Koran Uro Kamis 11september

KORAN UROLOGI Kamis, 11 SEPTEMBER 2014

LONTARA 2 UROLOGI KAMAR 12

1Bed 1DuppaRM 629845Tgl lahir 1/1/1930MRS 27/8/2014DPJP : dr. M. Asykar , Sp.U-hipertrofi prostat gr. III-Hernia inguinal lateralReponibilis bilateral-hematuri-proteinuriPost TUR P (10/9/14) (POH 1)

Lab (19/8/2014)WBC :8300RBC :4,01x106PLT : 222HB :12,1Ur : 31Cr : 1,5

USG abdomen20/8/14Fatty liverHipertrofi prostat

Echo ( 29/8/14)EF 68%

TRUS 90TAUS 94

2Bed 2Usman RM 654419Tgl lahir 1-7-1982MRS 20/8/14DPJP:dr. M. Asykar , Sp.U-seminoma testis kiri-ascites-infeksi saluran kemih-anemia

Perbaikan KURencana kemoterapi

Hasil PA 2/4/14Seminoma testis

Lab 30/8/2014WBC : 6,9PLT : 337HB : 9,3Lab 20/8/14Ur:25Cr : 0,9Lab 4/9/14Alb : 2,9Hb post transfusi 10,1

4Bed 4MUDDIN DG LALANGRM 677257Tgl Lahir 7/7/1949MRS 8-9-2014DPJP: dr.Muh.Asykar Palinrungi,Sp.U-hipertrofi prostat gr. III-Hematuria- LeukosituriaTrans urethal resection of Prostat HARI INI

Lab (25/8/2014)Hb : 12,5WBC : 10.1Ur : 21Cr : 0,91PLT 390RBC 4,34

USG ABD (22/8/14)Kesan: Hipertrofi Prostat

FOTO THORAX PA (22/7/14)Kesan: Normal

5Bed 5Ruslan653105Tgl Lahir 19/9/92MRS 8/9/14DPJP: dr.Muh.Asykar Palinrungi,Sp.UBatu Ginjal kananBatu ureter kananISKLeukositosisSusp. Single KidneyGangguan Fungsi HeparPost URS dan DJ Stent (10/9/14) (POH 1)Lab (7/9/14)Hb : 15.6WBC : 16.1Ur : Cr : PLT 360RBC 4,91

CT Scan ABD (8/9/14)Kesan: Severe hydronephrosis dextra e.c UreterolithNephroliths DextraHepatomegaly

6Bed 6Massa Tgl lahir 4/3/1920RM 676952Mrs: 19/8/2014DPJP : dr. Asykar, Sp.UHipertrofi prostat gr. IIICystitisTB Paru lama tenangProteinuriaHematuriaBronkhitisPost Trans Urethral resection of prostat 10/9/14Lab (22/8/14)WBC 10.3RBC 3.85HGB 11.3HCT 32.9PLT 250Ur/Cr: 64/9.0PSA: 8.70 (25/8/14)

LONTARA 2 URO KAMAR 1

Bed 1Heri mokodompit667545TL 07/11/1968MRS 9/9/14dr. M. Asykar Palinrungi, Sp.U Batu ginjal bilateral Hidronefrosis bilateral Double J Stent Hematuri Rencana replace Double J Stent bilateral Ureterorenoscopy USG AbdomenLab (7-9-2014)WBC : 8,60RBC : 4,57HB : 13,2PLT : 279Ur : 21Cr : 1,20SGOT : 20SGPT : 23N : 142K : 3,8Cl : 100

USG Abdomen (18-8-2014)-Nefrolith disertai hidronefrosis bilateral-DJ stent terpasang pada kedua traktus urinarius

Bed 2Ibrahim Adjuna672005TL 03/08/1948MRS 7/8/14dr. M. Asykar Palinrungi, Sp.U

Batu cetak ginjal kiri Multiple kista ginjal bilateral Pyeloplasty Batu cetak ginjal kiri Multypel kista ginjal bilateral Anemia Melena Hipertensi gr II

Post extended pyelolithotomy sinistra (23-8-2014) (POH 18) Aff kateter Aff infuse Aff hacting Rencana uretroplastyESRD on HD regulerLab (8-9-2014)Ur : 59Cr : 2,10

