Download - CONFRENCE BEDAH UMUM 9 NOVEMER 2012
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CONFERENCE BEDAH CONFERENCE BEDAH UMUMUMUM
9 NOVEMBER 2012
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Ny. Tiur Mawar (60 th)Ny. Tiur Mawar (60 th) Tanggal Masuk :5-09-2012 DPJP : dr. Harun Adam, SpB, SpBP Diagnosa : Degloving Injury cruris et pedis sinistra PH : 63 PO : 57 (Skinflap + defatisasi)
: 30 (debridement) : 15 ( STSG )
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13/9/1211/9/12
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15/9/12 27/9/12
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09/10/12
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15/10/12
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Foto Operasi 25 Oktober Foto Operasi 25 Oktober 20122012
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8 November 20128 November 2012
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8 November 20128 November 2012
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Tn. Tn. AgungAgung ( (5353 thn) thn) Tanggal Masuk : 21-09-2012 DPJP : dr. Tiroy, SpPD Konsul : dr. Topan SpB Diagnosa Pre Ops :Ileus Obstruktif Total Mekanik letak tinggi susp level ilecaecal ? Diagnosa post ops :Ileus Mekanik Strangulata Total ec adenocarcinoma kolon
transversum Sikap :
Laparotomi Explorasi Extended Hemicolectomy DextraDiversi Ileum
PH : 41 PO : 23 Rencana : Kemoterapi
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Foto Bno 3 PosisiFoto Bno 3 Posisi19/9/201219/9/2012
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Foto Bno 3 PosisiFoto Bno 3 Posisi8/10/20128/10/2012
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CT Scan AbdomenCT Scan Abdomen
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CT Scan AbdomenCT Scan Abdomen
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CT Scan AbdomenCT Scan Abdomen
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CT Scan AbdomenCT Scan Abdomen
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CT Scan AbdomenCT Scan Abdomen
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Foto OperasiFoto Operasi
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Foto OperasiFoto Operasi
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Foto OperasiFoto Operasi
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Foto OperasiFoto Operasi
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Foto OperasiFoto Operasi
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Hasil PAHasil PAHistologik sesuai dengan
Adenokarsinoma musinosum kolon berdiferensiasi baik, Duke C1
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15 Oktober 201215 Oktober 2012 1 November 20121 November 2012
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Foto BNO Foto BNO 8 November 20128 November 2012
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Foto BNO Foto BNO 8 November 20128 November 2012
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Foto BNO Foto BNO 8 November 20128 November 2012
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Tn. Tn. SartonoSartono ( (5555 thn) thn) Tanggal Masuk : 4-10-2012 DPJP : dr. SP Gultom SpPD Konsul : dr. Topan SpB Diagnosa :Obstruktif jaundice ec massa intra abdomen susp
Limfoma Maligna + Kolesistolitiasis + Kolesistitis + koledokolitiasis o Sikap :Laparotomi biopsi + Kolesistostomi PH : 28 PO : 19 Rencana : Kemoterapi
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Foto ThoraxFoto Thorax
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USG USG
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CT Scan AbdomenCT Scan Abdomen
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CT Scan AbdomenCT Scan Abdomen
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CT Scan AbdomenCT Scan Abdomen
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CT Scan AbdomenCT Scan Abdomen
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CT Scan AbdomenCT Scan Abdomen
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Foto OperasiFoto Operasi
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Foto OperasiFoto Operasi
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Foto OperasiFoto Operasi
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Foto OperasiFoto Operasi
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Foto OperasiFoto Operasi
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Foto OperasiFoto Operasi
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Hasil PAHasil PAHistologik sesuai dengan
Limfoma Malignum difusa jenis plasmasitoid
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Foto Ronsen Foto Ronsen Thorax Thorax
