ASSALAMUALAIKUM WARAHMATULLAHI WABARAKATUH

SELAMAT MALAM DOKTER

MENYAMPAIKAN KONDISI RUANGAN BEDAH SARAF :

RABU, 13 JULI 2022

ICU  

BED 2

NY. SRIANAH/P/62TH/11543285

DX : + DOC DT CVA ICH BASAL GANGLIA D VOL 60 CC +HT EMERGENCY +IVH + EDEMA CEREBRI(NY.
SRIANAH/P/62TH/11543285)

TX : POST CITO TDE ICH + ICP KONTRALATERAL (08/07/2022)

DPJP : DR.DR.MED.TAL,SPBS-SPINE (K),FINNS,FINPS,FICS

BED 4

NY. SOEKIJEM/P/82 TH/ 10985355

DX : + DOC DT CVA ICH REGIO SUBCORTEX D VOL. 47 CC + IVH + HT STAGE 2 + DM TIPE II

TX : POST CITO TDE ICH + ICP KONTRALATERAL(10/07/2022)( NY. SOEKIJEM/P/82 TH/ 10985355)

DPJP : DR.DR.MED.TAL,SPBS-SPINE (K),FINNS,FINPS,FICS

BED 17

TN. PONIJAN/L/61TH/11542337

MRS : 28/06/2022

DX: + RESPIRATORY FAILURE ON VENTILATOR + SEVERE ARDS + CKS 345 + EDH TEMPOROBASAL S +
ICH BURSTLOBE TEMPOROBASAL D + EDEMA CEREBRI + HEMATOTHORAX S + CONTUSIO
PULMONUM BILATERAL + EMFISEMA SUBCUTIS S + FRACTURE COSTAE 5, 6, 7 LATERAL S POST
THORACOTOMY + STITCHED WOUND FRONTOPARIETAL REGION + STITCHED WOUND PERIORBITA S
+ VULNUS ABRASIO INFRAORBITA S + CF MIDDLE SHAFT L CLAVICLE + VULNUS ABRATION SUPERIOR
SIDE L SHOULDER(TN. PONIJAN/L/61TH/11542337)

TX : POST TDE EDH

DPJP : DR. DR. FAR, SPBS-PED(K), FICS

BED 18

TN. SUMANTO/L/50 TH/11542485

MRS : 29/06/2022

DX : + DOC DT CVA ICH THALAMUS, CAPSULA INTERNA DAN EXTERNA VOL. 45 CC + IVH +
UNCONTROLLED HT STAGE II + EDEMA CEREBRI + HERNIA SUBFALCINE(TN. SUMANTO/L/50
TH/11542485)

TX : POST TDE ICH (S) + EVD (D) (02/06/2022)

DPJP : DR. DR. FAR, SPBS-PED(K), FICS

BED 2

TN. HARIYONO/L/57TH/11541881

MRS : 24/06/2022

DX : + DOC DT CVA ICH CAPSULA EXTERNA D VOLUME 12 CC  + HT EMERGENCY + PNEUMONIA CAP
DD HAP(TN. HARIYONO/L/57TH/11541881)

TX : + POST TDE ICH CAPSULA INTERNA + ICP KONTRALATERAL (30/06/2022)

DPJP : DR. DR. FAR, SPBS-PED(K), FICS

CILIWUNG

BED 4

NY. INDARI/P/53TH/11526724

DX :

DOC DT SOP CEREBRI PADA CORTEX SUBCORTEX JUNCTION LOBUS FRONTAL KANAN, TEMPORAL
KANAN, OCCIPITAL KIRI, NUKLEUS LENTIFORMIS BILATERAL, CEREBELLUM BILATERAL SUSP ABSESS
INTRACEREBRI (NY. INDARI/P/53TH/11526724)

TX : NON OPERATIVE MANAGEMENT

DPJP : DR.DR.MED.TAL,SPBS-SPINE (K),FINNS,FINPS,FICS

BED 5

NY. LILIK SULISTYOWATI/P/46 TH/11532513

DX : + OBS SEIZURE DT SOP CEREBRI DT SPHENOID MENINGIOMA REGIO FRONTALIS S. +
HYDROCEPHALUS ON VP SHUNT KEEN D + EDEMA CEREBRI(NY. LILIK SULISTYOWATI/P/46
TH/11532513)