Lab (6-9-2014)WBC : 10,9RBC: 3,27HB: 9,5PLT: 404

Lab (4-9-2014)WBC: 22,1RBC: 2,20HB: 6,1PLT: 450CT: 800BT: 230

Lab (24-8-2014)UR: 60CR: 2,70Na: 138K: 4,8Cl: 104

Urinalisa (11/8/2014)Warna: KuningpH: 5.5BJ: 1.015 Protein: +++/300 Glukosa: +/50 blood: ++/80leukosit: negatifsedimen leukosit: 2 sedimen eritrosit: 5 sedimen epitel sel: 2

RPG (26-08-14)POH 3 extended pyelolithotomiUreterocutaneusDJ stent sinistraMultiple kista ginjal bilateral

Hasil APGHidronefrosis grade II-III

MSCT Urografi (15/7/14) Kista ginal kanan Nefrolith denganhidronefrosis sinistra PNC sinistra

Foto Polos abd (15/7/14)Nefrolith sinistra (batu staghorn)

Bed 4La Hibbu676624Tgl lhr : 15-06-1934MRS : 5-9-2014DPJP : dr. Syakri Syahrir , Sp.U

Hipertropi Prostat gr 2-3 Siapkan 1 bag PRC Rencana op hari kamis

Lab (20-8-2014)WBC: 6,4RBC: 4,33HGB : 13,3PLT : 206HCT :40,3Ur/cr : 25/1,20Na/K/cl : 142/36/104

PSA : 1,15TAUS : 31,6TRUS : 32,3


Bed 1Abd. Rauf67909930-6-1961MRs: 5-9-2014DPJP: dr.Muh.Asykar Palinrungi,Sp.UTu. Buli-buliPost TUR BT (POH 1) (10-9-2014)Lab 5-9-2014Hb: 14,3RBC: 4,47WBC: 6,1HCT: $1,6PLT: 293Ur/cr: 21/1,00

USG abdomen: -Massa buli-buli-Hidronefrosis

Bed 2Abdul HakimRM 645271Tgl lahir 14/9/1955MRS 7/9/2014DPJP : Dr. Syakri. SpU

DJ-stent Insitu BilateralPost Aff DJ-Stent. (POH 1) (10-9-2014)Lab 22/8/2014HB : 11,5WBC : 8,2RBC 4.06PLT: 259Ur/Cr: 57/1.70PT/APTT: 10,6/23,8

Bed 3Najamuddin67722422-10-1959MRS: 02/9/2014DPJP: dr. M. Asykar P, Sp.UHypertrophy Prostat Gr.IIHiperglikemiDM tipe IIPOST TUR Prostat (8-9-2014) (POH 3)

Lab 7-9-2014GDS: 243 mg/dl

Lab 5-9-2014GDP: 125GD2P: 143HbA1C: 7,9

Lab 25-8-2014WBC: 5.4 RBC: 4.38HGB: 14.1 PLT: 243GDS: 244Ur/Cr: 19/0.61Na/K/Cl: 144/4.3/103PSA: 0.76PT/APTT: 10.2/25.0

USG AbdomenKesan: -hypertrophy prostat


Bed 1Hana Pepe669064TL: 20-4-1957MRS:21-8-14dr.M. Asykar Palinrungi, Sp.UBatucetakginjal (D)DJ Stent insitu bilateralKista ginjal (D)-anemia- ISK-leukositosis- pro extended pyelolithotomi + replace DJ stent dextra - Diet rendah garam, rendah purin- Takar urin/24 jam- POH 2Lab (6-9-20140WBC: 11,3RBC: 3,75HB: 11,2PLT: 455UR: 54CR: 1,90

Lab (30-8-14)Ur : 29Cr : 1,40RBC: 2,86PLT: 586HB : 8,8WBC : 12,0 x 103

Lab (1-9-2014)Albumin: 3,4

USG Abd (12-08-2014)Nefrolith (D)Renal cyst (D)DJ stent terpasangpadatraktusurinarius bilateral

Bed 2Armianti amir 67890017 9 1986MRS: 10- 9- 2014DPJP: dr.M Asykae P Sp.B

Hidronefrosis Dextra Double J Stent Bilateral Infeksi Saluran Kemih Hematome

Rencana replace Double J Stent Dextra Dan Aff Double J Stent SinistraLab 2 9 2014Wbc 8,6Hgb 12,5 Plt 498Rbc 4,76

Ur/Cr : 16/0,5

USG 1/9/2014 Hidronefrosis Bilateral

Bed 3Ny Irma Sofian6544813/8/1982DPJP: dr. Asykar, Sp.U

Hidronefrosis Sinistra Ca Mammae Grade III Infeksi Saluran Cerna Anemia Rencana pemasangan urs dan pasang Double J Stent Bilateral 4/9/2014Wbc 7,5Hgb 9,4Plt 487Rbc 3,27

