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Rambang 2.2 Kamar 6: Lizawati Binti Amjad/38Thn/1145849/Is Pangkalan Balai (Peto) Krisdayanti BT Sahri/21 Th/1142352/At

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Rambang 2.

2
KAMAR 6
LIZAWATI BINTI AMJAD/38THN/1145849/IS KRISDAYANTI BT SAHRI/21 TH/1142352/AT
Pangkalan Balai (Peto)

Dx Dx NOK SUSP GANAS +ANEMIA SEDANG Dx NOP suspek ganas dd/ tumor intraabdoen
dekstrocardiac

Riwayat Riwayat 1 tahun yll perut membesar Riwayat

PA PA PA

Lab Lab Hb 8.9 wbc 19.7 plt 671.000 ca125 160 (I/II) Lab CEA:1,4, Ca 125: 402,6 HB 12,0
10.6/16.36/488

USG USG USG Ascites


30/10 Nop Kanan susp maliguantsi(7,48X9,3X9,45)
dd tumor padat non gin
P/ Th P/ Th R/ VC 10/12/19 MI P/ Th R/ Laparatomi VC --> 9-11-2-19
R/ Pulang cek T3 T4 TSH , ECHO-EKG
R/ Join op Bedah digest

TJONG NGIA TJHAI/64TH/1131374/IS/ICA


futa

Dx CACERVIK ST.IIIB+ ANEMIA BERAT+AKI STAGE Dx


III +IMBALANCE ELEKTROLIT

Riwayat Riwayat

PA Well diff ademo CACx PA

Lab Hb 6.1 wbc 10.05 plt 437.000 Lab


Ur cr 1.56, HB 30/10=7,3
Masalah USG TUG – Massa pd serviks corpus 11,1x 7,9 cm Masalah
Hidronefrosis x hydroureter kanan moderate
Hidronefrosis kiri
Th R/ Radiasi 4/11/2019 PRC ke tiga Th/
R/ Cimino
CACO3
AMLO 1x10 Cande1X8 mg, HD senin kamis
Rawas 2.2

SURYANA BT BASRI

Dx NOK + HHD /CAD NYHA I + SUSP HAP + ANEMIA SEDANG Dx Dx


+ DISPEPSIA LIKE ULCER

Riwayat Riwayat Riwayat

PA PA PA

Lab 27.10.19 : HB 8,8/ 23,57 /469 Lab Lab


TROP T <40, AMILASE 57, LIPASE 114 UR/CR 26/0,81 BSS
AFP 1,74 CEA 2,3 CA125 57,4

USG NOK 6,9 X4,5 X 6,5 USG USG


ASCITES (-)
USG ABD NORMAL
P/ Th OMEPRAZOL SETIAP 24 JAM PCT 500 MG/ 8 JAM P/ Th P/ Th
SUKRALFAT CEFTRIAZXON 1 GR / 12 JAM
DOMPERIDONE 10 MG /8 JAM. N ACETIL 20 MG / 8 JAM

Dx Dx

Riwayat Riwayat

PA PA

Lab Lab

Masalah Masalah

Th Th/
Rambang 2.2
KAMAR 8
LINDA BT ASMARA/55THN/11434993/AT HATNIYAH BINTI HUDA/49 TH/1142801/IS/ICA
INDAH PUSPITA SARI /20TH/1138056/IS/
DX NOK MULTILOKULARE CAMPUR PADAT PERMAGNA DX NOK SUSP GANAS + CKD ON HD DD/AKI STAGE III DX CA CERVIX STD IB ON KEMOTRAPI +
CA OVARIUN STD II C +HHD NYHA I + ANEMIA SEDANG DEHIDRASI LOW INTAKE EC VOMITUS +
HIPOKALEMIA
RIWAYAT R/ LAP SURG STAGING IV RIWAYAT RIWAYAT KEMOTERAPI TGL 25/10/2019

PA PA PA MODERATELY DIFFERENTIATED KERATINIZING


SQUAMOUS CELL CARCINOMA PADA CERVIKS

LAB 11.9 / 7.98/469.000 LAB HB: 7,3, HT: 20, LEUKOSIT:11,09, TROMBOSIT: 304, LAB HB: 11,1 LEUKOSIT: 23,12, HT: 33, GDS: 155, CA:8,4
CA125 587,8 AFP 28.4 / CEA 12.6 UR:154, CR:12,91 CA:7,4, NA: 127 HB (30/10) 8,9 NA:133, CL: 107 HB:5.2