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Ny Sukasmi Ny Sukasmi (( 63 63 thn) thn) Tanggal Masuk : 2 -11-2012 DPJP : dr. Yunus T SpPD Konsul : dr. Topan SpB Diagnosa :Peritonitis Umum ai perforasi gaster ec ulkus
kronis + CKD PH : 7 PO : 6 Sikap :Laparotomi eksplorasi
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BNO 3 PosisiBNO 3 Posisi
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BNO 3 PosisiBNO 3 Posisi
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BNO 3 PosisiBNO 3 Posisi
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Thorax FotoThorax Foto
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Foto OperasiFoto Operasi
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Tn. Tn. ThomsonThomson ( thn) ( thn) Tanggal Masuk : 24-10-2012 DPJP : dr. Topan SpB, dr. SPG SpPD Diagnosa :Ca rekti post kolostomi + susp fistel rektovesika Hipoalbuminea PH : 18 PO : 12 Rencana :Konservatif + repair kolostomi + rencana
Kemoterapi
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Foto KlinisFoto Klinis
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Foto ThoraxFoto Thorax
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UretrogramUretrogram
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Tn. Hotman Tn. Hotman T T (4(466 thn) thn) Tanggal Masuk :1-11-2012 DPJP : dr. Topan SpB Konsul : dr. SP Gultom SpPD
dr. Johanes SpP Diagnosa :Hernia Scrotalis Dextra irreponibel residif TB Milier + Anemia Aplastik PH : 16 Rencana : Herniotomi + Hernioplasti
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Foto ThoraxFoto Thorax
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Foto KlinisFoto Klinis
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Nn Monika Nn Monika ((2222 thn) thn) Tanggal Masuk :6-11-2012 DPJP : dr. Topan SpB Diagnosa :Appendisitis Kronis PH : 3 PO : 2 Sikap : Appendiktomi
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USG AbdomenUSG Abdomen
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Ny Dewi Ny Dewi ((2525 thn) thn) Tanggal Masuk : 7-11-2012 DPJP : dr. Andy Pohan SpB (K) BD Diagnosa :Hemmoroid Eksterna PH : 2 PO : 1 Sikap : Hemmoroidektomi
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Foto operasiFoto operasi
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Tn Andreas Tn Andreas ((2828 thn) thn) Tanggal Masuk :4-11-2012 DPJP : dr. Andy Pohan SpB (K) BD Diagnosa :Appendisitis Infiltrat PH : 5 PO : 2 Sikap : Appendiktomi
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USGUSG
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AppendikogramAppendikogram
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Tn Steven Tn Steven ((2323 thn) thn) Tanggal Masuk : 5-11-2012 DPJP : dr. Andy Pohan SpB (K) BD Diagnosa :Appendisitis kronis ex akut PH : 4 PO : 4 Sikap : Appendiktomi
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Tn Rusman Tn Rusman ((5151 thn) thn) Tanggal Masuk : 3-11-2012 DPJP : dr. Andy Pohan SpB (K) BD Konsul : dr. SPG SpPD Diagnosa :Kolesistolitiasis PH : 6 PO : 5 Sikap : Kolesistektomi
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Foto OperasiFoto Operasi
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Tn Ahmad Tn Ahmad (( 30 30 thn) thn) Tanggal Masuk : 29-10-2012 DPJP : dr. Andy Pohan SpB (K) BD Konsul : dr. SPG SpPD Diagnosa :Tumor Intraabdominal dd Limfoma
MalignaTB Aktif PH : 11 Sikap : Laparotomi biopsi
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USGUSG
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CT Scan AbdomenCT Scan Abdomen
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CT Scan AbdomenCT Scan Abdomen
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CT Scan AbdomenCT Scan Abdomen
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CT Scan AbdomenCT Scan Abdomen
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CT Scan AbdomenCT Scan Abdomen
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Ny Samini Ny Samini (( 88 88 thn) thn) Tanggal Masuk : 7-11-2012 DPJP : dr. SPG SpPD Konsul : dr. Andy Pohan SpB (K)
BD Diagnosa :Hernia Inguinalis Medial Dx InkaserataCKD + CHF PH : 2 Sikap : Konservatif
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BNO 3 PosisiBNO 3 Posisi
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BNO 3 PosisiBNO 3 Posisi
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BNO 3 PosisiBNO 3 Posisi
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Foto ThoraxFoto Thorax
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Tn Hasan Tn Hasan (( 63 63 thn) thn) Tanggal Masuk : 2 -11-2012 DPJP : dr. SPG SpPD Konsul : dr. Andy Pohan SpB (K)
BD Diagnosa :Kolesistolitiasis + GED PH : 7 Sikap : Konservatif
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USGUSG