GDS 86 mg/dl

Bed 4Talaha 66327517 1 1968MRS 3 9 2014DPJP dr.M Asykae P Sp.BHidronefrosis bilateral abses renal dextraPro replace DJ stent bilateralLab 9 9 2014Wbc 12,7Hgb 11,1Plt 498Rbc 4,79

Bed 5Ny Jainun67824611-2-1976MRS 10-9-2014DPJP : Dr.Kholis Sp.UHidronefrosis Sinistra Batu Pyelum SinistraAnemiaHepatomegaly Infeksi Saluran KemihTB Paru Lama AktifBatu Ginjal SinistraLengkapi pemeriksaan Lab 1-9-2014Wbc 10,0Hgb 9,1Plt 371Rbc 4,24

Ur/Cr : 19/1,00

USG 1-9-2014-Hepatomegaly -Hidronefrosis ec Batu Pyelum PUJ Snistra

Bed 6T. Dg. Ngai545338TL: 31-12-1968MRS: 5-9-2014dr. M. Asykar P, sP.BU-hidronefrosis bilateral-DJ stent insitu (S)Pro URS-Replace / Affv DJ stentDiet bebasMobilisasiLab 6-9-2014WBC: 6,4RBC: 4,16HB: 11,7HCT: 35PLT: 288NA: 140K: 3,9CL: 106GDS: 88UR: 60CR: 1,80GOT: 27GPT: 2,0


Bed 4Ester67563001/6/1947MRS:08/9/2014DPJP: dr.M. Asykar Palinrungi, Sp.U Tumor Ginjal DextraCardiomegalyDiverticulosis colonRencana Op nefrectomyLab (14-8-2014)RBC 3.73 WBC: 7.5HGB 11.7 PLT: 216Ur /Cr: 22/0.50 GDS: 124CT/BT: 800/230

MSCT Urograf i (26-8-2014)Kesan:-Tumor Ginjal kiri sesuai dengan Grawitz tumor

Colon- Inloop (19-8-2014)Kesan: -Diverticulosis Colon


Bed 1Zainuddin67608231/12/194310/9/2014DPJP:dr. Syakri S. Sp.UCa prostateRencana orchidectomyLab (8/9/14)WBC:9.2 RBC: 4.61HGB:12.1 PLT:445GDS : 1455Na/K/Cl : 139/4.1/106Ur/Cr : 17/1.07GOT/GPT: 37/38

Bed 2Drs. Khaidir SangajiRM 679676Tgl Lahir 31/12/1960MRS 9/9/2014DPJP : dr. Khoirul Kholis Sp.UHidronefrosis bilateralURS hari ini

Bed 3M.Dg. Talling67692631/12/1943MRS :DPJP:dr.Muh.Asykar Palinrungi,Sp.UTumor Buli-buliAnemiaHematuriaHidronefrosis bilateral

IVFD NaCl 0,9% 28 tpmInjeksi (gentamicin, ketorolac, ranitidin)Spooling kateter VIP Alb : 3xII tab

Lab(6/9/14):WBC:10.6 HGB:8.8RBC:2.99PLT:229

Lab(4/9/14):WBC:7 HGB:5.7RBC:1.95PLT:224

LabUr/cr : 41/2,45

Lab (30-8-2014)Ur/Cr : 44/1.42Albumin 4,1

Lab(25/8/14):PSA : 10.41

USG Abdomen (21/8/14)Massa buli-buli

MCST(26-8-2014)Massa buli-buliHidronefroureter bilateralDNC sinistraHypertropi prostatEfusi pleura bilateral

Bed 4Husen KilwaranyRM 679156Tgl lahir 7/1/1953MRS 6/9/14DPJP : Hematuri ec. Susp. Nefrolith sinistra

Lengkapi pemeriksaanLab 6-9-2014Hb : 14,9WBC : 11,2x 10 3RBC 4,97PLT 130Got/gpt 22/25Alb 3,6

Bed 5Bassara6775721/7/1954MRS: 10/9/2014DPJP:Hipertrofi prostat grade III susp. Malignancy Rencana TUR P

Bed 6Syarifuddin67501607/09/1967MRS:DPJP:dr.KhoirulKholis,Sp.UBatucetakginjaldextraDJ stent ureter dextra

