2019 DPL 11.8/35.4/7660/117000

Ca ovarium stadium IIIC, anemia dan Anggraeni, 18/6/2019 DPL 8.4/25/2510/100000 OT/PT Rencana rawat jalan
204 B RT Merani 69 4327743 trombositopenia ec kemoterapi
SpOG(K) 20/18 Alb 3.99 Ur/Cr 33/0.7
Ca ovarium IIIC pasca optmal Dr. dr. Sigit

204 C Nuraini 78 4371648 debulking Purbadi, SpOG(K) 17/6/2019 DPL 11.2/36.4/4570/212000 Rencana rawat jalan
Budi
204 D Rahayu 57 4137700 Ca endometrium IIA Dr. dr. Sigit 14/6/2019 13/39.4/6.14/356.000/ Rencana rawat jalan
Asral Purbadi, SpOG(K)
Dr. dr. Hariyono W,

204 E Gusnarita 35 4380884 PTM high risk pro kemoerapi SpOG (K) 21/6/2019 DPL 12.1/34.2/13190/309000 Rencana rawat jalan
Desi 17/6/2019 DPL 10.1/29.9/3410/369000,

204 F Mulyandar 23 4302772 PTM high risk pro kemoerapi Dr. dr. Fitriyadi OT 21 / PT 26, albumin 4.3, Ur 25 / Cr 0.7, E Lanjut Kemoterapi
i Kusuma, SpOG(K) 139/4.2/103, B-HCG 8.39, GDS 87
19/6/2019 GDS 243 17/6/2019 DPL Perawatan post-operasi

11,3/32,8/14.960/242.000
POD 4 post radikal vulvektomi, 15/6/2019 HbA1c 6,9 Imobilisasi 7 hari
205 A Lucy 66 4368362 limfadenektomi inguinal bilateral atas Dr. dr. Sigit 13/6/2019 DPL 10,6/32,5/7.010/171.000 Diet biasa
Silalahi indikasi ca vulva stadium IB, DM tpe 2, Purbadi, SpOG(K) SGOT/SGPT 17/10 Albumin 3,66 Ur/Cr Rawat bersama IPD: KGDH
hipertensi Gant verban per hari
42/1,1 GDS 105 Na/K/Cl 137/4,1/102 Obat oral
HBsAg non-reaktf
20/6/2019 DPL 12,5/ 38,9/16540/565000

POD 2 Post laparotomi HTSOB, 9/6/2019 DPL 10.3/32.4/6.34/597 Perawatan pasca operasi
Loe Ay limfadenektomi bilateral paraaorta ai Dr. dr. Hariyono W, 17/6/2019 DPL 8,6/27,5/8.910/706.000 Gant obat oral
205 B Tjen 48 4366627 Ca endometrium stadium IIIC2 TOA SpOG (K) SGOT/SGPT 16/10 Ur/Cr 24/0,8 Albumin Aff kateter dan IVFD?
bilateral 3,06 Fibrinogen 411,5 d-Dimer 700 Na/K/Cl GV besok?
dr. T Dewi 10/6/2019 DPL 10,5/31/3950/249500 OT/PT

205 C Tarsih 26 4364464 Ca ovarium advanced stage Anggraeni, 14/9 Ur/Cr 17/0,5 GDS 83 Alb 3.8 Na/K/Cl Rencana laportomi debulking 24/6/2019
SpOG(K) 135/3,8/105
Selvia Dr. dr. Hariyono W, 20/6/2019 DPL 6.8/23.7, 13790/517000, E

205 D Yuliana 26 4383457 Ca serviks IIIB, anemia, hipoalbuminemi 134/3.5/100.3, PT 1x/APTT 1x, OT 15 / PT 13, Transfusi PRC target Hb ≥ 10 g/dL
Kaiway SpOG (K) albumin 3.33, Ur 8 / Cr 0.6, GDS 99
Ca serviks stadium IIIB pasca radiasi 21/9/2019 DPL 10.9/33.6/4200/153000

lengkap, ca ovarium stadium IIIC pasca 20/6/2019 DPL 9,8/30,6/3840/146000
206 A Iriant 56 4264185 kemoterapi, riwayat anemia, dr. Andi Darma 18/6/2019 DPL 1,9/7,3/4.730/199.000 Konsul IPD-Hepatologi : USG Hepatologi
peningkatan enzim transaminase, AKI Putra, SpOG (K) PT/APTT 1,1/0,8 SGOT/SGPT 108/140 Ur/Cr 24/6/2019
dd/ acute on CKD, hiponatremia, intake 50/1,4 Albumin 3,35 GDS 102 Na/K/Cl
sulit 131/3,9/102
dr. T Dewi
206 B Emi 57 4049340 Ca cervix stadium IIIB pasca radiasi Anggraeni, 21/6/2019 DPL 11.4/33.7/6950/441000 Rencana rawat jalan
Herminah lengkap, anemia perbaikan SpOG(K) 17/6/2019 DPL 6.1/19.2/9090/497000
20/6/2019 DPL 6,6/20,5/6320/264000

19/6/2019 DPL 10.6/31.2/6.17/277
16/6/2019 DPL 6.6/20.2/8.320/229.000
Ca serviks stadium IIIB on radiasi 14/6/2019 DPL 5,7/17,2/9680/169.000 Transfusi PRC target Hb ≥ 10 g/dL
Sit Nur
206 C Muniroh 40 4374598 eksterna 23 dengan anemia, CKD on dr. Kartwa Hadi N, Na/K/Cl 137/3,0/110 Ur/Cr 39,5/3,16 HD rutn Selasa-Jumat (HD travelling
HD, CAP, fistula rektovagina, SpOG(K) Tangerang) - on cimino
hipokalemia 13/6/2019 DPL 7,6/22,2/9.530/160.000 Dalam Radiasi (tambahan eksterna 10 kali)
Ur/Cr 108/8,18; Na/K/Cl 133/4,8/107
Albumin 2,25 GDS 124. HbsAg, ant HCV,
dan HIV NR
21/6/2019 DPL 9.5/28.5/6000/331000

Ca cervix stadium IIIB on radiasi, 20/6/2019 DPL 8,0/24,9/5880/336000
Yenny dengan anemia normositk hipokromik Dr. dr. Laila 19/6/2019 DPL 6.2/19.1/9.95/356 Transfusi PRC target Hb ≥ 10 g/dL
206 D Wat 72 4380516 ec penyakit kronis, dispepsia dengan Nuranna, SpOG(K) 17/6/2019 DPL Rencana lanjut radiasi
intake sulit 7,0/21/10360/399.000/75/25/33 GDS 121
Ur/Cr 13/0,4 Na/K/Cl 132/4,0/104
21/6/2019 DPL 7.4/21.3/3000/148000,

Silvia Ca serviks stadium IIB dengan Dr. dr. Hariyono W, (88% netrofilia), PT 0.9 / APTT 1x, E
206 E Kurnia 40 4379880 pansitopenia ec (?), HIV on ARV SpOG (K) 133/3.3/112, Ur 41.8 / Cr 1.36, OT 12.9 / PT Transfusi PRC target Hb ≥ 10 g/dL
14.5, GDS 119, UL dbn
19/6/2019 DPL 10.2/31.2/20.42/247

Ca ovarium residif post kemoterapi 18/6/2019 DPL 7,8/23/22.360/254.000 LED
metastasis hepar dan klavikula sinistra 100 HBsAg non-reaktf Ant HCV non-reaktf
dengan cancer pain on MST, anemia, Prof. Dr. dr.
Lina SI/TIBC/Saturasi Transferin/Ferritn
206 F Suryani 38 4308859 leukositosis reaktf dd/ infektf, Andrijono,
74/74/100/4.917,2 DNR - Pasien kesulitan home care
peningkatan enzim transaminase, AKI SpOG(K)
dd/ acute on CKD, hiponatremia, 17/6/2019 DPL 8,7/25,4/24.290/278.000
SGOT/SGPT 91,1/19,2 Ur/Cr 75,8/3,07
dispepsia Na/K/Cl 131/4,7/120
21/6/2019 DPL 9.5/29.1/10740/508000, Ur

Ca cervix stadium IIB post radiasi luar 11 / Cr 0.40 / GFR 122, albumin 1.86 Transfusi PRC target Hb ≥ 10 g/dL
Dr. dr. Gatot Transfusi albumer
207 A Sri Lestari 49 4369055 6x Hidronefrosis bilateral, Purwoto, SpOG(K) 18/6/2019 DPL 5,2/16/13840/882000 OT Konsul Urologi : Rencana tsistoskopi RPG
hiponatremia Hipoalbumin, anemia PT 19/24 Albumin 1,79 GDS 95 Na/K/Cl insersi DJ stent bilateral (Jadwal ?)
128/3,6/93
Rawat bersama IPD

Konsul Urologi: pro sistoskopi evaluasi, RPG
Ca cervix stadium IIA post radiasi 19/6/2019 DPL 10,7/31,3/6970/373000 bilateral, insersi DJ stent bilateral hingga
lengkap suspek residif dengan anemia, Dr. dr. Laila Alb 3,03 Ur/Cr 130/2,8 Na/K/Cl 1222,5/89 nefrostomi bilateral rencana Kamis,
207 B Neny 55 4270574 leukositosis reaktf, hiponatremia, 17/6/2019 DPL 20/6/2019 --> batal anestesi tdak acc
hipokalemia, intake sulit, hidronefrosis Nuranna, SpOG(K) 7,9/22/13300/664.000/63/22/35 GDS 117 karena KU buruk
bilateral, AKI dd/ acute on CKD Ur/Cr 101/3,8 Na/K/Cl 121/2,0/99 B elum Ro thorax tdak transpotable
Konsul GH : Balans cairan, rencana HD
(coba di follow uo?)
Ca cervix st IIIB pasca radiasi lengkap 18/6/2019 DPL 10,8/33,6/41.500/240.000
suspek metastasis tulang dan hepar, PT/APTT 1,1/1,2 Na/K/Cl 131/4,8/105 Ur/Cr
Elisabeth leukositosis ec reaktf dd/ infektf dd/ Prof. Dr. dr. 72,1/1,46 SGOT/SGPT 303/80 Albumin 2,79
keganasan, cancer pain, GDS 108 Fibrinogen 193 d-Dimer 4
207 C Veronica 40 4370835 pneumothorax, peningkatan enzim Andrijono,
15/6/2019 DPL 11,1/36,1/40.080/305.000 Menolak pasang WSD. Paliatf
De Groot SpOG(K)
acute on CKD GDS 88
21/6/2019 DPL 10.5/30.8/10050/270000

20/6/2019 DPL 9,2/26,5/8360/292000
Suspek ca vulva dd/ choriocarcinoma dr. Andi Darma 19/6/2019 DPL 3,5/10,8/12.960/295.000
207 E Nariah 46 4390116 post histerektomi total di luar 2 bulan Putra, SpOG (K) SI/TIBC/Saturasi Transferin 5/167/3 Rencana rawat jalan
yang lalu, anemia 18/6/2019 DPL 4,3/13,6/16.870/382.000
PT/APTT 1/1,1 Na/K/Cl 131/3,8/108 Ur/Cr
54,5/1,6 SGOT/SGPT 18,8/20,7 GDS 135
Ca cervix stadium IIIB post radiasi dr. T Dewi 20/6/2019 DPL 10,5/31,8/9530/160000 Rencana CT Scan kepala dengan kontras
207 F Tjong 59 4335682 eksterna 25 kali, anemia Anggraeni, 18/6/2019 DPL 8.2/25.7/9.50/214 (Follow up jadwal) --> suspek metastasis
SpOG(K) otak
dr. T Dewi Transfusi PRC target Hb ≥ 10 g/dL

210 A Effandina 46 4381495 Ca cervix stadium IIIB, anemia (9,3) Anggraeni, 21/6/2019 DPL 8.9/26.6/9270/256000 Rencana rawat jalan pasca Hb tercapai,
Indriani intake sulit SpOG(K) 19/6/2019 DPL 9,3/28,2/14320/290000 tdak jadi kemoradiasi (hanya radiasi saja)

adjuvan 4 siklus (2009), post colostomi
atas indikasi Ca colorectal sugestf
atas indikasi hidronefrosis bilateral
dengan permasalahan : 21/6/2019 DPL 9.0/26.3/23350/526000 Transfusi PRC target Hb ≥ 10 g/dL
Hj. Sudji dr. Kartwa Hadi N, (78% netrofilia), PT 1x / APTT 1x, OT 27 / PT Perbaikan KU
210 D Noerbekt 76 3023696 - anemia ec perdarahan (melena pada SpOG(K) 36, albumin 2.26, Ur 53 / Cr 1.9 / GFR 25, IPD tdak acc raber
anus dan stoma) ec massa residif
colorektal GDS 141, E 127/3.9/103
- Hipoalbuminemia
- Riwayat TB Paru
- Leukositosis raktf
20/6/2019 DPL 11,5/35,5/20030/515000

19/6/19 132/4.1/100
POD II post laparotomi surgical staging 18/6/2019 HbA1c 6,8 Perawatan pasca operasi
Maria
211 C Emersiana 62 Dr. dr. Fitriyadi 17/6/2019 DPL 8,5/25,8/14.790/622.000
4380514 atas indikasi ca ovarium clinically early Kusuma, Gant obat oral
SpOG(K) Aff kateter dan IVFD?
stage SGOT/SGPT 12/8 Ur/Cr 36/0,9 GDS 223 GV besok?
PT/APTT 0,9/1,2
18/6/2019 PT/APTT 1,1/0,97

17/6/2019 Ur/Cr 101/1,9 Na/K/Cl
134/4,7/100
Ca ovarium advanced stage pasca 16/6/2019 DPL 10.5/32/20930/160000
neoadjuvan kemoterapi 3 seri, stable (netrofil 91%), Albumin 2.41, Ur 75 / Cr 1.4
disease (GFR 41), E 135/4.9/106, PCT 6.91, AGD pH
- anemia perbaikan 7.6/pCo2 24/pO2 186/HCO 3 25/Ow sat
Iriani - hipokalemia perbaikan Prof. Dr. dr. 99%/BE 4.6
211 D Nasuton 60 4365294 - riwayat syok hipovolemik dd/ syok Andrijono, 15/6/2019 Na/K/Cl 136/3,1/100,9 Mg 1,22 Rencana rawat jalan
septk SpOG(K) 14/6/2019 Na/K/Cl 136/3,0/99,4; Ur/Cr
- CAP dalam 2 antbiotk hari ke-3 65/1; PCT 45,39; CRP 169; Laktat 2,4
- AKI dd/ acute on CKD (Oligouria) 12/6/2019 DPL 9.9/29.8/18.38/236.000
- hipoalbuminemia Alb 2.78
- hematemesis 10/6/2019 DPL
7,4/22,6/5.810/316.000//83,4/27,3/32,7
52/1,2 GDS 103 Na/K/Cl 130/2,9/87,8
21/6/2019 DPL 8.3/25.3/6860/336000

19/6/2019 8/24.8/7.78/347 Alb 2.32
18/6/2019 14,8/44,3/7.070/355.000 Transfusi PRC target Hb > 10 g/dl
Suspek sarkoma Botryoides dd/ mioma Na/K/Cl 135/3,4/94 Transfusi Albumer 20% 100 cc
Geburt dengan anemia, 17/6/2019 DPL 9,7/30,2/7.250/370.000
Putri hipoalbuminemia, riwayat syok Dr. dr. Fitriyadi Albumin 1,9 Terpasang folley catheter II 20/6/2019 —>
212 D Diansyah 15 4381266 hipovolemik et causa perdarahan, Kusuma, SpOG(K) 15/6/2019 DPL 9,8/29,4/10.130/360.000 Gant 27/6/2019
retensio urin ec suspek penekanan 13/6/2019 DPL 7,7/24,7/6.600/386.000 Konsul Bedah Anak (24/6/2019)
Konsul Gizi Klinik Anak (24/6/2019)
massa Albumin 1,53 USG Onko dan Penilaian DPJP (25/6/2019)
12/6/2019 DPL 2,8/10,3/7.350/428.000
Na/K/Cl 131/4,3/114 Ur/Cr 10,4/0,32
Ca ovarium suspek advanced sage post

NAC 3x, post HTSOD atas indikasi Prof. Dr. dr. 21/6/2019 DPL 11.1/32.9/7850/358000, E
213 B Painten 53 4362940 leimioma dan adenomioma uterus dan Andrijono, 138/3.5/102, GDS 95, Ur 32 / Cr 0.9 / GFR Rencana laportomi VC 24/6/2019
kista endometriosis ovarium kanan SpOG(K) 73, OT 11 / PT 10, albumin 3.56
(2016)
204B, 205C, 206B,

206F, 207B, dr. T Dewi Anggraeni, SpOG(K) 207F, 210A dr. Kartwa Hadi N, SpOG(K) 206C, 210D
DNR 207C, 211D
dr. Andi Darma Putra, SpOG (K) 206A, 207F Dr. dr. Hariyono W, SpOG (K) 204F, 205B, 205D, 206E
Dr. dr. Laila Nuranna, SpOG(K) 206D, 207B Dr. dr. Tofan W Utami, SpOG(K)
206F, 207C, 211D,
Prof. Dr. dr. Andrijono, SpOG(K) 213C Dr. dr. Gatot Purwoto, SpOG(K) 207A

204A, 204 C, 204D,
Dr. dr. Sigit Purbadi, SpOG(K) 205A,
dr. T Dewi
Ariyani
204 A Setawat 62 4357273 Ca cervix stadium IIB Anggraeni, 13/6/2019 DPL 13,3/38,4/6150/392000
SpOG(K)
dr. T Dewi
Ca ovarium stadium IIIC, anemia, 18/6/2019 DPL 8.4/25/2510/100000 OT/PT
204 B RT Merani 69 4327743 leukopenia, trombositopenia Anggraeni, 20/18 Alb 3.99 Ur/Cr 33/0.7
SpOG(K)
Dr. dr. Sigit

204 C Mardiyat 53 4378966 Ca cervis stadium IIB post radiasi 12x 17/6/2019 DPL 12,3/39,4/5850/272000
Purbadi, SpOG(K)
dr. T Dewi
204 D Emilliana 44 4380164 Ca ovarium IIIC Anggraeni, 10/6/2019 DPL 12,7/36,9/9810/383000
Yani SpOG(K)
dr. T Dewi
Widi
204 E 59 4336350 Ca ovarium stadium IC Anggraeni, 11/6/2019 DPL 10,7/32/5740/279000
Astut
SpOG(K)
Ambar Dr. dr. Sigit

204 F 60 3545514 Ca ovarium IV residif
Friswat Purbadi, SpOG(K) 19/6/2019 DPL 11,2/33,8/3980/406000
19/6/2019 GDS 243 17/6/2019 DPL

11,3/32,8/14.960/242.000
POD 3 post radikal vulvektomi, 15/6/2019 HbA1c 6,9
Lucy 4368362 limfadenektomi inguinal bilateral atas Dr. dr. Sigit
205 A 66
Silalahi indikasi ca vulva stadium IB, DM tpe 2, Purbadi, SpOG(K) 13/6/2019 DPL 10,6/32,5/7.010/171.000
hipertensi 42/1,1 GDS 105 Na/K/Cl 137/4,1/102
HBsAg non-reaktf
dr. T Dewi 10/6/2019 DPL 10,5/31/3950/249500 OT/PT

205 C Tarsih 26 4364464 Ca ovarium advanced stage Anggraeni, 14/9 Ur/Cr 17/0,5 GDS 83 Alb 3.8 Na/K/Cl
SpOG(K) 135/3,8/105
Ca serviks stadium IIIB pasca radiasi 20/6/2019 DPL 9,8/30,6/3840/146000
lengkap, ca ovarium stadium IIIC pasca dr. Andi Darma 18/6/2019 DPL 1,9/7,3/4.730/199.000
206 A Iriant 56 4264185 kemoterapi, anemia, peningkatan PT/APTT 1,1/0,8 SGOT/SGPT 108/140 Ur/Cr
Putra, SpOG (K) 50/1,4 Albumin 3,35
enzim transaminase, AKI dd/ acute on GDS 102 Na/K/Cl
CKD, hiponatremia, intake sulit 131/3,9/102
dr. T Dewi
Emi 4049340 Ca cervix stadium IIIB pasca radiasi
206 B Herminah 57 Anggraeni, 17/6/2019 DPL 6.1/19.2/9090/497000
lengkap, klinis NED, anemia SpOG(K)
20/6/2019 DPL 6,6/20,5/6320/264000

19/6/2019 DPL 10.6/31.2/6.17/277
16/6/2019 DPL 6.6/20.2/8.320/229.000
Ca serviks stadium IIIB on radiasi dr. Kartwa Hadi N, 14/6/2019 DPL 5,7/17,2/9680/169.000
Sit Nur
206 C Muniroh 40 4374598 eksterna dengan anemia, CKD on HD, Na/K/Cl 137/3,0/110 Ur/Cr 39,5/3,16
SpOG(K)
CAP, fistula rektovagina, hipokalemia 13/6/2019 DPL 7,6/22,2/9.530/160.000
Ur/Cr 108/8,18; Na/K/Cl 133/4,8/107
dan HIV NR
20/6/2019 DPL 11,3/34,7/13150/398000

Ca cervix dd/ ca endometrium (post HT 16/6/2019 DPL 8.4/25.1/12.490/322.000
4382218 di luar Januari 2019) dengan anemia et dr. Kartwa Hadi N, 15/6/2019 DPL 7,9/23,6/12.460/322.000
206 D Nurhayat 55 causa riwayat perdarahan pervaginam, SpOG(K) 13/6/2019 DPL 8,4/24,6/19.970/404.000;
hipoalbuminemia, dispepsia Ur/Cr 14,3/0,63; Na/K/Cl 136/3,3/121; Alb
2,94; GDS 185
20/6/2019 DPL 8,0/24,9/5880/336000

Ca cervix stadium IIIB on radiasi,
19/6/2019 DPL 6.2/19.1/9.95/356
Yenny 4380516 dengan anemia normositk hipokromik Dr. dr. Laila
206 E 72 17/6/2019 DPL
Wat ec penyakit kronis, dispepsia dengan Nuranna, SpOG(K) 7,0/21/10360/399.000/75/25/33 GDS 121
intake sulit Ur/Cr 13/0,4 Na/K/Cl 132/4,0/104
19/6/2019 DPL 10.2/31.2/20.42/247
metastasis hepar dan klavikula sinistra
100 HBsAg non-reaktf Ant HCV non-reaktf
dengan cancer pain on MST, anemia, Prof. Dr. dr.
206 F 38 4308859 leukositosis reaktf dd/ infektf, Andrijono,
Suryani 74/74/100/4.917,2
peningkatan enzim transaminase, AKI SpOG(K) 17/6/2019 DPL 8,7/25,4/24.290/278.000
dd/ acute on CKD, hiponatremia, SGOT/SGPT 91,1/19,2 Ur/Cr 75,8/3,07
Ca cervix stadium IIB post radiasi luar 18/6/2019 DPL 5,2/16/13840/882000 OT

Dr. dr. Gatot
207 A Sri Lestari 49 4369055 6x Hidronefrosis bilateral, Purwoto, SpOG(K) PT 19/24 Albumin 1,79 GDS 95 Na/K/Cl
hiponatremia Hipoalbumin, anemia 128/3,6/93
Ca cervix stadium IIA post radiasi 19/6/2019 DPL 10,7/31,3/6970/373000

lengkap suspek residif dengan anemia, Alb 3,03 Ur/Cr 130/2,8 Na/K/Cl 1222,5/89
Dr. dr. Laila
207 B Neny 55 4270574 leukositosis reaktf, hiponatremia, 17/6/2019 DPL
Nuranna, SpOG(K)
hipokalemia, intake sulit, hidronefrosis 7,9/22/13300/664.000/63/22/35 GDS 117
bilateral, AKI dd/ acute on CKD Ur/Cr 101/3,8 Na/K/Cl 121/2,0/99

leukositosis ec reaktf dd/ infektf dd/ 72,1/1,46 SGOT/SGPT 303/80 Albumin 2,79
4370835 keganasan, cancer pain, GDS 108 Fibrinogen 193 d-Dimer 4
De Groot SpOG(K)
acute on CKD GDS 88
20/6/2019 DPL 9,2/26,5/8360/292000
18/6/2019 DPL 3,5/10,8/12.960/295.000
Suspek ca vulva dd/ choriocarcinoma dr. Andi Darma SI/TIBC/Saturasi Transferin 5/167/3
207 E Nariah 46 4390116 post histerektomi total di luar 2 bulan Putra, SpOG (K) 18/6/2019 DPL 4,3/13,6/16.870/382.000
yang lalu, anemia PT/APTT 1/1,1 Na/K/Cl 131/3,8/108 Ur/Cr
54,5/1,6 SGOT/SGPT 18,8/20,7 GDS 135
dr. T Dewi
4335682 Ca cervix stadium IIIB post radiasi 20/6/2019 DPL 10,5/31,8/9530/160000
207 F Tjong 59 Anggraeni,
eksterna 25 kali, anemia 18/6/2019 DPL 8.2/25.7/9.50/214
SpOG(K)
dr. T Dewi
210 A Effandina 4381495 Ca cervix stadium IIIB, anemia (9,3)
46 Anggraeni, 19/6/2019 DPL 9,3/28,2/14320/290000
Indriani intake sulit SpOG(K)
19/6/19 132/4.1/100
18/6/2019 HbA1c 6,8
Maria Dr. dr. Fitriyadi 17/6/2019 DPL 8,5/25,8/14.790/622.000
211 C Emersiana 62 4380514 NOK susp maligna (RMI 8838) Kusuma, SpOG(K) SGOT/SGPT 12/8 Ur/Cr 36/0,9 GDS 223
PT/APTT 0,9/1,2
18/6/2019 PT/APTT 1,1/0,97
17/6/2019 Ur/Cr 101/1,9 Na/K/Cl
134/4,7/100
- hipokalemia perbaikan Prof. Dr. dr. 99%/BE 4.6
Iriani
211 D Nasuton 60 4365294 - riwayat syok hipovolemik dd/ syok Andrijono, 15/6/2019 Na/K/Cl 136/3,1/100,9 Mg 1,22
7,4/22,6/5.810/316.000//83,4/27,3/32,7
52/1,2 GDS 103 Na/K/Cl 130/2,9/87,8
19/6/2019 8/24.8/7.78/347 Alb 2.32

18/6/2019 14,8/44,3/7.070/355.000
Suspek sarkoma Botryoides dd/ mioma Na/K/Cl 135/3,4/94
17/6/2019 DPL 9,7/30,2/7.250/370.000
Dr. dr. Fitriyadi Albumin 1,9
212 D Diansyah 15 Kusuma, SpOG(K) 13/6/2019 DPL
15/6/2019 9,8/29,4/10.130/360.000
hipovolemik et causa perdarahan, DPL 7,7/24,7/6.600/386.000
retensio urin ec suspek penekanan
massa Albumin 1,53
12/6/2019 DPL 2,8/10,3/7.350/428.000
Na/K/Cl 131/4,3/114 Ur/Cr 10,4/0,32
20/6/2019 DPL 11,5/35,5/20030/515000
19/6/19 132/4.1/100
Dr. dr. Fitriyadi 18/6/2019 HbA1c 6,8
Maria 4380514 Ca ovarium clinically early stage post
ICU 13 Emersiana 62 Kusuma, SpOG(K) SGOT/SGPT DPL
17/6/2019 8,5/25,8/14.790/622.000
laparotomi surgical staging 12/8 Ur/Cr 36/0,9 GDS 223
PT/APTT 0,9/1,2
20/6/2019 DPL 12,5/ 38,9/16540/565000

POD 1 post laparotomi HTSOB, 9/6/2019 DPL 10.3/32.4/6.34/597
Loe Ay 4366627 limfadenektomi bilateral paraaorta ai Dr. dr. Hariyono W, 17/6/2019 DPL 8,6/27,5/8.910/706.000
ICU 15 48
Tjen Ca endometrium stadium IIIC2 TOA SpOG (K) SGOT/SGPT 16/10 Ur/Cr 24/0,8 Albumin
bilateral 3,06 Fibrinogen 411,5 d-Dimer 700 Na/K/Cl
204 A, 204 B, 204

DNR dr. T Dewi Anggraeni, SpOG(K) D, 204 E, 205 C, dr. Kartwa Hadi N, SpOG(K)
206 B, 207 F, 210 A
207 C
211 D dr. Andi Darma Putra, SpOG (K) 206 A, 207 E Dr. dr. Hariyono W, SpOG (K)
Dr. dr. Laila Nuranna, SpOG(K) 206 E, 207 B Dr. dr. Tofan W Utami, SpOG(K)
206 F, 207 C, 211
D
211 C, 212 D, ICU
Dr. dr. Fitriyadi K, SpOG(K) 13
Dr. dr. Sigit Purbadi, SpOG(K) 204 C, 204 F, 205 A
Target
Rencana kemoterapi
Transfusi PRC target Hb ≥ 10 g/dL, Injeksi

leukogen cek lab ulang rencana kemoterpai
Rencana kemoterapi
Rencana kemoterapi
Rencana kemoterapi
Rencana kemoterapi
Imobilisasi 7 hari
Diet biasa
Rawat bersama IPD: KGDH
Obat oral
rencana laportomi debulking 23/6/2019

Konsul IPD-Hepatologi--> USG Hepatologi
Terpasang tampon tanggal 20/6/2019 jam

02.00 karena perdarahan--> aff tampon
Konsul IPD-Ginjal Hipertensi: HD rutn
lanjut. HD Selasa-Jumat.
post radiasi
rencana pulang

Rencana lanjut radiasi
edukasi DNR?
Rencana aff tampon
rencanan transfusi PRC target Hb 10 g/dl

urologi rencana sistoskopi RPG insersi DJ
stent bilateral, albumer?
Rawat bersama IPD: koreksi Natrium dan

Kalium cek elektrolit ulang
bilateral, insersi DJ stent bilateral hingga
nefrostomi bilateral rencana Kamis,
20/6/2019--> batal anestesi tdak acc
karena KU buruk. belum Ro thorax tdak
transpotable, konsul GH rencana
nefrostomi, Rencana HD ?
Edukasi DNR

USG FM
rencana pulang
transfusi target Hb 10 g/dl
Laparatomi VC hari ini

Rawat bersama Pulmonologi, Kardiologi,
IPD-GH, dan Gizi Klinik
Konsul IPD Kardio : toleransi sedang berat,

tdak perlu echo ulang, Bisoprolol
dilanjutkan 1 x 2.5 mg. Koreksi kalium
Konsul IPD Pulmo : acc, CAP (Ceftriaxone 1
x 2 g IV, Azithromiycin 1 x 500 mg PO),
Fluimucyl 3 x 200 mg PO, evaluasi ulang
pasca antbiotk hari ke -5
Konsul IPD Ginjal Hipertensi : toleransi
sedang, target albumin > 3, Kalium > 4
Menunggu hasil kultur sputum (21/6/2019)

NGT dialirkan dan pasien puasa
Konsul IPD KGEH (17/6/2019): puasa,
pantau output NGT (diet cair bila produksi
jernih < 200 cc), Kabiven, koreksi Albumin
Konsul IPD Pulmo ulang (17/6/2019) —>
hasil AGD dan PCT
Transfusi PRC target Hb > 10 g/dl

Terpasang folley catheter Sabtu,
15/6/2019, gant Sabtu, 22/6/2019
perawatan post operasi rencana pindah
ruangan biasa menunggu TS anestesi
perawatan post-operasi rencana pindah

ruangan menunggu TS anestesi
206 C, 206 D
ICU 15
207 A
dr. T Dewi
4327743 Ca ovarium stadium IIIC, anemia, 18/6/2019 DPL 8.4/25/2.51/100 OT/PT
204 B RT Merani 69 Anggraeni,
leukopenia, trombositopenia 20/18 Alb 3.99 Ur/Cr 33/0.7
SpOG(K)
Widdet Prof. Dr. dr.