TX : + PEMBERIAN TUMOR COCKTAIL + POST REVISI VP SHUNT KEEN D

DPJP : DR.DR.MED.TAL,SPBS-SPINE (K),FINNS,FINPS,FICS

CISADANE

BED 5

TN. RACHMAD/L/62TH/11543749

DX: + CKR 456 TANPA PERDARAHAN INTRAKRANIAL + FR. COSTA 4,5 POSTERIOR D + CF R DISTAL
CLAVICLE NEER TYPE I(TN. RACHMAD/L/62TH/11543749)

TX : + NON OPERATIVE MANAGEMENT + BGA DAN CXR EVALUASI + KONSUL TS ANESTESI PRO PAIN
MANAGEMENT + ARMSLING IF MOBILIZED

DPJP : DR.DR.MED.TAL,SPBS-SPINE (K),FINNS,FINPS,FICS

BED 7

TN KASIONO/L/54TH/11543409

DX : + OBS. TTT + CONTUSIO PULMONUM D + FR. COSTAE 8 (D) + CKR 456 + SUBDURAL HYGROMA +
OLD FRACTURE VERTEBRAE THORACAL 3 & 8 + MALUNION L CLAVICLE + MALUNION L SCAPULA +
OF R FEMUR SEGMENTAL GR I(TN KASIONO/L/54TH/11543409)

TX : + NON OPERATIVE MANAGEMENT

DPJP : DR.DR.MED.TAL,SPBS-SPINE (K),FINNS,FINPS,FICS

BED 11

TN SUPARI/L/80TH/11543411

DX : + DOC DT CVA ICH GANGLIA BASAL D + IVH + IVH + HT EMERGENCY + STEMI DD NSTEMI +
EDEMA CEREBRI(TN SUPARI/L/80TH/11543411)

TX : + POST EVD KOCHER S (10/07/2022)

DPJP : DR.DR.MED.TAL,SPBS-SPINE (K),FINNS,FINPS,FICS

BED 14

TN. HISYAM/L/40TH/11541889
MRS : 24/06/2022

DX : + COB 223 + SUSP DAI + SUBDURAL HYGROMA FRONTAL D + SUBDURAL HYGROMA

FRONTOTEMPOROPARIETAL S + FR. ZYGOMA S + FR. MAXILLA S NON LE FORT + ABRASION WOUND
REGIO FACIALIS (TN. HISYAM/L/40TH/11541889)

TX :

POST SUBDURAL DRAINAGE 1 TEMPAT 2 SISI (03/07/2022)

DPJP : DR. DR. FAR, SPBS-PED(K), FICS

BED 18

NY NITI/P/80TH/11543432

DX : + DOC DT CVA ICH CAPSULA INTERNA D + IVH + HT EMERGENCY + EDEMA SEREBRI(NY

NITI/P/80TH/11543432)

TX :

POST VP SHUNT KOCHER S

DPJP : DR.DR.MED.TAL,SPBS-SPINE (K),FINNS,FINPS,FICS

BED 20

NY. NGATIMAH/P/66TH/11543330

DX : + OBS TTT + OBS TTA + CKR 356 + EDH REGIO OCCIPITAL D VOLUME 4 CC + MULTIPLE FACIAL
ABRASSION (NY. NGATIMAH/P/66TH/11543330)

TX : + NON OPERATIVE MANAGEMENT

DPJP : DR.DR.MED.TAL,SPBS-SPINE (K),FINNS,FINPS,FICS

BED 24

NY. LADY EKARINI/P/37TH/11543401

DX : + DOC DT SOP CEREBRI SUSP MENINGIOMA + HYDROCEPHALUS

TX : + PEMBERIAN TUMOR COCKTAIL + PRO URGENT MRI DENGAN KONTRAS + POST VP SHUNT
KOCHER S(NY. LADY EKARINI/P/37TH/11543401)

DPJP : DR.DR.MED.TAL,SPBS-SPINE (K),FINNS,FINPS,FICS

BED 33

TN. ACH. NUR CHOI/L/68TH/11504028

DX : + COB 114-324-345 + SUSP DAI + CEPHAL HEMATOM REGIO FRONTOPARIETAL S + FR MAXILLA
S NON LEFORT + OPEN WOUND REGIO FRONTAL S + OPEN WOUND REGIO MAXILLA S + ABRASION
WOUND REGIO FASCIALIS(TN. ACH. NUR CHOI/L/68TH/11504028)

TX : + POST DEBRIDEMENT + MUSCLE SUTURING GA

DPJP : DR. DR. FAR, SPBS-PED(K), FICS

BED 37

NY. TINEM/P/47TH/11540831

DX : + DOC DT SOP CEREBRI DT SUSP. GLIOMA(NY. TINEM/P/47TH/11540831)