Pro extended pyelolitotomiLab(7/8/14):Ur/Cr: 34/1.40HGB:14 WBC:11,2HCT:43 PLT:240

USG ABDOMEN (WHOLE ABD) TGL 6/8/2014KESAN: dj DJ stent padatraktusurinariaDextra, nefrolithginjalkanan, hidronephorsiskananIVP (19/8/2014)-batustaghorndextra

LONTARA 2 KAMAR ISO

Bed 1Sauda67916912-1-1961MRS: 9-9-2014DPJP: Dr. Khoirul Kholis, Sp. UTu. Penis suspek malignancyRawat luka dengan metronidazole bubuk dan NaCl 0.9%Kultur lukaLab 6-9-2014WBC: 14,0RBC: 3.34HB: 9.9PLT: 243Ur/Cr: 26/1.00

USG AbdomenTidak tampak tanda-tanda metastasis pada USG abdomen ini

Bed 2Wayan 67470443 tahunMRS 07/08/2014DPJP:dr.Muh.AsykarPalinrungi,Sp.UCa penis +post partial penectomy + ulkus inguinal dextra + leukositosisPost KemoterapiSiklus 1 hari 1 tgl 21/8/2014Rawat luka per hari dengan NaCl 0,9% dan metronidazole bubuk

Lab 4-9-2014:Alb: 3,2Lab (25/8/14):Na/K/Cl: 138/3.5/94WBC:10.6 HGB:13.3RBC:4.75 HCT:3.9PLT:382 Ur/Cr: 16/0.98

LabRBC 5,37;WBC 12,08;HB 15,2;PLT 352;UR/CR 25/0,8

USG Abdomen :Tidakadatanda-tandametastase

LONTARA 1 BAWAH BELAKANG

Jaju1/7/1955677728Mrs : 03/09/2014K6/III B5DPJP : dr.Khoirul Kholis, Sp.UAbses psoaslimfadenopatiPro drainase absesLab (5/9/2014)WBC : 8,8RBC : 3,14HB : 9,3PLT : 418Alb : 2,1

USG abdMassa retroperitoneal kanan suspek massa paravertebralDilatasi loop-loop usus

CT scan AbdomenMassa paravertebrayang mendestruksi CV L3-L4Efusi pleura bilateral

Haeruddin67734625-121957MRS: 5-9-2014K5B5

Susp. Ca. ProstatAwasi TTVUSG AbdomenHipertrofi prostatCystitis

CT scan abdomen-Hypertrophy prostat disertai dengan lymphadenopathy-cystitisTu. Metastasi ke tulang

Foto pelvis APOld fracture pada column femoralis sinistra

LONTARA 1 BAWAH DEPAN

LONTARA 1 ATAS DEPAN

Risma Idris67792611/3/1972K5B5Konsul : 4/9/2014ureterokelPro URS Lab (4/9/2014)WBC : 10,2RBC : 4,16HB : 13,6PLT : 232

MSCT urografi dengan kontras (1/9/2014)Kesan : nefrocalcinosis bilateralcistitis

LONTARA 1 ATAS BELAKANG

PAKIS

LONTARA 2 DIGESTIF

Saniasa K10B36746055-10-1975MRS: 26-8-2014Konsul: 30-8-2014Hidronefrosis dextra ec tumor adneksa DD/ hemangioma retroperitonealRencana URS + DJ Stent Sinistra (tunggu jadwal)Lab: 25/9/2014Wbc: 7.5Rbc: 4.84HGB: 11.3PLT: 319Alb: 3,9Ur/cr: 13/0,7

MSCT Whole abd. (dengan kontras)Kesan: kista ovarium kananSevere hydronefrosis dan hydroureter sinistra

Hasil PA (19-8-2014)Papiloma squamosa +endometrious eksternal

LONTARA 2 ORTOPEDI

S. Todding AlloK5B3677812MRS: 9-9-2014DPJP:Hypertrophy prostat gr. IIRencana TUR PLab 28-82014WBC: 6.2RBC: 4.68HB: 14.1Ur/cr:24/1.06Usg abdomenHipertorfi prostat

KusnadiK7AB46753419/4/1969Mrs : 4/9/2014DPJP : dr.Asykar Palinrungi, Sp.UStriktur uretra pars bulbo membranaceaCistitisDM type IIPost sasche (8-9-2014) (POH III)Lab (12/8/2014)WBC : 7,3RBC : 5,29HB : 15,8PLT : 223Ur : 25Cr : 0,97