204 C Munadir 56 4362002 Ca endometrium stadium IIIC Andrijono, 14/6/2019 DPL 14.3/42.1/5.61/273
SpOG(K)
Jenni Dr. dr. Fitriyadi 14/6/2019 11.5/33.4/6.02/120
204 D 53 4364621 Ca ovarium stadium IIIB
Saragih Kusuma, SpOG(K)
Maria dr. Andi Darma
204 E 43 4381302 Ca ovarium stadium IC
Kiftia Putra, SpOG (K) 14/6/2019 11/34.4/5.62/255
Dr. dr. Fitriyadi
204 F Nuraini 49 4300167 Ca ovarium advanced stage Kusuma, SpOG(K) 19/6/2019 DPL 11/33.2/7.27/250
17/6/2019 DPL 11,3/32,8/14.960/242.000

Lucy 4368362 indikasi ca vulva stadium IB, DM tpe 2, Purbadi, SpOG(K) SGOT/SGPT DPL
limfadenektomi inguinal bilateral atas Dr. dr. Sigit 13/6/2019 10,6/32,5/7.010/171.000
205 A 66
Silalahi 17/10 Albumin 3,66 Ur/Cr
HBsAg non-reaktf
19/6/2019 DPL 10.3/32.4/6.34/597

Ca endometrium stadium IIIC, anemia, Dr. dr. Hariyono W, 17/6/2019 DPL 8,6/27,5/8.910/706.000
Loe Ay
205 B 48 4366627 trombositosis ec malignansi, SGOT/SGPT 16/10 Ur/Cr 24/0,8 Albumin
Tjen SpOG (K)
hipoalbumin 3,06 Fibrinogen 411,5 d-Dimer 700 Na/K/Cl
lengkap, ca ovarium stadium IIIC pasca dr. Andi Darma PT/APTT 1,1/0,8 SGOT/SGPT 108/140 Ur/Cr
206 A Iriant 56 4264185 kemoterapi, anemia, peningkatan Putra, SpOG (K) 50/1,4 Albumin 3,35 GDS 102 Na/K/Cl
enzim transaminase, AKI dd/ acute on 131/3,9/102
CKD, hiponatremia, intake sulit
dr. T Dewi
Emi 4049340 Ca cervix stadium IIIB pasca radiasi
206 B Herminah 57 Anggraeni, 17/6/2019 DPL 6.119.2/9.09/497
lengkap, klinis NED, anemia SpOG(K)
19/6/2019 DPL 10.6/31.2/6.17/277

16/6/2019 DPL 6.6/20.2/8.320/229.000
14/6/2019 DPL 5,7/17,2/9680/169.000
Ca serviks stadium IIIB on radiasi
Sit Nur dr. Kartwa Hadi N, Na/K/Cl 137/3,0/110 Ur/Cr 39,5/3,16
206 C Muniroh 40 4374598 eksterna dengan anemia, CKD on HD, SpOG(K) 13/6/2019 DPL 7,6/22,2/9.530/160.000
CAP, fistula rektovagina, hipokalemia Ur/Cr 108/8,18; Na/K/Cl 133/4,8/107
dan HIV NR
16/6/2019 DPL 8.4/25.1/12.490/322.000

Ca cervix dd/ ca endometrium (post HT 15/6/2019 DPL 7,9/23,6/12.460/322.000
4382218 di luar Januari 2019) dengan anemia et dr. Kartwa Hadi N,
206 D Nurhayat 55 13/6/2019 DPL 8,4/24,6/19.970/404.000;
causa riwayat perdarahan pervaginam, SpOG(K) Ur/Cr 14,3/0,63; Na/K/Cl 136/3,3/121; Alb
hipoalbuminemia, dispepsia 2,94; GDS 185
Ca cervix stadium IIIB on radiasi, 19/6/2019 DPL 6.2/19.1/9.95/356

Yenny 4380516 dengan anemia normositk hipokromik Dr. dr. Laila 17/6/2019 DPL
206 E 72
Wat ec penyakit kronis, dispepsia dengan Nuranna, SpOG(K) 7,0/21/10360/399.000/75/25/33 GDS 121
intake sulit Ur/Cr 13/0,4 Na/K/Cl 132/4,0/104
19/6/2019 DPL 10.2/31.2/20.42/247
metastasis hepar dan klavikula sinistra
100 HBsAg non-reaktf Ant HCV non-reaktf
dengan cancer pain, anemia, Prof. Dr. dr.
206 F 38 4308859 leukositosis reaktf dd/ infektf, Andrijono,
Suryani 74/74/100/4.917,2
peningkatan enzim transaminase, AKI SpOG(K) 17/6/2019 DPL 8,7/25,4/24.290/278.000
Ca cervix stadium IIA post radiasi

lengkap suspek residif dengan anemia, 17/6/2019 DPL
Dr. dr. Laila
207 B Neny 55 4270574 leukositosis reaktf, hiponatremia, 7,9/22/13300/664.000/63/22/35 GDS 117
hipokalemia, intake sulit, hidronefrosis Nuranna, SpOG(K) Ur/Cr 101/3,8 Na/K/Cl 121/2,0/99
bilateral, AKI dd/ acute on CKD

4370835 keganasan, cancer pain, GDS 108 Fibrinogen 193 d-Dimer 4
De Groot SpOG(K)
acute on CKD GDS 88
16/6/2019 Albumin 2.46
15/6/2019 DPL 10,6/32,1/6.40/197.000
14/6/2019 DPL 10,6/32,1/6400/197.000
Ca serviks stadium IIA post laparotomi dr. T Dewi 13/6/2019 DPL 8/25,1/7.220/240.000
4394145 HT radikal, radiasi komplit, suspek
207 D Erni Yant 54 Anggraeni, Albumin 2,35
residif, AKI dd/ acute on CKD, DVT, SpOG(K) 11/6/2019 DPL 6.7/21.8/6020/197000, PT
hipoalbuminemia, hiponatremia 1.4x APTT 1.4x, Fibrinogen 172 D-dimer
5460, SGOT 62 SGPT 37, Ur 189 Cr 3.2 eGFR
15.7, Albumin 2.02, GDS 85, E 134/4.7/99.7
18/6/2019 DPL 3,5/10,8/12.960/295.000

207 E Nariah 46 4390116 post histerektomi total di luar 2 bulan 18/6/2019 DPL 4,3/13,6/16.870/382.000
Putra, SpOG (K) PT/APTT 1/1,1 Na/K/Cl 131/3,8/108 Ur/Cr
yang lalu, anemia
54,5/1,6 SGOT/SGPT 18,8/20,7 GDS 135
dr. T Dewi
4335682 Ca cervix stadium IIIB post radiasi
207 F Tjong 59 Anggraeni, 18/6/2019 DPL 8.2/25.7/9.50/214
eksterna 25 kali, anemia SpOG(K)
17/6/2019 DPL 9,7/29,7/10.630/390.000
15/6/2019 DPL 11/34,7/5.430/459.000
PT/APTT 1/1,1 SGOT/SGPT 15/11 Ur/Cr
POD 3 post laparotomi salpingo-
dr. Andi Darma 17/0,9 Albumin 4,06 GDS 123 Na/K/Cl
Angela 4368884 ooforektomi sinistra VC atas indikasi
210 A Christna 38 135/3,7/102
kista musinosum borderline kiri, Putra, SpOG (K) 8/5/2019 Ur/Cr 24/1
anemia 18/4/2019 DPL 10/30,6/8.130/572.000
PT/APTT 1,1/1,2 SGOT/SGPT 13/14 Albumin
3,9 Ur/Cr 35,4/1,8 Na/K/Cl 136/4,6/102
Ca cervix stadium IV A dd/ ca

endometrium dengan :
- cancer pain VAS 1 (perbaikan dalam 18/6/2019 Albumin 2,46
Durogesic patch 12 mg) 17/6/2019 Urinalisis bakteria negatf,
- intake sulit dengan hipoalbumin Prof. Dr. dr.
Nini leukosit esterase negatf, leukosit negatf
210 B 65 4321411 - leukositosis reaktf ec malignancy dd/ Andrijono,
Heryani 15/6/2019 DPL 11.8/33.7/21850/493000
infektf SpOG(K) Albumin 2.12, GDS 213.4, SGOT 28.3 SGPT
- hiperglikemia reaktf dd DM tpe 2 16.9 Ur 97.4 Cr 2.8, E 130/3.9/105
- atelektasis paru kanan ec/ TB paru
lama
- acute on CKD
19/6/19 132/4.1/100
18/6/2019 HbA1c 6,8
Maria Dr. dr. Fitriyadi 17/6/2019 DPL 8,5/25,8/14.790/622.000
211 C Emersiana 62 4380514 NOK susp maligna (RMI 8838) Kusuma, SpOG(K) SGOT/SGPT 12/8 Ur/Cr 36/0,9 GDS 223
PT/APTT 0,9/1,2
18/6/2019 PT/APTT 1,1/0,97
17/6/2019 Ur/Cr 101/1,9 Na/K/Cl
134/4,7/100
Iriani
7,4/22,6/5.810/316.000//83,4/27,3/32,7
52/1,2 GDS 103 Na/K/Cl 130/2,9/87,8
19/6/2019 8/24.8/7.78/347 Alb 2.32
18/6/2019 14,8/44,3/7.070/355.000
Na/K/Cl 135/3,4/94
Suspek sarkoma Botryoides dd/ mioma
17/6/2019 DPL 9,7/30,2/7.250/370.000
Dr. dr. Fitriyadi Albumin 1,9
212 D Diansyah 15 Kusuma, SpOG(K) 13/6/2019 DPL
15/6/2019 9,8/29,4/10.130/360.000
hipovolemik et causa perdarahan, DPL 7,7/24,7/6.600/386.000
massa 12/6/2019 DPL 2,8/10,3/7.350/428.000
Na/K/Cl 131/4,3/114 Ur/Cr 10,4/0,32
DNR 207 C dr. T Dewi Anggraeni, SpOG(K) 207 D dr. Kartwa Hadi N, SpOG(K)
206 A, 207 E, 210
211 D dr. Andi Darma Putra, SpOG (K) Dr. dr. Hariyono W, SpOG (K)
A
206 B, 206 F, 207
C, 210 B, 211 D
210 D, 211 C, 212
Dr. dr. Fitriyadi K, SpOG(K) D
Dr. dr. Sigit Purbadi, SpOG(K) 205 A
Target
Transfusi PRC target Hb ≥ 10 g/dL, Injeksi

leukogen
Rencana kemoterapi
Rencana kemoterapi
Rencana kemoterapi
Rencana kemoterapi
Imobilisasi 7 hari
Diet biasa
Obat oral
Laparotomi surgical staging hari ini

Konsul IPD-Hepatologi hari ini (Rabu,
19/6/2019)
Terpasang tampon tanggal 20/6/2019 jam

02.00 karena perdarahan.
lanjut. HD Selasa-Jumat

Rencana rawat jalan?

Kalium
20/6/2019

Transfusi Albumer 20% 100 cc 1 kali lagi
Konsul Neurologi: X-Ray toraks dan MRI
Telah CT scan thorax Selasa, 18/6/2019.
Rencana CT thorakalis (24/6/2019). Konsul
IPD-Ginjal Hipertensi: USG ginjal di RPT
lantai 5

Mobilisasi aktf
Rencana rawat jalan
Koreksi Natrium
Diet bubur lunak
Konsul IPD Ginjal Hipertensi: urinalisis dan
kultur urin (follow-up hasilnya), cek Ur/Cr
per 3 hari (Rabu, 19/6/2019)
Hari ini (Rabu 19/6/2019) aff Durogesic,
gant MST 2 x 10 mg (06.00)
Rencana rawat jalan
Laparatomi VC hari ini



hasil AGD dan PCT
Transfusi PRC target Hb > 10 g/dl
15/6/2019, gant Sabtu, 22/6/2019
206 C, 206 D, 207 F

205 B, 210 C
17/6/2019 DPL 11,3/32,8/14.960/242.000

Lucy 4368362 limfadenektomi inguinal bilateral atas Dr. dr. Sigit 13/6/2019 DPL 10,6/32,5/7.010/171.000
205 A 66
Silalahi indikasi ca vulva stadium IB, DM tpe 2, Purbadi, SpOG(K) SGOT/SGPT 17/10 Albumin 3,66 Ur/Cr
HBsAg non-reaktf
Ca endometrium stadium IIIC, anemia, Dr. dr. Hariyono W, 17/6/2019 DPL 8,6/27,5/8.910/706.000
Loe Ay SGOT/SGPT 16/10 Ur/Cr 24/0,8 Albumin
205 B 48 4366627 trombositosis ec malignansi,
Tjen SpOG (K) 3,06 Fibrinogen 411,5 d-Dimer 700 Na/K/Cl
hipoalbumin 135/3,8/103,8 HBsAg non-reaktf

lengkap, ca ovarium stadium IIIC pasca dr. Andi Darma PT/APTT 1,1/0,8 SGOT/SGPT 108/140 Ur/Cr
206 A Iriant 56 4264185 kemoterapi, anemia, peningkatan Putra, SpOG (K) 50/1,4 Albumin 3,35 GDS 102 Na/K/Cl
enzim transaminase, AKI dd/ acute on 131/3,9/102
CKD, hiponatremia, intake sulit
Ca cervix stadium IIIB dalam radiasi
luar 18 kali dengan
- Hiponatremia hipoosmolar
hipovolemik 18/6/2019 DPL 10/29,1/8.530/273.000
- Hipoalbuminemia (3.13) 17/6/2019 DPL 9,0/26,5/7.220/304.000
Prof. Dr. dr.
4374858 -- Riwayat GEA dd/ colits radiasi 15/6/2019 DPL 8.4/24.5/9720/312000
206 B Rohayat 54 Andrijono,
Hidronefrosis grade II kanan on DJ (Neutrofil 85%), PT 1x / APTT 1x, E
SpOG(K)
stent kanan 127/3.9/102, Ur 23.8 / Cr 0.9, OT 23 / PT
- Hipertensi terkontrol 35, GDS 124, albumin 3.13
- Cancer pain perbaikan (VAS 1 dalam
Durogesic patch 50 mg)
- AV block derajat 2
16/6/2019 DPL 6.6/20.2/8.320/229.000

14/6/2019 DPL 5,7/17,2/9680/169.000
Ca serviks stadium IIIB on radiasi dr. Kartwa Hadi N, Na/K/Cl 137/3,0/110 Ur/Cr 39,5/3,16
Sit Nur
206 C Muniroh 40 4374598 eksterna dengan anemia, CKD on HD, 13/6/2019 DPL 7,6/22,2/9.530/160.000
SpOG(K)
CAP, fistula rektovagina, hipokalemia Ur/Cr 108/8,18; Na/K/Cl 133/4,8/107
dan HIV NR
16/6/2019 DPL 8.4/25.1/12.490/322.000

4382218 di luar Januari 2019) dengan anemia et dr. Kartwa Hadi N,
206 D Nurhayat 55 13/6/2019 DPL 8,4/24,6/19.970/404.000;
causa riwayat perdarahan pervaginam, SpOG(K) Ur/Cr 14,3/0,63; Na/K/Cl 136/3,3/121; Alb
hipoalbuminemia, dispepsia 2,94; GDS 185
Ca cervix stadium IIIB on radiasi, 17/6/2019 DPL

Yenny 4380516 dengan anemia normositk hipokromik Dr. dr. Laila
206 E 72 Nuranna, SpOG(K) 7,0/21/10360/399.000/75/25/33 GDS 121
Wat ec penyakit kronis, dispepsia dengan Ur/Cr 13/0,4 Na/K/Cl 132/4,0/104
intake sulit
metastasis hepar dan klavikula sinistra 100 HBsAg non-reaktf Ant HCV non-reaktf
dengan cancer pain, anemia, Prof. Dr. dr. SI/TIBC/Saturasi Transferin/Ferritn
Lina
206 F 38 4308859 leukositosis reaktf dd/ infektf, Andrijono, 74/74/100/4.917,2
Suryani peningkatan enzim transaminase, AKI SpOG(K) 17/6/2019 DPL 8,7/25,4/24.290/278.000

lengkap suspek residif dengan anemia, 17/6/2019 DPL
Dr. dr. Laila
207 B Neny 55 4270574 leukositosis reaktf, hiponatremia, 7,9/22/13300/664.000/63/22/35 GDS 117
hipokalemia, intake sulit, hidronefrosis Nuranna, SpOG(K) Ur/Cr 101/3,8 Na/K/Cl 121/2,0/99
bilateral, AKI dd/ acute on CKD

keganasan, cancer pain, GDS 108 Fibrinogen 193 d-Dimer 4
207 C Veronica 40 4370835 pneumothorax, peningkatan enzim Andrijono, 15/6/2019 DPL 11,1/36,1/40.080/305.000
De Groot SpOG(K)
acute on CKD GDS 88
16/6/2019 Albumin 2.46
15/6/2019 DPL 10,6/32,1/6.40/197.000
14/6/2019 DPL 10,6/32,1/6400/197.000
15.7, Albumin 2.02, GDS 85, E 134/4.7/99.7
18/6/2019 DPL 3,5/10,8/12.960/295.000

207 E Nariah 46 4390116 post histerektomi total di luar 2 bulan 18/6/2019 DPL 4,3/13,6/16.870/382.000
Putra, SpOG (K) PT/APTT 1/1,1 Na/K/Cl 131/3,8/108 Ur/Cr
yang lalu, anemia
54,5/1,6 SGOT/SGPT 18,8/20,7 GDS 135
Ca ovarium stadium III residif on

dr. Kartwa Hadi N, 16/6/2019 DPL 11,3/31,4/9150/283.000
Sit 4103639 kemoterapi 2 seri (4x) dengan cancer
207 F 68 Ur/Cr 28,4/0,63 Albumin 2,51 GDS 96,5
Asmona pain VAS 2, diare akut suspek viral SpOG(K) Na/K/Cl 134/2,7/107
infeksi, hipokalemia, hipoalbumin
17/6/2019 DPL 9,7/29,7/10.630/390.000
15/6/2019 DPL 11/34,7/5.430/459.000
POD 2 post laparotomi salpingo-
dr. Andi Darma 17/0,9 Albumin 4,06 GDS 123 Na/K/Cl
Angela 4368884 ooforektomi sinistra VC atas indikasi
210 A Christna 38 135/3,7/102
kista musinosum borderline kiri, Putra, SpOG (K) 8/5/2019 Ur/Cr 24/1
anemia 18/4/2019 DPL 10/30,6/8.130/572.000
3,9 Ur/Cr 35,4/1,8 Na/K/Cl 136/4,6/102

- cancer pain VAS 1 (perbaikan dalam 18/6/2019 Albumin 2,46
Durogesic patch 12 mg) 17/6/2019 Urinalisis bakteria negatf,
- intake sulit dengan hipoalbumin Prof. Dr. dr.
Nini leukosit esterase negatf, leukosit negatf
210 B 65 4321411 - leukositosis reaktf ec malignancy dd/ Andrijono,
Heryani 15/6/2019 DPL 11.8/33.7/21850/493000
infektf SpOG(K) Albumin 2.12, GDS 213.4, SGOT 28.3 SGPT
- hiperglikemia reaktf dd DM tpe 2 16.9 Ur 97.4 Cr 2.8, E 130/3.9/105
- atelektasis paru kanan ec/ TB paru
lama
- acute on CKD
18/6/2019 DPL 6,5/18/18.780/1.000
PT/APTT 1,47/1,7 Fibrinogen 120 d-Dimer
27.990 PCT 7,85 Albumin 2,05
17/6/2019 DPL 6,7/18,2/11130/1000 Alb
1,93 OT/PT 40/23 Ur/cr 66/0,8 Na/K/Cl
138/2,4/111
16/6/2019 DPL 5/6/15.6/3760/1000 (ANC
1436), Kultur urin dan darah steril
15/6/2019 DPL 5,9/17/640/5.000
Yolk sac tumor rekuren on kemoterapi 14/6/2019 7/20/380/1.000 AFP > 80.000
dengan pansitopenia ec kemoterapi, 13/6/2019 DPL 9,2, 27,1/1.550/4.000
prolonged fever ec febrile neutropenia, Na/K/Cl 131/3,1/107
Ida imbalans elektrolit, AKI dd/ acute on Dr. dr. Hariyono W, 12/6/2019 DPL 10.3/30/1.01/5000 OT/PT
210 C 17 4381052 CKD, GEA, hipoalbuminemia,
Meylani SpOG (K) 60/26 Alb 2.55 Bil Total/Direk/Indirek
peningkatan enzim transaminase, riw 1.14/0.91/0.23
epistaksis ec trombositopenia, dispnea 11/6/2019 DPL 7.0/20.8/260/38000
ec efusi pleura, hematuria, post BEP 1x (Netrofil 7.7%), ant HAV HCV neg
10/6/2019 DPL 7.7/23.3/270/9000, E
135/2.6/108.9, PCT 2.83
9/6/2019 DPL 9,5/28,6/130/66.000
Neutrofil 44 % FR: hitam lendir positf
darah positf eritrosis 50-70 cacing dan
amoeba tdak ada
8/6/2019 DPL 8,4/24,6/2420/36.000,
Neutrofil 82,2% e 131/2,4/110; Ur/Cr
51,3/2,246; Alb 2,81; OT/PT 209/46,7
Ca ovarium advanced stage, anemia ec

Dr. dr. Fitriyadi 18/6/2019 DPL 9,7/29,5/6.090/205.000
210 D Nuraini 49 4300167 penyakit kronik, trombositopenia Kusuma, SpOG(K) 14/6/2019 DPL 9,4/29,6/5720/129.000
18/6/2019 HbA1c 6,8
Dr. dr. Fitriyadi 17/6/2019 DPL 8,5/25,8/14.790/622.000
Maria
211 C Emersiana 62 4380514 NOK susp maligna (RMI 8838) SGOT/SGPT 12/8 Ur/Cr 36/0,9 GDS 223
Kusuma, SpOG(K) Na/K/Cl 127/4,9/91,9 HBsAg non-reaktf
PT/APTT 0,9/1,2
18/6/2019 PT/APTT 1,1/0,97

17/6/2019 Ur/Cr 101/1,9 Na/K/Cl
134/4,7/100
Iriani
7,4/22,6/5.810/316.000//83,4/27,3/32,7
52/1,2 GDS 103 Na/K/Cl 130/2,9/87,8
18/6/2019 14,8/44,3/7.070/355.000
Na/K/Cl 135/3,4/94
Suspek sarkoma Botryoides dd/ mioma 17/6/2019 DPL 9,7/30,2/7.250/370.000
Geburt dengan anemia, Albumin 1,9
massa 12/6/2019 DPL 2,8/10,3/7.350/428.000
Na/K/Cl 131/4,3/114 Ur/Cr 10,4/0,32
dr. Andi Darma Putra, SpOG (K) 206 A, 207 E, 210 Dr. dr. Hariyono W, SpOG (K)
210 C A
211 D Dr. dr. Laila Nuranna, SpOG(K) 206 E, 207 B Dr. dr. Tofan W Utami, SpOG(K)
206 B, 206 F, 207

C, 210 B, 211 D
210 D, 211 C, 212
Dr. dr. Fitriyadi K, SpOG(K) D
Target
Imobilisasi 7 hari
Diet biasa
Obat oral

Rencana laparotomi surgical staging Kamis,
20/6/2019

Konsul IPD-Hepatologi hari ini (Rabu,
19/6/2019)
Konsul IPD Kardio (17/6/2019): Bisoprolol 1
x 2,5 mg, EKG ulang 19/6/2019
Konsul IPD Ginjal-Hipertensi (17/6/2019):
balnans cairan seimbang, cek Ur/Cr serial
Cek elektrolit ulang 3 hari (Rabu,
19/6/2019)

lanjut. HD Selasa-Jumat (mundur menjadi
hari Rabu, 19/6/2019 karena bahan medis
habis pakai habis)

Konsul IPD-Hepatologi dan IPD-Ginjal
Hipertensi hari ini (Rabu, 19/6/2019)

Kalium
20/6/2019
Konsul IPD-Pulmonologi hari ini (Rabu,
19/6/2019)

Konsul Neurologi: X-Ray toraks dan MRI
Telah CT scan thorax Selasa, 18/6/2019.
Rencana CT thorakalis (24/6/2019). Konsul
IPD-Ginjal Hipertensi: USG ginjal di RPT
lantai 5 dan MRI hari ini (Rabu, 19/6/2019)
Koreksi elektrolit sesuai TS IPD. Cek

elektrolit ulang hari ini (Rabu, 19/6/2019)
Mobilisasi aktf
Rencana gant verban dan rawat jalan
besok (Kamis, 20/6/2019)
Koreksi Natrium
Diet bubur lunak
Konsul IPD Ginjal Hipertensi: urinalisis dan
kultur urin (follow-up hasilnya), cek Ur/Cr
per 3 hari (Rabu, 19/6/2019)
Hari ini (Rabu 19/6/2019) aff Durogesic,
gant MST 2 x 10 mg (06.00)
Rencana rawat jalan
Transfusi TC target Trombosit ≥ 30.000
Konsul IPD Tropik Infeksi: adjusted
antbiotk (Meropenem, Levofloxacin, dan
Flukonazol) hari ke-7 —> tanya ulang
perihal kultur darah dan urine
Konsul IPD Hepatologi: CT scan abdomen 3
fase dan USG Hepato tunda
Konsul IPD HOM: Leucogen 1 x 300 mcg
Konsul IPD Pulmo (17/6/2019) —> untuk
masalah efusi pleura —> tunda
Konsul IPD Kardiologi: diminta konsul
berikutnya raber anak
Konsul Anak KHOM : acc raber rencana
pindah lantai 1 ruang febrile neutropenia
bila tdak penuh hari ini (Rabu, 19/6/2019).
CPC Rabu, 19/6/2019 (IPD-KHOM, IPD KPTI,
Anak-KHOM)
Transfusi PRC target Hb ≥ 10 g/dL. Rencana

kemoterapi ke-6
Transfusi PRC target Hb ≥ 10 g/dL. IPD
Metabolik Endokrin: KGDH per hari, HbA1c,
diet DM 1700 kkal/hari, Metformin 3 x 500
mg. Rencana laparotomi VC 20/6/2019



hasil AGD dan PCT
15/6/2019, gant Sabtu, 22/6/2019
206 C, 206 D, 207 F

205 B, 210 C
Ward Map Onkologi. Selasa 18 Juni 2019
16/6/2019 DPL 10.3/30.3/18400/118000

Ca ovarium (clear cell) post inadequate 15/6/2019 DPL 10,6/30/20.830/86.000
Rinna 4333849 surgical staging post kemoterapi 5 dr. Kartwa Hadi N, 12/6/2019 DPL 8,7/24,5/3150/48.000
204 A 42
Hariyat siklus, trombositopenia, peningkatan SpOG(K) (Neutrofil 17,5%, ANC 551); SGOT/SGPT
enzim transaminase 61/130; Albumin 4,19; Ur/Cr 26/0,9; GDS
123; Na/K/Cl 138/3,9/104
4379934 Ca cervix stadium IIIB on radiasi Dr. dr. Fitriyadi K, 14/6/19 DPL
204 B Rusmini 60
eksterna 13 kali SpOG(K) 12,0/35,8/5110/333000//82/27/33
17/6/2019 DPL 11,3 32,8/14960/242000

15/6/2019 HbA1c 6,9
Post radikal vulvektomi,
Lucy Dr. dr. Sigit 13/6/2019 DPL 10,6/32,5/7.010/171.000
205 A 66 4368362 limfadenektomi inguinal bilateral ai Ca Purbadi, SpOG(K) SGOT/SGPT 17/10 Albumin 3,66 Ur/Cr
Silalahi vulva stadium IB, DM tpe 2, hipertensi 42/1,1 GDS 105 Na/K/Cl 137/4,1/102
HBsAg non-reaktf
Loe Ay 4366627 Ca endometrium stadium III C anemia, Dr. dr. Hariyono W, 17/6/2019 DPL 8,3/24,5/24870/686000
205 B 48
Tjen leukositosis reaktf dd malignancy SpOG (K)
luar 18 kali dengan :
- anemia MH (hb 8.4) ec riwayat
perdarahan
- Hiponatremia hipoosmolar 17/6/2019 DPL 9,0/26,5/7220/304000
hipovolemik Prof. Dr. dr. 15/6/2019 DPL 8.4/24.5/9720/312000
4374858 -- hipoalbuminemia (3.13)
206 B Rohayat 54 Andrijono, (netrofil 85%), PT 1x / APTT 1x, E
riwayat GEA dd/ colits radiasi
SpOG(K) 127/3.9/102, Ur 23.8 / Cr 0.9, OT 23 / PT
- hidronefrosis gr II kanan on DJ stent 35, GDS 124, albumin 3.13
kanan
- hipertensi terkontrol
- cancer pain perbaikan (VAS 1 dalam
durogesic patch 50 mg)
15/6/2019 DPL 6.6/20.2/8320/229000

14/6/2019 DPL 5,7/17,2/9680/169.000;
dr. Kartwa Hadi N, Na/K/Cl 137/3,0/110 Ur/Cr 39,5/3,16
Sit Nur 4374598 eksterna 23x dengan anemia, CKD on
206 C Muniroh 40 13/6/2019 DPL 7,6/22,2/9530/160.000;
HD, CAP, fistula rektovagina, SpOG(K) Ur/Cr 108/8,18; Na/K/Cl 133/4,8/107; Alb
hipokalemia 2,25; GDS 124. HbsAg, ant HCV, dan HIV
NR
16/6/2019 DPL 8.4/25.1/12490/322000

Ca cervix dd/ ca endometrium (post HT
15/6/2019 DPL 7,9/23,6/12.460/322.000
4382218 di luar Januari 2019) dengan anemia, dr. Kartwa Hadi N,
206 D Nurhayat 55 13/6/2019 DPL 8,4/24,6/19.970/404.000;
riwayat perdarahan pervaginam on SpOG(K) Ur/Cr 14,3/0,63; Na/K/Cl 136/3,3/121; Alb
tampon. hipoalbuminemia, dispepsia 2,94; GDS 185
Ca cervix stadium IIIB on radiasi, DPL 17/6/2019

Yenny dengan anemia normositk hipokromik Dr. dr. Laila
206 E 72 4380516 ec penyakit kronis (Hb 7) dispepsia Nuranna, SpOG(K) 7,0/21/10360/399.000/75/25/33 GDS 121
Wat Ur/Cr 13/0,4 Na/K/Cl 132/4,0/104
dengan intake sulit
16/6/2019 PT 0.9x / APTT 1.3x
14/6/2019 DPL 11,2/33,3/10.970/473.000
13/6/2019 DPL 9/27,8/12.890/591.000
Albumin 3,16
TB peritoneal dengan asites masif,
4371399 hiponatremia, pemanjangan APTT (1.3) Kusuma, SpOG(K) 12/6/2019
Dr. dr. Fitriyadi Albumin 2.24 10/6/19 DPL
207 A Rohani 44 11/31.1/19390/665000, PT 1.1 x / APTT
perbaikan, dispepsia 1.5, E 127/4.8/99, Ur 32 / Cr 0.6, SGOT 21
SGPT 19, Albumin 1.87, GDS 60, IGRA
positif, PA Punksi 4x sitologi negatif, sel
spesifik

lengkap dengan anemia (Hb 7,9) post DPL 17/6/2019
4270574 transfusi, leukositosis reaktf, Dr. dr. Laila
207 B Neny 55 hiponatremia (121), hipokalemia (2,0), Nuranna, SpOG(K) 7,9/22/13300/664.000/63/22/35 GDS 117
Ur/Cr 101/3,8 Na/K/Cl 121/2,0/99
intake sulit, hidronefrosis bilateral, AkI
dd akut on CKD
16/6/2019 albumin 2.46

15/6/2019 DPL 10,6/32,1/6.40/197.000
14/6/2019 DPL 10,6/32,1/6400/197.000
15.7, Albumin 2.02, GDS 85, E 134/4.7/99.7
Ca ovarium stadium III residif on

Sit 4103639 kemoterapi 2 seri (4x) dengan cancer dr. Kartwa Hadi N, 16/6/2019 DPL 11,3/31,4/9150/283000
207 F 68
Asmona pain VAS 2, diare akut suspek viral SpOG(K) Na/K/CL 134/2,7107
infeksi, hipokalemia, hipoalbumin
- ca pain VAS 1 (perbaikan dalam
- intake sulit dengan hipoalbumin Prof. Dr. dr. 15/6/19 DPL 11.8/33.7/21850/493000,
Nini
210 B 65 4321411 - leukositosis reaktf ec malignancy dd/ Andrijono, albumin 2.12, GDS 213.4, OT 28.3 / PT 16.9,
Heryani infektf SpOG(K) Ur 97.4 / Cr 2.8, E 130/3.9/105
- hiperglikemia reaktf dd DM tpe 2
- atelektasis paru kanan ec/ Tb paru
lama
- acute on CKD
17/6/2019 DPL 6,7/18,2/11130/1000 Alb
1,93 OT/PT 40/23 Ur/cr 66/0,8 Na/K/Cl
138/2,4/111
16/6/2019 DPL 5/6/15.6/3760/1000 (ANC
15/6/2019 DPL 5,9/17/640/5.000
14/6/2019 7/20/380/1.000 AFP > 80.000
13/6/2019 DPL 9,2, 27,1/1.550/4.000
Yolk sac tumor rekuren on kemoterapi Na/K/Cl 131/3,1/107
dengan pansitopenia ec kemoterapi, 12/6/2019 DPL 10.3/30/1.01/5000 OT/PT
prolonged fever ec febrile neutropenia,
Dr. dr. Hariyono W, 60/26 Alb 2.55 Bil Total/Direk/Indirek
Ida 4381052 imbalans elektrolit, AKI dd/ acute on
210 C 17 1.14/0.91/0.23
Meylani CKD, GEA, hipoalbuminemia, SpOG (K) 11/6/2019 DPL 7.0/20.8/260/38000
peningkatan enzim transaminase, riw (Netrofil 7.7%), ant HAV HCV neg
epistaksis ec trombositopenia, dispnea 10/6/2019 DPL 7.7/23.3/270/9000, E
ec efusi pleura, hematuria, post BEP 1x 135/2.6/108.9, PCT 2.83
9/6/2019 DPL 9,5/28,6/130/66.000
Neutrofil 44 % FR: hitam lendir positf
amoeba tdak ada 8/6/2019 DPL
8,4/24,6/2420/36.000, Neutrofil 82,2% e
131/2,4/110; Ur/Cr 51,3/2,246; Alb 2,81;
OT/PT 209/46,7
Ca ovarium advanced stage, anemia ec