TX : + POST VP SHUNT KOCHER D + DEKOMPRESI TULANG

DPJP : DR.DR.MED.TAL,SPBS-SPINE (K),FINNS,FINPS,FICS

MAHAKAM

BED 4

NY ENDANG/P/58TH/10169184

DX : + CEPHALGIA DT CVA SAH SUSP RUPTUR ANEURISMA + HT ST II + EDEMA SEREBRI(NY

ENDANG/P/58TH/10169184)

TX : + NON OPERATIVE MANAGEMENT + CTA DARI RUANGAN

DPJP : DR.DR.MED.TAL,SPBS-SPINE (K),FINNS,FINPS,FICS

BED 6

NY. SRI RUSMINI/P/66TH/11350901

DX : + HEMIPARESE S DT CVA ICH CAPSULA INTERNA D VOL 2.76CC + HT EMERGENCY + CEREBRAL

ATROPHY(NY. SRI RUSMINI/P/66TH/11350901)

TX : + NON OPERATIF MANAGEMENT + HEAD CT SCAN EVALUASI 2X24 JAM ATAU BILA GCS TURUN
>2 POIN

BED 7

TN. HAMID/L/45TH/11543178

DX : + DOC DT CVA ICH CEREBELLUM VOL 13CC + IVH + MILD HYDROCEPHALUS(TN.

HAMID/L/45TH/11543178)

TX : POST TDE ICH + EVD KOCHER D (07/07/2022)

DPJP : DR.DR.MED.TAL,SPBS-SPINE (K),FINNS,FINPS,FICS

SINGKARAK(9)

BED 17

NY. MARIATI/P/43TH/11543479

DX : + CKR 456 TANPA PERDARAHAN INTRAKRANIAL + OPEN WOUND REGIO PARIETAL D--> POST
DEBRIDEMENT + PRIMARY HECTING LA(NY. MARIATI/P/43TH/11543479)

TX : POST DEBRIDEMENT + PRIMARY HECTING LA

DPJP : DR.DR.MED.TAL,SPBS-SPINE (K),FINNS,FINPS,FICS

PERINATOLOGI

BY. NY. REGINA/P/21HR/3310GR/11541421

DX : + ATERM + NEC GRADE II + SUSP TORCH INFECTION + HYDROCEPHALY + OS OFTALMIA

NEONATURUM + HIPERBILIRUBIN INDIREK--> PRO URGENT ETV DOUBLE SET UP VP SHUNT (BY. NY.
REGINA/P/21HR/3310GR/11541421)

TX : PRO URGENT ETV DOUBLE SET UP VP SHUNT

DPJP : DR. DR. FAR, SPBS-PED(K), FICS

KELIMUTU 7A

BED 2

AN. ALMEERA CETTA ZEVANNA/P/8TH/28KG/11536009*

DX : + VENTRIKULITIS DD SEVERE HYDROCEPHALUS ON PATENT VP SHUNT KOCHER D ET S + RIW

TREPANASI DT ABSES CEREBRI + GLOMERULAR DISORDER IN SYSTEMIC CONNECTIVE TISSUE
DISORDER (LUPUS NEFRITIS) + HIPERTENSI STAGE II ON TREATMENT + OBSERVASI SEIZURE +
PNEUMONIA--> POST ENDOSCOPIC EXPLORATION + IRIGASI + SEPTOSTOMY SEPTUM PELUSIDUM +
REVISI SHUNT KOCHER DEXTRA (19/05/2022) + PRO CT SCAN KEPALA KONTRAS, BOF, DAN USG
FLO(AN. ALMEERA CETTA ZEVANNA/P/8TH/28KG/11536009)

TX : + POST ENDOSCOPIC EXPLORATION + IRIGASI + SEPTOSTOMY SEPTUM PELUSIDUM + REVISI

SHUNT KOCHER DEXTRA (19/05/2022) + PRO CT SCAN KEPALA KONTRAS, BOF, DAN USG FLO

DPJP : DR. DR. FAR, SPBS-PED(K), FICS

GALUNGGUNG 18

BED 2

NY. MISTIN/P/39TH/11487027

DX : INFECTED WOUND REGIO SUPRAORBITA S POST EKSISI TUMOR + SKIN EXCESS + REKONSTRUKSI
EYEBROW DT SOP CEREBRI RESIDIF REGIO FRONTAL SINISTRA EC MENINGIOMA--> POST
DEBRIDEMENT(NY. MISTIN/P/39TH/11487027)

