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Doctors on Duty
Monday, 6th March 2023
Consultant : dr. Utama Abdi Tarigan, Sp.BP-RE(K), Dr. dr. Kamal Basri Siregar, Sp.B(K)Onk
Chief Resident : dr. Joko Pranoto M.Ked (Surg)
Chief on Duty : dr. Hamid, M.Ked (Surg)
dr.Fawzan, dr. Ibnu, dr. Donny, dr. Yolanda, dr. Harjuna, dr. Abror, dr.Habib, dr. Aldy,
dr. Iqbal, dr. Steven, dr. Anthony, dr. Bayu
No
Name/Sex/A
ge
Diagnosis ICD X Treatment
ICD IX
1.
I/M/31yo/88.67.
12
HI GCS 15 + Open Skin degloving o/t
(L) Frontal + (L) sinus frontal
fracture + (L) depress rami orbita
fracture + Multiple lacerated wound
o/t (L) cheek and lips
R40
S08.0XXA
S02.2XXA
81XA
• Debridement + vitality
check of soft tissue +
Primary suture emergency
• (Join Neuro surgery
Dept Craniectomy
Debridement
Cranialization +
Obliteration + Sinus
Frontal Decortication
Emergency)
86.22
86.5
01.2
2.
M/F/49yo/
82.65.43
(L) Breast Neoplasm Sugg. Malignant
cT4bN1M0
C50
• Pain management
• Ambulatory
• Further Investigation from
outpatient department
No Name/Sex/Age Diagnosis ICD X Treatment ICD IX
3.
A/F/48yo/
84.29.70
Post double barrel sigmoidostomy
(Oct 2022) d/t Adenocarcinoma recti
rcT4bN1M1b 10 cm ACL with
TMBO + Post TAH-BSO (2019)
d/t Adenocarcinoma ovarian
pT1cN1M0 + Post Adjuvant
chemotherapy 13 cycles +
Leukopenia (2.000) +
Thrombocytopenia (48.000) +
hypokalemia (2.8)
C20
C56.9
D72.819
D69.9
E87.6
• Hospitalized
• Leucogen Injection
• Thrombocyte transfusion
• Potassium Substitution
99.2
4.
A/M/65yo/
88.23.16
Cancer pain + Post (R) Hemi
colectomy (Feb 2023) d/t mucinous
adenocarcinoma ascending colon
pT3N1M0
C18.9
• Pain management
• Ambulatory
338.4
5.
R/F/63yo/
87.54.96
Cancer pain + Post sigmoidostomy
diversion (2021) d/t well
differentiated Adenocarcinoma recti
cT4bN1M0 6 cm ACL with TMBO +
Post Neoadjuvant chemotherapy 7
cycles + Radiotherapy 1 x
C20
• Pain management
• Further Investigation from
outpatient department
338.4
6.
K/F/84yo/
73.83.10
(R) Thyroid neoplasm sugg
malignant cT4aN1bM0 + Anemia
(5.8)
C85.91
D64.9
• Hospitalized
• Blood transfusion
• CT Scan neck Iv contrast
99.2
88.38
Doctors on Duty
Monday, 6th March 2023
Consultant : dr. Safruddin Nasution, Sp.B Subsp.BD(K), , Dr. dr. Asrul, Sp.B Subsp.BD(K)
, Dr. dr. Kamal Basri Siregar, Sp.B(K)Onk
Chief Resident : dr. Joko Pranoto M.Ked (Surg)
Chief on Duty : dr. Hamid, M.Ked (Surg)
dr.Fawzan, dr. Ibnu, dr. Donny, dr. Yolanda, dr. Anshari, dr. Abror, dr.Habib, dr. Aldy,
dr. Iqbal, dr. Steven, dr. Anthony, dr. Bayu
No Name/Sex/Age Diagnosis ICD X Treatment ICD IX
7.
J/M/28yo/
37.86.47
Intra Abdominal tumor dd
Lymphoma + Ascites + IAH +
Karnofsky 50%
D12.6
C82.93
• Hospitalized
• CT Scan whole abdomen Iv oral
anal contrast
88.01
8.
E/F/37yo/
87.73.44
SCC cT3N1M0 o/t tongue with
unconsciousness + Hyponatremia
(109) + Leukopenia (2.500) + AKI
risk stage
C02.9
D72.819
N17.9
• Hospitalized
• Nasogastric tube Insertion
• Sodium Substitution
96.07
99.0
9.