Dr. dr. Fitriyadi
210 D Nuraini 49 4300167 penyakit kronik, trombositopenia DPL 14/6/2019 9,4/29,6/5720/129.000
Kusuma, SpOG(K)
Maria Dr. dr. Fitriyadi
211 C Emersiana 62 NOK susp maligna (RMI 8838) 17/6/2019 DPL 8,5/25,8/14790/622000
Kusuma, SpOG(K)
17/6/2019 Ur/Cr 101/1,9Na/K/Cl
134/4,7/100 16/6/2019 DPL
Ca ovarium advanced stage pasca 10.5/32/20930/160000 (netrofil 91%),
neoadjuvan kemoterapi 3 seri, stable albumin 2.41, Ur 75 / Cr 1.4 (GFR 41), E
disease 135/4.9/106, PCT 6.91, AGD pH 7.6/pCo2
- anemia perbaikan 24/pO2 186/HCO 3 25/Ow sat 99%/BE 4.6
- hipokalemia perbaikan Prof. Dr. dr. 15/6/2019 Na/K/Cl 136/3,1/100,9 Mg 1,22
Iriani
211 D Nasuton 60 4365294 - riwayat syok hipovolemik dd/ syok Andrijono, 14/6/2019 Na/K/Cl 136/3,0/99,4; Ur/Cr
septk SpOG(K) 65/1; PCT 45,39; CRP 169; Laktat 2,4
- CAP dalam 2 antbiotk hari ke-3 12/6/2019 DPL 9.9/29.8/18.38/236.000
- AKI dd/ acute on CKD (Oligouria) Alb 2.78
- hipoalbuminemia 10/6/2019 DPL
- hematemesis 7,4/22,6/5.810/316.000//83,4/27,3/32,7
52/1,2 GDS 103 Na/K/Cl 130/2,9/87,8
17/6/2019 DPL 9,7/30,2/7250/370000

Suspek sarkoma Botryoides dd/ mioma 15/6/2019 DPL 9,8/29,4/10.130/360.000
Putri 4381266 hipoalbuminemia, riwayat syok Dr. dr. Fitriyadi
212 D Diansyah 15 Albumin 1,53 12/6/2019 DPL
hipovolemik et causa perdarahan, Kusuma, SpOG(K) 2,8/10,3/7.350/428.000 Na/K/Cl
retensio urin ec suspek penekanan 131/4,3/114 Ur/Cr 10,4/0,32 SGOT/SGPT
massa 13,3/8,3 Albumin 1,81 GDS 113
Ca serviks stadium IIIB dengan anemia,

dr. Kartwa Hadi N, 16/6/2019 DPL 8.7/26/25910/631000
Ika elektrolit imbalans, AKI dd/ acute on
421 D Handayani 37 4388904 15/6/2019 DPL 7,6/22,5/23.840/571.000;
CKD on nefrostomi bilateral (malfungsi SpOG(K) Ur/Cr 148/4,5; Na/K/Cl 125/4,1/102
pro repair)
17/6/2019 DPL 9,7/29,7/10630/390000
15/6/2019 DPL 11/34,7/5.430/459.000
POD 1 Post laparotomi
HCU Angela dr. Andi Darma 17/0,9 Albumin 4,06 GDS 123 Na/K/Cl
38 4368884 salpingooforektomi sinistra VC ai kista
613 B Christna Putra, SpOG (K) 135/3,7/102 8/5/2019 Ur/Cr 24/1
musinosum borderline kiri, anemia 18/4/2019 DPL 10/30,6/8.130/572.000
3,9 Ur/Cr 35,4/1,8 Na/K/Cl 136/4,6/102
211 D dr. Andi Darma Putra, SpOG (K) HCU 613 B Dr. dr. Hariyono W, SpOG (K)
206 B, 210 B, 211
D
204 B, 207 A, 210
Dr. dr. Fitriyadi K, SpOG(K) D 211C, 212 D
Target

Kemoterapi IV rencana pulang
kemoterapi I, rencana pulang
Imobilisasi 7 hari, diet biasa, perawatan

post op, raber IPD
KGDH dan stop glukuidon hari H
transfusi target Hb >10 g/dl rencana

laparotomi surgical staging kamis
20/6/2019
Konsul IPD Kardio (17/6/2019)
Konsul IPD Ginjal-Hipertensi (17/6/2019)
Cek elektrolit ulang 3 hari (19/6/2019)

Konsul IPD GH HD rutn lanjut

Rencana rawat jalan setelahnya
rencana transfusi Hb 10/g/dl, rencana

lanjut radiasi
Konsul IPD Hepatologi ulang (17/6/2019) —
> Rencana punksi dan pigtail
Konsul IPD Pulmo (17/6/2019) —> alih
rawat --> tdak acc alih rawat
Rencana koreksi natrium dan kalium raber

IPD, sistoskopi evaluasi RPG hingga insersi
DJ stent oleh TS urologi menunggu jadwal,
konsul IPD GH

Konsul Neurologi : X-Ray toraks dan MRI
Follow up rencana CT thorax dan MRI
Abdomen (19/6/19 jam 20.00), konsul IPD
GH
rencana koreksi elektrolit sesuai TS IPD cek

elektrolit ulang
Perbaikan KU (koreksi natrium)
Diet bubur lunak
Konsul IPD Ginjal Hipertensi --> kultur urine
cek ur/cr per 3 hari (19/6/2019)
Transfusi albumer 20% 100 cc
Transfusi TC target Trombosit ≥ 30.000
Menunggu hasil lab lengkap (ulang)
Konsul IPD Tropik Infeksi : adjusted
antbiotk (Meropenem, Levofloxacin, dan
Flukonazol) hari ke-6 —> Tanya ulang
perihal kultur darah dan urine
Konsul IPD Hepatologi : CT scan abdomen 3
fase dan USG Hepato tunda
Konsul IPD HOM : Leucogen 1 x 300 mcg
masalah efusi pleura--> tunda
Konsul IPD Kardiologi : diminta konsul
berikutnya raber anak
Konsul Anak KHOM : acc raber rencana
pindah lt 1 ruang febrile neutropenia bila
tdak penuh, CPC hari rabu 19/6/2019 (IPD-
KHOM, IPD KPTI, Anak-KHOM
transfusi Hb>10 g/dl

rencana kemoterapi ke VI
transfusi target Hb 10 g/dl, rencana
laparotomi VC 20/6/2019


Konsul IPD KGEH (17/6/2019)
hasil AGD dan PCT

(menunggu hasil DPL post transfusi)
Terpasang folley catheter (15/6/2019) —>
gant 22/6/2019
Kapten Urologi. Rencana repair nefrostomi

(Senin, 17/6/2019). Obsgin saran: transfusi
PRC dan konsul IPD-GH
perawatan post operasi rencana pindah
ruangan
204 A, 206 C, 206 D, 207 F, 421 D
205 B, 210 C
Ward Map Onkologi. Senin, 17 Juni 2019
15/6/2019 DPL 12,3/35,5/5.860/185.000

Ca ovarium stadium IC pasca Dr. dr. Gatot 11/6/2019 DPL 9,4/27,7/3.560/90.000
204 A Sutria 25 4360076 Rencana rawat jalan
kemoterapi Carboplatn - Paclitaxel VI Purwoto, SpOG(K) SGOT/SGPT 28/42 Albumin 4,56 Ur/Cr
25/0,8 GDS 83 Na/K/Cl 139/4/109
dr. Kartwa Hadi N, 10/6/2019 DPL 12,1/35,4/4.990/435.000

204 E Gusnarita 36 4380884 PTM high risk (WHO score 10) SGOT/SGPT 26/17 Ur/Cr 17/0,5 Alb 4,40 Kemoterapi lanjut (MACO seri II hari IV)
SpOG(K) Na/K/Cl 134/4,3/104 GDS 81 b-HCG 51,47
15/6/2019 HbA1c 6,9

Rencana vulvektomi radikal (Senin,
Lucy Ca vulva stadium IB, DM tpe 2, Dr. dr. Sigit 13/6/2019 DPL 10,6/32,5/7.010/171.000 17/6/2019)
205 A 66 4368362 SGOT/SGPT 17/10 Albumin 3,66 Ur/Cr
Silalahi hipertensi Purbadi, SpOG(K) 42/1,1 GDS 105 Na/K/Cl 137/4,1/102 KGDH dan stop glukuidon hari H
HBsAg non-reaktf Konsul IPD Endokrin : ringan - sedang
NOK dengan bagian padat susp maligna

dengan : Prof. Dr. dr. 15/6/2019 DPL 11.5/35.7/9480/737000,
206 A Nur Ainun 52 4391036 - ca pain vas 2 Andrijono, GDS 107, OT 43.7 / PT 19.4, Ur 32 / Cr 0.4, Koreksi elektrolit, cek elektrolit ulang hari
Lubis - intake sulit ini
- asites SpOG(K) PT 1x / APTT 0.9x, E 122/4/98
- hiponatremia

luar 18 kali dengan :
- anemia MH (hb 8.4) ec riwayat
perdarahan
- Hiponatremia hipoosmolar
hipovolemik 15/6/2019 DPL 8.4/24.5/9720/312000 Konsul IPD Kardio (17/6/2019)
- hipoalbuminemia (3.13) Prof. Dr. dr. (netrofil 85%), PT 1x / APTT 1x, E Konsul IPD Ginjal-Hipertensi (17/6/2019)
206 B Rohayat 54 4374858 - riwayat GEA dd/ colits radiasi Andrijono, 127/3.9/102, Ur 23.8 / Cr 0.9, OT 23 / PT Cek elektrolit ulang 3 hari (19/6/2019)
SpOG(K)
- hidronefrosis gr II kanan on DJ stent 35, GDS 124, albumin 3.13 Transfusi PRC target Hb ≥ 10 g/dL
kanan
- hipertensi terkontrol
- cancer pain perbaikan (VAS 1 dalam
15/6/2019 DPL 6.6/20.2/8320/229000

Ca serviks stadium IIIB on radiasi 14/6/2019 DPL 5,7/17,2/9680/169.000;
Na/K/Cl 137/3,0/110 Ur/Cr 39,5/3,16 Transfusi PRC target Hb ≥ 10 g/dL
206 C Sit Nur 40 4374598 eksterna 23x dengan anemia, CKD on dr. Kartwa Hadi N, 13/6/2019 DPL 7,6/22,2/9530/160.000; Sudah HD rutn
Muniroh HD, CAP, fistula rektovagina, SpOG(K) Ur/Cr 108/8,18; Na/K/Cl 133/4,8/107; Alb Konsul IPD Ginjal-Hipertensi (17/6/2019)
hipokalemia
2,25; GDS 124. HbsAg, ant HCV, dan HIV
NR
16/6/2019 DPL 8.4/25.1/12490/322000

206 D Nurhayat 55 4382218 di luar Januari 2019) dengan anemia, dr. Kartwa Hadi N, Transfusi PRC target Hb ≥ 10 g/dL
13/6/2019 DPL 8,4/24,6/19.970/404.000; Rencana rawat jalan setelahnya
riwayat perdarahan pervaginam on SpOG(K)
Ur/Cr 14,3/0,63; Na/K/Cl 136/3,3/121; Alb
tampon. hipoalbuminemia, dispepsia 2,94; GDS 185
16/6/2019 PT 0.9x / APTT 1.3x

14/6/2019 DPL 11,2/33,3/10.970/473.000
13/6/2019 DPL 9/27,8/12.890/591.000
Albumin 3,16 Konsul IPD Hepatologi ulang (17/6/2019) —
TB peritoneal dengan asites masif, Dr. dr. Fitriyadi 12/6/2019 Albumin 2.24 10/6/19 DPL > Rencana punksi dan pigtail
207 A Rohani 44 4371399 hiponatremia, pemanjangan APTT (1.3)
perbaikan, dispepsia Kusuma, SpOG(K) 11/31.1/19390/665000, PT 1.1 x / APTT Konsul IPD Pulmo (17/6/2019) —> alih
1.5, E 127/4.8/99, Ur 32 / Cr 0.6, SGOT 21 rawat
SGPT 19, Albumin 1.87, GDS 60, IGRA
positif, PA Punksi 4x sitologi negatif, sel
spesifik
16/6/2019 albumin 2.46

15/6/2019 DPL 10,6/32,1/6.40/197.000
14/6/2019 DPL 10,6/32,1/6400/197.000
Ca serviks stadium IIA post laparotomi Transfusi Albumer 20% 100 cc 1 kali lagi
dr. T Dewi 13/6/2019 DPL 8/25,1/7.220/240.000
207 D Erni Yant 54 4394145 HT radikal, radiasi komplit, suspek Anggraeni, Albumin 2,35
Konsul Neurologi : X-Ray toraks dan MRI
residif, AKI dd/ acute on CKD, DVT, Follow up rencana MRI Toraks dan
SpOG(K) 11/6/2019 DPL 6.7/21.8/6020/197000, PT
hipoalbuminemia, hiponatremia 1.4x APTT 1.4x, Fibrinogen 172 D-dimer Abdomen
15.7, Albumin 2.02, GDS 85, E 134/4.7/99.7
15/6/2019 DPL 11/34,7/5.430/459.000

NOK dengan bagian padat kanan 17/0,9 Albumin 4,06 GDS 123 Na/K/Cl
210 A Angela 38 4368884 suspek maligna, hidroureter dan dr. Andi Darma 135/3,7/102 8/5/2019 Ur/Cr 24/1 Rencana laparotomi VC (Senin 17/6/2019)
Christna Putra, SpOG (K) Persiapan kolon
hidronefrosis kanan 18/4/2019 DPL 10/30,6/8.130/572.000
3,9 Ur/Cr 35,4/1,8 Na/K/Cl 136/4,6/102

- ca pain VAS 1 (perbaikan dalam
durogesic patch 12 mg) Perbaikan KU (koreksi natrium)
- intake sulit dengan hipoalbumin Prof. Dr. dr. 15/6/19 DPL 11.8/33.7/21850/493000,
210 B Nini 65 4321411 - leukositosis reaktf ec malignancy dd/ Andrijono, albumin 2.12, GDS 213.4, OT 28.3 / PT 16.9, Diet bubur lunak
Heryani infektf SpOG(K) Ur 97.4 / Cr 2.8, E 130/3.9/105 Konsul IPD Ginjal Hipertensi (17/6/19)
Transfusi albumer 20% 100 cc
- hiperglikemia reaktf dd DM tpe 2
- atelektasis paru kanan ec/ Tb paru
lama
- acute on CKD
16/6/2019 DPL 5/6/15.6/3760/1000 (ANC
15/6/2019 DPL 5,9/17/640/5.000 Transfusi PRC target Hb ≥ 10 g/dL
14/6/2019 7/20/380/1.000 AFP > 80.000
13/6/2019 DPL 9,2, 27,1/1.550/4.000 Transfusi TC target Trombosit ≥ 30.000
Na/K/Cl 131/3,1/107 Menunggu hasil lab lengkap (ulang)
Konsul IPD Tropik Infeksi : adjusted
Yolk sac tumor rekuren on kemoterapi 12/6/2019 DPL 10.3/30/1.01/5000 OT/PT antbiotk (Meropenem, Levofloxacin, dan
dengan pansitopenia ec kemoterapi, 60/26 Alb 2.55 Bil Total/Direk/Indirek
prolonged fever ec febrile neutropenia, 1.14/0.91/0.23 Flukonazol) hari ke-6 —> Tanya ulang
Ida imbalans elektrolit, AKI dd/ acute on Dr. dr. Hariyono W, 11/6/2019 DPL 7.0/20.8/260/38000 perihal kultur darah dan urine
210 C 17 4381052 Konsul IPD Hepatologi : CT scan abdomen 3
Meylani CKD, GEA, hipoalbuminemia, SpOG (K) (Netrofil 7.7%), ant HAV HCV neg fase dan USG Hepato tunda
peningkatan enzim transaminase, riw 10/6/2019 DPL 7.7/23.3/270/9000, E
epistaksis ec trombositopenia, dispnea 135/2.6/108.9, PCT 2.83 Konsul IPD HOM : Leucogen 1 x 300 mcg
ec efusi pleura, hematuria 9/6/2019 DPL 9,5/28,6/130/66.000 masalah efusi pleura
Neutrofil 44 % FR: hitam lendir positf Konsul IPD Kardiologi : diminta konsul
amoeba tdak ada 8/6/2019 DPL berikutnya raber anak
Konsul Anak KHOM : acc raber, terapi lanjut
8,4/24,6/2420/36.000, Neutrofil 82,2% e
131/2,4/110; Ur/Cr 51,3/2,246; Alb 2,81;
OT/PT 209/46,7
16/6/2019 DPL 10.3/30.3/18400/118000

Ca ovarium (clear cell) post inadequate 15/6/2019 DPL 10,6/30/20.830/86.000
Rinna surgical staging post kemoterapi 5 dr. Kartwa Hadi N, 12/6/2019 DPL 8,7/24,5/3150/48.000 Transfusi TC hingga Trombosit ≥ 150.000
211 B 42 4333849
Hariyat siklus, trombositopenia, peningkatan SpOG(K) (Neutrofil 17,5%, ANC 551); SGOT/SGPT Lanjut Kemoterapi IV
enzim transaminase 61/130; Albumin 4,19; Ur/Cr 26/0,9; GDS
123; Na/K/Cl 138/3,9/104

16/6/2019 DPL 10.5/32/20930/160000
(netrofil 91%), albumin 2.41, Ur 75 / Cr 1.4 Konsul IPD Kardio : toleransi sedang berat,
Ca ovarium advanced stage pasca
neoadjuvan kemoterapi 3 seri, stable (GFR 41), E 135/4.9/106, PCT 6.91, AGD pH tdak perlu echo ulang, Bisoprolol
7.6/pCo2 24/pO2 186/HCO 3 25/Ow sat dilanjutkan 1 x 2.5 mg. Koreksi kalium
disease 99%/BE 4.6 Konsul IPD Pulmo : acc, CAP (Ceftriaxone 1
- anemia perbaikan 15/6/2019 Na/K/Cl 136/3,1/100,9 Mg 1,22 x 2 g IV, Azithromiycin 1 x 500 mg PO),
- hipokalemia perbaikan Prof. Dr. dr.
211 D Iriani 60 4365294 - riwayat syok hipovolemik dd/ syok Andrijono, 14/6/2019 Na/K/Cl 136/3,0/99,4; Ur/Cr Fluimucyl 3 x 200 mg PO, evaluasi ulang
Nasuton 65/1; PCT 45,39; CRP 169; Laktat 2,4 pasca antbiotk hari ke -5
septk SpOG(K) 12/6/2019 DPL 9.9/29.8/18.38/236.000 Konsul IPD Ginjal Hipertensi : toleransi
- CAP dalam 2 antbiotk hari ke-3
- AKI dd/ acute on CKD (Oligouria) Alb 2.78 sedang, target albumin > 3, Kalium > 4
- hipoalbuminemia 10/6/2019 DPL
7,4/22,6/5.810/316.000//83,4/27,3/32,7 Menunggu hasil kultur sputum (21/6/2019)
- hematemesis SGOT/SGPT 21/13 Albumin 2,23 Ur/Cr NGT dialirkan dan pasien puasa
52/1,2 GDS 103 Na/K/Cl 130/2,9/87,8 Konsul IPD KGEH (17/6/2019)
hasil AGD dan PCT
Suspek sarkoma Botryoides dd/ mioma 15/6/2019 DPL 9,8/29,4/10.130/360.000 Transfusi PRC target Hb ≥ 10 g/dL
Putri hipoalbuminemia, riwayat syok Dr. dr. Fitriyadi Albumin 1,53 12/6/2019 DPL (menunggu hasil DPL post transfusi)
212 D Diansyah 15 4381266 hipovolemik et causa perdarahan, Kusuma, SpOG(K) 2,8/10,3/7.350/428.000 Na/K/Cl Transfusi Albumer 20% 100 cc
Terpasang folley catheter (15/6/2019) —>
retensio urin ec suspek penekanan 131/4,3/114 Ur/Cr 10,4/0,32 SGOT/SGPT gant 22/6/2019
massa 13,3/8,3 Albumin 1,81 GDS 113
Ca serviks stadium IIIB dengan anemia, 16/6/2019 DPL 8.7/26/25910/631000 Kapten Urologi. Rencana repair nefrostomi
421 D Ika 37 elektrolit imbalans, AKI dd/ acute on dr. Kartwa Hadi N,
Handayani
4388904
CKD on nefrostomi bilateral (malfungsi SpOG(K) 15/6/2019 DPL 7,6/22,5/23.840/571.000; (Senin, 17/6/2019). Obsgin saran: transfusi
Ur/Cr 148/4,5; Na/K/Cl 125/4,1/102 PRC dan konsul IPD-GH
pro repair)
16/6/2019 Ur 187 / Cr 2.3 (GFR 23.2),

albumin 2.7, UL ISK
ILO superfisial perbaikan pada POD 33 15/6/2019 DPL 7,5/21,9/13.770/415.000
SGOT/SGPT 75/44 Ur/Cr 170/2 Albumin
post laparatomi suboptmal debulking 1,95 Na/K/Cl 118/5,2/96 PCT 11,89
atas indikasi sarkoma uteri clinically Antbiotk 3 modalitas: Inj Ceftriaxone 1 x 2
advance stage dengan permasalahan 13/6/2019 KGDH 256-173-212 g, Inj Levofloxacin 1 x 750 mg, Inj
520 C Enur 55 4362766 hemiparesis dextra, paresis N VII ec Dr. dr. Hariyono W, 7/6/2019 kultur biakan resistensi E. coli
Karcem SpOG (K) sensitf Chloramphenicol, Gentamicin, Gentamycin 3 x 80 mg.
stroke iskemi, hipertensi kronis, DM Amikacin, Ampicilin Sulbactam, Amoxiclav, Kapten Neurologi. Obsgin rawat luka (GV
tpe 2, HAP perbaikan, dengan Gentamisin 2x/hari)
hipoalbuminemia, AKI dd/ acute on Piperacillin, Tigecyclinn, Meropenem,
Imipenem
CKD, CIL, gangren digit 1 pedis dekstra 2/6/2019 DPL 8.3/24.2/14590/496000, E
117/4.8/99.5, Albumin 2.42, Ur 50 / Cr 1.1,
GFR 56.7
DNR dr. T Dewi Anggraeni, SpOG(K) 207 D dr. Kartwa Hadi N, SpOG(K) 204 E, 206 C, 206 D, 211 B, 421 D
dr. Andi Darma Putra, SpOG (K) 210 A Dr. dr. Hariyono W, SpOG (K) 210 C, 520 C
Prof. Dr. dr. Andrijono, SpOG(K) 206 A, 206 B, 210 Dr. dr. Gatot Purwoto, SpOG(K) 204 A
B, 211 D
Dr. dr. Fitriyadi K, SpOG(K) 207 A, 212 D
Ward Map Onkologi. Minggu, 16 Juni 2019

SGOT/SGPT 26/17 Ur/Cr 17/0,5 Alb 4,40
204 E Gusnarita 36 4380884 PTM high risk (WHO score 10) SpOG(K) Kemoterapi lanjut
Na/K/Cl 134/4,3/104 GDS 81 b-HCG 51,47
15/6/2019 DPL 12,7/38,7/6.460/447.000

Ca endometrium stadium IB dr. T Dewi 13/6/2019 DPL 9,5/29,3/10.640/416.000
204 F Nurul Qomar 60 4303930 residif (metastasis paru) Anggraeni, 11/6/2019 DPL 8.4/25.4/15.500/388.000 Rawat jalan
SpOG(K) SGOT/SGPT 19/18 Ur/Cr 16/0.7 GDS 118 E
130/3.9/92.5
15/6/2019 HbA1c 6,9 13/6/2019 DPL Rencana operasi Senin, 17/6/2019.

Ca vulva stadium IB, DM tpe 2, Dr. dr. Sigit 10,6/32,5/7.010/171.000 SGOT/SGPT 17/10 Regulasi gula darah, follow up IPD
205 A Lucy Silalahi 66 4368362 hipertensi Purbadi, SpOG(K) Albumin 3,66 Ur/Cr 42/1,1 GDS 105 Na/K/Cl Metabolik Endokrin (sudah
137/4,1/102 HBsAg non-reaktf dikonsul sebelumnya)
POD III post laparotomi VC 13/6/2019 DPL 12,3/39,1/15.050/387.000

10/6/2019 DPL 12/38,1/8.000/397.000 GDS
14 3926934 dilanjutkan
surgical staging Dr. dr. Laila
205 C Regitha Afia 88 PT/APTT 0.99/1 Na/K/Cl 135/4,5/103.8 GV hari ini. Rawat jalan
konservatf atas indikasi yolk sac Nuranna, SpOG(K) Fibrinogen 400,5 d-Dimer 6.900 SGOT/SGPT
tumor clinically early stage 13/<6 Ur/Cr 20/0,7 Albumin 3,95
14/6/2019 DPL 5,7/17,2/9680/169.000;

dr. Kartwa Hadi N, Na/K/Cl
137/3,0/110 Ur/Cr 39,5/3,163 Transfusi PRC target Hb ≥ 10 g/dL.
Sit Nur
40 4374598 eksterna
23x dengan anemia,
206 A Muniroh CKD on HD, CAP, fistula SpOG(K) 13/6/2019 DPL 7,6/22,2/9530/160.000; Sudah HD rutn (konsul IPD Ginjal-
rektovagina, hipokalemia Ur/Cr 108/8,18; Na/K/Cl 133/4,8/107; Alb Hipertensi Senin, 17/6/2019)
2,25; GDS 124
Ca cervix dd/ ca endometrium

(post HT di luar Januari 2019) 15/6/2019 DPL 7,9/23,6/12.460/322.000
55 4382218 dengan
anemia, riwayat dr. Kartwa Hadi N, 13/6/2019 DPL 8,4/24,6/19.970/404.000;
206 D Nurhayat perdarahan pervaginam on SpOG(K) Ur/Cr 14,3/0,63; Na/K/Cl 136/3,3/121; Alb Transfusi PRC target Hb ≥ 10 g/dL
tampon. hipoalbuminemia, 2,94; GDS 185
dispepsia
Ca cervix st IIIB pasca radiasi

Elisabeth lengkap suspek metastasis 15/6/2019 DPL 11,1/36,1/40.080/305.000
tulang dan hepar, leukositosis ec dr. Kartwa Hadi N, 13/6/2019 DPL 8,8/28,2/47.210/332.000; Rawat jalan. Dalam Durogesic
206 F Veronica De 40 4370835 reaktf dd/ infektf dd/ SpOG(K) Ur/Cr 19,2/0,652; Na/K/Cl 127/4,5/102; GDS patch
Groot
keganasan, cancer pain, 88
hiponatremia
14/6/2019 11,2/33,3/10.970/473.000
Follow-up konsul IPD Pulmo (alih
TB peritoneal dengan asites 13/6/2019 9/27,8/12.890/591.000 Albumin
rawat). IPD Hepatologi: pungsi
44 4371399 masif,
hiponatremia, Dr. dr. Fitriyadi 3,16 12/6/2019 Albumin 2.24 10/6/19 DPL asites dan pasang pig tail jika APTT
207 A Rohani pemanjangan APTT (1.59), Kusuma, SpOG(K) 11/31.1/19390/665000, PT 1.1 x / APTT 1.5, E
< 1,5, jadwal ulang Senin,
dispepsia 127/4.8/99, Ur 32 / Cr 0.6, SGOT 21 SGPT 19,
17/6/2019. FFP 750 cc bertahap
Albumin 1.87, GDS 60
15/6/2019 DPL 12,3/35,5/5.860/185.000

Dr. dr. Gatot 11/6/2019 DPL 9,4/27,7/3.560/90.000
207 B Sutria 25 4360076 Ca ovarium stadium IC Purwoto, SpOG(K) SGOT/SGPT 28/42 Albumin 4,56 Ur/Cr 25/0,8 Rawat jalan
GDS 83 Na/K/Cl 139/4/109
Dr. dr. Gatot 15/6/2019 DPL 10/29,4/13.060/514.000

Purwoto, SpOG(K) 13/6/2019
207 C Se Hiong 48 4382008 Ca serviks stadium IIIB DPL 7,9/23,5/13.280/465.000 Rawat jalan
29/5/2019 DPL 7.3/24/10.880/450.000
15/6/2019 DPL 10,6/32,1/6.40/197.000

14/6/2019 DPL 10,6/32,1/6400/197.000
Ca serviks stadium IIA post
13/6/2019 DPL 8/25,1/7.220/240.000 Transfusi Albumer 20% 100 cc.
laparotomi HT radikal, radiasi dr. T Dewi Albumin 2,35 11/6/2019 DPL Konsul Neurologi: rontgen dan MRI
207 D Erni Yant 54 4394145 komplit, suspek residif, AKI dd/ Anggraeni,
6.7/21.8/6020/197000, PT 1.4x APTT 1.4x, thorakal dengan kontras
acute on CKD, DVT, SpOG(K)
Fibrinogen 172 D-dimer 5460, SGOT 62 SGPT (penjadwalan)
37, Ur 189 Cr 3.2 eGFR 15.7, Albumin 2.02,
GDS 85, E 134/4.7/99.7
15/6/2019 DPL 11/34,7/5.430/459.000

PT/APTT 1/1,1 SGOT/SGPT 15/11 Ur/Cr 17/0,9
Neoplasma ovarium padat
dr. Andi Darma Albumin
4,06 GDS 123 Na/K/Cl 135/3,7/102 Laparotomi VC Senin 17/6/2019.
Angela
38 4368884 kanan
suspek maligna,
210 A Christna hidroureter dan hidronefrosis Putra, SpOG (K) 8/5/2019 Ur/Cr 24/1 18/4/2019 DPL Persiapan kolon
kanan 10/30,6/8.130/572.000 PT/APTT 1,1/1,2
SGOT/SGPT 13/14 Albumin 3,9 Ur/Cr 35,4/1,8
Na/K/Cl 136/4,6/102
Transfusi PRC target Hb ≥ 10 g/dL.