Uretrocystografi (18/8/2014)Tampak penyempitan pada pars membranosa & prostaticaKesan : striktur uretra

Taha MayuluK7B/B76789281-4-1946Mrs: 10-9-2014DPJP: Tumor ginjal dextraRencana paradeLab 5-9-2014Wbc 9.6RBC 3.73HCT 3.08Ur/cr 73/2.20

Usg abdomen-Grawitz tu. Dextra disetai hidronefrosis -hepar, lien, GB, prankeas, ginjal kir, VU dan prostat kesan normal pada USG abdomen saat ini

Ct urologi tanpa kontrasSesuai massa tumor ginjal dextraTidak tampak batu saluran kemih

Foto thorax PAFoto thorax normal

Yunus sakkeK8B367879525-6-1968MRS: 3-9-2014DPJP: dr. Asykar Palinrungi, Sp.U

Batu pyelum dextra Hydronephrosis dextraPro pyelolitotomi dextra Pro pyeloplastyLab 3-9-2014RBC: 3.97HGB: 13.3HCT: 38.4WBC: 9.0Ur/Cr: 21/1.06

Foto Thorax 3-9-2014Pulmo dalam batas normalDilatation et atherosclerosis aortae

Foto BNO-IVPNephrolithiasis dextraHydrnephrosis dextra grade II-III dengan hidroureter 1/3 proximal e.c susp. Batu ureter radiolusen dd/ stricture

Foto USGMild hydronephrosis dextra dengan nephrolit dextraVesicolith dengan tanda-tanda cystitis

LONTARA 3 ATAS BELAKANG

LONTARA 3 ATAS DEPAN

JASMAN MADDAKAMAR 1 BED 41-6-1979679611MRS : 9-9-2014DPJP :dr. syakri Sp.U

batu ginjal kanan bati buli2Rencana ESWL

RBC 3,57 HGB 12,5 HCT 37,1 PLT 499WBC 7,9

LONTARA 4 BAWAH DEPAN

Fatimah HDKmr 6 bed 367701715/6/1962MRS: 28/8/2014Konsul: 29/8/2014DPJP:Hidronefrosis bilateral ecca cervix stdIIIbPost op 2 URS + DJ stent sinistraOperasitanggal 3/9/2014Lab 25/8/2014Alb: 3.4Wbc: 15.4Rbc: 3.41Hgb: 9.8Lab 30/8/2014Ur: 167Cr: 8,6Hasil PA (21/4/2014)- invasive squamous cell carcinoma (large cell non keratinizing/moderately differentiated) dgn LVSI (+) positif (tipe II)Mscturografi non kontras (28/8/2014)Kesan: massasegmenbawah Rahim disertaihidronefroureter bilateral (FIGO IIIB)

Ny. Haerani Kamar 4 bed 167444512-9-1948Konsul : 6-9-2014DPJP: dr. Syakri Sp.UCa Cervics std IIIHidronefrosis bilateralRencana DJ Stent BilateralLab 8-9-2014Wbc: 14,4Rbc: 3,41Hgb: 9,9PLT 506Ur/cr: 153/9,30

NICU

By Bonewati6742465-8-2014Dirujuk 18-8-2014Omphalocele + Ekstrofi kloakaPro repair omphalocele + ekstrofi kloakaLab (6/9/2014)Na/K/Cl: 133/5.9/95Lab (12/8/2014)RBC 3,57 HGB 12,5 HCT 37,1 PLT 499WBC 11.83Lab (1/9/2014)RBC 3.14HGB 9.8HCT 28PLT 963WBC 14.6

PALEM ATAS

B1/1 Bed 1Maskun677692Tgl Lahir: 16/06/1954Tgl MRS: 07/9/2014DPJP: dr. Syakri Syahrir, Sp.U

Batu cetak ginjal kiri Batu ginjal kanan Batu buli-buli CholilitiasisPro TUR-PLab (28/8/2014)WBC 73000HGB 12,9PLT 459000GDP 88Ur/Cr 31/1,60GOT/GPT 29/47

Foto Thorax (02/09/2014)Kesan-Cor dan Pulmo normal-Dilatation et elongation aortae

Foto Polos Abdomen (01/09/2014)Kesan-Nefrolith Bilateral-Vesicolith

Foto IVU (01/09/2014)Kesan :-Hydronefrosis sinistra derajat II-III-Nefrolith Bilateral-Vesicolith

CT Scan Abdomen (28/08/2014)Kesan -Cholelith-Severe hidronefrosis sinistra e.c batu staghorn-Kista ginjal dextra