E/F/42yo/
84.85.69
(R) Breast carcinoma cT4cN2aM1
(Bone) + Cancer pain + Anemia
(7.1) + Post palliative
chemotherapy 8 cycles + Bone
chemotherapy 6 cycles
C50
D64.9
• Hospitalized
• Pain management
• Blood transfusion
99.0
Doctors on Duty
Monday, 6th March 2023
Consultant : Dr. dr. Kamal Basri Siregar, Sp. B (K) Onk, dr. Safruddin Nasution, Sp.B Subsp.BD(K)
Chief Resident : dr. Joko Pranoto M.ked (Surg)
Chief on Duty : dr. Hamid, M.Ked (Surg)
dr.Fawzan, dr. Ibnu, dr. Donny, dr. Yolanda, dr. Anshari, dr. Abror, dr.Habib, dr. Aldy,
dr. Iqbal, dr. Steven, dr. Anthony, dr. Bayu

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DOD Tim jaga 2 (6 maret 23)fix.pptx

  • 1. Doctors on Duty Monday, 6th March 2023 Consultant : dr. Utama Abdi Tarigan, Sp.BP-RE(K), Dr. dr. Kamal Basri Siregar, Sp.B(K)Onk Chief Resident : dr. Joko Pranoto M.Ked (Surg) Chief on Duty : dr. Hamid, M.Ked (Surg) dr.Fawzan, dr. Ibnu, dr. Donny, dr. Yolanda, dr. Harjuna, dr. Abror, dr.Habib, dr. Aldy, dr. Iqbal, dr. Steven, dr. Anthony, dr. Bayu No Name/Sex/A ge Diagnosis ICD X Treatment ICD IX 1. I/M/31yo/88.67. 12 HI GCS 15 + Open Skin degloving o/t (L) Frontal + (L) sinus frontal fracture + (L) depress rami orbita fracture + Multiple lacerated wound o/t (L) cheek and lips R40 S08.0XXA S02.2XXA 81XA • Debridement + vitality check of soft tissue + Primary suture emergency • (Join Neuro surgery Dept Craniectomy Debridement Cranialization + Obliteration + Sinus Frontal Decortication Emergency) 86.22 86.5 01.2 2. M/F/49yo/ 82.65.43 (L) Breast Neoplasm Sugg. Malignant cT4bN1M0 C50 • Pain management • Ambulatory • Further Investigation from outpatient department
  • 2. No Name/Sex/Age Diagnosis ICD X Treatment ICD IX 3. A/F/48yo/ 84.29.70 Post double barrel sigmoidostomy (Oct 2022) d/t Adenocarcinoma recti rcT4bN1M1b 10 cm ACL with TMBO + Post TAH-BSO (2019) d/t Adenocarcinoma ovarian pT1cN1M0 + Post Adjuvant chemotherapy 13 cycles + Leukopenia (2.000) + Thrombocytopenia (48.000) + hypokalemia (2.8) C20 C56.9 D72.819 D69.9 E87.6 • Hospitalized • Leucogen Injection • Thrombocyte transfusion • Potassium Substitution 99.2 4. A/M/65yo/ 88.23.16 Cancer pain + Post (R) Hemi colectomy (Feb 2023) d/t mucinous adenocarcinoma ascending colon pT3N1M0 C18.9 • Pain management • Ambulatory 338.4 5. R/F/63yo/ 87.54.96 Cancer pain + Post sigmoidostomy diversion (2021) d/t well differentiated Adenocarcinoma recti cT4bN1M0 6 cm ACL with TMBO + Post Neoadjuvant chemotherapy 7 cycles + Radiotherapy 1 x C20 • Pain management • Further Investigation from outpatient department 338.4 6. K/F/84yo/ 73.83.10 (R) Thyroid neoplasm sugg malignant cT4aN1bM0 + Anemia (5.8) C85.91 D64.9 • Hospitalized • Blood transfusion • CT Scan neck Iv contrast 99.2 88.38 Doctors on Duty Monday, 6th March 2023 Consultant : dr. Safruddin Nasution, Sp.B Subsp.BD(K), , Dr. dr. Asrul, Sp.B Subsp.BD(K) , Dr. dr. Kamal Basri Siregar, Sp.B(K)Onk Chief Resident : dr. Joko Pranoto M.Ked (Surg) Chief on Duty : dr. Hamid, M.Ked (Surg) dr.Fawzan, dr. Ibnu, dr. Donny, dr. Yolanda, dr. Anshari, dr. Abror, dr.Habib, dr. Aldy, dr. Iqbal, dr. Steven, dr. Anthony, dr. Bayu
  • 3. No Name/Sex/Age Diagnosis ICD X Treatment ICD IX 7. J/M/28yo/ 37.86.47 Intra Abdominal tumor dd Lymphoma + Ascites + IAH + Karnofsky 50% D12.6 C82.93 • Hospitalized • CT Scan whole abdomen Iv oral anal contrast 88.01 8. E/F/37yo/ 87.73.44 SCC cT3N1M0 o/t tongue with unconsciousness + Hyponatremia (109) + Leukopenia (2.500) + AKI risk stage C02.9 D72.819 N17.9 • Hospitalized • Nasogastric tube Insertion • Sodium Substitution 96.07 99.0 9. E/F/42yo/ 84.85.69 (R) Breast carcinoma cT4cN2aM1 (Bone) + Cancer pain + Anemia (7.1) + Post palliative chemotherapy 8 cycles + Bone chemotherapy 6 cycles C50 D64.9 • Hospitalized • Pain management • Blood transfusion 99.0 Doctors on Duty Monday, 6th March 2023 Consultant : Dr. dr. Kamal Basri Siregar, Sp. B (K) Onk, dr. Safruddin Nasution, Sp.B Subsp.BD(K) Chief Resident : dr. Joko Pranoto M.ked (Surg) Chief on Duty : dr. Hamid, M.Ked (Surg) dr.Fawzan, dr. Ibnu, dr. Donny, dr. Yolanda, dr. Anshari, dr. Abror, dr.Habib, dr. Aldy, dr. Iqbal, dr. Steven, dr. Anthony, dr. Bayu