15/6/2019 DPL 5,9/17/640/5.000 14/6/2019 Transfusi TC target Trombosit ≥
7/20/380/1.000 AFP > 80.000 13/6/2019 DPL 30.000. Konsul IPD Tropik Infeksi:
Yolk sac tumor rekuren on 9,2, 27,1/1.550/4.000 Na/K/Cl 131/3,1/107 adjusted antbiotk (Meropenem,
kemoterapi dengan 12/6/2019 DPL 10.3/30/1.01/5000 OT/PT Levofloxacin, dan Flukonazol),
pansitopenia ec kemoterapi, 60/26 Alb 2.55 Bil Total/Direk/Indirek menunggu kultur darah dan urin.
prolonged fever ec febrile 1.14/0.91/0.23 11/6/2019 DPL PCT drip/6 jam. Konsul IPD
neutropenia, imbalans
Hariyono W, 7.0/20.8/260/38000
(Netrofil 7.7%), ant HAV Hepatologi: CT scan
210 C Ida Meylani 17 4381052 elektrolit, AKI dd/ acute on CKD, Dr. dr.SpOG HCV neg 10/6/2019 DPL 7.7/23.3/270/9000, E abdomen 3 fase tunda, USG
GEA, hipoalbuminemia, (K) 135/2.6/108.9, PCT 2.83 9/6/2019 DPL Hepato dulu. Konsul IPD
peningkatan enzim 9,5/28,6/130/66.000 Neutrofil 44 % FR: hitam
transaminase, riw epistaksis ec lendir positf darah positf eritrosis 50-70 HOM: Leucogen 1 x 300
trombositopenia, dispnea ec cacing dan amoeba tdak ada 8/6/2019 DPL mcg. Konsul IPD Pulmo
efusi pleura 8,4/24,6/2420/36.000, Neutrofil 82,2% e untuk masalah efusi pleura
131/2,4/110; Ur/Cr 51,3/2,246; Alb 2,81; (Senin, 17/6/2019). Edukasi
OT/PT 209/46,7 ulang DNR kepada kedua
orang tua pagi ini
Ca ovarium (clear cell) post 15/6/2019 DPL 10,6/30/20.830/86.000
inadequate surgical staging post dr. Kartwa Hadi N, 12/6/2019 DPL 8,7/24,5/3150/48.000 Transfusi TC hingga Trombosit ≥
211 B Rinna Hariyat 42 4333849 kemoterapi 5 siklus, (Neutrofil 17,5%, ANC 551); SGOT/SGPT
trombositopenia, peningkatan SpOG(K) 61/130; Albumin 4,19; Ur/Cr 26/0,9; GDS 123; 150.000
enzim transaminase Na/K/Cl 138/3,9/104
15/6/2019 DPL 10,7/31,7/11.810/135.000 Transfusi Albumer 20% 100

Albumin 2,48 Na/K/Cl 132/3,1/111 13/6/2019
Ca serviks stadium IIIB dalam DPL 8,8/26,4/21.970/180.000 Mg 1,82 cc. Radiasi lanjut sambil perbaikan
radiasi eksterna, dr. T Dewi SGOT/SGPT 8/7 Albumin 2,33 Ur/Cr 195/2,9 keadaan umum. Konsul IPD Ginjal
trombositopenia, akut on CKD, Hipertensi: cek Ur/Cr tap 3 hari,
211 C Nuril Hidayah 50 4379566 Anggraeni, Ferritn 795 Kalsium 7,4 SI/TIBC/Transferin
diare akut dehidrasi ringan saran konsul Bedah
sedang perbaikan ec colits SpOG(K) 26/83/31 11/6/2019 DPL
8.0/23.4/21650/338000 (netrofilia 93%), PT 1x Vaskular/Kardiologi kemungkinan
radiasi, hipoalbuminemia DVT; konsul IPD Gastro
/ APTT 1.1x, Ur 203.5 / Cr 4.8, E 130/4.0/109,
OT 11 / PT 8, GDS 107 kemungkinan colits radiasi
Rawat bersama Pulmonologi,

Kardiologi, IPD-GH, dan Gizi Klinik
Konsul IPD Kardio: toleransi
sedang berat, tdak perlu echo
ulang, Bisoprolol dilanjutkan 1 x
15/6/2019 Na/K/Cl 136/3,1/100,9 Mg 1,22 2.5 mg. Koreksi kalium
Ca ovarium advanced stage 14/6/2019 Na/K/Cl 136/3,0/99,4; Ur/Cr 65/1; Konsul IPD Pulmo: acc, CAP
pasca neoadjuvan kemoterapi 3
PCT 45,39; CRP 169; Laktat 2,4 (Ceftriaxone 1 x 2 g IV,
Iriani seri, stable disease, anemia, Prof. Dr. dr. 12/6/2019 DPL 9.9/29.8/18.38/236.000 Alb Azithromiycin 1 x 500 mg PO),
211 D Nasuton 60 4365294 hipokalemia, riwayat syok Andrijono, 2.78 10/6/2019 DPL Fluimucyl 3 x 200 mg PO, evaluasi
hipovolemik dd/ syok septk, SpOG(K)
7,4/22,6/5.810/316.000//83,4/27,3/32,7 ulang pasca antbiotk hari ke -5,
CAP, AKI dd/ acute on CKD,
hipoalbuminemia SGOT/SGPT 21/13 Albumin 2,23 Ur/Cr 52/1,2 saran cek sputum, kultur MOR,
GDS 103 Na/K/Cl 130/2,9/87,8 gram, inhalasi NaCl kemudian
minta pasien batuk
Konsul IPD Ginjal Hipertensi:
toleransi sedang, koreksi
hipoalbuminemia target > 3,
Kalium > 4, Hb > 10. Pasang
kateter urine, balans cairan 24 jam
POD V post laparatomi 15/6/2019 DPL 11,3/34,1/17.250/495.000

dr. Andi Darma 13/6/2019
DPL 9,4/28,6/14.280/213.000
eksplorasi biopsi atas indikasi
Putra, SpOG (K) Na/K/Cl
212 A Salmiza 37 4366274 suspek ca tuba dd/ ca 140/4/104 11/6/2019 DPL Rawat jalan
8.3/28.6/21.130/716.000 Ur/Cr 24/0.7
mesenterium, hipoalbuminemia Albumin 2.74 E 140/4/104

mioma Geburt dengan anemia, 13/6/2019 DPL 7,7/24,7/6.600/386.000 Transfusi PRC target Hb ≥ 10 g/dL.
Putri hipoalbuminemia, riwayat syok Dr. dr. Fitriyadi Albumin 1,53 12/6/2019 DPL Transfusi Albumer 20% 100 cc.
212 D Diansyah 15 4381266 hipovolemik et causa Kusuma, SpOG(K) 2,8/10,3/7.350/428.000 Na/K/Cl 131/4,3/114 Terpasang folley catheter
perdarahan, retensio urin ec Ur/Cr 10,4/0,32 SGOT/SGPT 13,3/8,3 Albumin (15/6/2019)
suspek penekanan massa 1,81 GDS 113
POD III post laparotomi surgical

dr. Andi Darma 13/6/2019 DPL
11,3/33,5/27.200/391.000
214 B Rosina 42 4369253 staging atas indikasi ca ovarium Putra, SpOG (K) SGOT/SGPT
15/9 Ur/Cr 12/0,4 Na/K/Cl Rawat jalan
clinically early stage 136/3,3/105
Ca serviks stadium IIIB dengan Kapten Urologi. Rencana repair

421 D Ika Handayani 37 4388904 anemia,
elektrolit imbalans, AKI dr. Kartwa Hadi N, 15/6/2019 DPL 7,6/22,5/23.840/571.000; nefrostomi (Senin, 17/6/2019).
dd/ acute on CKD on nefrostomi SpOG(K) Ur/Cr 148/4,5; Na/K/Cl 125/4,1/102 Obsgin saran: transfusi PRC dan
bilateral (malfungsi pro repair) konsul IPD-GH
15/6/2019 DPL 7,5/21,9/13.770/415.000

SGOT/SGPT 75/44 Ur/Cr 170/2 Albumin 1,95
ILO superfisial perbaikan pada Na/K/Cl 118/5,2/96 PCT 11,89 13/6/2019
POD 33 post laparatomi KGDH 256-173-212 11/6/2019 DPL
suboptmal debulking atas 11/31.3/17130/326000, E 129/3.9/101 Antbiotk 3 modalitas: Inj
indikasi sarkoma uteri clinically 10/6/2019 DPL
Ceftriaxone 1 x 2 g, Inj Levofloxacin
advance stage dengan 10,7/31,7/13.730/307.000//85,2/28,8/33,8 1 x 750 mg, Inj Gentamycin 3 x 80
55 4362766 permasalahan
hemiparesis Dr. dr. Hariyono W, Na/K/Cl 131/3,9/102 7/6/2019 kultur biakan
520 C Enur Karcem dextra, paresis N VII ec stroke SpOG (K) resistensi E. coli sensitf Chloramphenicol, mg.
Kapten Neurologi. Obsgin rawat
iskemi, hipertensi kronis, DM Gentamicin, Amikacin, Ampicilin Sulbactam,
tpe 2, HAP perbaikan, Amoxiclav, Piperacillin, Tigecyclinn, luka (GV dengan Gentamisin
hipoalbuminemia, AKI dd/ acute Meropenem, Imipenem 5/6/2019 DPL 2x/hari)
on CKD, CIL, gangren digit 1 10.5/30/12000/465000
pedis dekstra 2/6/2019 DPL 8.3/24.2/14590/496000, E
117/4.8/99.5, Albumin 2.42, Ur 50 / Cr 1.1,
GFR 56.7
DNR dr. T Dewi Anggraeni, SpOG(K) dr. Kartwa Hadi N, SpOG(K) 204 E, 206 A, 206 D, 206 F, 211 B,
204
210 F,
A,207
212D,
A,211
214C 421 D
dr. Andi Darma Putra, SpOG (K) B Dr. dr. Hariyono W, SpOG (K) 210 C, 520 E
Dr. dr. Laila Nuranna, SpOG(K) 205 C Dr. dr. Tofan W Utami, SpOG(K)
Prof. Dr. dr. Andrijono, SpOG(K) 211 D Dr. dr. Gatot Purwoto, SpOG(K) 207 B, 207 C
Ward Map Onkologi. Sabtu 15 Juni 2019
Ca ovarium stadium IC1 dengan 13/6/2019 DPL 10,5/30,8/5.570/161.000

204 A Iyoh BT Kasim 49 4330152 anemia ec penyakit kronis, dr. Andi Darma 10/6/2019 DPL 9.0/26.4/5390/111000, PT
rencana kemoterapi Putra, SpOG (K) 0.9x / APTT 0.9x, OT 13 / PT 6, albumin 4.2 / Ur
(Carboplatn - Paclitaxel VI) 19 / Cr 0.6 / GFR 107, E 134/4.5/101
Ca ovarium stadium IIIC residif 13/6/2019 Na/K/Cl 134/2,7/99,8 12/6/2019

dengan anemia mikrositk dr. Andi Darma DPL 10.6/31.2/4.16/483 10/6/2019 DPL
204 B Sekarwat 51 3844964 hipokrom ec penyakit kronik, 8.8/25.8/3510/373000 (netrofil 55%), OT 17 /
Putra, SpOG (K) PT 24, albumin 3.38, Ur 18 / Cr 0.5 / GFR 112,
hipnatremia, hipokalemia,
hipochloremia GDS 129, E 133 / 2.6 / 95
Ca tuba stadium IV B post Prof. Dr. dr. 11/6/19 11/32,5/3870.301.000; Ur/Cr 16/0,5;
204 C Nurbait 41 4361109 debulking (Mei 2019) on Andrijono, Na/K/Cl 140/3,3/104
kemoterapi siklus ke-1 SpOG(K)
Endang Dr. dr. Laila 10/6/17 10,4/31,5/3260/221.000; Ur/Cr

204 D 54 4365317 Ca ovarium stadium IIIC
Prihwulan Nuranna, SpOG(K) 20/0,8
dr. Kartwa Hadi N, 10/6/19 DPL 12,1/35,4/4990/435.000; Ur/Cr
204 E Gusnarita 36 4380884 PTM high risk (WHO score 10) SpOG(K) 17/0,5; Alb 4,40; Na/K/Cl 134/4,3/104
13/6/2019 10,6/32,5/7.010/171.000
Dr. dr. Sigit SGOT/SGPT 17/10 Albumin 3,66 Ur/Cr 42/1,1
205 A Lucy Silalahi 66 4368362 Ca vulva stadium IB Purbadi, SpOG(K) GDS 105 Na/K/Cl 137/4,1/102 HBsAg non-
reaktf
13/6/2019 DPL 12,3/39,1/15.050/387.000

POD 2 Post laparotomi VC 10/6/2019 DPL 12/38,1/8.000/397.000 GDS
14 3926934 dilanjutkan surgical staging Dr. dr. Laila
205 C Regitha Afia 88 PT/APTT 0.99/1 Na/K/Cl 135/4,5/103.8
konservatf atas indikasi yolk sac Nuranna, SpOG(K) Fibrinogen 400,5 d-Dimer 6.900 SGOT/SGPT
tumor clinically early stage 13/<6 Ur/Cr 20/0,7 Albumin 3,95
14/6/19 DPL 5,7/17,2/9680/169.000; Na/K/Cl
Ca Cervix st IIIB on radiasi
dr. Kartwa Hadi N, 137/3,0/110 Ur/Cr 39,5/3,163
Sit Nur 40 4374598 eksterna 23x dengan anemia,
206 A 13/6/19 DPL 7,6/22,2/9530/160.000; Ur/Cr
Muniroh CKD on HD, CAP, fistula SpOG(K) 108/8,18; Na/K/Cl 133/4,8/107; Alb 2,25; GDS
rektovagina, hipokalemia 124
14/6/19 DPL 12/35,8/5110/331.000

Dr. dr. Tofan W 12/6/2019 9,8/29,6/6.080/336.000
206 C Rusmini 60 4379934 Ca serviks IIIB, anemia Utami, SpOG(K) SGOT/SGPT 17/13 Albumin 4,06 Ur/Cr 26/0,6
GDS 137 Na/K/Cl 134/4,6/100
Ca cervix dd/ ca endometrium

(post HT di luar Januari 2019) dr. Kartwa Hadi N, 13/6/19 DPL 8,4/24,6/19.970/404.000; Ur/Cr
206 D Nurhayat 55 4382218 dgn anemia, riwayat perdarahan 14,3/0,63; Na/K/Cl 136/3,3/121; Alb 2,94; GDS
SpOG(K)
pervaginam on tampon. 185
hipoalbuminemia, dyspepsia
70 4270294 Ca serviks stadium IIIB post Dr. dr. Gatot 15/6/19 DPL 10/30,3/ 12.720/455.000
206 E Sarsinah radiasi lengkap Purwoto, SpOG(K) Hb 8.1 (laboratorium luar)
Ca cervix st IIIB pasca radiasi
Elisabeth lengkap suspek metastasis dr. Kartwa Hadi N, 13/6/19 DPL 8,8/28,2/47.210/332.000; Ur/Cr
206 F Veronica De 40 4370835 tulang dan hepar dengan SpOG(K) 19,2/0,652; Na/K/Cl 127/4,5/102; GDS 88
Groot anemia, cancer pain,
hiponatremia, intake sulit
TB peritoneal dengan ascites 14/6/19 11,2/33,3/10970/473.000

masif, hipoalbuminemia (1.8), Dr. dr. Fitriyadi 12/6/2019 Alb 2.24
207 A Rohani 44 4371399 hiponatremia (127), Kusuma, SpOG(K) x / APTT 1.5, E11/31.1/19390/665000,
10/6/19 DPL PT 1.1
pemanjangan APTT (1.59), 127/4.8/99, Ur 32 / Cr 0.6, OT
dispepsia 21 / PT 19, albumin 1.87, GDS 60
11/6/2019 DPL 9,4/27,7/3.560/90.000
Dr. dr. Gatot
207 B Sutria 25 4360076 Ca ovarium stadium IC Purwoto, SpOG(K) SGOT/SGPT 28/42 Albumin 4,56 Ur/Cr 25/0,8
GDS 83 Na/K/Cl 139/4/109
48 4382008 Ca serviks stadium IIIB dengan Dr. dr. Gatot 13/6/2019 DPL 7,9/23,5/13.280/465.000
207 C Se Hiong anemia Purwoto, SpOG(K) 29/5/2019 DPL 7.3/24/10.880/450.000
14/6/19 DPL 10,6/32,1/6400/197.000

Ca serviks stadium IIA post 13/6/2019 DPL 8/25,1/7.220/240.000
laparotomi HT radikal, radiasi dr. T Dewi Albumin 2,35 11/6/2019 DPL
54 4394145 komplit, suspek residif, anemia
207 D Erni Yant Anggraeni, 6.7/21.8/6020/197000, PT 1.4x / APTT 1.4x,
ec perdarahan, AKI dd/acute on SpOG(K) fibrinogen 172 / D-dimer 5460, OT 62 / PT 37,
CKD, DVT, hipoalbuminemia, Ur 189 / Cr 3.2 / GFR 15.7, albumin 2.02, GDS
hiponatremia 85, E 134 / 4.7 / 99.7
Mola invasif post TAH on 12/6/19 DPL 7,8/22,9/3650/115.000 (neutrofil

34 4219273 kemoterapi dengan Dr. dr. Sigit
207 E Eli Ernawat Purbadi, SpOG(K) 42,2%); Na/K/Cl 135/3,6/104; Ur/Cr 14/1; hCG
pansitopenia dan peningkatan 354,26
enzim transaminase
Neoplasma ovarium padat 8/5/2019 Ur/Cr 24/1 18/4/2019 DPL

Angela 38 4368884 kanan suspek maligna, dr. Andi Darma 10/30,6/8.130/572.000 PT/APTT 1,1/1,2
210 A Christna hidroureter dan hidronefrosis Putra, SpOG (K) SGOT/SGPT 13/14 Albumin 3,9 Ur/Cr 35,4/1,8
kanan Na/K/Cl 136/4,6/102
AUB-A ec adenomyosis, Ca 23/5/2019 DPL 7,4/25,5/5.210/386.000 LED

ovarium stasium IIIC suspek Dr. dr. Gatot 95 PT/APTT 1/0,8 Na/K/Cl 138/4/108
210 B Tiarni 37 3224394 residif post conservatve surgical Purwoto, SpOG(K) SGOT/SGPT 11/9 Albumin 4,14 Ur/Cr 35/0,7
staging thn 2008 dengan anemia GDS 86
ec perdarahan
14/6/19 7/20/380/1000
13/6/2019 DPL 9,2, 27,1/1.550/4.000 Na/K/Cl
Yolk sac tumor rekuren on 131/3,1/107 12/6/19 DPL 10.3/30/1.01/5000
kemoterapi dengan OT/PT 60/26 Alb 2.55 Bil total/direk/indirek
pansitopenia ec kemoterapi, 1.14/0.91/0.23 11/6/19 DPL
prolonged fever ec febrile 7.0/20.8/260/38000 (netrofil 7.7%), ant HAV
neutropenia, imbalans Dr. dr. Hariyono W, HCV neg 10/6/19 DPL 7.7/23.3/270/9000, E
210 C Ida Meylani 17 4381052 elektrolit, AKI dd/ acute on CKD, SpOG (K) 135/2.6/108.9, PCT 2.83 9/6/19 DPL
GEA, hipoalbuminemia, 9,5/28,6/130/66.000 neutrofil 44 % FR: hitam
peningkatan enzim lendir positf darah positf eritrosis 50-70
transaminase, riw epistaksis ec cacing dan amoeba tdak ada 8/6/19 DPL
trombositopenia 8,4/24,6/2420/36.000, neutrofil 82,2% e
131/2,4/110; Ur/Cr 51,3/2,246; Alb 2,81;
OT/PT 209/46,7
13/6/2019 DPL 9,5/29,3/10.640/416.000

Ca endometrium stadium IB dr. T Dewi 11/6/2019 DPL 8.4/25.4/15.500/388.000
211 A Nurul Qomar 60 4303930 residif (metastasis paru) dengan Anggraeni, Ur/Cr 16/0.7 OT/PT 19/18 GDS 118 e
anemia, hiponatremia SpOG(K) 130/3.9/92.5
Ca ovarium (clear cell) post
inadequate surgical staging post dr. Kartwa Hadi N, 12/6/19 DPL 8,7/24,5/3150/48.000 (neutrofil
211 B Rinna Hariyat 42 4333849 kemoterapi 5 siklus, 17,5%, ANC 551); OT/PT 61/130; Albumin 4,19;
SpOG(K)
pansitopenia, peningkatan Ur/Cr 26/0,9; GDS 123; Na/K/Cl 138/3,9/104
enzim transaminase
Ca serviks stadium IIIB dalam
radiasi eksterna 10x dengan 13/6/2019 DPL 8,8/26,4/21.970/180.000 Mg
anemia ec penyakit kronis, akut 1,82 SGOT/SGPT 8/7 Albumin 2,33 Ur/Cr
on CKD, leukositosis reaktf ec dr. T Dewi 195/2,9 Ferritn 795 Kalsium 7,4
211 C Nuril Hidayah 50 4379566 malignansi dd/ infektf, diare Anggraeni, SI/TIBC/Transferin 26/83/31 11/6/19 DPL
akut dehidrasi ringan sedang SpOG(K) 8.0/23.4/21650/338000 (netrofilia 93%), PT 1x
perbaikan ec colits radiasi / APTT 1.1x, Ur 203.5 / Cr 4.8, E 130/4.0/109,
dengan hiponatremia, OT 11 / PT 8, GDS 107
hipoalbuminemia
Ca ovarium advanced stage 14/6/19 Na/K/Cl 136/3,0/99,4; Ur/Cr 65/1;

pasca neoadjuvan kemoterapi 3 PCT 45,39; CRP 169; laktat 2,4
seri, stable disease, anemia, Prof. Dr. dr. 12/6/2019 DPL 9.9/29.8/18.38/236.000 Alb
Iriani
211 D 60 4365294 hipokalemia, riwayat syok Andrijono, 2.78 10/6/2019 DPL
Nasuton hipovolemik dd/ syok septk, SpOG(K) 7,4/22,6/5.810/316.000//83,4/27,3/32,7
CAP, AKI dd/ acute on CKD, CAP, SGOT/SGPT 21/13 Albumin 2,23 Ur/Cr 52/1,2
hipoalbuminemia GDS 103 Na/K/Cl 130/2,9/87,8
POD III post laparatomi 13/6/2019 DPL 9,4/28,6/14.280/213.000
eksplorasi biopsi ai suspek ca dr. Andi Darma Na/K/Cl 140/4/104 11/6/2019 DPL
212 A Salmiza 37 4366274 tuba dd/ ca mesenterium Putra, SpOG (K) 8.3/28.6/21.130/716.000 Ur/Cr 24/0.7 Alb
dengan anemia, 2.74 E 140/4/104
hipoalbuminemia
Post menopausal bleeding ec

suspek ca endometrium dengan
51 4390706 intake sulit, penurunan
212 B Rosmala Na/K/Cl 135/2,9/102 10/6/2019 DPL
kesadaran ec suspek metastasis, SpOG(K) 11.7/33.8/27.1/146 Alb 2.7 GDS 113
leukositosis, hipoalbumin,
hipokalemia

mioma Geburt dengan anemia, Albumin 1,53 12/6/2019 DPL
Putri Dr. dr. Fitriyadi
212 D 15 4381266 hipoalbuminemia, riwayat syok Kusuma, SpOG(K) 2,8/10,3/7.350/428.000 Na/K/Cl 131/4,3/114
Diansyah hipovolemik et causa Ur/Cr 10,4/0,32 SGOT/SGPT 13,3/8,3 Albumin
perdarahan 1,81 GDS 113
POD II post laparotomi surgical dr. Andi Darma 13/6/2019 DPL 11,3/33,5/27.200/391.000
214 B Rosina 42 4369253 staging atas indikasi ca ovarium Putra, SpOG (K) 136/3,3/10515/9 Ur/Cr 12/0,4 Na/K/Cl
SGOT/SGPT
clinically early stage
Ca serviks st IIIB dengan anemia,

421 D Ika Handayani 37 4388904 elektrolit imbalans, AKI dd/ dr. Kartwa Hadi N, DPL 7,3/21,6/2353/596.000; Ur/Cr 111/4,87;
acute on CKD on nefrostomi SpOG(K) Na/K/Cl 124/5,8/111
bilateral (malfungsi pro repair)
13/6/19 KGDH 256-173-212
ILO superfisial perbaikan pada 11/6/19 DPL 11/31.3/17130/326000, E
POD 32 post laparatomi 129/3.9/101
suboptmal debulking atas 10/6/19 DPL
indikasi sarkoma uteri clinically 10,7/31,7/13.730/307.000//85,2/28,8/33,8
advance stage dengan Na/K/Cl 131/3,9/102 7/6/2019 kultur biakan
permasalahan hemiparesis Dr. dr. Hariyono W, resistensi E. coli sensitf Chloramphenicol,
520 C Enur Karcem 55 4362766 dextra, paresis N VII ec stroke SpOG (K) Gentamicin, Amikacin, Ampicilin Sulbactam,
iskemi, hipertensi kronis, DM Amoxiclav, Piperacillin, Tigecyclinn,
tpe 2, HAP perbaikan, Meropenem, Imipenem 5/6/2019 DPL
hipoalbuminemia, AKI dd/ acute 10.5/30/12000/465000
on CKD, gangren digit 1 pedis 2/6/19 DPL 8.3/24.2/14590/496000, E
dekstra 117/4.8/99.5, Albumin 2.42, Ur 50 / Cr 1.1,
GFR 56.7
DNR dr. T Dewi Anggraeni, SpOG(K) 207 D, 211 A, 211 dr. Kartwa Hadi N, SpOG(K)
C
dr. Andi Darma Putra, SpOG (K) 204 A, 204 B, 210 Dr. dr. Hariyono W, SpOG (K)
A, 212 A, 214 B
Dr. dr. Laila Nuranna, SpOG(K) 204 D, 205 C Dr. dr. Tofan W Utami, SpOG(K)
Prof. Dr. dr. Andrijono, SpOG(K) 204 C, 211 D Dr. dr. Gatot Purwoto, SpOG(K)
Dr. dr. Sigit Purbadi, SpOG(K) 205 A, 207E
Target
Rencana rawat jalan
Rencana rawat jalan
Rencana rawat jalan
Rencana rawat jalan
Melanjutkan kemoterapi
Rencana operasi Senin, 17/3/2019
Perawatan post-operasi, rencana

aff infus-DC
Transfusi PRC target Hb ≥ 10 g/dL;
Sudah HD rutn (konsul ginjal-
hipertensi Senin); aff tampon hari
ini (pk 11.00)
Rencana rawat jalan

aff tampon 15/6/19 pk 23.00
Rencana rawat jalan

koreksi natrium
Rencana perbaikan keadaan umum

dan koreksi natrium; follow-up
konsul pulmo (rencana alih rawat
IPD)
cek DPL post-transfusi

cek DPL post-transfusi

(belum dikerjakan, pasien masih
jaminan perusahaan); Konsul
Pulmo Rontgen toraks dan MRI
Thorakal dengan kontras
Laparotomi VC Senin 17/6/2019,

persiapan colon
Sudah masuk 1 unit PRC, sedang

cek DPL, jika tdak dapat darah lagi
pasien mau pulang
Transfusi TC target Trombosit ≥
30.000. Konsul Tropik : Adjusted
antbiotk (Meropenem,
Levofloxacin, dan Flukonazol),
menunggu kultur darah dan urin.
PCT drip/6 jam. Konsul Hepatologi:
CT scan abdomen 3 fase

kemoterapi pasca target Hb
tercapai

transfusi TC 10 unit, injeksi
leucogen
Transfusi Albumer 20% 100 cc.
Radiasi lanjut sambil perbaikan
keadaan umum. Konsul IPD Ginjal
Hipertensi: cek Ur/Cr tap 3 hari,
saran konsul Bedah
Vaskular/Kardiologi kemungkinan
DVT, konsul IPD Gastro
kemungkinan colits radiasi
Rawat bersama Pulmonologi,

Kardiologi, IPD-GH dan Gizi Klinik
Konsul Kardio : toleransi sedang

berat, tdak perlu echo ulang,
Bisoprolol dilanjutkan 1 x 2.5 mg.
Koreksi kalium
Konsul Paru : acc, CAP (Ceftriaxone
1 x 2 g IV, Azithromiycin 1 x 500
mg PO), Fluimucyl 3 x 200 mg PO,
saran Ro toraks
Konsul Ginjal Hipertensi : toleransi
sedang, koreksi hipoalbuminemia
target > 3, Kalium > 4, Hb > 10.
Pasang kateter urine, balans cairan
24 jam
Rencana GV, aff CVC, aff epidural
Konsul Neurologi: rencana CT scan

dengan kontras kepala
Kapten urologi. Rencana repair

nefrostomi, Obsgin saran: transfusi
PRC, konsul IPD-GH
Antbiotk 3 modalitas : Inj
1 x 750 mg, Inj Gentamycin 3 x 80
mg
Raber kapten Neuro, IPD; Obsgin
rawat luka (GV dengan gentamycin
2x/hari)
204 E, 206 A, 206 D, 206 F, 211 B,

212 B, 421 D
210 C, 520 E
206 C
206 E, 207 B, 207 C, 210 B
Prof. Dr. dr. 11/6/2019 DPL 10,4/31,5/3.360/194.000

204 A Kusnaet 37 4367058 Ca serviks stadium IIB Andrijono, SGOT/SGPT 26/32 Ur/Cr 13/0,5 Albumin 3,99 Rawat jalan
SpOG(K) GDS 102 Na/K/Cl 135/2,4/96,6
13/6/2019 DPL 10,7/31,4/8.570/235.000

Ca endometrium stadium IB dr. Andi Darma 12/6/2019 DPL 8.7/26.4/6080/241.000
204 B Nadifah 66 4329298 residif (metastasis paru) Putra, SpOG (K) 10/6/2019 DPL 7.9/24/3170/219000 (netrofil Rawat jalan
28%, 887), SGOT 16 SGPT 6, Albumin 3.6 Ur 12
Cr 0.6 GFR 95, Na/K/Cl 137/3.4/100

Effandina Ca serviks stadium IIIB dengan Dr. dr. Gatot 13/6/2019 DPL 9,3/28,8/6.120/343.000
204 C 46 4381495 anemia Kemoterapi tetap dilakukan,
Indriani Purwoto, SpOG(K) 11/6/2019 DPL 9.3/28.7/7.030/403.000 berapapun hasil Hb post transfusi
Dr. dr. Tofan W 12/6/2019 DPL 10,3/30,9/4.250/259.000

204 D Yuniasih 46 4336227 Ca tuba stadium III Na/K/Cl 137/4,5/101 GDS 85 SGOT 43/101
Utami, SpOG(K) Ur/Cr Rawat jalan
31/0,6 Albumin 4,48
Ambar Dr. dr. Gatot 10/6/2019 DPL 11,3/34,5/8.480/280.000

204 E Pristwat 60 3545514 Ca ovarium stadium IVB residif Purwoto, SpOG(K) SGOT/SGPT 21/29 Albumin 4,4 Ur/Cr 48/1,3 Rawat jalan
GDS 222 Na/K/Cl 135/4,7/102
Dr. dr. Gatot 6/6/2019 DPL 11,9/34,5/6.480/217.000
204 F Sit Asmonah 68 4103639 Ca ovarium IIIC residif Purwoto, SpOG(K) SGOT/SGPT 12/9 Ur/Cr 83/1,1 Albumin 2,07 Rawat jalan
13/6/2019 10,6/32,5/7.010/171.000
Dr. dr. Sigit SGOT/SGPT 17/10 Albumin 3,66 Ur/Cr 42/1,1
205 A Lucy Silalahi 66 4368362 Ca vulva stadium IB Purbadi, SpOG(K) GDS 105 Na/K/Cl 137/4,1/102 HBsAg non- Rencana operasi Senin, 17/3/2019
reaktf
Choriocarcinoma, pasca Dr. dr. Tofan W 11/6/2019 DPL 10,4/30,5/3.800/185.000 b-
205 B Sulkha 41 4113088 kemoterapi Utami, SpOG(K) HCG < 1.2 Rawat jalan
Post laparotomi VC dilanjutkan 13/6/2019 DPL 12,3/39,1/15.050/387.000

10/6/2019 DPL 12/38,1/8.000/397.000 GDS
surgical staging konservatf atas Dr. dr. Laila
205 C Regitha Afia 14 3926934 indikasi yolk sac tumor clinically Nuranna, SpOG(K) 88 PT/APTT 0.99/1 Na/K/Cl 135/4,5/103.8 Perawatan post-operasi
early stage Fibrinogen 400,5 d-Dimer 6.900 SGOT/SGPT
13/<6 Ur/Cr 20/0,7 Albumin 3,95
13/6/2019 USG abdomen: efusi pleura

minimal bilateral, asites, sludge kantong
empedu, chronic kidney disease 11/6/2019
Ca ovarium stadium IIIC residif DPL 10.5/32/13640/277000, PT 1x / APTT 1x,
fibrinogen 410 / D-dimer 18040, Albumin 2.61, Sudah DNR. Pungsi 1000 cc/hari
dengan riwayat dyspnea ec Mg 1.53, Fosfat 2.1 Konsul IPD Ginjal Hipertensi
asites on pungsi asites, AKI dd/ Xray femur : tdak tampak fraktur, lesi rencana (heparin profilaksis)
acute on CKD, DM tpe 2 on dr. Kartwa Hadi N, ttk/blastk os femur bilateral Konsul IPD Endokrin (KGDH/hari,
206 B Rohath 47 4216168 terapi, cancer pain, intake sulit, SpOG(K) Xray pelvis : tdak tampak fraktur diet DM 1700 kkal/hari, tunda
hipoalbumin, leukositosis reaktf 10/6/2019 D-dimer 19920, glucosa POCT 100, insulin). Cek Ur/Cr per 2 hari,
dd/ infektf, hiponatremia, Gliko HbA1C 5.4 balance cairan, diet NGT
hipoalbuminemia 9/6/2019 DPL 11,7/34,6/15580/327.000//
73,9/24,8/33,8 SGOT/SGPT 24,3/15,8 Ur/Cr
127/1,84 GDS 102,2 Albumin 2,93 Na/K/Cl
125/4,3/95
12/6/2019 9,8/29,6/6.080/336.000
Dr. dr. Tofan W SGOT/SGPT
206 C Rusmini 60 4379934 Ca serviks IIIB, anemia 17/13 Albumin 4,06 Ur/Cr 26/0,6 Transfusi PRC target Hb ≥ 10 g/dL
Utami, SpOG(K) GDS 137 Na/K/Cl 134/4,6/100
Ca serviks stadium IIIB post Dr. dr. Gatot