USG AbdomenKesan-Sludge GB dan Cholelith disertai cholecystitis-Nephrolith disertai hydronephrosis kiri-Vesicolith-Kista Ginjal Kanan

Echocardiogram(02/09/2014)Kesimpulan-Disfungsi diastolic LV-EF 61%

B1/4Jennie Ariyani677473Tgl Lahir: 17/7/1979Tgl Konsul: 3/9/2014DPJP: dr. Syakri Syahrir, Sp.UCa Recti 1/3 Distal pro Miles Procedure Pro URS + DJ Stent

Lab (3/9/2014)WBC 5900RBC 4,33x106HGB 10PLT 463000

Lab (26/8/2014)WBC 7600RBC 3,8x106HGB 8,6PLT 532000GDS 94Ur/Cr 13/0,6SGOT 18SGPT 16Albumin 3,3Na 139K 3,9Cl 105

Foto Thorax (27/8/2014)Kesan normal

MSCT Whole Abdomen non kontras (27/8/2014) Penebalan sirkular dinding rectum suspek tumor rectum Lymphadenopathy

USG Abdomen (27/8/2014)Tidak tampak tanda-tanda metastasis

B1/6La Hami676378Tgl Lahir: 7/11/1958Konsul : 30/8/2014DPJP: dr. Syakri Syahrir, Sp.U

Batu staghorn sinistra Hidronefrosis sinistraPost URS + DJ stent sinistra (tanggal 4/9/2014)(POH 4)Lab (4/9/2014)WBC 8800RBC 3,07x106HGB 9,5PLT 239000

Lab (2/9/2014)WBC 7900RBC 3,37x106HGB 9,8PLT 239000GDS 111Ur/Cr 114/6,6Na/K/Cl 141/3,9/98

Foto Thorax (27/8/2014)Kesan normal

CT Whole Abdomen (18/8/2014)Hydronephrosis sinistra ec Nefrolith

B2/2 Bed 1Mohammad Idroes300187Tgl Lahir: 12/08/1946Konsul : 30/8/2014DPJP: dr. Syakri Syahrir, Sp.U

Hipertrofi Prostat grade IIRencana TUR-PLab (12/08/2014)WBC 7,5RBC 3,07x106HGB 12,8PLT 311000GDS 111Ur/Cr 22/1,20Na/K/Cl 140/3,2/104

CT Whole Abdomen (15/8/2014)Kesan-Hpertrophy prostat-Cystitis

Echocardiograf-Fungsi sistolik LV baik, EF 73%-Diresi ruang-ruang jantung : normalLVH (+)Global normokinetik

B2/8 Bed 2Kondo Rapa670213Tgl Lahir: 25/12/1951Tgl MRS: 3/9/2014DPJP: dr. Khoirul Kholis, Sp.UTumor Ginjal DextraOptimalisasi KU

Lab (06/09/2014)WBC 10100RBC 3,18x106HGB 8,0PLT 327000Ur/Cr 67/1,60GDS 131Na 131K 4,1Cl 96

Lab (14/08/2014)WBC 10900RBC 3,55x106HGB 9,4PLT 39000 0Ur/Cr 31/1,33SGOT 27SGPT 29Na 126K 4,6Cl 93

PA Ginjal (30/12/2013)Sesuai pyonephrose

MSCT Abdomen (23/6/2014) Tumor retroperitoneal dextra, curiga renal cell carcinoma residif DD malignant peripheral nerve sheat tumor Destruksi corpus vertebra L1-L2 Infiltrasi vena cava inferior

PALEM BAWAH

B1/4Esthepanus Palungang, M.S583573Tgl Lahir: 14/6/1944Tgl MRS: 07/09/2014DPJP: dr. Khoirul Kholis, Sp.U -Hipertrofi prostat grade III-HT-DM tipe 2 Rencana TUR-P

Lab (04/09/2014)GDP 200HBA 1c 9,2

Lab (03/9/2014)WBC 10,2RBC 4,10x106HGB 12,6PLT 561000Ur/Cr 26/1,03Na 135K 4,5Cl 101SGOT 44SGPT 60GDP 244

(02/09/2014)GDS strip 274

(02/09/2014)Urin rutinGlukose +++/500

Lab (29/08/2014)WBC 10,2RBC 4,10x106HGB 12,6PLT 561000Ur/Cr 29/1,10Na 135K 4,7Cl 100SGOT 31SGPT 61GDS 252

(01/09/2014)PSA 21.39Kesan : Penanda Tumor meningkat

B2/5 Bed 2Junaidi Paroki404507Tgl Lahir: 22/07/1962Tgl MRS: 07/09/2014DPJP: dr. Khoirul Kholis, Sp.U -Batu Ginjal Kanan-CAD POGT PTCA Konsul KardiologiLab (07/09/2014)WBC 4,0RBC 4,81x106HGB 14,3PLT 254000Ur/Cr 30/1,30Na 143K 3,9Cl 104SGOT 26SGPT 23GDS 163

