LIST PASIEN B.

DIGESTIF 14 JUNI 2021

No. Nama/JK/Umur/MR DPJP Diagnosis Rencana
1. Susilawati/Pr/51 thn DR. dr. Asrul, SpB- Post Exploratory laparotomy + Wound care
82.91.20 KBD Incisional hernia repair d/t Mobilisasi
Incisional hernia o/t (R) Flank Diet MB
(POD-3) + CKD on HD reguler Raber TS Interna
2. Radot/Lk/30 thn DR. dr. Asrul, SpB- Post Exploratory laparotomy d/t Diet MII
83.14.18 KBD Ileal perforation (POD-8) + Post Stoma care
Ileocolostomy closure (POD-14) + Mobilisasi
Hiponatremia (128) R/ Repair Stoma CITO
Koreksi Natrium
3. Supriani/Pr/40 thn DR. dr. Adi Muradi Post Exploratory laparotomy + Diet TPN Hari ke 4 —> PPN?
83.21.95 Muhar, SpB-KBD Abcess evacuation d/t Transfusi PRC 2 bag -> cek lab
Intraabdominal abcess + post transfusi
Debridement + secondary suture Susul hasil kultur darah
d/t Wound dehiscence Grd II Rencana konsul PTI
(POD-4) + Anemia (8.5) Wound care
4. Lindung/Pr/56 thn DR. dr. Asrul, SpB- Post Exploratory CBD d/t Diet M2
64.46.59 KBD Choledocolithiasis (POD-4) + Aff drain & NGT
Ascites Cek albumin -> ko
5. Rusdianto/Lk/38 thn dr. Safruddin Nst, SpB- Sepsis + Tertiary peritonitis d/t EGDT
83.48.64 KBD Susp. Gastric leakage (POD 6) + Transfusi PRC 2 bag
Anemia (8.0) + Hypocalemia (2.8) Rencana laparotomi eksplorasi
+ Hypoalbuminemia (2.6) bila KU membaik
6. Agustina/Pr/54 thn DR. dr. Adi Muradi Susp. Reccurent Colon Ca + Paliative care
82.20.75 Muhar, SpB-KBD Peristomal fasciitis + CKD on HD Stoma care
regular Bg
7. Zuraidah/Pr/67 thn DR. dr. Adi Muradi Post Colorectal anastomosis + Post Diet TPN -> Diet PPN?
82.28.94 Muhar, SpB-KBD TAH d/t Uterine myoma (POD-4) Raber TS Obgin
Susul hasil kultur darah
Rencana konsul PTI
8. Kurniawan/Lk/36 thn dr. Safruddin Nst, SpB- Post Ileo-colica anastomosis NGT diikat
 81.85.26 KBD (POD-6) + PSMBA Diet M1
Cek lab lengkap ulang -> susul
hasil lab
9. Padli/Lk/26 thn dr. Safruddin Nst, SpB- Rectal tumor sugg. Malignant Susul hasil CT Scan Whole
83.51.49 KBD cT4N0M0 (5cm ACL) with Abdomen kontras IV, oral &
rectocutaneous fistula (low output) anal
R/ kolonoskopi biopsi -> jadwal
10. Erlando/Lk/47th Dr. dr. Asrul, SpB- Post Sigmoidostomy Diversi d/t Stoma Care
KBD Abses Perianal + Fournier Rawat Luka
Gangrene (POD 0) + Dm tipe 2
11. Alfian/Lk/72 thn DR. dr. Adi Muradi GOO + Susp. SMA syndrome + Rencana laparotomi eksplorasi
83.50.34 Muhar, SpB-KBD Retroperitoneal tumor elektif Senin (14/6/21)
12. Alboin/Lk/19 thn DR. dr. Asrul, SpB- Perianal abscess + Anemia (8.0) + Koreksi Hb & Trombosit
83.50.34 KBD Thrombocytopenia (11.990) Rencana drainase abses urgensi
13. Hardi/Lk/62 thn DR. dr. Adi Muradi Post Laparotomy + Drainage Liver Susul hasil kultur cairan ascites
83.46.14 Muhar, SpB-KBD Abscess + DM Type 2 (POD 3) dan pus -> ganti AB
Diet MB
14. Zulkarnaen/Lk/46th DR. dr. Asrul, SpB- Intrabdominal tumor + Post (L) Susul CT Scan Whole Abdomen
834977 KBD Chest tube insertion + WSD d/t (L) dengan kontras IV
Hydropneumothorax (POD-5) + Raber TS Paru
AKI Raber TS Interna
15. Maria/Pr/55 thn DR. dr. Asrul, SpB- Perianal abscess + Anemia (6.4) + Raber TS Interna
82.99.40 KBD DM Type 2 Rencana abcess drainage
urgensi
16. Evi/Pr/34 thn DR. dr. Adi Muradi Rectovesicavaginal fistula (low Rencana CT Scan fistulografi
78.55.87 Muhar, SpB-KBD output) + Susp. Reccurent Cervix Konsul anestesi untuk
Ca Stad. 4A Post TAH-BSO + pendampingan CT Scan
Post Nephrostomy bilateral + Raber TS Obgin
Radiation 35x + Post Nephrostomy Raber TS Urologi
bilateral (Diagnosis Urologi) +
Anemia (8.4)
17. Topan/Lk/24 thn DR. Dr. Adi Muradi Post Thoracotomy exploratory d/t Pantau TTV & produksi drain
83.54.43 Sp.B-KBD penetrating thoracal injury + Post Koreksi Albumin
 Dr. Maulidya Ayudika, bilateral chest tube insertion d/t
SpBTKV (R) Hemothorax and (L)
Pneumothorax + Post Exploratory
laparotomy + primary suture with
omental patch d/t gaster
perforation with penetrating
abdominal injury (POD-1)
18. Nuriani/Pr/34 thn DR. dr. Adi Muradi, Post (R) Extended hemicolectomy Pantau TTV
83.45.25 SpB-KBD d/t Proximal transverse colon Stoma care
tumor sugg malignant cT4N2M0
with Total mechanical bowel
obstruction + Post Ileostomy
(POD-2)
19. Ngateman/Lk/67 thn DR. dr. Adi Muradi, Post Sigmoidostomy Diversi d/t Pantau Stoma
83.54.71 SpB-KBD / dr Arya Alvi incontinence ec. Spinal cord Rawat luka dengan madu
Tjipta SpBP- RE injury (POD 1) + Pressure ulcer
Grd 1 o/t (L) flank
20. Yetti/Pr/58th Dr. Budi Irwan, Sp.B- Cholecystolithiasis + Chronic Foto Thorax
835498 KBD Cholecystitis + Polyneuropathy + Foto Abdomen Polos
Rheumatoid Arthritis + Susp Pasang NGT
Pneumonia Diet Entrasol 6x100cc
21 Hermanto/Lk/49th Dr. dr. Asrul, Sp.B- Surgical Site Infection Grade II Triple Antibiotik
827553 KBD Post Laparotomy Biopsy + Kultur pus dari luka operasi
AdenoCa Colon T4bN1M1c + Koreksi Albumin
Hipoalbuminemia + Hiponatremia Koreksi Hb
Koreksi Natrium