206 E Sarsinah 70 4270294 radiasi lengkap Purwoto, SpOG(K) Hb 8.1 (laboratorium luar) Transfusi PRC target Hb ≥ 10 g/dL
NOK suspek maligna dd/TB

peritoneal dengan ascites masif, 12/6/2019 Alb 2.24
hipoalbuminemia (1.8), Dr. dr. Fitriyadi 10/6/19 DPL 11/31.1/19390/665000, PT 1.1 Rencana perbaikan keadaan
207 A Rohani 44 4371399 hiponatremia (127), Kusuma, SpOG(K) x / APTT 1.5, E 127/4.8/99, Ur 32 / Cr 0.6, OT umum, transfusi albumer 20% dan
pemanjangan APTT (1.59), 21 / PT 19, albumin 1.87, GDS 60 koreksi natrium
dispepsia
11/6/2019 DPL 9,4/27,7/3.560/90.000

Dr. dr. Gatot SGOT/SGPT 28/42 Albumin 4,56 Ur/Cr 25/0,8 Transfusi PRC target Hb ≥ 10 g/dL
207 B Sutria 25 4360076 Ca ovarium stadium IC Purwoto, SpOG(K)
GDS 83 Na/K/Cl 139/4/109
Ca serviks stadium IIIB dengan Dr. dr. Gatot 13/6/2019 DPL 7,9/23,5/13.280/465.000
207 C Se Hiong 48 4382008 anemia Purwoto, SpOG(K) 29/5/2019 DPL 7.3/24/10.880/450.000 Transfusi PRC target Hb ≥ 10 g/dL
Ca serviks stadium IIA post 13/6/2019 DPL 8/25,1/7.220/240.000

laparotomi HT radikal, radiasi Albumin 2,35 11/6/2019 DPL
komplit, suspek residif, anemia dr. T Dewi 6.7/21.8/6020/197000, PT 1.4x / APTT 1.4x, Transfusi PRC target Hb ≥ 10 g/dL.
207 D Erni Yant 54 4394145 ec perdarahan, AKI dd/acute on Anggraeni, fibrinogen 172 / D-dimer 5460, OT 62 / PT 37, Transfusi Albumer 20% 100 cc
SpOG(K)
CKD, DVT, hipoalbuminemia, Ur 189 / Cr 3.2 / GFR 15.7, albumin 2.02, GDS
hiponatremia 85, E 134 / 4.7 / 99.7
Ca ovarium stadium IC1 dengan 13/6/2019 DPL 10,5/30,8/5.570/161.000

207 E Iyoh BT Kasim 49 4330152 anemia
ec penyakit kronis, dr. Andi Darma 10/6/2019 DPL 9.0/26.4/5390/111000, PT Target Hb tercapai. Rencana
rencana kemoterapi Putra, SpOG (K) 0.9x / APTT 0.9x, OT 13 / PT 6, albumin 4.2 / Ur kemoterapi siklus VI
(Carboplatn - Paclitaxel VI) 19 / Cr 0.6 / GFR 107, E 134/4.5/101
Ca ovarium stadium IIIC residif 13/6/2019 Na/K/Cl 134/2,7/99,8 12/6/2019

dengan anemia mikrositk
dr. Andi Darma DPL 10.6/31.2/4.16/483(netrofil
10/6/2019 DPL
207 F Sekarwat 51 3844964 hipokrom ec penyakit kronik, Putra, SpOG (K) 8.8/25.8/3510/373000 55%), OT 17 / Koreksi Kalium. Rencana
hipnatremia, hipokalemia, PT 24, albumin 3.38, Ur 18 / Cr 0.5 / GFR 112, kemoterapi
hipochloremia GDS 129, E 133 / 2.6 / 95
Neoplasma ovarium padat 8/5/2019 Ur/Cr 24/1 18/4/2019 DPL

Angela kanan suspek maligna, dr. Andi Darma 10/30,6/8.130/572.000 PT/APTT 1,1/1,2 Laparotomi VC Senin 17/6/2019.
210 A Christna 38 4368884 hidroureter dan hidronefrosis Putra, SpOG (K) SGOT/SGPT 13/14 Albumin 3,9 Ur/Cr 35,4/1,8 Cek laboratorium lengkap ulang.
kanan Na/K/Cl 136/4,6/102 Konsul Urologi
Adenomiosis dd/ ca ovarium 23/5/2019 DPL 7,4/25,5/5.210/386.000 LED

210 B Tiarni 37 3224394 stadium IIIC residif post
laparotomi surgical staging
Dr. dr. Gatot 95 PT/APTT 1/0,8 Na/K/Cl 138/4/108
Purwoto, SpOG(K) SGOT/SGPT 11/9 Albumin 4,14 Ur/Cr 35/0,7 Transfusi PRC target Hb ≥ 10 g/dL
2012, anemia GDS 86
13/6/2019 DPL 9,2, 27,1/1.550/4.000 Na/K/Cl

131/3,1/107 12/6/19 DPL 10.3/30/1.01/5000
Yolk sac tumor rekuren on OT/PT 60/26 Alb 2.55 Bil total/direk/indirek
kemoterapi dengan 1.14/0.91/0.23 11/6/19 DPL Transfusi PRC target Hb ≥ 10 g/dL.
pansitopenia ec kemoterapi, Transfusi TC aferesis target
7.0/20.8/260/38000 (netrofil 7.7%), ant HAV
prolong fever ec febrile HCV neg 10/6/19 DPL 7.7/23.3/270/9000, E Trombosit ≥ 30.000. Konsul Tropik :
neutropenia, imbalans Dr. dr. Hariyono W, 135/2.6/108.9, Adjusted antbiotk (Meropenem,
210 C Ida Meylani 17 4381052 elektrolit, AKI dd/ acute on CKD, SpOG (K) PCT 2.83 9/6/19 DPL Levofloxacin, dan Flukonazol),
9,5/28,6/130/66.000 neutrofil 44 % FR: hitam
GEA, hipoalbuminemia, lendir positf darah positf eritrosis 50-70 menunggu kultur darah dan urin.
peningkatan enzim PCT drip. Konsul Hepatologi: CT
transaminase, riw epistaksis ec cacing dan amoeba tdak ada 8/6/19 DPL scan abdomen 3 fase
8,4/24,6/2420/36.000, neutrofil 82,2% e
trombositopenia 131/2,4/110; Ur/Cr 51,3/2,246; Alb 2,81;
OT/PT 209/46,7
13/6/2019 DPL 9,5/29,3/10.640/416.000

Ca endometrium stadium IB dr. T Dewi 11/6/2019 DPL 8.4/25.4/15.500/388.000 Transfusi PRC target Hb ≥ 10 g/dL,
211 A Nurul Qomar 60 4303930 residif (metastasis paru) dengan Anggraeni, Ur/Cr 16/0.7 OT/PT 19/18 GDS 118 e kemoterapi pasca target Hb
anemia, hiponatremia SpOG(K) tercapai
130/3.9/92.5
Ca serviks stadium IIIB dalam Transfusi PRC target Hb ≥ 10 g/dL.

radiasi eksterna 10x dengan 13/6/2019 DPL 8,8/26,4/21.970/180.000 Mg Transfusi Albumer 20% 100 cc.
anemia ec penyakit kronis, akut 1,82 SGOT/SGPT 8/7 Albumin 2,33 Ur/Cr Radiasi lanjut sambil perbaikan
on CKD, leukositosis reaktf ec dr. T Dewi 195/2,9 Ferritn 795 Kalsium 7,4 keadaan umum. Konsul IPD Ginjal
211 C Nuril Hidayah 50 4379566 malignansi dd/ infektf, diare Anggraeni, SI/TIBC/Transferin 26/83/31 11/6/19 DPL Hipertensi: cek Ur/Cr tap 3 hari,
akut dehidrasi ringan sedang SpOG(K) 8.0/23.4/21650/338000 (netrofilia 93%), PT 1x saran konsul Bedah
perbaikan ec colits radiasi / APTT 1.1x, Ur 203.5 / Cr 4.8, E 130/4.0/109, Vaskular/Kardiologi kemungkinan
dengan hiponatremia, OT 11 / PT 8, GDS 107 DVT, konsul IPD Gastro
hipoalbuminemia kemungkinan colits radiasi

Selasa, 18/6/2019. Rawat bersama
Pulmonologi, Kardiologi, Nefrologi,
dan Gizi Klinik
Konsul Kardio : toleransi sedang

berat, tdak perlu echo ulang,
Ca ovarium advanced stage 12/6/2019 DPL 9.9/29.8/18.38/236.000 Alb antplatelet saat rawat jalan. Saran
pasca neoadjuvan kemoterapi 3 Prof. Dr. dr. 2.78 10/6/2019 DPL koreksi anemia, hipoalbuminemia
Iriani dan hipokalemia. Bisoprolol
211 D Nasuton 60 4365294 seri, stable disease, anemia, Andrijono, 7,4/22,6/5.810/316.000//83,4/27,3/32,7
hipoalbumin, hiponatremia, SpOG(K) SGOT/SGPT 21/13 Albumin 2,23 Ur/Cr 52/1,2 dilanjutkan 1 x 2.5 mg
Konsul Paru : acc, CAP (Ceftriaxone
hipokalemia, hipoklorida, CAP GDS 103 Na/K/Cl 130/2,9/87,8 1 x 2 g IV, Azithromiycin 1 x 500
mg PO), Fluimucyl 3 x 200 mg PO,
USG thoraks)
Konsul Ginjal Hipertensi : toleransi
sedang, koreksi hipoalbuminemia
target > 3, Kalium > 4, Hb > 10.
Pasang kateter urine, balans cairan
24 jam
POD III post laparatomi 13/6/2019 DPL 9,4/28,6/14.280/213.000

eksplorasi biopsi ai suspek ca
dr. Andi Darma Na/K/Cl 140/4/104 11/6/2019 DPL Transfusi PRC target Hb ≥ 10 g/dL.
212 A Salmiza 37 4366274 tuba dd/ ca mesenterium Putra, SpOG (K) 8.3/28.6/21.130/716.000 Ur/Cr 24/0.7 Alb GV hari ini
dengan anemia,
hipoalbuminemia 2.74 E 140/4/104
Post menopausal bleeding ec

suspek ca endometrium dengan
13/6/2019 DPL 10,5/31,2/23.180/138.000
51 4390706 intake
sulit, penurunan dr. Kartwa Hadi N, Na/K/Cl 135/2,9/102 10/6/2019 DPL Konsul Neurologi: rencana CT scan
212 B Rosmala kesadaran ec suspek metastasis, SpOG(K) dengan kontras kepala
11.7/33.8/27.1/146 Alb 2.7 GDS 113
leukositosis, hipoalbumin,
hipokalemia
mioma Geburt dengan anemia,
Putri Dr. dr. Fitriyadi Albumin 1,53 12/6/2019 DPL Transfusi PRC target Hb ≥ 10 g/dL.
212 D Diansyah 15 4381266 hipoalbuminemia, riwayat syok Kusuma, SpOG(K) 2,8/10,3/7.350/428.000 Na/K/Cl 131/4,3/114 Transfusi Albumer 20% 100 cc
hipovolemik et causa Ur/Cr 10,4/0,32 SGOT/SGPT 13,3/8,3 Albumin
perdarahan 1,81 GDS 113

dr. Andi Darma 13/6/2019 DPL
11,3/33,5/27.200/391.000
ICU Rosina 42 4369253 staging atas indikasi ca ovarium Perawatan post-operasi. Pindah ke
Putra, SpOG (K) SGOT/SGPT
15/9 Ur/Cr 12/0,4 Na/K/Cl
clinically early stage 136/3,3/105 ruang rawat biasa hari ini
11/6/19 DPL 11/31.3/17130/326000, E

ILO superfisial perbaikan pada 129/3.9/101
POD 31 post laparatomi 10/6/19 DPL
suboptmal debulking atas 10,7/31,7/13.730/307.000//85,2/28,8/33,8 Antbiotk 3 modalitas : Inj
indikasi sarkoma uteri clinically Na/K/Cl 131/3,9/102 7/6/2019 kultur biakan
advance stage dengan Dr. dr. Hariyono W, resistensi E. coli sensitf Chloramphenicol, 1 x 750 mg, Inj Gentamycin 3 x 80
520 E Enur Kacem 55 4362766 permasalahan hemiparesis SpOG (K) Gentamicin, Amikacin, Ampicilin Sulbactam, mg
dextra, paresis N VII ec stroke Amoxiclav, Piperacillin, Tigecyclinn,
Raber kapten Neuro, IPD; Obsgin
iskemi, hipertensi kronis, DM Meropenem, Imipenem 5/6/2019 DPL rawat luka (GV 16/6/2019)
tpe 2, HAP perbaikan, 10.5/30/12000/465000, Netrofilia 94%
hipoalbuminemia, AKI dd/ acute 2/6/19 DPL 8.3/24.2/14590/496000, E
on CKD, gangren digit dektra 117/4.8/99.5, Albumin 2.42, Ur 50 / Cr 1.1,
GFR 56.7
Ward Map Onkologi. Kamis, 13 Juni 2019
dr. T Dewi Anggraeni, 24/5/19 DPL 12.4/37/5.930/240.000 Ur/Cr
204 A Chotmah 52 3993641 Ca serviks stadium IVA SpOG(K) 33/0.8 OT/PT 15/18 Alb 4 Rawat jalan
204 B Merry 44 4364527 Ca ovarium stadium IC Dr. dr. Laila Nuranna, 25/5/19 DPL 10.5/31.1/5.810/121.000 Rawat jalan
SpOG(K)
204 C Khoiriyah 54 3415475 Ca ovarium stadium IIIC SpOG (K) 6/5/19 DPL 11.5/35.1/9.210/539.000 Rawat jalan
dr. T Dewi Anggraeni,

204 D Sri Hastut 57 4323534 Ca serviks stadium IVA 10/6/19 DPL 10.8/33.6/4.19/271 Rawat jalan
SpOG(K)
204 E Ari Susant 44 4358415 Ca serviks stadium IIB Prof. Dr. dr. Andrijono, 8/5/19 DPL 12/37.3/9.320/392.000 Rawat jalan
SpOG(K)
204 F Liza Ratna Sari 23 4363354 Ca ovarium stadium IC SpOG (K) 10/6/19 DPL 10.6/33.3/6.02/388 Rawat jalan
NOK suspek maligna, cancer pain VAS 2 29/5/19 DPL 12.5/37.7/9830/639000, AFP Terpasang durogesic patch dan
205 B Rosdiana 46 4382217 perbaikan (dalam durogesic patch 12 mg), dr. Andi Darma Putra, 6.82, B-HCG <1.20, CA 125 13568, LDH 435, tatalaksana konstpasi, rawat jalan bila
konstpasi, ascites SpOG (K) GDS 103, Ur 18 / Cr 0.7, OT 19 / PT 16, E 134 / sudah buang air besar dan tdak ada
4.1 / 98, PT 1x / APTT 0.9x keluhan
10/6/2019 DPL 12/38,1/8.000/397.000 GDS Rencana Laparotomi VC Kamis,

205 C Regitha Afia 14 3926934 Neoplasma ovarium padat maligna Dr. dr. Laila Nuranna, 88 PT/APTT 0.99/1 Na/K/Cl 135/4,5/103.8 13/06/2019
SpOG(K) Fibrinogen 400,5 d-Dimer 6.900 SGOT/SGPT Persiapan kolon
13/<6 Ur/Cr 20/0,7 Albumin 3,95
12/6/19 DPL 11.2/33.7/5.2/419

11/6/19 DPL 9.3/27.7/6360/517000
206 A Sit Sopiah 40 Ca serviks stadium IIIB (post radiasi luar 25x,
4364940 kemoterapi Dr. dr. Fitriyadi 10/6/19 DPL Rawat jalan
3x), anemia (Hb 4,4) Kusuma, SpOG(K) 4,4/13,3/7.420/564.000//78.7/26/33,1
Na/K/Cl 131/4,4/109 Ur/Cr 27,3/1,089 GDS
121
11/6/19 DPL 10.5/32/13640/277000, PT 1x /

APTT 1x, fibrinogen 410 / D-dimer 18040,
albumin 2.61, Mg 1.53, fosfat 2.1 Pungsi 1000 cc/hari
Ca ovarium stadium IIIC residif dengan Xray femur : tdak tampak fraktur, lesi ttk / Konsul IPD Ginjal Hipertensi rencana
riwayat dyspnea ec asites on pungsi asites, blastk os femur bilateral (heparin profilaksis)
AKI dd/ acute on CKD, DM tpe 2 on terapi, dr. Kartwa Hadi N, Xray pelvis : tdak tampak fraktur
206 B Rohath 47 4216168 cancer pain, intake sulit, hipoalbumin, SpOG(K) 10/6/19 D-dimer 19920, glucosa POCT 100, Konsul IPD Endokrin (KGDH/hari, diet
leukositosis reaktf dd/ infektf, hiponatremia, Gliko HbA1C 5.4 DM 1700 kkal/hari, tunda insulin).
KGDH/hari, Ur/Cr per 2 hari, USG
hipoalbuminemia 9/6/19 DPL 11,7/34,6/15580/327.000// abdomen, balance cairan, diet NGT
73,9/24,8/33,8 SGOT/SGPT 24,3/15,8 Ur/Cr
125/4,3/95
11/6/19 E 133/3.7/105, Ur 78 / Cr 4 / GFR 78

10/6/19 DPL
Ca serviks staium IVA (metastasis buli) pasca 10,1/29,9/31.580/471.000//86,2/29,1/33,8
radiasi lengkap dengan riwayat penurunan PT/APTT 1,13/1,28 6/6/19 DPL
kesadaran ec suspek ensefalopat uremikum, Dr. dr. Laila Nuranna, 9.6/28.4/26810/410000, Ur 56/Cr 2.6 GFR Sudah DNR. Perbaikan KU. HD rutn
206 C Siska Hening 37 4305973 acute on CKD dalam HD rutn, cancer pain SpOG(K) 22.7, E 131/3.3/101.3, PCT 1.16 Selasa - Jumat. Nefrostomi bilateral
perbaikan (VAS 2 dalam Durogesic patch 12 4/6/19 DPL10,2/31,2/28.100/445.000; Ur/Cr sudah digant (10/6/2019)
mg), hidronefrosis bilateral (pasca gant 107/4,4; e: 134/3,4/103
nefrostomi bilateral) 3/6/19 12.7/38.3/28.820/537.000 Ur/Cr
168.8/7 OT/PT 12/15 Alb 2.91 Ca 1.38 Mg 2.28
PCT 1.5
12/6/19 DPL 11.1/33.2/4.31/135

11/6/19 DPL 9.9/29.4/4220/138000
206 D Ade Imas 39 4366920 Ca serviks stadium IVA dengan anemia Dr. dr. Fitriyadi 29/5/2019 DPL Rawat jalan
Kusuma, SpOG(K) 9,3/28,9/4.810/278.000//81,2/26,1/32,2
PT/APTT 0,88/0,92 SGOT/SGPT 14/11 Ur/Cr
44/0,8 Albumin 4,14 Na/K/Cl 138/4,6/108
206 E Sarsinah 70 4270294 Ca serviks stadium IIIB post radiasi lengkap Dr. dr. Gatot Purwoto, Hb 8.1 (Lab luar) Transfusi PRC target Hb ≥ 10 g/dL
SpOG(K)
12/6/19 DPL 10.6/32.1/12.54/287

206 F Selvia 40 Ca serviks stadium IIIB dengan anemia,
4379114 cancer Dr. dr. Fitriyadi 10/6/2019 DPL 8,3/25,4/13.820/442.000/ / Rawat jalan
Elisabeth pain VAS 3 Kusuma, SpOG(K) 85,5/27,9/32,7 Ur/Cr 29/0,7
NOK suspek maligna dd/TB peritoneal dengan 12/6/2019 Alb 2.24 Rencana perbaikan keadaan umum,
207 A Rohani 44 ascites masif, hipoalbuminemia (1.8),
4371399 hiponatremia Dr. dr. Fitriyadi 10/6/19 DPL 11/31.1/19390/665000, PT 1.1 transfusi albumer 20% dan koreksi
(127), pemanjangan APTT Kusuma, SpOG(K) x / APTT 1.5, E 127/4.8/99, Ur 32 / Cr 0.6, OT
(1.59), dispepsia 21 / PT 19, albumin 1.87, GDS 60 natrium
Ca ovarum stadium IB residif metastasis paru 12/6/19 DPL 8.7/26.4/6080/241.000

207 B Nadifah 66 dengan anemia ec penyakit kronis,
4329298 leukopenia, dr. Andi Darma Putra, 10/6/19 DPL 7.9/24/3170/219000 (netrofil Transfusi PRC target Hb ≥ 10 g/dL,
rencana kemoterapi (Carboplatn SpOG (K) 28%, 887), OT 16 / PT 6, albumin 3.6 / Ur 12 / rencana kemoterapi
- Paclitaxel V) Cr 0.6 / GFR 95, E 137/3.4/100
207 C Se Hiong 48 4382008 Ca serviks stadium IIIB dengan anemia Dr. dr. Gatot Purwoto, 29/5/19 DPL 7.3/24/10.880/450.000 Transfusi PRC target Hb ≥ 10 g/dL
SpOG(K)
Ca serviks stadium IIA post laparotomi HT 11/6/19 DPL 6.7/21.8/6020/197000, PT 1.4x /

radikal, radiasi komplit, suspek residif, anemia dr. T Dewi Anggraeni, APTT 1.4x, fibrinogen 172 / D-dimer 5460, OT Koreksi albumin
207 D Erni Yant 54 4394145 ec perdarahan, AKI dd/acute on CKD, DVT, SpOG(K) 62 / PT 37, Ur 189 / Cr 3.2 / GFR 15.7, albumin Transfusi PRC target Hb ≥ 10 g/dL
hipoalbuminemia, hiponatremia 2.02, GDS 85, E 134 / 4.7 / 99.7 Konsul IPD
Ca ovarium stadium IC1 dengan anemia ec dr. Andi Darma Putra, 10/6/19 DPL 9.0/26.4/5390/111000, PT 0.9x /
207 E Iyoh BT Kasim 49 4330152 penyakit kronis, rencana kemoterapi SpOG (K) APTT 0.9x, OT 13 / PT 6, albumin 4.2 / Ur 19 / Transfusi PRC target Hb ≥ 10 g/dL
Kemoterapi siklus VI
(Carboplatn - Paclitaxel VI) Cr 0.6 / GFR 107, E 134/4.5/101
Ca ovarium stadium IIIC residif dengan 12/6/19 DPL 10.6/31.2/4.16/483

207 F Sekarwat 51 3844964 anemia mikrositk hipokrom ec penyakit dr. Andi Darma Putra, 10/6/19 DPL 8.8/25.8/3510/373000 (netrofil Cek elektrolit sudah mendapat KSR,
kronik, hipnatremia, hipokalemia, SpOG (K) 55%), OT 17 / PT 24, albumin 3.38, Ur 18 / Cr rencana kemoterapi
hipochloremia 0.5 / GFR 112, GDS 129, E 133 / 2.6 / 95
12/6/19 10.3/30/1.01/5000 OT/PT 60/26 Alb

2.55 Bil total/direk/indirek 1.14/0.91/0.23
Yolk sac tumor rekuren on kemoterapi 11/6/19 DPL 7.0/20.8/260/38000 (netrofil Target TC ≥ 30.000. Inj Leukogen kembali
dengan pansitopenia ec kemoterapi, prolong 7.7%), ant HAV HCV neg Konsul Tropik : Adjusted antbiotk
fever ec febrile neutropenia, imbalans 10/6/19 DPL 7.7/23.3/270/9000, E (Meropenem dan Levofloxacin),
Dr. dr. Hariyono W, 135/2.6/108.9, PCT 2.83 menunggu kultur darah dan urine
210 C Ida Meylani 17 4381052 elektrolit, AKI dd/ acute on CKD, GEA, SpOG (K) 9/6/19 DPL 9,5/28,6/130/66.000 neutrofil 44 Konsul IPD : Koreksi elektrolit (KN-2 500
hipoalbuminemia, peningkatan enzim % FR: hitam lendir positf darah positf eritrosis ml/8 jam), PCT drip, koreksi albumin
transaminase, riw epistaksis ec
trombositopenia 50-70 cacing dan amoeba tdak ada Konsul Hepatologi : CT Scan abdomen 3
8/6/19 DPL 8,4/24,6/2420/36.000, neutrofil fase
82,2% e 131/2,4/110; Ur/Cr 51,3/2,246; Alb
2,81; OT/PT 209/46,7
Ca endometrium stadium IB residif dr. T Dewi Anggraeni, 11/6/19 DPL 8.4/25.4/15.500/388.000 Ur/Cr Transfusi PRC target Hb ≥ 10 g/dL,
211 A Nurul Qomar 60 4303930 (metastasis paru) dengan anemia,
hiponatremia SpOG(K) 16/0.7 OT/PT 19/18 GDS 118 e 130/3.9/92.5 kemoterapi pasca target Hb tercapai
212 B Effandina 46 4381495 Ca serviks stadium IIIB dengan anemia Dr. dr. Gatot Purwoto, 11/6/19 DPL 9.3/28.7/7.030/403.000 Transfusi PRC target Hb ≥ 10 g/dL,
Indriani SpOG(K) kemoterapi pasca target Hb tercapai
Ca serviks stadium IIIB dalam radiasi eksterna

9x dengan anemia ec penyakit kronis, akut on 11/6/19 DPL 8.0/23.4/21650/338000
211 C Nuril Hidayah 50 ckd, leukositosis reaktf ec malignansi dd/
4379566 infektf,diare dr. T Dewi Anggraeni, (netrofilia 93%), PT 1x / APTT 1.1x, Ur 203.5 / Transfusi PRC target Hb ≥ 10 g/dL,
akut dehidrasi ringan sedang SpOG(K) Cr 4.8, E 130/4.0/109, OT 11 / PT 8, GDS 107 radiasi lanjut, perbaikan keadaan umum
perbaikan ec colits radiasi dengan
hiponatremia
Rencana laparotomi debulking Selasa,

18/6/19
Konsul Kardio : Toleransi sedang berat,
tdak perlu echo ulang, antplatelet saat
12/6/2019 DPL 9.9/29.8/18.38/236.000 Alb rawat jalan. Saran koreksi anemia,
Ca ovarium advanced stage pasca neoadjuvan 2.78 10/6/2019 DPL hipoalbuminemia dan hipokalemia.
211 D Iriani Nasuton 60 4365294 kemoterapi 3 seri, stable disease, anemia,
hipoalbumin, hiponatremia, hipokalemia,
Prof. Dr. dr. Andrijono, 7,4/22,6/5.810/316.000//83,4/27,3/32,7
SpOG(K)
Bisoprolol dilanjutkan 1x2.5 mg
Konsul Paru : acc CAP (Ceftriaxone 1x2
hipoklorida, CAP SGOT/SGPT 21/13 Albumin 2,23 Ur/Cr 52/1,2 gr IV, Azithromi=ycin 1x500 mg PO),
GDS 103 Na/K/Cl 130/2,9/87,8 fluimucyl 3x200 mg PO, USG thoraks
dijadwalkan hari ini
Konsul Ginjal Hipertensi : Toleransi
sedang, koreksi hipoalbuminemia target
> 3, kalium > 4, Hb > 10. Pasang kateter
urine, balans cairan 24 jam
POD II post laparatomi eksplorasi biopsi ai

suspek Ca tuba dd/ Ca mesenterium dengan dr. Andi Darma Putra, 11/6/19 DPL 8.3/28.6/21.130/716.000 Ur/Cr
212 A Salmiza 37 4366274 anemia, leukositosis, trombositosis, SpOG (K) 24/0.7 Alb 2.74 E 140/4/104 Transfusi PRC target Hb ≥ 10 g/dL
hipoalbuminemia
Post menopausal bleeding ec suspek ca

212 B Rosmala 51 4390706 endometrium dengan intake sulit, penurunan
kesadaran ec suspek metastasis,
dr. Kartwa Hadi N,
SpOG(K)
10/6/19 DPL 11.7/33.8/27.1/146 Alb 2.7 GDS Rencana MRI kepala
113
hipoalbumin, leukositosis
NOK kiri sangat mungkin clear cell,

11/6/19 DPL 10.6/31.6/8560/395000, PT 0.98x / Rencana persiapan kolon mulai hari ini
214 D Rosina 42 4369253
hidrosalfing kiri, adenomiosis korpus dr. Andi Darma Putra, APTT 1.1x, OT 9 / PT 9, albumin 4.4, Ur 9 / Cr 0.4 / Rencana laparotomi VC Kamis, 13/6/19
posterior, perlekatan ringan dengan SpOG (K) GFR 128, GDS 99, E 139 / 3.7 / 107 (sebelumnya 14/6/19)
rektosigmoid
11/6/19 DPL 11/31.3/17130/326000, E

129/3.9/101
10/6/19 DPL
ILO superfisial perbaikan pada POD 30 post 10,7/31,7/13.730/307.000//85,2/28,8/33,8
laparatomi suboptmal debulking atas indikasi Na/K/Cl 131/3,9/102 7/6/2019 kultur biakan AB 3 modalitas : Inj Ceftriaxone 1 x 2 g,
sarkoma uteri clinically advance stage dengan resistensi E. coli sensitf Chloramphenicol, Inj Levofloxacin 1 x 750 mg, Inj
520 D Enur Kacem 55 4362766 permasalahan hemiparesis dextra, paresis N Dr. dr. Hariyono W, Gentamicin, Amikacin, Ampicilin Sulbactam, Gentamycin 3 x 80 mg
VII ec stroke iskemi, hipertensi kronis, DM SpOG (K) Amoxiclav, Piperacillin, Tigecyclinn, Raber kapten Neuro, IPD; Obsgin rawat
tpe 2, HAP perbaikan, hipoalbuminemia, AKI Meropenem, Imipenem 5/6/2019 DPL luka (GV 13/6/2019)
dd/ acute on CKD, gangren digit dektra 10.5/30/12000/465000, Netrofilia 94%
2/6/19 DPL 8.3/24.2/14590/496000, E
117/4.8/99.5, Albumin 2.42, Ur 50 / Cr 1.1,
GFR 56.7
Ca ovarium stadium IIA residif dalam dr. Andi Darma Putra,
204 A Maryani 62 3992924 kemoterapi paliatf (Carboplatn - Paclitaxel SpOG (K)
V), DM tpe II dlm insulin NR 3x8 unit sc
Ca ovarium stadium IIIC pasca laparotomi

Novi dr. Andi Darma Putra,
204 B 47 4295730 debulking dalam kemoterapi (Carboplatn -
Dewiyant SpOG (K)
Paclitaxel III)
Ca ovarium pasca pasca laparotomi

204 C Sit Marwiyah 34 4330138 incomplete surgical staging dalam kemoterapi dr. Andi Darma Putra,
SpOG (K)
(Carbopltn - Paclitaxel III)
4378966 Ca serviks stadium IIB dalam radiasi ke-12 dr. Andi Darma Putra,
204 D Mardliyat 53 (pro CCRT, cisplatn I) SpOG (K)
NOK suspek maligna, cancer pain VAS 2 dr. Andi Darma Putra,
205 B Rosdiana 46 4382217 perbaikan (dalam durogesic patch 12 mg), SpOG (K)
konstpasi, ascites

205 C Regitha Afia 14 3926934 Neoplasma ovarium padat maligna SpOG(K)
4364940 Ca serviks stadium IIIB (post radiasi luar 25x, Dr. dr. Fitriyadi
206 A Sit Sopiah 40 kemoterapi 3x), anemia (Hb 4,4) Kusuma, SpOG(K)
Ca ovarium stadium IIIC residif dengan
riwayat dyspnea ec asites on pungsi asites,
4216168 AKI dd/ acute on CKD, DM tpe 2 on terapi, dr. Kartwa Hadi N,
206 B Rohath 47 cancer pain, intake sulit, hipoalbumin, SpOG(K)
leukositosis reaktf dd/ infektf, hiponatremia,
hipoalbuminemia
Ca serviks staium IVA (metastasis buli) pasca

radiasi lengkap dengan riwayat penurunan
kesadaran ec suspek ensefalopat uremikum,
206 C Siska Hening 37 4305973 acute on CKD dalam HD rutn, cancer pain SpOG(K)
perbaikan (VAS 2 dalam Durogesic patch 12
mg), hidronefrosis bilateral (pasca gant
Dr. dr. Fitriyadi