Lab (10/07/2014)

WBC 4,3RBC 5,10x106HGB 14,5PLT 235000Ur/Cr 31/1,42SGOT 28SGPT 26GDS 178

Foto Polos Abdomen(24/07/2014)Kesan-Tidak tampak bayangan batu radiopak pada foto polos abdomen ini, kemungkinan batu radiolusen belum dapat disingkirkan

Usul : USG Abdomen-BNO-IVU

Foto USG Abdomen(10/07/2014)Kesan-Nephrolith dextra-Fatty LiverUsul : CT Scan Urography

USG Abdomen(28/04/2014)Kesan :-Hepatomegaly dengan Fatty Liver-Nefrolithiasis dextra

B2/14 Bed 2Muhammad Ali040311Tgl Lahir: 12/1/1938Tgl Konsul: 2/9/2014DPJP: dr. Khoirul Kholis, Sp.U -Hipertrofi prostat grade III-PNC-Polikistik ginjal bilateral Harnal 0,2 1x1 konservatifLab (2/9/2014)WBC 15100 RBC 3,08x106HGB 9,1PLT 375000GDS 113Ur/Cr 148/4,9Na 132K 3,9Cl 102

Lab (27/8/2014)WBC 23000 RBC 3,05x106HGB 9,1PLT 611000Ur/Cr 190/3,82

Foto Thorax (25/8/2014) Garis fibrosis pada lapangan tengah paru kanan Dilatatio, elongation et atherosclerosis aortae

MSCT Thorax (25/8/2014) Tidak tampak ;esi patologik intrapulmonary Efusi pleura minimal kanan Atherosclerosis Aortae Thoracalis Kista Hepar

MSCT Whole Abdomen Non Kontras (25/8/2014) Hipertrofi prostat PNC dengan multicystic renal bilateral Kista lobus kanan hepar Cholelith dengan susp. Batu CBD Efusi pleura minimal dextra

Echocardiography (25/8/2014) Disfungsi diastolic LV LVH EF 62%

USG AbdomenKesan-Hypertrophy prostat-Cholelith-PNC dan polikistik ginjal bilateral

UGD

1KamidRM 679668Tgl Lahir 31/12/1935MRS 9/9/2014DPJP: Susp. Tumor Buli-BuliLengkapi pemeriksaanLab 9-9-2014Hb : 8.9WBC : 7.3 x 10 3RBC 2.80PLT 295GOT/GPT 28/25Ur/Cr 26/0.80GDS 103Na/K/Cl 136/4.3/111HBsAg Reactive

2Saing67987321/9/194510/9/2014DPJP:Retensi urine susp BSKLengkapi pemeriksaan

3H. Husaini67984810/1/1947MRS 10/9/2014DPJPHipertrofi prostat gr. IIILengkapi pemeriksaan

4Muslimin Dg. Mille6798655/10/1956Mrs 10/9/2014DPJP:Lengkapi pemeriksaa

RS.UH

405 ANurlela031361Konsul : 8/9/2014DPJP :dr.Syarif Bakri, Sp.UHidronefrosis D + batu ureter DOPTIMALISASI KU

Lab 9-9-2014HGB 8.9 WBC 19.40RBC 3.24 PLT 709Ur/Cr: 34/1.0Na/K/Cl: 136/4.3/107

Foto polos abdomen 9/9/2014Tidak tampak bayangan batu radiopak pada abdomen ini, kemungkinan batu lusen tidak disingkirkan

421Ibrahim, 78th0258729/2/1936DPJP: dr. Kholis Sp.UMRS: 1/09/2014

BPH Gr.III

OPTIMALISASI KU

Lab 03-09-2014WBC: 12.16 RBC: 4.42HGB: 12.5 HCT:36.0PLT: 408 Ur/Cr: 200/2.4Na/K/Cl: 128/4.4/97