TX : POST DEBRIDEMENT

DPJP : DR.DR.MED.TAL,SPBS-SPINE (K),FINNS,FINPS,FICS

BED 15

NN. NAZILA/P/18TH/11543469

DX : + CKR 456 TANPA PERDARAHAN INTRAKRANIAL + MULTIPLE VULNUS ABRASIO REGIO FACIALIS--
> BEDAH SARAF : NON OPERATIVE MANAGEMENT+ BEDAH PLASTIK: DEBRIDEMENT ABRASIO +
RAWAT LUKA ABRASIO DENGAN HYDROCOLLOID(NN. NAZILA/P/18TH/11543469)

TX :

BEDAH SARAF : NON OPERATIVE MANAGEMENT

BEDAH PLASTIK: DEBRIDEMENT ABRASIO + RAWAT LUKA ABRASIO DENGAN HYDROCOLLOID

DPJP : DR.DR.MED.TAL,SPBS-SPINE (K),FINNS,FINPS,FICS

RINJANI 15

BED 7

AN. AKBAR/L/4 BULAN/5,3KG/11533214

DX : + HYDROCEPHALUS EX VACUO ON VP SHUNT KOCHER D + LOW LEVEL BOWEL OBSTRUCTION

DT SUSP. ADHESI DT SUSP. SHUNT INFECTION--> BS : NON OPERATIVE MANAGEMENT+ BA : NON
OPERATIVE MANAGEMENT + DEKOMPRESI DENGAN PEMASANGAN OGT DAN KATETER + FPA 2
POSISI BERKALA + OBS. TANDA AKUT ABDOMEN(AN. AKBAR/L/4 BULAN/5,3KG/11533214)

TX :

BS : NON OPERATIVE MANAGEMENT

BA : + NON OPERATIVE MANAGEMENT + DEKOMPRESI DENGAN PEMASANGAN OGT DAN KATETER +
FPA 2 POSISI BERKALA + OBS. TANDA AKUT ABDOMEN

DPJP : DR.DR.MED.TAL,SPBS-SPINE (K),FINNS,FINPS,FICS

BED 10

AN. M. GIBRAN/L/7TH/18KG/11543623

DX : + CKR 356 TANPA PERDARAHAN INTRAKRANIAL + EDEMA CEREBRI + HEMATOME SUBGALEAL

PARIETAL S + FR. LINIER OCCIPITAL D ET S--> NON OPERATIVE MANAGEMENT + CT SCAN KEPALA
EVALUASI 2X24 JAM ATAU BILA GCS TURUN 2 POINT(AN. M. GIBRAN/L/7TH/18KG/11543623)

TX : + NON OPERATIVE MANAGEMENT + CT SCAN KEPALA EVALUASI 2X24 JAM ATAU BILA GCS
TURUN 2 POINT

DPJP : DR.DR.MED.TAL,SPBS-SPINE (K),FINNS,FINPS,FICS

BED 13

AN. VISKA AL KARINA/P/5BULAN/6.5KG/11529937

DX : + WOUND DEHISCENCE + EXPOSED SHUNT REGIO KOCHER D + HYDROCEPHALUS

COMMUNICAN EXVACUO POST VP SHUNT SUSP INFECTED SHUNT--> POST DEBRIDEMENT LUKA
+POST AFF SHUNT SWITCH TO EVD KOCHER S(AN. VISKA AL KARINA/P/5BULAN/6.5KG/11529937)

TX : POST DEBRIDEMENT LUKA +POST AFF SHUNT SWITCH TO EVD KOCHER S

DPJP : DR.DR.MED.TAL,SPBS-SPINE (K),FINNS,FINPS,FICS

KERINCI 17

BED 13

NY. SURAKSI/P/77TH/11543672

DX : + CKR 456 TANPA PERDARAHAN INTRAKRANIAL + V. ABRASIO REGIO FRONTAL + SUBGALEAL

HEMATOMA REGIO FRONTOTEMPOROPARIETAL S + BRAIN ATHROPY--> POST EVAKUASI CLOTH
HEMATOMA REGIO FRONTOTEMPORORIETAL S DENGAN GA + KONSUL TS CARDIO UNTUK
TATALAKSANA HT DAN CARDIOMEGALY(NY. SURAKSI/P/77TH/11543672)