206 D Ade Imas 39 4366920 Ca serviks stadium IVA dengan anemia Kusuma, SpOG(K)
Selvia 4379114 Ca serviks stadium IIIB dengan anemia, Dr. dr. Fitriyadi
206 F 40
Elisabeth cancer pain VAS 3 Kusuma, SpOG(K)
NOK suspek maligna dd/TB peritoneal dengan
4371399 ascites masif, hipoalbuminemia (1.8), Dr. dr. Fitriyadi
207 A Rohani 44 hiponatremia (127), pemanjangan APTT Kusuma, SpOG(K)
(1.59), dispepsia
Ca ovarum stadium IB residif metastasis paru
4329298 dengan anemia ec penyakit kronis, dr. Andi Darma Putra,
207 B Nadifah 66 leukopenia, rencana kemoterapi (Carboplatn SpOG (K)
- Paclitaxel V)
Ca ovarium stadium IC dengan anemia ec dr. Andi Darma Putra,
207 C Merry 44 4364527 penyakit kroniks, rencana kemoterapi SpOG (K)
(Carboplatn - Paclitaxel VI)
Ca serviks stadium IIA post laparotomi HT

radikal, radiasi komplit, suspek residif, anemia dr. T Dewi Anggraeni,
207 D Erni Yant 54 4394145 ec perdarahan, AKI dd/acute on CKD, DVT, SpOG(K)
Ca ovarium stadium IC1 dengan anemia ec dr. Andi Darma Putra,

207 E Iyoh BT Kasim 49 4330152 penyakit kronis, rencana kemoterapi SpOG (K)
(Carboplatn - Paclitaxel VI)
3844964 anemia mikrositk hipokrom ec penyakit dr. Andi Darma Putra,
207 F Sekarwat 51 kronik, hipnatremia, hipokalemia, SpOG (K)
hipochloremia
Yolk sac tumor rekuren on kemoterapi
dengan pansitopenia ec kemoterapi, prolong
fever ec febrile neutropenia, imbalans Dr. dr. Hariyono W,
210 C Ida Meylani 17 4381052 elektrolit, AKI dd/ acute on CKD, GEA, SpOG (K)
hipoalbuminemia, peningkatan enzim
trombositopenia
Ca serviks stadium IIIB dalam radiasi eksterna

9x dengan anemia ec penyakit kronis, akut on
4379566 ckd, leukositosis reaktf ec malignansi dd/ dr. T Dewi Anggraeni,
211 D Nuril Hidayah 50 infektf,diare akut dehidrasi ringan sedang SpOG(K)
perbaikan ec colits radiasi dengan
hiponatremia
Ca ovarium advanced stage pasca neoadjuvan
4365294 kemoterapi 3 seri, stable disease, anemia, Prof. Dr. dr. Andrijono,
211 D Iriani Nasuton 60 hipoalbumin, hiponatremia, hipokalemia, SpOG(K)
hipoklorida, CAP
NOK dengan bagian padat bilateral suspek

maligna dengan asites dan perlekatan
genitalia interna dengan intake sulit,
214 C Ari Sumilah 46 4368160 dispepsia, hipoalbuminemia, hiponatremia,
Dr. dr. Hariyono W,
SpOG (K)
hipokalemia, hipoklorida, leukositosis dan
trombositosis reaktf ec malignansi, AKI dd/
acute on CKD, akseptor IUD
NOK kiri sangat mungkin clear cell,

214 D Rosina 42 4369253
hidrosalfing kiri, adenomiosis korpus dr. Andi Darma Putra,
posterior, perlekatan ringan dengan SpOG (K)
rektosigmoid
ILO superfisial perbaikan pada POD 30 post
laparatomi suboptmal debulking atas indikasi
sarkoma uteri clinically advance stage dengan Dr. dr. Hariyono W,
520 D Enur Kacem 55 4362766 permasalahan hemiparesis dextra, paresis N SpOG (K)
VII ec stroke iskemi, hipertensi kronis, DM
tpe 2, HAP perbaikan, hipoalbuminemia, AKI
dd/ acute on CKD, gangren digit dektra
dr. T Dewi Anggraeni, SpOG(K) 207 D, 211 C
204 A, 204 B, 204 C,

206 dr. Andi Darma Putra, SpOG (K) 204 D, 205 B, 207 B,
B, 207 C, 207 E, 207 F,
206 C 214 D
DNR
Dr. dr. Laila Nuranna, SpOG(K) 205 C, 206 C
Prof. Dr. dr. Andrijono, SpOG(K) 211 D
Dr. dr. Fitriyadi K, SpOG(K) 206 A, 206 D, 206 F,

207 A
Dr. dr. Sigit Purbadi, SPOG(K)
Laboratorium Target
10/6/19 DPL 10/29.3/3990/319000 (41%
netrofil), OT 12 / PT 6, albumin 3.86, Ur 30 / Cr Rawat jalan
1.1 / eGFR 53.9, GDS 90, E 138 / 4.8 / 108
10/6/19 DPL 11.5/34.7/4650/200000
(netrofilia 45.9%), OT 35 / PT 67, Albumin 4.33,
Rawat jalan
Ur 25 / Cr 0.60 / GFR 108, GDS 87, E
138/4.1/104
23/5/19 DPL 10.5/31.6/4590/341000 (netrofil
57%), GDS 107, Ur 24 / Cr 0.6 / GFR 119, OT 18 Rawat jalan
/ PT 17, GDS 107, E 138 / 3.4 / 104, PT 0.9x /
APTT 1x
10/6/19 DPL 10.9/36.1/4000/220000
(netrofilia 73%), Ur 14 / Cr 07 / GFR 99, GDS Rawat jalan
120, OT 15 / PT 14, PT 1x / APTT 1.2x, E
138/3.9/106, LED 32
29/5/19 DPL 12.5/37.7/9830/639000, AFP Terpasang durogesic patch dan
6.82, B-HCG <1.20, CA 125 13568, LDH 435, tatalaksana konstpasi, rawa jalan bila
GDS 103, Ur 18 / Cr 0.7, OT 19 / PT 16, E 134 / sudah buang air besar dan tdak ada
4.1 / 98, PT 1x / APTT 0.9x keluhan
10/6/2019 DPL 12/38,1/8.000/397.000 GDS Rencana Laparotomi VC Kamis,

88 PT/APTT 0.99/1 Na/K/Cl 135/4,5/103.8 13/06/2019
Fibrinogen 400,5 d-Dimer 6.900 SGOT/SGPT Persiapan kolon
13/<6 Ur/Cr 20/0,7 Albumin 3,95
11/6/19 DPL 9.3/27.7/6360/517000

10/6/19 DPL
4,4/13,3/7.420/564.000//78.7/26/33,1 Transfusi PRC target Hb ≥ 10 g/dL
Na/K/Cl 131/4,4/109 Ur/Cr 27,3/1,089 GDS
121
11/6/19 DPL 10.5/32/13640/277000, PT 1x /
APTT 1x, fibrinogen 410 / D-dimer 18040,
albumin 2.61, Mg 1.53, fosfat 2.1 Pungsi 1000 cc/hari
Xray femur : tdak tampak fraktur, lesi ttk /
Konsul IPD Ginjal Hipertensi rencana
blastk os femur bilateral (heparin profilaksis)
Xray pelvis : tdak tampak fraktur Konsul IPD Endokrin (KGDH/hari, diet
10/6/19 D-dimer 19920, glucosa POCT 100, DM 1700 kkal/hari, tunda insulin).
Gliko HbA1C 5.4 KGDH/hari, Ur/Cr per 2 hari, USG
9/6/19 DPL 11,7/34,6/15580/327.000//
abdomen, balance cairan, diet NGT
73,9/24,8/33,8 SGOT/SGPT 24,3/15,8 Ur/Cr
125/4,3/95
11/6/19 E 133/3.7/105, Ur 78 / Cr 4 / GFR 78

10/6/19 DPL
10,1/29,9/31.580/471.000//86,2/29,1/33,8
PT/APTT 1,13/1,28 6/6/19 DPL
9.6/28.4/26810/410000, Ur 56/Cr 2.6 GFR Sudah DNR. Perbaikan KU. HD rutn
22.7, E 131/3.3/101.3, PCT 1.16 Selasa - Jumat. Nefrostomi bilateral
4/6/19 DPL10,2/31,2/28.100/445.000; Ur/Cr sudah digant (10/6/2019)
107/4,4; e: 134/3,4/103
3/6/19 12.7/38.3/28.820/537.000 Ur/Cr
168.8/7 OT/PT 12/15 Alb 2.91 Ca 1.38 Mg 2.28
PCT 1.5
11/6/19 DPL 9.9/29.4/4220/138000

29/5/2019 DPL Transfusi PRC target Hb ≥ 10 g/dL
9,3/28,9/4.810/278.000//81,2/26,1/32,2 menunggu DPL post transfusi. Rencana
PT/APTT 0,88/0,92 SGOT/SGPT 14/11 Ur/Cr rawat jalan
44/0,8 Albumin 4,14 Na/K/Cl 138/4,6/108
10/6/2019 DPL 8,3/25,4/13.820/442.000/ / Transfusi PRC target Hb ≥ 10 g/dL

85,5/27,9/32,7 Ur/Cr 29/0,7
10/6/19 DPL 11/31.1/19390/665000, PT 1.1 Rencana perbaikan keadaan umum,
x / APTT 1.5, E 127/4.8/99, Ur 32 / Cr 0.6, OT transfusi albumer 20% dan koreksi
21 / PT 19, albumin 1.87, GDS 60 natrium
10/6/19 DPL 7.9/24/3170/219000 (netrofil

28%, 887), OT 16 / PT 6, albumin 3.6 / Ur 12 / Injeksi leukogen dan rencana
kemoterapi
Cr 0.6 / GFR 95, E 137/3.4/100
10/6/19 DPL 9.3/27.4/6040/237000 (netrofil Transfusi PRC target Hb ≥ 10 g/dL

39%), OT 18 / PT 20, Albumin 4.38, Ur 18 / Cr Kemoterapi siklus VI
0.7 / GFR 105, GDS 85, E 133/4.2/98
11/6/19 DPL 6.7/21.8/6020/197000, PT 1.4x / Transfusi albumer 20% (belum koding)

APTT 1.4x, fibrinogen 172 / D-dimer 5460, OT
62 / PT 37, Ur 189 / Cr 3.2 / GFR 15.7, albumin Transfusi PRC target Hb ≥ 10 g/dL
Konsul IPD
2.02, GDS 85, E 134 / 4.7 / 99.7
10/6/19 DPL 9.0/26.4/5390/111000, PT 0.9x / Transfusi PRC target Hb ≥ 10 g/dL

APTT 0.9x, OT 13 / PT 6, albumin 4.2 / Ur 19 / Kemoterapi siklus VI
Cr 0.6 / GFR 107, E 134/4.5/101
10/6/19 DPL 8.8/25.8/3510/373000 (netrofil Transfusi PRC target Hb ≥ 10 g/dL

55%), OT 17 / PT 24, albumin 3.38, Ur 18 / Cr Perbaikan keadaan umum
0.5 / GFR 112, GDS 129, E 133 / 2.6 / 95 Cek E dan DPL pasca transfusi
11/6/19 DPL 7.0/20.8/260/38000 (netrofil Konsul HOM : Transfusi PRC target Hb ≥
7.7%), ant HAV HCV neg 10 g/dL dan TC ≥ 30.000. Inj Leukogen
10/6/19 DPL 7.7/23.3/270/9000, E kembali
135/2.6/108.9, PCT 2.83 Konsul Tropik : Adjusted antbiotk
9/6/19 DPL 9,5/28,6/130/66.000 neutrofil 44 (Meropenem dan Levofloxacin),
% FR: hitam lendir positf darah positf eritrosis menunggu kultur darah dan urine
50-70 cacing dan amoeba tdak ada Konsul IPD : Koreksi elektrolit (KN-2 500
8/6/19 DPL 8,4/24,6/2420/36.000, neutrofil ml/8 jam), PCT drip, koreksi albumin
82,2% e 131/2,4/110; Ur/Cr 51,3/2,246; Alb Konsul Hepatologi : Cek OT/PT 3 hari
2,81; OT/PT 209/46,7 (12/6/19), CT Scan abdomen 3 fase
11/6/19 DPL 8.0/23.4/21650/338000

(netrofilia 93%), PT 1x / APTT 1.1x, Ur 203.5 / Transfusi PRC target Hb ≥ 10 g/dL,
radiasi lanjut, perbaikan keadaan umum
Cr 4.8, E 130/4.0/109, OT 11 / PT 8, GDS 107
Rencana laparotomi debulking Selasa,
18/6/19
Konsul Kardio : Toleransi sedang berat,

tdak perlu echo ulang, antplatelet saat
rawat jalan. Saran koreksi anemia,
10/6/2019 DPL hipoalbuminemia dan hipokalemia.
7,4/22,6/5.810/316.000//83,4/27,3/32,7 Bisoprolol dilanjutkan 1x2.5 mg
SGOT/SGPT 21/13 Albumin 2,23 Ur/Cr 52/1,2 Konsul Paru : acc CAP (Ceftriaxone 1x2
GDS 103 Na/K/Cl 130/2,9/87,8 gr IV, Azithromi=ycin 1x500 mg PO),
fluimucyl 3x200 mg PO, USG thoraks
dijadwalkan hari ini
Konsul Ginjal Hipertensi : Toleransi
sedang, koreksi hipoalbuminemia target
> 3, kalium > 4, Hb > 10. Pasang kateter
urine, balans cairan 24 jam
11/6/19 E 130/3.2/89.4, Ur 122 / Cr 1.9 / GFR 31.2

9/6/19 Na/K/Cl 120/3,1/79,3 Ur/Cr 135/2,7
Albumin 2,68 7/6/19 DPL
13.1/35.9/14550/522000, netrofilia 89%, GDS 99, Rencana rawat jalan
albumin 3.14, OT 24 / PT 5.2, Ur 127 / Cr 3.76, E
110/3.5/84, PT 1.2x / APTT 1.1
11/6/19 DPL 10.6/31.6/8560/395000, PT 0.98x / Rencana persiapan kolon mulai hari ini
APTT 1.1x, OT 9 / PT 9, albumin 4.4, Ur 9 / Cr 0.4 / Rencana laparotomi VC Kamis, 13/6/19
GFR 128, GDS 99, E 139 / 3.7 / 107 (sebelumnya 14/6/19)
11/6/19 DPL 11/31.3/17130/326000, E
129/3.9/101
10/6/19 DPL
10,7/31,7/13.730/307.000//85,2/28,8/33,8
Na/K/Cl 131/3,9/102 7/6/2019 kultur biakan AB 3 modalitas : Inj Ceftriaxone 1 x 2 g,
resistensi E. coli sensitf Chloramphenicol, Inj Levofloxacin 1 x 750 mg, Inj
Gentamicin, Amikacin, Ampicilin Sulbactam, Gentamycin 3 x 80 mg
Amoxiclav, Piperacillin, Tigecyclinn, Raber kapten Neuro, IPD; Obsgin rawat
Meropenem, Imipenem 5/6/2019 DPL luka (GV 13/6/2019)
10.5/30/12000/465000, Netrofilia 94%
2/6/19 DPL 8.3/24.2/14590/496000, E
117/4.8/99.5, Albumin 2.42, Ur 50 / Cr 1.1,
GFR 56.7
dr. Kartwa Hadi N, SpOG(K) 206 B
210 C, 214 C, 520 D

Ward Map Onkologi. Selasa, 11 Juni 2019

205 C Regitha Afia 14 3926934 Neoplasma ovarium padat maligna SpOG(K)
4364940 Ca serviks stadium IIIB (post radiasi luar 25x, Dr. dr. Fitriyadi
206 A Sit Sopiah 40 kemoterapi 3x), anemia (Hb 4,4) Kusuma, SpOG(K)

riwayat dyspnea ec asites on pungsi asites,
4216168 AKI dd/ acute on CKD, DM tpe 2 on terapi, dr. Kartwa Hadi N,
206 B Rohath 47
cancer pain, intake sulit, hipoalbumin, SpOG(K)
leukositosis reaktf dd/ infektf, hiponatremia,
hipoalbuminemia
Ca serviks staium IVA (metastasis buli) pasca

radiasi lengkap dengan riwayat penurunan
kesadaran ec suspek ensefalopat uremikum, Dr. dr. Laila Nuranna,
206 C Siska Hening 37 4305973 acute on CKD dalam HD rutn, cancer pain SpOG(K)
perbaikan (VAS 2 dalam Durogesic patch 12
mg), hidronefrosis bilateral (pasca gant
Dr. dr. Fitriyadi

206 D Ade Imas 39 4366920 Ca serviks stadium IVA dengan anemia Kusuma, SpOG(K)
Ca ovarium clinically advanced stage dengan
4380578 CAP, efusi pleura kiri suspek metastasis, Dr. dr. Gatot Purwoto,
206 E Rini 58 asites, AKI dd/ acute on CKD, intake sulit, SpOG(K)
hipoalbumin, hiponatremia
Selvia 4379114 Ca serviks stadium IIIB dengan anemia, Dr. dr. Fitriyadi
206 F 40
Elisabeth cancer pain VAS 3 Kusuma, SpOG(K)

dengan pansitopenia ec kemoterapi, prolong
fever ec febrile neutropenia, imbalans Dr. dr. Hariyono W,
210 C Ida Meylani 17 4381052 elektrolit, AKI dd/ acute on CKD, GEA, SpOG (K)
trombositopenia
Ca ovarium advanced stage pasca neoadjuvan

4365294 kemoterapi 3 seri, stable disease, anemia, Prof. Dr. dr. Andrijono,
211 D Iriani Nasuton 60
hipoalbumin, hiponatremia, hipokalemia, SpOG(K)
hipoklorida

maligna dengan asites dan perlekatan
genitalia interna dengan intake sulit,
214 C Ari Sumilah 46 4368160 dispepsia, hipoalbuminemia, hiponatremia,
Dr. dr. Hariyono W,
SpOG (K)
hipokalemia, hipoklorida, leukositosis dan
trombositosis reaktf ec malignansi, AKI dd/
acute on CKD, akseptor IUD
421 A Tini Kustni 47 4367306

Ca serviks stadium IIIB, hidronefrosis kanan, dr. Kartwa Hadi N,
hipertensi grade II, cancer pain VAS 1-2 SpOG(K)
laparatomi suboptmal debulking atas indikasi
sarkoma uteri clinically advance stage dengan Dr. dr. Hariyono W,
dd/ acute on CKD, gangren digit dektra
206 C dr. T Dewi Anggraeni, SpOG(K)

206 E dr. Andi Darma Putra, SpOG (K)
Dr. dr. Laila Nuranna, SpOG(K) 205 C, 206 C
DNR
Prof. Dr. dr. Andrijono, SpOG(K) 211 D
Dr. dr. Fitriyadi K, SpOG(K) 206 A, 206 D, 206 F
Laboratorium Target
10/6/2019 DPL 12/38,1/8.000/397.000 GDS

88 PT/APTT 0.99/1 Na/K/Cl 135/4,5/103.8
Laparotomi VC Kamis, 13/6/2019
Fibrinogen 400,5 d-Dimer 6.900 SGOT/SGPT
13/<6 Ur/Cr 20/0,7 Albumin 3,95
10/6/2019 DPL
4,4/13,3/7.420/564.000//78.7/26/33,1 Transfusi PRC target Hb ≥ 10 g/dL
Na/K/Cl 131/4,4/109 Ur/Cr 27,3/1,089 GDS
121
Pungsi 1000 cc/hari. konsul IPD Ginjal

Hipertensi rencana (saran cek D-dimer
9/6/19 DPL dan rontgen femur bilateral, heparin
11,7/34,6/15580/327.000//73,9/24,8/33,8 profilaksis). Konsul IPD Endokrin
SGOT/SGPT 24,3/15,8 Ur/Cr 127/1,84 GDS (KGDH/hari, diet DM 1700 kkal/hari,
102,2 Albumin 2,93 Na/K/Cl 125/4,3/95 tunda insulin). KGDH/hari, Ur/Cr per 2
hari, USG abdomen, balance cairan, diet
NGT
10/6/2019 DPL
10,1/29,9/31.580/471.000//86,2/29,1/33,8
PT/APTT 1,13/1,28 6/6/19 DPL
9.6/28.4/26810/410000, Ur 56/Cr 2.6 GFR Sudah DNR. Perbaikan KU. HD rutn
22.7, E 131/3.3/101.3, PCT 1.16
4/6/19 DPL10,2/31,2/28.100/445.000; Ur/Cr Selasa - Jumat. Nefrostomi bilateral
sudah digant (10/6/2019)
107/4,4; e: 134/3,4/103
3/6/19 12.7/38.3/28.820/537.000 Ur/Cr
168.8/7 OT/PT 12/15 Alb 2.91 Ca 1.38 Mg 2.28
PCT 1.5
29/5/2019 DPL
9,3/28,9/4.810/278.000//81,2/26,1/32,2 Transfusi PRC target Hb ≥ 10 g/dL
PT/APTT 0,88/0,92 SGOT/SGPT 14/11 Ur/Cr
44/0,8 Albumin 4,14 Na/K/Cl 138/4,6/108
9/6/2019 DPL
11,3/34,3/9.470/193.000//82,1/27/32,9 Ur/Cr Sudah DNR. Konsul IPD Pulmonologi
33/0,9 Na/K/Cl 129/4,3/100,5 9/6/2019 BTA (rencana tndakan USG standbypungsi)
sputum negatf
10/6/2019 DPL
8,3/25,4/13.820/442.000//85,5/27,9/32,7 Transfusi PRC target Hb ≥ 10 g/dL
Ur/Cr 29/0,7
Transfusi PRC target Hb ≥ 10 g/dL dan

9/6/19 9,5/28,6/130/66.000 neutrofil 44 % FR: TC, koreksi elektrolit (KN-2 500 ml/8
hitam lendir positf darah positf eritrosis 50- TropikPCT
jam), drip. Rawat bersama IPD
Infeksi (cek kultur darah dan urin,
70 cacing dan amoeba tdak ada
antbiotk Meropenem dan Levofloxacin)
8/6/19 DPL 8,4/24,6/2420/36.000, neutrofil dan Hepatologi (evaluasi SGOT/SGPT
82,2% e 131/2,4/110; Ur/Cr 51,3/2,246; Alb tap 3 hari, cek CT scan abdomen 3
2,81; OT/PT 209/46,7; fase). Rencana konsul IPD Hematologi
Onkologi Medik hari ini
10/6/2019 DPL Transfusi PRC target Hb ≥ 10 g/dL.

7,4/22,6/5.810/316.000//83,4/27,3/32,7 Laparotomi debulking Selasa, 18 Juni
SGOT/SGPT 21/13 Albumin 2,23 Ur/Cr 52/1,2 2019
GDS 103 Na/K/Cl 130/2,9/87,8
9/6/19 Na/K/Cl 120/3,1/79,3 Ur/Cr 135/2,7

Albumin 2,68 7/6/19 DPL Cek ulang Ur/Cr dan elektrolit hari ini.
13.1/35.9/14550/522000, netrofilia 89%, GDS 99, Koreksi NaCl 3%/24 jam (bila Na < 130). Diet
albumin 3.14, OT 24 / PT 5.2, Ur 127 / Cr 3.76, E bertahap 1700 kkal/hari
110/3.5/84, PT 1.2x / APTT 1.1
10/6/2019 DPL Kapten Urologi, recana nefrostomi

9,4/29,2/9.870/477.000//75,1/24,2/32,2
10/6/2019 DPL
10,7/31,7/13.730/307.000//85,2/28,8/33,8
Na/K/Cl 131/3,9/102 7/6/2019 kultur biakan
resistensi E. coli sensitf Chloramphenicol, AB 3 modalitas : Inj Ceftriaxone 1 x 2 g,
Gentamicin, Amikacin, Ampicilin Sulbactam, Inj Levofloxacin 1 x 750 mg, Inj
Amoxiclav, Piperacillin, Tigecyclinn, Gentamycin 3 x 80 mg
Meropenem, Imipenem 5/6/2019 DPL Raber kapten Neuro, IPD; Obsgin rawat
10.5/30/12000/465000, Netrofilia 94% luka (GV 13/6/2019)
2/6/19 DPL 8.3/24.2/14590/496000, E
117/4.8/99.5, Albumin 2.42, Ur 50 / Cr 1.1,
GFR 56.7
dr. Kartwa Hadi N, SpOG(K) 206 B, 421 A

Dr. dr. Hariyono W, SpOG (K) 210 C, 214 C, 520 D
Dr. dr. Gatot Purwoto, SpOG(K) 206 E
Ward Map Onkologi, Senin 10 Juni 2019
Ca ovarium klinis advanced stage (metastasis

paru kiri dengan hasil PA sitologi Dr. dr. Gatot Purwoto,
205 A Rini 58 4380578 adenokarsinoma) dengan CAP CURB 65 score SpOG(K)
1, efusi pleura kiri ec metastasis, ascites, AKI
dd/acute on CKD, hipoalbuminemia
Ca ovarium stadium III C residif intake sulit,

cancer pain VAS 2, ascites on pungsi, AKI dd dr. Kartwa Hadi N,
206 B Rohath 47 4216168
akut on CKD, leukositosis reaktf dd infektf, SpOG(K)
DM tpe II
Ca cervix st IV metastasis buli pasca radiasi

lengkap dengan riwayat penurunan
kesadaran ec suspek ensefalopat uremikum, Dr. dr. Laila Nuranna,
206 C Sisca Hening 37 4305973 Acute on CKD dalam HD rutn, cancer pain SpOG(K)
perbaikan (VAS 2 dalam durogesic patch 12
mg), hidronefrosis bilateral (nefrostomi tdak
berfungsi)
Ca cervix st IIIB dengan penurunan
kesadaran, hemiparesis sinistra, cephalgia
sekunder, ptosis ODS ec susp SOL karena Dr. dr. Tofan W Utami,
206 D Kriswat 44 4335327 metastasis cancer pain perbaikan (VAS 3 SpOG(K)
dalam durogesic patch 12 mg), diplopia ec
paresis N.III, CAP CURB Score 1
Ca ovarium IIIB pasca laparotomi debulking

dan kemoterapi adjuvan lengkap (2016) Dr. dr. Tofan W Utami,
206 E Sit Asmonah 68 4103639 residif dalam kemoterapi paliatf ke-3, GEA SpOG(K)
perbaikan, Hipoalbuminemia, anemia ec
penyakit kronis, AKI dd/ acute on CKD
Ca cervix st IIIB dengan anemia ec

Dominika Dr. dr. Tofan W Utami,
206 F 44 4381845 perdarahan dan cancer pain perbaikan (VAS 2
Domi SpOG(K)
dalam durogesic patch 12 mg)

dengan pansitopenia ec kemoterapi, obs
febris H-6 ec febrile neutropenia, imbalans Dr. dr. Hariyono W,
210 C Ida Meylani 17 4381052 elektrolit, AKI dd/ acute on CKD, GEA,
SpOG (K)
transaminase, riw epistaxis ec
trombositopenia
maligna dengan ascites dan perlekatan
genitalia interna dengan :
Intake sulit, dispepsia, hipoalbuminemia, Dr. dr. Hariyono W,
214C Ari Sumilah 46 4368160 hiponatremia, hipokloremia SpOG (K)
Leukositosis dan trombositosis reaktf ec
malignancy
Akseptor IUD

laparatomi suboptmal debulking ai sarkoma
uteri clinically advance stage dg Dr. dr. Hariyono W,
dd. Acute on CKD, gangren digit dektra
205 A dr. T Dewi Anggraeni, SpOG(K)

206 C dr. Andi Darma Putra, SpOG (K)
206 D Dr. dr. Laila Nuranna, SpOG(K) 206 C
DNR
Dr. dr. Fitriyadi K, SpOG(K)
Laboratorium Target
9/6/19 DPL 11,3/34,3/9470/193.000 Ur/Cr

30/0,9 Na/K/Cl 129/4,3/100 8/6/19 pulasan
sputum BTA negatf 7/6/19 Pulasan gram Menunggu hasil kultur resistensi bakteri
sputum : coccus gram (+), BTA (-) aerob
6/6/19 DPL 11.6/33.9/12470/248000/ / Konsul ulang Pulmonologi di hari dan
81.3/27.8/34.2, netrofilia 84.1%, PT 1.2x/Aptt jam kerja (10/6/19)
1x, E 137/4.7/115, Ur 43.8/Cr 1.44, OT 31.8 /
PT 24.2, albumin 3.00, GDS 190
9/6/19 pungsi 1000 cc/hari, konsul ginjal

11,7/34,6/15580/327.000//73,9/24,8/33,8 hipertensi, endokrin dan hepatologi,
Na/K/Cl 125/4,3/95 Ur/Cr 127/1,84 OT/PT KGDH/hari, diet NGT, USG abdomen,
24,3/15,8 GDS 102,2 Ur/Cr per 2 hari , balance cairan
6/6/19 DPL 9.6/28.4/26810/410000, Ur 56/Cr

2.6 GFR 22.7, E 131/3.3/101.3, PCT 1.16 Sudah DNR, Perbaikan KU
4/6/19 DPL10,2/31,2/28.100/445.000; Ur/Cr HD rutn Selasa - Jumat
107/4,4; e: 134/3,4/103 Rencana perbaikan nefrostomi hari ini
3/6/19 12.7/38.3/28.820/537.000 Ur/Cr 10/6/19
168.8/7 OT/PT 12/15 Alb 2.91 Ca 1.38 Mg 2.28
PCT 1.5
9/6/19 AGD 7,5/24/140/21,5/2,0/92% PT
APTT 1,1x/0,9x Fibrinogen 270 D-dimer 27610 Sudah DNR, rencana CT scan cito (dari
sputum BTA negatf 6/6/2019 DPL radiologi IGD masih overload) raber
10.3/32.4/12730/356000, PT 1.1x / APTT 0.9x, neurologi Konsul ulang Pulmonologi dan
E 138/5.2/120, Ur 17, Cr 0.79, OT 33 / PT 31, neuroopthalmologi di hari dan jam kerja
GDS 97 (10/6/19)
AGD pH 7.49/pCO2 27/pO2 103/O2 sat
97.6/BE -1.6/HCO3 19.9
8/6/19 DPL 11,9/34,5/6840/217.000 Ur/Cr

83/1,1 7/6/19 DPL 9.3/27/6280/204000, E
130/4.2/104
6/6/19 DPL 7.1/20.2/4490/159000 (76% sudah tdak BAB cair dari kemarin GEA
netrofilia), laktat 0.6, PT 1.1 / APTT 1.3, E perbaikan Rencana rawat jalan
133/4.3/106, Ur 113.5 / Cr 1.575, OT 9.7 /PT
8.1, UA 6,28, albumin 2.2, bilirubin T 0.36, D
0.14, I 0.22, GDS 94.6
9/16/19 11,2/34/5320/219000
8/6/19 DPL 9,6/29/7460/171.000
7/6/19 DPL 7.0/21.2/7640/191000
rencana rawat jalan
6/6/19 DPL 8.2/24.7/9660/282000
5/6/19 E 140/3.5/112. PT 1x/APTT 1.1x, Ur
15.8 / Cr 0.69, OT 11.5 / PT 15.3, GDS 91.7
9/6/19 9,5/28,6/130/66.000 neutrofil 44 % Transfusi PRC target Hb ≥10 g/dl dan TC,
FR: hitam lendir positf darah positf eritrosis injeksi leukogen koreksi elektrolit (KN-2
50-70 cacing dan amoba tdak ada 500 ml/8 jam) , PCT drip, pasien raber
8/6/19 DPL 8,4/24,6/2420/36.000, interna
neutrofil 82,2% e 131/2,4/110; Ur/Cr Cek DPL ulang pasca pemberian
51,3/2,246; Alb 2,81; OT/PT 209/46,7; leucogen
9/6/19 Na/K/Cl 120/3,1/79 Cek ulang Ur/Cr dan elektrolit 1x24 jam
7/6/19 DPL 13.1/35.9/14550/522000, netrofilia (10/6/19) koreksi NaCl 3%/24 jam
89%, GDS 99, albumin 3.14, OT 24 / PT 5.2, Ur Diet bertahap 1700 kkal/hari (blender)
127 / Cr 3.76, E 110/3.5/84, PT 1.2x / APTT 1.1

(diambil 7/6/19)
GV hari ini (10/6/19)
5/6/2019 DPL 10.5/30/12000/465000, IVFD albumer 20 persen 1 kali
netrofilia 94% AB 3 modalitas : Inj Ceftriaxone 1x2 gr,
2/6/19 DPL 8.3/24.2/14590/496000, E Inj Levofloxacin 1x750 mg, Inj
117/4.8/99.5, albumin 2.42, Ur 50 / Cr 1.1, Gentamycin 3x80 mg
GFR 56.7 Ur Cr ulang per 3 hari (10/6/19)
Raber kapten Neuro, IPD; Obsgin rawat
luka