USG CT UROLOGI : USG MASSA MALIGNACY PADA SERVIKS


- LESI KISTIK MIDLINE PELVIS BULI TIDAK
TERVISUALISASI
- HIDRONEFROSIS + HIDROURETER BIL
- CHOLELITIASIS - ASCITES
P/ TH R/ GV DAN PULANG 3/11/19 P/ TH R/ TRANSFUSI HINGGA HB > 10 GR /DL (SELESAI) P/ TH AS TRANEXAMAT 500 MG/8 JAM
R/ USG KONFIRMASI OMEPRAZOLE. R/ TRANSFUSI PRC
KAT URIN 2500 CC SUKRALFAT
R/ SISTOSCOPI ELEKTIF CEFTRIAXONE
JAUYAH BINTI MATZEN/1145633/AT
ASNAWATI BINTI JIMAT/48 TH/1121450/ AT
DX CA CERVIX INADEQUATE TERAPY + ANEMIA BERAT DX NEOPLASMA OVARIUM PADAT DENGAN BAGIAN DX
+ CANCER PAIN + SUSP. ANEMIA HEART DISEASE + KISTIK DEFECT GANAS
HIPOKALSEMIA + CA SEL BASAL NODULAR
ULCERATIF DD/ KARSINIMA SEL SQUAMOUS
RIWAYAT HISTEREKTOMI BULAN APRIL 2019 DISARANKAN KEMO RIWAYAT RIWAYAT
TIDAK DATANG

PA ADENOSQUAMOSA CARCINOMA SERVIKS PA PA


ECHO CHAMBER LA DILATED, EF 58,7 % MR SEVERE

LAB HB: 3,3 HT: 13 TROMBOSIT: 3S29, AS URAT: 9,3, CR: 1,23, LAB HB: 7.5 LEUKOSIT : 5,400 PLT 341.000 CA 125 118 LAB
CA:7,6 CL:115 1.11.19 7,9/4,16/188
1/11/19 8,3
MASALAH WDE EKSISI DG FLAP MASALAH USG
SIMPLE MATCH TROPICAL

TH R/ ECHOCARDIOGRAPHI , KEMO PACLI CARBO, R /RB SPJP TH/ R/LAPARATOMI VC SELASA 05/11/2019 P/ TH
R/ RO THORAX, R/RADIASI 30/10/19 PALIATIF 2X CT SCAN ALAT 1/11/19
R/ TRANSFUSI PRC POST 5 R/ RADIASI HEMOSTASIS
Rambang 2.2
KAMAR
WIDYAWATI BT SAMIJAN/46TH/1140089
NILAWATI BINTI ARSYAD/50TH/1144640/RS SRI WINARTI/34 TH/1080167/IS

DX SUSP CARSINOMA CERVIK STADIUM IB + CANCER DX DX CA CX LB POST HT RADIKAL


PAIN ANEMIA BERAT CA OVARIUM IIIC

RIWAYAT RIWAYAT R/ SOD DI RS BENGKULU RIWAYAT RIW HT RADIKAL 2/10/19

PA LGSIL TANPA TANDA MALITANSI PA PA - LOW GRADE VAGINAL INTRAEPITELIAL


KARDIOMESAG LIGI, CORACAN ARTEI PULIMORALIS NEOPLASIA
- MOD DIFF SCC PADA SERVIK
- REAKTIF HIPERPLASIA 8KES
LAB 6.4/3.96/498 LAB 10.6/12.100/369.000 OT/PT 96/53 ALB 4.1 AFP 4.9 CEA 7.8 LAB HB 9,2/6,12/376 OT/PT 168/150
CA125 81.8 ALB 3,4
POST 9,6/15,9/306 ALB 3,6
USG MASA 6,5 X4,7X 6,4 USG USG
MASA PADAT INHAMOGEN 2,7X3,6X3,1 CACX GINJAL
DBU
P/ TH R CLINICAL STAGMA SEKTE R PRC P/ TH R/ GV PULANG 3/11/2019 P/ TH KEMO PASLI CARBO
R/ TRANSFUSI PRC

SRI AGUSTINA 49TH/IS


ANI SUTRAWATI /1130532/AT/32TH NURLELA BINTI BUDI ALAPANTI/1141513/56TH

P2A1

DX TTG STD III SKOR FIGOS + ANEMIA SEDANG DX CA CX IIIB CA OVARIUM III C + PANSITOPENIA

RIWAYAT RIWAYAT

PA PA KESANNYA YG SESUAI KARSINOMA SEL SQUAMOUS


BERDIFFERENSIASI BAIK
LAB 8,2/19.86 ALB 3.0. UR/CR 15/0.84. CA 7.6 K 2,6 BHCO 131.6 LAB 8.0/3.8/140.800 9.5/4.3/83.000

MASALAH R/ KEMO MER SERI V MASALAH

TH MEMO RIER SERI IV TH/ R KEMOTERAPI PACLI CARBO KE III R/ KEMO PADI CARBO VI
LEUCOGEN R/ TRANSFUSI TC X PRC

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