TX : + POST EVAKUASI CLOTH HEMATOMA REGIO FRONTOTEMPORORIETAL S DENGAN GA + KONSUL

TS CARDIO UNTUK TATALAKSANA HT DAN CARDIOMEGALY

DPJP : DR.DR.MED.TAL,SPBS-SPINE (K),FINNS,FINPS,FICS

LAWU 19

BED 8

*TN. M. SYAFRIN/L/24TH/11543620 *

DX : + CKS 456 TANPA PERDARAHAN INTRAKRANIAL + SUBDURAL HYGROMA FRONTOBASAL D/S +

CEREBRAL EDEMA + CF MIDDLE SHAFT L HUMERUS WITH RADIAL NERVE LESION + VULNUS
ABRASION ANTEROMEDIAL SIDE L THIGH + OF PROXIMAL SHAFT R FEMUR GR II + OF MIDDLE SHAFT
L TIBIA FIBULA GR IIIA + VULNUS LACERATUM LATERAL SIDE R HEELPAD--> NON OPERATIVE
MANAGEMENT + HEAD CT EVALUASI JIKA GCS TURUN >2 POIN(TN. M. SYAFRIN/L/24TH/11543620)

TX : + NON OPERATIVE MANAGEMENT + HEAD CT EVALUASI JIKA GCS TURUN >2 POIN

DPJP : DR.DR.MED.TAL,SPBS-SPINE (K),FINNS,FINPS,FICS

BED 26

TN. KAMARI/L/53TH/11543728*

DX : + CKR 456 + CH REGIO FRONTAL + EDEMA SEREBRI + FR MAXILLA LE FORT I + FR ANTERIOR DAN
POSTERIOR WALL SINUS FRONTAL D + FR LINEAR OS FRONTAL D + FR RIMA ORBITA INFERIOR D /S +
FR ARCUS ZYGOMA S + FR ANGULUS MANDIBULA S--> NON OPERATIVE MANAGEMENT + HEAD CT
SCAN EVALUASI 2X24 JAM ATAU BILA GCS TURUN >2 POIN + RAWAT LUKA DENGAN HYDROCOLLOID
DRESSING + URGENT REKONSTRUKSI TULANG WAJAH(TN. KAMARI/L/53TH/11543728)

TX : + NON OPERATIVE MANAGEMENT + HEAD CT SCAN EVALUASI 2X24 JAM ATAU BILA GCS TURUN
>2 POIN + RAWAT LUKA DENGAN HYDROCOLLOID DRESSING + URGENT REKONSTRUKSI TULANG
WAJAH

DPJP : DR.DR.MED.TAL,SPBS-SPINE (K),FINNS,FINPS,FICS

BED 27

TN. TARI/L/73TH/11543608

DX : + CKS 345 + SAH + SUBDURAL HYGROMA FRONTOBASAL D/S + SUBDURAL HYGROMA

FRONTOPARIETAL S + CEREBRAL EDEMA + FR. MAXILLA LE FORT I DAN II + FR. ZMC S + FR. RIMA
ORBITA D + OPEN WOUND REGIO FRONTAL D + OPEN LABIA ORIS SUPERIOR D + MULTIPLE DENTAL
LOOSE + MULTIPLE ABRASION WOUND FASCIAL REGION + CF L PATELLA INCOMPLETE + OF L TIBIAL
PLATEAU SCH. VI + OF PROXIMAL SHAFT L FIBULA GR. IIIA + VULNUS ABRATION ANTEROMEDIAL
SIDE L THIGH + VULNUS ABRATION ANTERIOR SIDE L KNEE + MULTIPLE VULNUS ABRATION
ANTERIOR SIDE L LOWER LEG--> POST CITO DEBRIDEMENT PRIMARY HECTING GA + HEAD CT
EVALUASI JIKA GCS TURUN 2 POIN (TN. TARI/L/73TH/11543608)

TX :POST CITO DEBRIDEMENT PRIMARY HECTING GA + HEAD CT EVALUASI JIKA GCS TURUN 2 POIN

DPJP : DR.DR.MED.TAL,SPBS-SPINE (K),FINNS,FINPS,FICS

MENINGGAL

(-)

PAPS

(-)

POLIKLINIS

TN. DANIEL DWI KARTIKO SUTOPO/L/54 TH/11541684

DX: + DOC DT MODERATE COMMUNICATING HYDROCEPHALUS + TUMOR PARU SUSP GANAS

T4N3M1 (BONE : SPINE, COSTAE) + CEREBRAL EDEMA + HIPONATREMIA

TX: + POST VP SHUNT KOCHER D

DPJP : DR.DR.MED.TAL,SPBS-SPINE (K),FINNS,FINPS,FICS

KRS

(-)

TERIMA KASIH DOKTER.