Dr. dr. Hariyono W, SpOG (K) 520 D, 210 C, 214 C
Dr. dr. Tofan W Utami, SpOG(K) 206 D, 206 E, 206 F
Dr. dr. Gatot Purwoto, SpOG(K) 205 A
Ward Map Onkologi, Minggu 9 Juni 2019
7/6/19 Pulasan gram sputum : coccus gram Cek sputum BTA 2 lagi
(+), BTA (-)
Ca ovarium klinis advanced stage (metastasis 6/6/19 DPL 11.6/33.9/12470/248000/ / Menunggu hasil kultur resistensi bakteri
paru kiri dengan hasil PA sitologi aerob
4380578 adenokarsinoma) dengan CAP CURB 65 score Dr. dr. Gatot Purwoto, 81.3/27.8/34.2, netrofilia 84.1%, PT 1.2x/Aptt
205 A Rini 58 Rencana cek Ur/Cr dan DPL ulang 3 hari
SpOG(K) 1x, E 137/4.7/115, Ur 43.8/Cr 1.44, OT 31.8 /
1, efusi pleura kiri ec metastasis, ascites, AKI PT 24.2, albumin 3.00, GDS 190 lagi (9/6/19)
dd/acute on CKD, hipoalbuminemia Konsul ulang Pulmonologi di hari dan
AGD pH 7.491/pCO2 23.4/pO2 74.8/O2 sat jam kerja (10/6/19)
95.7%/BE -3.2/HCO3 18.0
Ca cervix st IIA dengan perdarahan

pervaginam (dalam tampon 1x24 jam), 7/6/19 DPL 8.5/25.6/5410/287000, PT 1x /
Dr. dr. Hariyono W, APTT 1.1x, Ur 20.6 / Cr 0.73, AU 4.08, OT 12.8 / Transfusi PRC target Hb ≥ 10 gr/dl
anemia normositk normokrom ec Rencana rawat jalan jika Hb ≥ 10 gr/dl
205 B Eka Sapitri 42 4379284 perdarahan, penyakit katup jantung (post SpOG (K) PT 5.3, albumin 4.08, E 136/4.1/118, UL (Sudah terjadwal echo Senin)
replacement 2012, cancer pain perbaikan kontaminasi darah
(VAS 2 dalam ketorolac)
8/6/19 DPL 8,4/25,5/8620/418.000; Ur/Cr

30/2,5; e: 134/3,9/99,3
7/6/19 DPL 8.8/26.7/9940/485000, E
Ca Cervix st IIIB post radiasi lengkap (2016) 131/4.3/96.5
suspek residif dengan fistula vesikovagina, 6/6/19 DPL 9.3/27.2/10910/443000
4066026 anemia, acute on CKD, hidronefrosis bilateral, Dr. dr. Fitriyadi K, Cek DPL post transfusi
206 A Rini 62 5/6/19 Ur/Cr 45/5,3; 4/6/2019
imbalans elektrolit (hiponatremia perbaikan), SpOG(K) Rencana rawat jalan jika Hb ≥ 10 gr/dl
7.5/21.9/11.680/492.000; E 132/4.6/99.5
CAP, hipertensi gr II, POD III post HD, POD II
post nefrostomi 1/6/19 DPL 5,6/15,8/13.270/602.000 Ur/Cr
54,6/5,092; E: 129/4,2/106
31/5/19 DPL 4,9/14,5/12.800/717.000; Ur/Cr
99,6/8,482; E: 117/6,3/96; Alb 3,29
Ca cervix st IV metastasis buli pasca radiasi 6/6/19 DPL 9.6/28.4/26810/410000, Ur 56/Cr Sudah DNR, Perbaikan KU
lengkap dengan riwayat penurunan 2.6 GFR 22.7, E 131/3.3/101.3, PCT 1.16 HD rutn Selasa - Jumat (CDL kurang
kesadaran ec suspek ensefalopat uremikum, Dr. dr. Laila Nuranna, 4/6/19 DPL10,2/31,2/28.100/445.000; Ur/Cr lancar)
206 C Sisca Hening 37 4305973 Acute on CKD dalam HD rutn, cancer pain 107/4,4; e: 134/3,4/103 Aff NGT hari ini (makan sudah baik)
SpOG(K)
perbaikan (VAS 2 dalam durogesic patch 12 3/6/19 12.7/38.3/28.820/537.000 Ur/Cr Rencana perbaikan nefrostomi Senin
mg), hidronefrosis bilateral (nefrostomi tdak 168.8/7 OT/PT 12/15 Alb 2.91 Ca 1.38 Mg 2.28 (10/6/19)
berfungsi) PCT 1.5 Rawat jalan?
6/6/2019 DPL 10.3/32.4/12730/356000, PT

Ca cervix st IIIB dengan cancer pain perbaikan Dr. dr. Tofan W Utami, 1.1x / APTT 0.9x, E 138/5.2/120, Ur 17, Cr Konsul ulang Pulmonologi di hari dan
206 D Kriswat 44 4335327 (VAS 3 dalam durogesic patch 12 mg), SpOG(K) 0.79, OT 33 / PT 31, GDS 97 jam kerja (10/6/19)
diplopia ec paresis N.III, CAP CURB Score 1 AGD pH 7.49/pCO2 27/pO2 103/O2 sat
97.6/BE -1.6/HCO3 19.9
8/6/19 DPL 11,9/34,5/6840/217.000 Ur/Cr

83/1,1 7/6/19 DPL 9.3/27/6280/204000, E
Ca ovarium IIIB pasca laparotomi debulking
dan kemoterapi adjuvan lengkap (2016) 130/4.2/104
4103639 residif dalam kemoterapi paliatf ke-3, GEA, Dr. dr. Tofan W Utami, 6/6/19 DPL 7.1/20.2/4490/159000 (76%
206 E Sit Asmonah 68 Rencana rawat jalan
SpOG(K) netrofilia), laktat 0.6, PT 1.1 / APTT 1.3, E
Hipoalbuminemia, anemia ec penyakit kronis,
AKI dd/ acute on CKD 133/4.3/106, Ur 113.5 / Cr 1.575, OT 9.7 /PT
8.1, UA 6,28, albumin 2.2, bilirubin T 0.36, D
0.14, I 0.22, GDS 94.6
8/6/19 DPL 9,6/29/7460/171.000

Ca cervix st IIIB dengan anemia ec W Utami, 7/6/19 DPL 7.0/21.2/7640/191000
Dominika 4381845 perdarahan dan cancer pain perbaikan (VAS 2 Dr. dr. Tofan Transfusi hingga Hb > 10 g/dL,
206 F 44 6/6/19 DPL 8.2/24.7/9660/282000
Domi dalam durogesic patch 12 mg) SpOG(K) 5/6/19 E 140/3.5/112. PT 1x/APTT 1.1x, Ur menunggu hasil DPL post transfusi
15.8 / Cr 0.69, OT 11.5 / PT 15.3, GDS 91.7
Yolk sac tumor rekuren on kemoterapi Transfusi PRC target Hb ≥10 g/dl dan TC
dengan pansitopenia ec kemoterapi, obs
febris H-4, imbalans elektrolit, AKI dd/ acute Dr. dr. Hariyono W, 8/6/19 DPL 8,4/24,6/2420/36.000, neutrofil target ≥50.000; koreksi elektrolit (KN-2
210 C Ida Meylani 17 4381052 on 82,2% e 131/2,4/110; Ur/Cr 51,3/2,246; Alb 500 ml/8 jam)
CKD, GEA, hipoalbuminemia, peningkatan SpOG (K) 2,81; OT/PT 209/46,7; Cek DPL, Ur/Cr, OT/PT, e ulang
enzim transaminase, riw epistaxis ec
trombositopenia setelah 24 jam

maligna dengan ascites dan perlekatan
genitalia interna dengan :
Intake sulit, dispepsia, hipoalbuminemia, Dr. dr. Hariyono W, 7/6/19 DPL 13.1/35.9/14550/522000, netrofilia Cek ulang Ur/Cr dan elektrolit 1x24 jam
214C Ari Sumilah 46 4368160 hiponatremia, hipokloremia 89%, GDS 99, albumin 3.14, OT 24 / PT 5.2, Ur (9/6/19)
Leukositosis dan trombositosis reaktf ec SpOG (K) 127 / Cr 3.76, E 110/3.5/84, PT 1.2x / APTT 1.1 Diet bertahap 1700 kkal/hari (NGT, blender)
malignancy
Akseptor IUD

(diambil 7/6/19)
laparatomi suboptmal debulking ai sarkoma 5/6/2019 DPL 10.5/30/12000/465000, GV 3 hari (10/6/19)
IVFD albumer 20 persen 1 kali
uteri clinically advance stage dg Dr. dr. Hariyono W, netrofilia 94% AB 3 modalitas : Inj Ceftriaxone 1x2 gr,
520 D Enur Kacem 55 4362766 permasalahan hemiparesis dextra, paresis N 2/6/19 DPL 8.3/24.2/14590/496000, E
VII ec stroke iskemi, hipertensi kronis, DM SpOG (K) 117/4.8/99.5, albumin 2.42, Ur 50 / Cr 1.1, Inj Levofloxacin 1x750 mg, Inj
Gentamycin 3x80 mg
tpe 2, HAP perbaikan, hipoalbuminemia, AKI GFR 56.7 Ur Cr ulang per 3 hari (10/6/19)
dd. Acute on CKD, gangren digit dektra Raber kapten Neuro, IPD; Obsgin rawat
luka
dr. T Dewi Anggraeni, SpOG(K) dr. Kartwa Hadi N, SpOG(K)

dr. Andi Darma Putra, SpOG (K) Dr. dr. Hariyono W, SpOG (K) 520 D, 205 B, 210 C, 214 C
Dr. dr. Laila Nuranna, SpOG(K) 206 C Dr. dr. Tofan W Utami, SpOG(K) 206 D, 206 E, 206 F
DNR
Prof. Dr. dr. Andrijono, SpOG(K) Dr. dr. Gatot Purwoto, SpOG(K) 205 A
Dr. dr. Fitriyadi K, SpOG(K) 206 A
Ward Map Onkologi, Sabtu 8 Juni 2019
7/6/19 Pulasan gram sputum : coccus gram Cek sputum BTA 2 lagi
(+), BTA (-)
Ca ovarium klinis advanced stage (metastasis 6/6/19 DPL 11.6/33.9/12470/248000/ / Menunggu hasil kultur resistensi bakteri
paru kiri dengan hasil PA sitologi aerob
Dr. dr. Gatot Purwoto, 81.3/27.8/34.2, netrofilia 84.1%, PT 1.2x/Aptt
205 A Rini 58 4380578 adenokarsinoma) dengan CAP CURB 65 score Rencana cek Ur/Cr dan DPL ulang 3 hari
SpOG(K) 1x, E 137/4.7/115, Ur 43.8/Cr 1.44, OT 31.8 /
1, efusi pleura kiri ec metastasis, ascites, AKI PT 24.2, albumin 3.00, GDS 190 lagi (9/6/19)
dd/acute on CKD, hipoalbuminemia Konsul ulang Pulmonologi di hari dan
AGD pH 7.491/pCO2 23.4/pO2 74.8/O2 sat jam kerja (10/6/19)
95.7%/BE -3.2/HCO3 18.0
Ca cervix st IIA dengan perdarahan

pervaginam (dalam tampon 1x24 jam), 7/6/19 DPL 8.5/25.6/5410/287000, PT 1x /
Dr. dr. Hariyono W, APTT 1.1x, Ur 20.6 / Cr 0.73, AU 4.08, OT 12.8 / Transfusi hingga Hb > 10 g/dL
anemia normositk normokrom ec Terpasang tampon 1x24 jam (aff tampon
205 B Eka Sapitri 42 4379284 perdarahan, penyakit katup jantung (post SpOG (K) PT 5.3, albumin 4.08, E 136/4.1/118, UL 9/6/19)
replacement 2012, cancer pain perbaikan kontaminasi darah
(VAS 2 dalam ketorolac)
7/6/19 DPL 8.8/26.7/9940/485000, E Raber IPD untuk koreksi natrium dan

131/4.3/96.5
Ca Cervix st IIIB post radiasi lengkap (2016) tatalaksana CAP
6/6/19 DPL 9.3/27.2/10910/443000
suspek residif dengan fistula vesikovagina, 5/6/19 Ur/Cr 45/5,3; 4/6/2019 Tidak transfusi lagi (~TS IPD)
4066026 anemia, acute on CKD, hidronefrosis bilateral, Dr. dr. Fitriyadi K, Cek DPL, elektrolit, Ur/Cr 3 hari lagi
206 A Rini 62 7.5/21.9/11.680/492.000; E 132/4.6/99.5
imbalans elektrolit (hiponatremia perbaikan), SpOG(K) (9/6/19)
1/6/19 DPL 5,6/15,8/13.270/602.000 Ur/Cr
CAP, hipertensi gr II, POD III post HD, POD II 54,6/5,092; E: 129/4,2/106 HD Selasa - Jumat, menuggu hasil DPL
post nefrostomi dan Ur/Cr pasca HD Jumat
31/5/19 DPL 4,9/14,5/12.800/717.000; Ur/Cr Rawat jalan?
99,6/8,482; E: 117/6,3/96; Alb 3,29
7/6/19 Analisis tnja : darah samar (+) Transfusi darah hingga Hb > 10 g/dL
6/6/19 DPL 7.5/22.9/20780/337000 (81.3% Albumer drip 20 % 1x24 jam (hari libur
netrofilia), IgM salmonella (+4) koding hanya bisa 1 per hari)
Penurunan kesadaran perbaikan ec sepsis Albumin 1.96, Ur 56 / Cr 0.6 (GFR 109.7), E NGT dialirkan, pasien puasa (produksi
(SOFA score 3) ec CIAI ec ileus paralitk pada 137/3.2/110.8 10 cc)
POD 19 post laparotomi optmal debulking ai Bilirubin T 1.27 / D 0.6 / I 0.67, PCT 0.73 Antbiotk (IPD dan diges) : Inj
Ca ovarium residif, dengan : Dr. dr. Fitriyadi K, AGD pH 7.589 / pCO2 19.5 / pO2 78.7 / HCO 3 Meropenem 3x1 gr (E-1), Inj
206 B Sujarsih 46 4362839 Cancer pain perbaikan (VAS 1 dalam SpOG(K) 18.9 / st HCO 3 23.5 / BE -1.1 / O2 sat 94.9% Ciprofloxacin 2x400 mg (E-6), Inj
durogesic patch 12 mg) 4/6/2019 9/28.9/32.280/639.000 Ur/Cr 64/1 Metronidazole 3x500 mg (E-3)
Hipoalbuminemia (1.96) Alb 2 OT/PT 21/13 Menunggu hasil kultur darah, urine, dan
Anemia ec perdarahan gastrointestnal 1/6/19 DPL 10,6/31,2/22610/1013000/ / feses
(melena) 76/22/34 Na/K/Cl 130/4,8/101 PT/APTT IVFD KN 2 500 cc/8 jam selama 1x24
1,3/1,3 GDS 103 Albumin 2,31 2/6/19 Asam jam lalu kembali Asering 500 cc/8 jam
urat 4.72 Cek ulang DPL, diffcount (9/6/19)
Ca cervix st IV metastasis buli pasca radiasi 6/6/19 DPL 9.6/28.4/26810/410000, Ur 56/Cr Sudah DNR, Perbaikan KU
lengkap dengan riwayat penurunan 2.6 GFR 22.7, E 131/3.3/101.3, PCT 1.16 HD rutn Selasa - Jumat (CDL kurang
kesadaran ec suspek ensefalopat uremikum, Dr. dr. Laila Nuranna, 4/6/19 DPL10,2/31,2/28.100/445.000; Ur/Cr lancar)
206 C Sisca Hening 37 4305973 Acute on CKD dalam HD rutn, cancer pain 107/4,4; e: 134/3,4/103 Aff NGT hari ini (makan sudah baik)
SpOG(K)
perbaikan (VAS 2 dalam durogesic patch 12 3/6/19 12.7/38.3/28.820/537.000 Ur/Cr Rencana perbaikan nefrostomi Senin
mg), hidronefrosis bilateral (nefrostomi tdak 168.8/7 OT/PT 12/15 Alb 2.91 Ca 1.38 Mg 2.28 (10/6/19)
berfungsi) PCT 1.5 Rawat jalan?
6/6/2019 DPL 10.3/32.4/12730/356000, PT

Ca cervix st IIIB dengan cancer pain perbaikan Dr. dr. Tofan W Utami, 1.1x / APTT 0.9x, E 138/5.2/120, Ur 17, Cr Konsul ulang Pulmonologi di hari dan
206 D Kriswat 44 4335327 (VAS 3 dalam durogesic patch 12 mg), 0.79, OT 33 / PT 31, GDS 97
diplopia ec paresis N.III, CAP CURB Score 1 SpOG(K) AGD pH 7.49/pCO2 27/pO2 103/O2 sat jam kerja (10/6/19)
97.6/BE -1.6/HCO3 19.9
7/6/19 DPL 9.3/27/6280/204000, E

Ca ovarium IIIB psca laparotomi debulking 130/4.2/104
dan kemoterapi adjuvan lengkap (2016) 6/6/19 DPL 7.1/20.2/4490/159000 (76% Menunggu hasil DPL post transfusi dan
residif dalam kemoterapi paliatf ke-3, GEA, Dr. dr. Tofan W Utami,
206 E Sit Asmonah 68 4103639 netrofilia), laktat 0.6, PT 1.1 / APTT 1.3, E Ur/Cr
SpOG(K)
Hipoalbuminemia, anemia ec penyakit kronis, 133/4.3/106, Ur 113.5 / Cr 1.575, OT 9.7 /PT Hidrasi NaCL 0.9% 500 cc/6 jam
AKI dd/ acute on CKD 8.1, UA 6,28, albumin 2.2, bilirubin T 0.36, D
0.14, I 0.22, GDS 94.6
7/6/19 DPL 7.0/21.2/7640/191000

Ca cervix st IIIB dengan anemia ec
Dominika 4381845 perdarahan dan cancer pain perbaikan (VAS 2 Dr. dr. Tofan W Utami, 6/6/19 DPL 8.2/24.7/9660/282000 Transfusi hingga Hb > 10 g/dL,
206 F 44
Domi dalam durogesic patch 12 mg) SpOG(K) 5/6/19 E 140/3.5/112. PT 1x/APTT 1.1x, Ur menunggu hasil DPL post transfusi
15.8 / Cr 0.69, OT 11.5 / PT 15.3, GDS 91.7

maligna dengan ascites dan perlekatan genitalia NEWWS orange (apats) dalam koreksi
interna dengan : elektrolit dan gelofusin
Intake sulit, dispepsia, hipoalbuminemia, Dr. dr. Hariyono W, 7/6/19 DPL 13.1/35.9/14550/522000, netrofilia Terpasang akses femoral untuk koreksi
214C Ari Sumilah 46 4368160 hiponatremia, hipokloremia 89%, GDS 99, albumin 3.14, OT 24 / PT 5.2, Ur elektrolit
Leukositosis dan trombositosis reaktf ec SpOG (K) 127 / Cr 3.76, E 110/3.5/84, PT 1.2x / APTT 1.1 Cek ulang Ur/Cr dan elektrolit 1x24 jam
malignancy (9/6/19)
AKI dd/ acute on CKD Diet bertahap 1700 kkal/hari (NGT, blender)
Akseptor IUD

(diambil 7/6/19_
ILO superfisial perbaikan pada POD 26 post GV 3 hari (10/6/19)
laparatomi suboptmal debulking ai sarkoma 5/6/2019 DPL 10.5/30/12000/465000, IVFD albumer 20 persen 1 kali
uteri clinically advance stage dg Dr. dr. Hariyono W, netrofilia 94% AB 3 modalitas : Inj Ceftriaxone 1x2 gr,
520 D Enur Kacem 55 4362766 permasalahan hemiparesis dextra, paresis N SpOG (K) 2/6/19 DPL 8.3/24.2/14590/496000, E Inj Levofloxacin 1x750 mg, Inj
VII ec stroke iskemi, hipertensi kronis, DM 117/4.8/99.5, albumin 2.42, Ur 50 / Cr 1.1, Gentamycin 3x80 mg
tpe 2, HAP perbaikan, hipoalbuminemia, AKI GFR 56.7 Ur Cr ulang per 3 hari (10/6/19)
dd. Acute on CKD, gangren digit dektra Raber kapten Neuro, IPD; Obsgin rawat
luka
dr. T Dewi Anggraeni, SpOG(K) dr. Kartwa Hadi N, SpOG(K)
520 D, 205 B, 214 C
206 C 206 D, 206 E, 206 F
DNR
205 A
206 A, 206 B
Ward Map Onkologi, Jumat 7 Juni 2019

210 A Iyam Marina 25 4374722 dispneu ec efusi pleura post pungsi pleura Dr. dr. Hariyono W, SpOG (K)
DVT
Ca cervix st IIIB on radiasi luar 20x dengan

riwayat GEA ec colits radiasi dengan Prof. Dr. dr. Andrijono,
210 D Anisah 64 4358023 elektrolit imbalans, VES bigemini ec imblans SpOG(K)
elektrolit, anemia penyakit kronis, DM tpe II,
hipoalbuminemia, HT gr I
Ca ovarium klinis advanced stage (metastasis

paru kiri dengan hasil PA sitologi
205 A Rini 58 4380578 adenokarsinoma) dengan CAP CURB 65 score SpOG(K)
1, efusi pleura kiri ec metastasis, ascites, AKI
dd/acute on CKD, hipoalbuminemia
Ca Cervix st IIIB post radiasi lengkap (2016)
suspek residif dengan fistula vesikovagina,
206 A Rini 62 4066026 anemia, acute on CKD, hidronefrosis bilateral, Dr. dr. Fitriyadi K, SpOG(K)
imbalans elektrolit, CAP, hipertensi gr II, POD
II post HD, POD I post nefrostomi
Sepsis ec ileus paralitk pada POD 18 post

laparotomi optmal debulking ai Ca ovarium
residif, dengan :
Penurunan kesadaran ec Sepsis
206 B Sujarsih 46 4362839 Sepsis SOFA Score 3 Dr. dr. Fitriyadi K, SpOG(K)
Ileus paralitk
Cancer pain perbaikan dalam durogesic patch
12 mg
Hipoalbuminemia (1.96)
lengkap dengan riwayat penurunan Dr. dr. Laila Nuranna,
206 C Sisca Hening 37 4305973 kesadaran ec suspek ensefalopat uremikum, SpOG(K)
Acute on CKD pasca HD, intake sulit, ca pain
(VAS 3), hidronefrosis bilateral
Ca cervix st IIIB dengan cancer pain perbaikan Dr. dr. Tofan W Utami,
206 D Kriswat 44 4335327 (VAS 3 dalam durogesic patch 12 mg), SpOG(K)
diplopia ec paresis N.III, CAP CURB Score 1
Ca ovarium IIIB psca laparotomi debulking

dan kemoterapi adjuvan lengkap (2016)
206 E Sit Asmonah 68 4103639 residif dalam kemoterapi paliatf ke-3, GEA, SpOG(K)
Hipoalbuminemia, anemia ec penyakit kronis,
Ca cervix st IIIB dengan anemia ec Dr. dr. Tofan W Utami,

206 F Dominika Domi 44 4381845
perdarahan dan cancer pain SpOG(K)
ILO superfisial pada POD 25 post laparatomi
suboptmal debulking ai sarkoma uteri
clinically advance stage dg permasalahan
520 D Enur Kacem 55 4362766 hemiparesis dextra, paresis N VII ec stroke Dr. dr. Hariyono W, SpOG (K)
iskemi, hipertensi kronis, DM tpe 2, HAP
perbaikan, hipoalbuminemia, AKI dd. Acute
on CKD, gangren digit dektra
dr. T Dewi Anggraeni, SpOG(K)

206 C
210 D
206 A, 206 B
Laboratorium Target
5/6/19 DPL
8,6/28,3/18.940/530.000; Ur/Cr Sudah DNR, koreksi albumin (pemberian
45/0,8; e: 124/5,4/98,3; PT/aPTT
albumer ditolak farmasi), transfusi
1x/1x; OT/PT 22/15 target HB 10 g/dl. Pasca transfusi PRC
4/6/2019 Alb 1.92 31/5/2019 Alb kedua (1 unit per hari) --> menunggu
2,12 27/5/19 hasil DPL post transfusi
11.6/33.5/5.540/97.000 30/5/19
Ur/Cr 32/0,6 Alb 1,92 OT/PT 38/23
6/6/19 DPL 12.8/36.5/76100/349000

5/6/19 DPL 9,4/27,2/8220/364.000
e: 123/4,0/84; GDS 202 Rencana rawat jalan pasca ada hasil
4/6/2019 8.7/24.2/9.900/390.000 koreksi elektrolit, GDS, dan EKG ulang
GDS 328.2 Alb 3.14 OT/PT 92.1 / pagi ini
157.2 As urat 2.63 Ur/Cr 13.9/0.829 E
113/3.5/83
6/6/19 DPL Rencana cek AGD ulang pagi ini setelah

11.6/33.9/12470/248000/ /
81.3/27.8/34.2, netrofilia 84.1%, PT koreksi dengan NRM, cek sputum BTA
dan kultur resistensi aerob
1.2x/Aptt 1x, E 137/4.7/115, Ur Rencana cek Ur/Cr dan DPL ulang 3 hari
43.8/Cr 1.44, OT 31.8 / PT 24.2, lagi (9/6/19)
albumin 3.00, GDS 190 Konsul ulang IPD di ruangan
AGD pH 7.491/pCO2 23.4/pO2
74.8/O2 sat 95.7%/BE -3.2/HCO3 18.0 (Pulmonologi)
6/6/19 DPL 9.3/27.2/10910/443000
5/6/19 Ur/Cr 45/5,3; 4/6/2019
7.5/21.9/11.680/492.000; E Raber IPD untuk koreksi natrium
132/4.6/99.5 Menunggu hasil DPL, elektrolit post
1/6/19 DPL 5,6/15,8/13.270/602.000 operasi
Ur/Cr 54,6/5,092; E: 129/4,2/106 Cek DPL, elektrolit, Ur/Cr 3 hari lagi —>
31/5/19 DPL 9/6/19
4,9/14,5/12.800/717.000; Ur/Cr
99,6/8,482; E: 117/6,3/96; Alb 3,29
6/6/19 DPL 7.5/22.9/20780/337000

(81.3% netrofilia)
Albumin 1.96, Ur 56 / Cr 0.6 (GFR
109.7)
E 137/3.2/110.8
Bilirubin T 1.27 / D 0.6 / I 0.67 Transfusi darah hingga Hb > 10 g/dL
PCT 0.73 Albumer drip 20 % 1x24 jam
AGD pH 7.589 / pCO2 19.5 / pO2 78.7 Inj Ceftriaxone 1x2 gr IV (kultur darah
/ HCO 3 18.9 / st HCO 3 23.5 / BE sebelumnya)
-1.1 / O2 sat 94.9% NRM
4/6/2019 9/28.9/32.280/639.000 Konsul IPD hari ini
Ur/Cr 64/1 Alb 2 OT/PT 21/13 NGT dialirkan, pasien puasa
1/6/19 DPL
10,6/31,2/22610/1013000/ /
76/22/34 Na/K/Cl 130/4,8/101
PT/APTT 1,3/1,3 GDS 103 Albumin
2,31 2/6/19 Asam urat 4.72
6/6/19 DPL 9.6/28.4/26810/410000,
Ur 56/Cr 2.6 GFR 22.7, E
131/3.3/101.3, PCT 1.16
Sudah DNR, Perbaikan KU, Transfusi
4/6/19 hingga Hb > 10 g/dL, HD rutn Selasa -
DPL10,2/31,2/28.100/445.000; Ur/Cr Jumat (Kejar rencana HD hari ini, CDL
107/4,4; e: 134/3,4/103 mampet)
3/6/19 12.7/38.3/28.820/537.000
Ur/Cr 168.8/7 OT/PT 12/15 Alb 2.91
Ca 1.38 Mg 2.28 PCT 1.5
6/6/2019 DPL
10.3/32.4/12730/356000, PT 1.1x /
Rencana konsul ulang IPD untuk
APTT 0.9x, E 138/5.2/120, Ur 17, Cr toleransi rawat jalan dan antbiotk oral,
0.79, OT 33 / PT 31, GDS 97 bila memungkinkan rencana rawat jalan
AGD pH 7.49/pCO2 27/pO2 103/O2
sat 97.6/BE -1.6/HCO3 19.9
6/6/19 DPL 7.1/20.2/4490/159000

(76% netrofilia), laktat 0.6, PT 1.1 / Transfusi PRC hingga Hb > 10 g/dL
APTT 1.3, E 133/4.3/106, Ur 113.5 / Hidrasi NaCL 0.9% 500 cc/6 jam
Cr 1.575, OT 9.7 /PT 8.1, UA 6,28,
albumin 2.2, bilirubin T 0.36, D 0.14, I Cek ulang Ur/Cr, DPL post transfusi
0.22, GDS 94.6,
Transfusi hingga Hb > 10 g/dL, cek lab

6/6/19 DPL 8.2/24.7/9660/282000
lengkap
Kultur resistensi aerob dan anaerob
dasar luka hari ini karena kemarin sudah
GV (dalam antbiotk Inj Ceftriaxone 1x2
5/6/2019 DPL
gr IV dan Inj Levofloxacin 1.750 mg IV
10.5/30/12000/465000, netrofilia hari ke-4)
94%
2/6/19 DPL 8.3/24.2/14590/496000, GV per hari
IVFD albumer 20 persen 1 kali
E 117/4.8/99.5, albumin 2.42, Ur 50 / Inj Gentamisin 3x80 mg IV mulai hari ini
Cr 1.1, GFR 56.7 Ur Cr ulang per 3 hari —> 10/6/19
Raber kapten Neuro, IPD; Obsgin rawat
luka
dr. Kartwa Hadi N, SpOG(K)

210 A, 520 D
206 D, 206 E, 206 F
205 A
Ward Map Onkologi, Kamis 6 Juni 2019

210 A Iyam Marina 25 4374722 dispneu ec efusi pleura post pungsi pleura Dr. dr. Hariyono W, SpOG (K)
DVT
Ca ovarium residif post laparatomi komplit

surgical staging pasca kemoterapi lengkap Dr. dr. Laila Nuranna,
210 C Asri Widya Ariani 44 4330007 dengan anemia (8.5), elektrolit imbalans, SpOG(K)
intake sulit, hidfronefrosis kanan, POD II post
pungsi asites

diare akut dehidrasi ringan, elektrolit
imbalans dengan VES bigemini, anemia, Prof. Dr. dr. Andrijono,
210 D Anisah 64 4358023 hiperglikemia ec reaktf dd DM tpe II, SpOG(K)
transaminase

206 A Rini 62 4066026 anemia, acute on CKD post HD 1x, Dr. dr. Fitriyadi K, SpOG(K)
hidronefrosis bilateral, imbalans elektrolit,
CAP, hipertensi gr II, POD I post HD
POD 16 post laparotomi optmal debulking ai
4362839 Caintake
ovarium residif dengan cancer pain VAS 3 Dr. dr. Fitriyadi K, SpOG(K)
206 B Sujarsih 46 sulit, hiponatremia, trombositosis,
leukositosis, hipoaalbumin

lengkap dengan riwayat penurunan Dr. dr. Laila Nuranna,
206 C Sisca Hening 37 4305973 kesadaran ec suspek ensefalopat uremikum, SpOG(K)
AKI dd acute on CKD pasca HD, intake sulit, ca
pain (VAS 3), hidronefrosis bilateral
POD 24 post laparatomi suboptmal

debulking ai sarkoma uteri clinically advance
520 D Enur Kacem 55 4362766 stage dg permasalahan hemiparesis dextra, Dr. dr. Hariyono W, SpOG (K)
paresis N VII ec stroke iskemi, hipertensi
kronis, DM tpe 2

206 C, 210 C
210 D
206 A, 206 B
Laboratorium Target
5/6/19 DPL
8,6/28,3/18.940/530.000; Ur/Cr
45/0,8; e: 124/5,4/98,3; PT/aPTT Sudah DNR, koreksi albumin (pemberian
1x/1x; OT/PT 22/15 albumer ditolak farmasi), transfusi
4/6/2019 Alb 1.92 31/5/2019 Alb target HB 10 g/dl
2,12 27/5/19
11.6/33.5/5.540/97.000 30/5/19
Ur/Cr 32/0,6 Alb 1,92 OT/PT 38/23
4/6/2019 10/29.4/7.780/371.000 E
126/4.2/96 Alb 2.23 3/6/2019 Rencana cek elektrolit dan albumin
8.5/24.8/9.09.465//94.7/32.4/34.3 ulang, jika lab baik, rencana rawat jalan
GDS 97 Alb 2.34 Ur/Cr 0.91/40.5
OT/PT 39/79 E 129/4.1/104
5/6/19 DPL 9,4/27,2/8220/364.000

e: 123/4,0/84; GDS 202 Transfusi traget Hb > 10 g/dl, koreksi
4/6/2019 8.7/24.2/9.900/390.000 elektrolit, EKG ulang setelah koreksi
GDS 328.2 Alb 3.14 OT/PT 92.1 / elektrolit
157.2 As urat 2.63 Ur/Cr 13.9/0.829 E
113/3.5/83
5/6/19 Ur/Cr 45/5,3 4/6/2019