Lab 05-09-2014Na 129 k 4.9 Cl 98Ur/Cr :194/2.3

USG Abdomen 18/8/2014Kesan:- hydronephrosis bilateral terutama kanan-hypertrophy prostat

Kamar 416AHobertina02583812/1/1966MRS:20/08/2014DPJP: dr.Syarif, SpUPOH XI DebridementAbses perirenal (S)Post op drainase abcessOptimalisasi KULab 02-09-2014GDS: 155Lab 31-8-2014Na/K/Cl: 139/4.21/108WBC: 8.86 RBC: 4.60HGB: 10.6 PLT: 267Lab 22-8-2014Na/K/Cl:136/4,2/104CT/BT:7/3PT/APTT:15,5/25,1SGOT/SGPT:13/11Ur/Cr:32/1,4PLT:292

GDS ( 04/09/2014) 238mg/dlUSG Abdomen 19/8/2014-nephrolithiasis dextra

CT-Scan Abdomen tanpa kontras-nephrolith dextra (staghorn calculi)-perirenal abses dextra-fatty liver

424Rakhmawati0269096 8 1969Konsul : 8 9 2014DPJPdr. Syarif, Sp.U

Susp. Batu saluran kemih (Uretra)IVFD RL 28 tpm Ketorolac RanitidinMSCT Scan 9/9/2014Fatty liverTidak tampak urolithCholelith

426Tri Handayani

MRS: 3/9/2014Hidronefrosis bilateral e.c Ca Cerviks st.IVRencana Pro URS + DJ Stent (senin, 8/9/2014)Lab 1-9-2014WBC: 33.22 RBC: 4.13HGB: 11.6 HCT: 33.1PLT: 255 UR/CR: 41/1.1

Lab 22-9-2014WBC: 19.54 RBC: 4.10HGB: 11.1 HCT: 32.6PLT: 286

431St. Nawati

MRS: 3/9/2014DJ Stent insitu + ileostomy e.c Ca CerviksPro aff DJ StentLab 27-8-2014WBC: 12.06RBC: 6.18 HGB: 11.4PLT: 553Ur/Cr: 29/0.9Ct/Bt: 7/2

USG Abdomen (3/9/2014)Kesan: peliocadextra_caliectasis dextra dengan terpasang DJ stent

418Baharuddin 4/11/1956DPJP: dr. Syarif Sp.UMRS: 8/09/2014

BPH Gr.II - III

OPTIMALISASI KU

Lab 9-9-2014WBC: 5,9 RBC: 3,4HGB: 10,6 HGB :10,6PLT: 201 Ur/Cr: 200/2.4Na/K/Cl: 135/4,1/107Ur/Cr : 96/2.8GDS : 199SGOT/SGPT : 15/17

USG Abdomen 8/9/2014Kesan:- Nefrolith sinistra disertai hydroneprhosis- Vesicolith- Hipertrophy prostat

PCC

215HJ.Rostia6454094/11/1962MRS: 4/9/2014DPJP: dr.M.Asykar P, SpUPOH 2 URS + EKL + DJ STENT bilateralBatu ureter distal kananBatu pyelum kiriHidronefrosis kananISKHiperkolesterolimia, hiperuremiaNaCL 0,9% 20 tts/iCeftriaxone 1 gr/12j/ivKetorolac 30 mgRanitidine 50 mg/8 j/iv

Lab 9/9/2014Wbc 11,5Rbc 3.83Plt 218Hgb 12.0Ur/cr 36/1.75

323Hj nurmini67814660 thnMRS 4/9/2014DPJP dr Syakri SyahrirNephrolithiasis bilateralurerolithiasis dextraHidronefrosis sinistraCKD stage V on HD regulerRenana URSPajang double j score bila KU optimalTerapi lanjut dari TS internaLab 09/09/2014Gdp 114Lab 08/09/2014Gula puasa 94

Lab 07/09/2014Wbc 4,0Rbc :2,63Plt 124Hgb 8,2Ur/cr 165/8,82Na,K,Cl :135,3,3,106

209Franse Elo67806325/11/1959DPJP: dr. Syakri Syahrir, Sp UPostop extracorporal shock wave lisotrips H 2Batu ginjal kiriHarnal tab 1x0,4 mgAsam mefenamat 3x500Ranitidine 3x150

Lab 9/9/2014Wbc 2.8Plt 117Hct 30.2Rbc 3.47Hgb 9.3N,K,Cl : 119,3,1,95Ur/cr 188/5.47MSCT abd non kontrasKesan: nephrolithiasis S

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Koran Uro Kamis 11september