7.5/21.9/11.680/492.000; E Transfusi PRC target Hb 10 gr/dl; Koreksi
132/4.6/99.5 1/6/19 DPL natrium, Urologi Nefrostomi jika Hb ≥ 8,
5,6/15,8/13.270/602.000 Ur/Cr sudah DNR raber IPD untuk koreksi
54,6/5,092; e: 129/4,2/106 31/5/19 elektrolit & hipertensi. Sudah HD 1x
DPL 4,9/14,5/12.800/717.000; Ur/Cr (Selasa 4-6-19)
99,6/8,482; e: 117/6,3/96; Alb 3,29
4/6/2019 9/28.9/32.280/639.000
Ur/Cr 64/1 Alb 2 OT/PT 21/13 1/6/19
DPL Transfusi PRC target Hb 10 g/dl; Cek DPL
10,6/31,2/22610/1013000//76/22/34 dan albumin ulang pasca transfusi,
Na/K/Cl 130/4,8/101 PT/APTT 1,3/1,3 sedang konsul bedah utk suspek ileus
GDS 103 Albumin 2,31 2/6/19 Asam
urat 4.72
4/6/19 DPL
10,2/31,2/28.100/445.000; Ur/Cr
107/4,4; e: 134/3,4/103 3/6/19 Perbaikan KU, sudah DNR, sudah HD,
12.7/38.3/28.820/537.000 Ur/Cr cek ulang PCT tgl 6 Juni
168.8/7 OT/PT 12/15 Alb 2.91 Ca 1.38
Mg 2.28 PCT 1.5
31/5/19 DPL 9,3/26,6/13130/585800 Raber kapten Neuro, IPD; Obsgin rawat

Na/K/Cl 129/4,3/110 22/5/19 DPL
luka
9,8/28,4/19.530/700.000

210 A, 520 D

Ca cervix st IIIB dengan penurunan kesadaran
ec hipoglikemi, intake sulit, anemia, elektrolit
Nuraidah Prof. Dr. dr. Andrijono,
214 D 55 4366665 imbalans, acute on CKD, ca pain,
Tampubolon SpOG(K)
hidronefrosis bilateral, leukositosis reaktf dd
infektf
NOP susek maigna, dispneu ec efusi pleura Dr. dr. Hariyono W, SpOG (K)
210 A Iyam Marina 25 4374722 post pungsi pleura DVT

intake sulit, hidfronefrosis kanan, POD II post
pungsi asites

diare akut dehidrasi ringan, elektrolit
imbalans dengan VES bigemini, anemia, Prof. Dr. dr. Andrijono,
210 D Anisah 64 4358023 hiperglikemia ec reaktf dd DM tpe II, SpOG(K)
transaminase

CAP, hipertensi gr II, POD I post HD
4362839 Caintake
206 B Sujarsih 46 sulit, hiponatremia, trombositosis,
leukositosis, hipoaalbumin
Ca cervix st IV metastasis bula pasca radiasi

lengkap dengan penurunan kesadaran ec Dr. dr. Laila Nuranna,
206 C Sisca Hening 37 4305973 suspek ensefalopat uremikum, AKI dd acute SpOG(K)
on CKD pasca HD, intake sulit, ca pain (VAS 3),
hidronefrosis bilateral
Ca Cervix stadium IIIB dengan anemia, cancer

pain VAS 4-5, hidronefrosis bilateral on Dr. dr. Laila Nuranna,
206 D Netty 64 4332274 nefrostomi bilateral, AKI dd akut on CKD, HAP SpOG(K)
high risk dd metastasis, hipoalbumin,
hipokalemia, hiponatremia
Ca Cervix st IIIB dengan anemia (Hb 4,4),

hiponatremia, hipertensi gr II, AKI dd/ acute
205 F Anih Bt. Naman 40 4311859 Dr. dr. Fitriyadi K, SpOG(K)
on CKD, POD III post nefrostomi bilateral ai
hidronefrosis bilateral, cancer pain

kronis, DM tpe 2
Dr. dr. Laila Nuranna, SpOG(K) 206 C 206 D
Dr. dr. Fitriyadi K, SpOG(K) 206 A, 206 B 205 C-F
Laboratorium Target
4/9/2019 5.8/15.9/37.67/467.000 E Sudah DNR, perbaikan KU, pasien sudah

124/7.2/100 GDS 69 Ur/Cr 383.6/6.3 terpasang CDL, rencana HD
OT/PT 16.6/5.7
4/6/2019 Alb 1.92 31/5/2019 Alb Sudah DNR , (pemberian albumer

2,12 27/5/19 ditolak farmasi), menunggu hasil DPL
11.6/33.5/5.540/97.000 30/5/19
lengkap
Ur/Cr 32/0,6 Alb 1,92 OT/PT 38/23
4/6/2019 10/29.4/7.780/371.000 E
126/4.2/96 Alb 2.23 3/6/2019
8.5/24.8/9.09.465//94.7/32.4/34.3 Koreksi elektrolit dan albumin
GDS 97 Alb 2.34 Ur/Cr 0.91/40.5
OT/PT 39/79 E 129/4.1/104
4/6/2019 8.7/24.2/9.900/390.000
GDS 328.2 Alb 3.14 OT/PT 92.1 / Transfusi traget Hb > 10 g/dl, kolreksi
157.2 As urat 2.63 Ur/Cr 13.9/0.829 E elektrolit
113/3.5/83
4/6/2019 7.5/21.9/11.680/492.000 E
132/4.6/99.5 1/6/19 DPL Transfusi PRC target Hb 10 gr/dl; Koreksi
5,6/15,8/13.270/602.000 Ur/Cr natrium, raber I Urologi Nefrostomi jika
54,6/5,092; e: 129/4,2/106 31/5/19 Hb ≥ 8, sudah DNR raber IPD untuk
DPL 4,9/14,5/12.800/717.000; Ur/Cr koreksi elektrolit hipertensi. Sudah HD
99,6/8,482; e: 117/6,3/96; Alb 3,29
4/6/2019 9/28.9/32.280/639.000
Ur/Cr 64/1 Alb 2 OT/PT 21/13 1/6/19
DPL Rencana koreksi elektrolit, albumin
10,6/31,2/22610/1013000//76/22/34 (belum amprah albumer)
Na/K/Cl 130/4,8/101 PT/APTT 1,3/1,3
urat 4.72
3/6/19 12.7/38.3/28.820/537.000
Ur/Cr 168.8/7 OT/PT 12/15 Alb 2.91 Perbaikan KU, sudah DNR, sudah HD
Ca 1.38 Mg 2.28 PCT 1.5
3/6/19 8.6/25.9/32.95/465 02/06/19

DPL 7,9/34,8/30770/516.000 PT/APTT transfusi Hb >10 g/dl, terapi antbiotk
1x/1x Na/K/Cl 124/2.9/85 Ur/Cr dan inhalasi dari TS IPD2
141,7/5,7 OT/PT 19/7 Alb 2,52 GDS
116
2/6/2019 DPL
8,3/26,1/8870/575000//72/33/31 Transfusi PRC target HB ≥ 10 gr/dl;
Ur/Cr 111/8,8 Na/K/Cl 125/5,0/100 koreksi natrium (cek elektrolit ulang),
31/5/19 DPL 4,4/14,2/7450/614.000; Urologi pro nefrostomi jika Hb ≥ 8 gr/dl
Ur/Cr 101/8,2; e: 118/5,3/108; GDS (rencana konsul ulang)
68

Na/K/Cl 129/4,3/110 22/5/19 DPL
luka
9,8/28,4/19.530/700.000
NOP susek maigna, dispneu ec efusi pleura

210 A Iyam Marina 25 4374722 Dr. dr. Hariyono W, SpOG (K)
post pungsi pleura DVT

asites, intake sulit, hidfronefrosis kanan
210 D Mardliyat 53 4378966 Ca cervix st IIB, anemia Dr. dr. Hariyono W, SpOG (K)

CAP, hipertensi gr II

4362839 Caintake
206 B Sujarsih 46 sulit, hipokalemia, hiponatremia,
trombositosis, leukositosis, hipoaalbumin

206 D Netty 64 4332274 nefrostomi bilateral, AKI dd akut on CKD, HAP
SpOG(K)
Ca Cervix st IIIB post radiasi lengkap suspek
residif dengan riwayat perdarahan
Dessy Theresia
205 C 39 4274415 pervaginam, riwayat syok hipovolemik gr II, Dr. dr. Fitriyadi K, SpOG(K)
Mallow anemia ec perdarahan (Hb 7,6), hipokelamia,
cancer pain, hidronefrosis kiri
Ca serviks stadium IIIB, dengan anemia,

hidronefrosis bilateral, acute on CKD post
205 D Sumiyat 49 4390166 nefrostomi bilateral, hiponatremia, dispepsia, Dr. dr. Fitriyadi K, SpOG(K)
hipoalbuminemia
Germ cell tumor suspek yolk sac dengan

anemia ec penyakit kronis on transfusi, Ca Dr. dr. Gatot Purwoto, SpOG
205 E Deva 15 4389285 pain (VAS 3), hiponatremia, hiperkalemia, (K)
takikardi ec nyeri dan penekanan massa, AKI
dd acute on CKD, hipoalbuminemia, asites

205 F Anih Bt. Naman 40 4311859 hiponatremia, hipertensi gr II, AKI dd/ acute Dr. dr. Fitriyadi K, SpOG(K)
on CKD, hidronefrosis bilateral, cancer pain
204 A Ariyani Setawat 62 4311859 Ca serviks stadium IIB Dr. dr. Hariyono W, SpOG (K)

kronis, DM tpe 2

Laboratorium Target
31/5/2019 Alb 2,12 27/5/19 sudah DNR , rencana koreksi albumin
11.6/33.5/5.540/97.000 30/5/19 dengan albumer
Ur/Cr 32/0,6 Alb 1,92 OT/PT 38/23
3/6/2019
8.5/24.8/9.09.465//94.7/32.4/34.3 Perbaikan KU, transfusi PRC target Hb
GDS 97 Alb 2.34 Ur/Cr 0.91/40.5 >10 g/dl, koreksi elektrolit
OT/PT 39/79 E 129/4.1/104
24/5/2019 9.5/32.2/6.33/458 OT/PT Transfusi target HB > 10 g/dl

15/14 Ur/Cr 14/0.7 Alb 4.6 ANC 3918
1/6/19 DPL 5,6/15,8/13.270/602.000 Transfusi PRC target Hb 10 gr/dl; Koreksi

Ur/Cr 54,6/5,092; e: 129/4,2/106 natrium, raber I Urologi Nefrostomi jika
31/5/19 DPL Hb ≥ 8, sudah DNR raber IPD untuk
4,9/14,5/12.800/717.000; Ur/Cr koreksi elektrolit hipertensi. Rencana HD
99,6/8,482; e: 117/6,3/96; Alb 3,29 (5/6/19) sudah amprah darah
1/6/19 DPL
10,6/31,2/22610/1013000//76/22/34
Na/K/Cl 130/4,8/101 PT/APTT 1,3/1,3 Rencana koreksi elektrolit, albumin
urat 4.72
3/6/19 8.6/25.9/32.95/465 02/06/19

DPL 7,9/34,8/30770/516.000 PT/APTT transfusi Hb >10 g/dl, terapi antbiotk
1x/1x Na/K/Cl 124/2.9/85 Ur/Cr
dan inhalasi dari TS IPD2
141,7/5,7 OT/PT 19/7 Alb 2,52 GDS
116
3/6/19 9.7/28/4.59/212/ Ur/Cr
16/0.6 e 137/2.8/104.8 2/6/19 DPL
8,1/24,7/5220/257000//83/27/33 Koreksi elektrolit, rencana pulang pasca
Na/K/Cl 135/3,1/102 1/6/19 DPL pemberian KN terakhir
7,6/22,1/8240/232.00; Ur/Cr
18,8/0,936; e: 136/2,6/105; Alb 3,63
3/6/19 11.5/33/8.17/360 Ur/Cr 15/1

E 133/4.1/103.5 1/6/19 DPL
8,4/23,9/8190/305.000 Ur/Cr 35/2,7;
e : 128/4,4/107 31/5/19 Ur/Cr
76/7 Na/K/Cl 134/3,4/116
25/5/19 DPL Target input: 80% output post
8,8/24,5/11.100/229.000 Ur/Cr nefrostomi hari ke 4, rencana pulang
55,4/5,96 Na/K/Cl 121/5,3/108 OT/PT
33/19 Alb 2,83 DGS 92. DPL post
tranfusi (28/05/19)
10.7/30/9620/256000 30/5/19 DPL
8/22,9/8.180/317.000 e:
120/6,2/98,3
3/6/2019
10.2/29.5/11.37/646//85.8/29.7/34.6
2/6/2019 Antbodi (-) 1/6/2019 PCT Koreksi elektrolit, perbaikan KU, sudah
0.43 CRP-Q 1.5 AGD DNR
7.38/21.6/102.9/97.5/-9.8/-
12.3/16.6/13.6/13
2/6/2019 DPL
68
Pulang, pascakemoterapi

Na/K/Cl 129/4,3/110 22/5/19 DPL luka
9,8/28,4/19.530/700.000



CAP, hipertensi gr II

4362839 Caintake
206 B Sujarsih 46 sulit, hipokalemia, hiponatremia,
trombositosis, leukositosis, hipoaalbumin
Ca Ovarium advance stage pot laparotomi

suboptmal debulking dengan dyspnue ec Dr. dr. Laila Nuranna,
206 C Semi Asih 51 4365366 efusi pluera, ascites, AKI dd akut on CKD, SpOG(K)
anemia, trombositopenia , hipoalbumin,
intake sulit, cancer pain VAS 3

206 D Netty 64 4332274 nefrostomi bilateral, AKI dd akut on CKD, HAP SpOG(K)
4388904 Ca Cx III B, leukositosis ec suspek urosepsis
205 A Ika Handayani 37 Dr. dr. Hariyono W, SpOG (K)
dengan febris, CKD on nefrostomi
Ca Cervix st IIIB post radiasi lengkap suspek

residif dengan riwayat perdarahan
Dessy Theresia
205 C 39 4274415 pervaginam, riwayat syok hipovolemik gr II, Dr. dr. Fitriyadi K, SpOG(K)
Mallow anemia ec perdarahan (Hb 7,6), hipokelamia,
cancer pain, hidronefrosis kiri

205 D Sumiyat 49 4390166 hidronefrosis bilateral, acute on CKD post Dr. dr. Fitriyadi K, SpOG(K)
nefrostomi bilateral, hiponatremia, dispepsia,
hipoalbuminemia

205 F Anih Bt. Naman 40 4311859 hiponatremia, hipertensi gr II, AKI dd/ acute Dr. dr. Fitriyadi K, SpOG(K)
on CKD, hidronefrosis bilateral, cancer pain
kronis, DM tpe 2

Laboratorium Target
11.6/33.5/5.540/97.000 30/5/19 dengan albumer
Ur/Cr 32/0,6 Alb 1,92 OT/PT 38/23
1/6/19 DPL 5,6/15,8/13.270/602.000 Transfusi PRC target Hb 10 gr/dl; Koreksi

Ur/Cr 54,6/5,092; e: 129/4,2/106 natrium, raber I Urologi Nefrostomi jika
31/5/19 DPL Hb ≥ 8, sudah DNR raber IPD untuk
4,9/14,5/12.800/717.000; Ur/Cr koreksi elektrolit hipertensi
99,6/8,482; e: 117/6,3/96; Alb 3,29
1/6/19 DPL
10,6/31,2/22610/1013000//76/22/34 Rencana koreksi elektrolit, albumin
Na/K/Cl 130/4,8/101 PT/APTT 1,3/1,3
GDS 103 Albumin 2,31
2/6/19 DPL 8,5/25,3/7950/124000 USG thorax rencana thoracosentesis dan

Na/K/Cl 124/4,8/91 Ur/Cr 167/10,8 pungsi ascites, balance cairan pasang
OT/PT 157/59 Alb 3,11 GDS 86 kateter
02/06/19 DPL
7,9/34,8/30770/516.000 PT/APTT transfusi Hb >10 g/dl, terapi antbiotk
1x/1x Na/K/Cl 124/2.9/85 Ur/Cr dan inhalasi dari TS IPD
141,7/5,7 OT/PT 19/7 Alb 2,52 GDS
116
1/6/19 DPL
7,4/22,5/19.000/351.000; Kultur urin
Pseudomonas aeruginosa resisten
ceftriaxone. 31/5/19 DPL Cek DPL, Ur/Cr, e pasca transfusi;
7,1/21,3/22520/396000 Ur/Cr evaluasi Nefrostomi oleh urologi
138/2,2 28/5/19 DPL dijadwalkan elektf
6,8/19,5/31.720/597.000 e:
118/5,7/101 Ur/Cr 124/2,47 OT/PT
27/21GDS 102
2/6/19 DPL
8,1/24,7/5220/257000//83/27/33 Sudah aff tampon, Cek elektrolit dan
Na/K/Cl 135/3,1/102 1/6/19 DPL Mg, transfusi PRC target Hb ≥ 10 gr/dl
7,6/22,1/8240/232.00; Ur/Cr
18,8/0,936; e: 136/2,6/105; Alb 3,63
1/6/19 DPL 8,4/23,9/8190/305.000

Ur/Cr 35/2,7; e : 128/4,4/107
31/5/19 Ur/Cr 76/7 Na/K/Cl
134/3,4/116
25/5/19 DPL Transfusi target Hb ≥ 10 gr/dl; Observasi
8,8/24,5/11.100/229.000 Ur/Cr balans/8 jam; Target input: 80% output
55,4/5,96 Na/K/Cl 121/5,3/108 OT/PT post nefrostomi hari ke 3
33/19 Alb 2,83 DGS 92. DPL post
tranfusi (28/05/19)
10.7/30/9620/256000 30/5/19 DPL
8/22,9/8.180/317.000 e:
120/6,2/98,3
2/6/2019 DPL
68
Na/K/Cl 129/4,3/110 22/5/19 DPL luka
9,8/28,4/19.530/700.000

NOP susek maigna, dispneu ec efusi pleura 31/5/2019 Alb 2,12 27/5/19 sudah DNR , rencana koreksi albumin
210 A Iyam Marina 25 4374722 post pungsi pleura DVT Dr. dr. Hariyono W, SpOG (K) 11.6/33.5/5.540/97.000 30/5/19 dengan albumer
Ur/Cr 32/0,6 Alb 1,92 OT/PT 38/23
Ca Cervix st IIIB post radiasi lengkap (2016) 1/6/19 DPL 5,6/15,8/13.270/602.000

suspek residif dengan fistula vesikovagina, Ur/Cr 54,6/5,092; e: 129/4,2/106 Transfusi PRC target Hb 10 gr/dl; Koreksi
206 A Rini 62 4066026 anemia, acute on CKD post HD 1x, Dr. dr. Fitriyadi K, SpOG(K) 31/5/19 DPL natrium, raber I Urologi Nefrostomi jika
hidronefrosis bilateral, imbalans elektrolit, 4,9/14,5/12.800/717.000; Ur/Cr Hb ≥ 8, sudah DNR raber IPD untuk
koreksi elektrolit hipertensi
CAP, hipertensi gr II 99,6/8,482; e: 117/6,3/96; Alb 3,29
POD 12 post laparotomi optmal debulking ai 1/6/19 DPL

Ca ovarium residif dengan cancer pain VAS 3 10,6/31,2/22610/1013000//76/22/34
206 B Sujarsih 46 4362839 intake sulit, hipokalemia, hiponatremia, Dr. dr. Fitriyadi K, SpOG(K) Na/K/Cl 130/4,8/101 PT/APTT 1,3/1,3 Rencana koreksi elektrolit, albumin
trombositosis, leukositosis, hipoaalbumin GDS 103 Albumin 2,31
1/6/19 DPL
7,4/22,5/19.000/351.000; Kultur urin
Pseudomonas aeruginosa resisten
ceftriaxone. 31/5/19 DPL Cek DPL, Ur/Cr, e pasca transfusi;
205 A Ika Handayani 37 4388904 Ca Cx III B, leukositosis ec suspek urosepsis Dr. dr. Hariyono W, SpOG (K) 7,1/21,3/22520/396000 Ur/Cr evaluasi Nefrostomi oleh urologi
dengan febris, CKD on nefrostomi 138/2,2 28/5/19 DPL dijadwalkan elektf
6,8/19,5/31.720/597.000 e:
118/5,7/101 Ur/Cr 124/2,47 OT/PT
27/21GDS 102
Ca Cervix st IIIB post radiasi lengkap suspek 2/6/19 DPL

Dessy Theresia residif dengan riwayat perdarahan 8,1/24,7/5220/257000//83/27/33 Terpasang tampon vagina (Rencana aff
205 C Mallow 39 4274415 pervaginam, riwayat syok hipovolemik gr II, Dr. dr. Fitriyadi K, SpOG(K) Na/K/Cl 135/3,1/102 1/6/19 DPL 2/6/19 pk 23.00), Cek elektrolit dan Mg,
anemia ec perdarahan (Hb 7,6), hipokelamia, 7,6/22,1/8240/232.00; Ur/Cr transfusi PRC target Hb ≥ 10 gr/dl
cancer pain, hidronefrosis kiri 18,8/0,936; e: 136/2,6/105; Alb 3,63
1/6/19 DPL 8,4/23,9/8190/305.000

Ur/Cr 35/2,7; e : 128/4,4/107
31/5/19 Ur/Cr 76/7 Na/K/Cl
134/3,4/116
Ca serviks stadium IIIB, dengan anemia, 25/5/19 DPL
hidronefrosis bilateral, acute on CKD post 8,8/24,5/11.100/229.000 Ur/Cr Transfusi target Hb ≥ 10 gr/dl; Observasi
205 D Sumiyat 49 4390166 nefrostomi bilateral, hiponatremia, dispepsia, Dr. dr. Fitriyadi K, SpOG(K) 55,4/5,96 Na/K/Cl 121/5,3/108 OT/PT balans/8 jam; Target input: 80% output
hipoalbuminemia 33/19 Alb 2,83 DGS 92. DPL post post nefrostomi hari ke 3
tranfusi (28/05/19)
10.7/30/9620/256000 30/5/19 DPL
8/22,9/8.180/317.000 e:
120/6,2/98,3
2/6/2019 DPL
8,3/26,1/8870/575000//72/33/31
Ca Cervix st IIIB dengan anemia (Hb 4,4), Ur/Cr 111/8,8 Na/K/Cl 125/5,0/100 Transfusi PRC target HB ≥ 10 gr/dl;
205 F Anih Bt. Naman 40 4311859 hiponatremia, hipertensi gr II, AKI dd/ acute Dr. dr. Fitriyadi K, SpOG(K) 31/5/19 DPL 4,4/14,2/7450/614.000; koreksi natrium (cek elektrolit ulang),
on CKD, hidronefrosis bilateral, cancer pain Ur/Cr 101/8,2; e: 118/5,3/108; GDS Urologi pro nefrostomi jika Hb ≥ 8 gr/dl
68

debulking ai sarkoma uteri clinically advance 31/5/19 DPL 9,3/26,6/13130/585800
520 D Enur Kacem 55 4362766 stage dg permasalahan hemiparesis dextra, Dr. dr. Hariyono W, SpOG (K) Na/K/Cl 129/4,3/110 22/5/19 DPL Raber kapten Neuro, IPD; Obsgin rawat
paresis N VII ec stroke iskemi, hipertensi 9,8/28,4/19.530/700.000 luka
kronis, DM tpe 2
dr. T Dewi Anggraeni, SpOG(K) dr. Kartwa Hadi N, SpOG(K) 205 B

dr. Andi Darma Putra, SpOG (K) Dr. dr. Hariyono W, SpOG (K) 210 A, 205 A, 520 D
Prof. Dr. dr. Andrijono, SpOG(K) Dr. dr. Gatot Purwoto, SpOG(K) 204 D
Dr. dr. Fitriyadi K, SpOG(K) 206 A, 205 C-F
Ward Map Onkologi, Sabtu 1 Juni 2019

Ca Cervix stadium III B, CKD on nefrostomi

207 A Kriswat 44 4335327 biateral, anemia,Ca Pain vas 2, hipokalemia, Dr. dr. Hariyono W, SpOG(K)
hiponatremia
207 B Dominika Domi 44 4381845 Ca Cervix stadium III B anemia (Hb 3.6) dr. Kartwa H. N., SpOG(K)
Ca serviks stadium IIIB, riwayat perdarahan

4374598 pervaginam, anemia (Hb 7.6), CKD stage V dr. Andi Darma Putra,
207 C Sit Nur Muniroh 40
post HD (66/4.7), ca pain, hidronefrosis SpOG(K)
bilateral
4335537 Ca Cervix stadium IIIB, anemia (Hb 6.6) ec riw Dr. dr. Gatot Purwoto,
207 D TjoE Oy Ling 56 pendarahan SpOG(K)
4388904 Ca Cx III B, leukositosis ec suspek urosepsis

207 E Ika Handayani 37 Dr. dr. Hariyono W, SpOG (K)
dengan febris, CKD on nefrostomi
4390166 hidronefrosis bilateral, acute on CKD post dr. Andi Darma Putra, SpOG
206 D Sumiyat 49 nefrostomi bilateral, hiponatremia, dispepsia, (K)
hipoalbuminemia
4310782 Ca cervix 1B1 post HTSOB debulking KGB, Prof. Dr. dr. Andrijono,
204 A Sumiyat 61 post radiasi lengkap, metastats paru SpOG(K)
Dr. dr. Fitriyadi Kusuma,
204 C Sulkha 41 4113088 PTM High Risk
SpOG (K)
4381052 Ca ovarium (Yolk Sac Tunor) post inadequate Dr. dr. Gatot Purwoto,
204 D Ida Melyani 17
treatment, residif, anemia SpOG(K)

204 E Nuraini 78 4371648 Ca ovarium stadium IIIC post laparotomi debulking SpOG(K)
4327743 Ca ovarium stadium IIIC post laparotomi debulking Dr. dr. Fitriyadi Kusuma,
204 F RT Merani 69 SpOG (K)
Ca ovarium stadium IIIA post laparotomi Dr. dr. Gatot Purwoto,

310 A Ida Ivon 51 3134348 optmal debulking SpOG(K)

kronis, DM tpe 2
dr. Andi Darma Putra, SpOG (K) 207 C, 206 D
204 A 204 E
Dr. dr. Fitriyadi K, SpOG(K) 204 C, 204 F
Laboratorium Target
11.6/33.5/5.540/97.000 30/5/19 dengan albumer
Ur/Cr 32/0,6 Alb 1,92 OT/PT 38/23
DPL 10.4/30.8/11.400/308.000 Cek Elektrolit ulang Rencana rawat jalan
30/5/19 DPL 8/24,9/32.100/125.000 Transfusi PRC target Hb 10 g/ dl

DPL 3.6/11.7/9.350/140.000
31/5/19 DPL 9,7/28,5/6210/154000

Alb 2,55 Ur/Cr 66/4,6 Na/K/Cl
133/3,4/98 Post HD 30/5/19, rencana CT Simulator
27/5/19 7.6/21.9/8690/161.000 e
133/3.2/111 Ur/Cr 66/4.7 Albumin
1.79
30/5/19 DPL 8,6/26,4/8.450/337.000 Transfusi PRC target Hb 10 g/ dl
31/5/19 DPL 7,1/21,3/22520/396000

Ur/Cr 138/2,2 28/5/19 DPL Cek DPL, Ur/Cr, e evaluasi Nefrostomi
6,8/19,5/31.720/597.000 e: oleh urologi dijadwalkan elektf
118/5,7/101 Ur/Cr 124/2,47 OT/PT
27/21GDS 102
31/5/19 Ur/Cr 76/7 Na/K/Cl
134/3,4/116
25/5/19 DPL
8,8/24,5/11.100/229.000 Ur/Cr
55,4/5,96 Na/K/Cl 121/5,3/108 OT/PT post nefrostomi kemarin evaluasi Ur/Cr
33/19 Alb 2,83 DGS 92. DPL post dan elektrolit
tranfusi (28/05/19)
10.7/30/9620/256000 30/5/19 DPL
8/22,9/8.180/317.000 e:
120/6,2/98,3
28/5/19 DPL
12.5/37,2/5540/298.000 Ur/Cr post kemoterapi I rencana pulang
21/0,7
28/5/19 DPL 10/32/8760/238000 Post EMACO rencana pulang
31/5/19 DPL
10,7/32,5/12280/454000 DPL sedang kemoterapi seri pertama
9/28/11.830/483.000 30/5/19 DPL
10,7/32,5/12.280/454.000
27/5/19 DPL 10,4/33,4/3190/172000
Ur/Cr 26/0,5 OT/PT 23/17 Na/K/Cl Post kemoterapi ke II Rencana pulang
128/3,5/94
27/05/19 DPL 10,4/32.4/3940/15700

Ur/Cr 33/0,7 OT/PT 22/31 Na/K/Cl Post Kemoterapi ke IV Rencana pulang
136/4,2/100
28/5/19 DPL 10,9348790/625000 post kemoterapi I rencana pulang

Na/K/Cl 129/4,3/110 22/5/19 DPL luka
9,8/28,4/19.530/700.000
Dr. dr. Hariyono W, SpOG (K) 210 A, 207 A,207 E,520 D
310 A, 204 D, 207 D

Ward Map Onkologi 6 Oktober 2019

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Ward Map Ginekologi Onkologi Minggu 6 Oktober 2019

Kamar Nama Usia RM Diagnosis DPJP Laboratorium Target

Prof. Dr. dr. DPL :

Lab 3/10/19 DPL

Riwayat syok 27/9/19:

dr. T. Dewi Dr. dr. Hariyono 205A, 207B,

Dr. dr. Fitriyadi K, 204D, 204E,

dr. Andi Darma 206D,207D,211C,

Prof. Dr. dr. DPL

dr. Kartwa Hadi N, DPL

Prof. Dr. dr. DPL :

Lab 3/10/19 DPL

LAB 1/10/19 DPL

3/10/19: alb 2.3,

dr. T. Dewi Dr. dr. Hariyono W, 205A, 207B, 207C,

Dr. dr. Sigit

dr. Andi Darma 206D,207D,211C,

Prof. Dr. dr. DPL

dr. Kartwa Hadi N, DPL

dr. Kartwa Hadi N, DPL

Dr. dr. Fitriyadi K, DPL

Dr. dr. Fitriyadi K, DPL

Dr. dr. Fitriyadi K, DPL

LAB 1/10/19 DPL

dr. T. Dewi Dr. dr. Hariyono W,

Dr. dr. Sigit

dr. Andi Darma 206D,207D,211C,

Konsul IPD dan

205A, 207B, 207C,

Tutant Dr. dr.

Lab 1/10/19: Na/K/Cl 129/4.5/103

Dr. dr. 1/10/19 DPL 9.6/30/14020/488000 Ca 125

Ca cervix stadium IIIB, CKD on

Dr. dr. Tofan

Ca cerviks stadium III B dr. Andi

Riwayat syok hipovolemik 27/9/19: e: 129/4/108,5 26/9/19

Lab 30/9/2019 DPL 8.0/23.7/10440/205000

LAB 1/10/19 DPL 11.3/34.2/9660/225000

Ca cervix susp stadium IIIB

POD II post laparotomy 30/9/19 DPL 11.7/36.2/8730/203000 PT/APTT

Ca endometrium stadium IV, Lab 30/9/2019 DPL 10.1/30/6710/171000

ILO superfisialis post

26/9/2019 PT/APTT 1.0/1.3 Albumin 2.43

Lab 21/9/2019 10,6/32/9750/334000.

1/10/2019 post op DPL

(25/9/29) DPL 9,5/29,8/5620/232000

Dr. dr. Gatot 24/9/2019

Dr. dr. Gatot DPL (27/9/19) : Transfusi PRC target

Ca Cervix dr. Kartwa DPL (27/9/19) : Transfusi PRC target

Riwayat syok 27/9/19:

Dr. dr. Gatot Lab (18/9/19)

Sarkoma uteri DPL (12/9/19) :

Dr. dr. Sigit

Dr. dr. Gatot DPL (25/9/19) :

Dr. dr. Gatot 24/9/2019

Dr. dr. Gatot DPL (27/9/19) :

Ca Cervix DPL (27/9/19) : Transfusi PRC

Endometrial DPL post OP :

Dr. dr. Gatot Lab (18/9/19) Laparotomi

dr. Andi Darma

204A MAYENI 61 4387731 Ca cervix Dr. dr. Sigit Purbadi, SpOG(K)

204B Sandra 44 4417063 Ca cervix

Dr. dr. Laila Nuranna,

204D Erniat 28 4417536 ptm high risk