Example sample

1. VISI & MISI PROGRAM STUDI SPESIALIS BEDAH SARAF
FAKULTAS KEDOKTERAN UNIVERSITAS UDAYANA
VISI
• Menjadikan Program Studi Spesialis Bedah Saraf Fakultas Kedokteran Universitas Udayana Sebagai
Lembaga Pendidikan Kedokteran dan Kesehatan yang Unggul, Mandiri, dan Berbudaya serta Mempunyai
Daya Saing di Tingkat Nasional, Regional dan Global
MISI
• Menyelenggarakan kegiatan pendidikan spesialis bedah saraf yang bermutu dan menghasilkan lulusan yang
memiliki moral/etika/akhlak dan integritas yang tinggi sesuai dengan tuntutan masyarakat lokal, nasional,
dan internasional.
• Mengembangkan penelitian di bidang bedah saraf dan pengabdian kepada masyarakat sesuai dengan
kepentingan masyarakat dan bangsa.
• Memberdayakan Program Studi Spesialis Bedah Saraf sebagai lembaga yang menghasilkan dan
mengembangkan pengetahuan dan teknologi dalam bidang bedah saraf yang dapat dimanfaatkan untuk
kesejahteraan masyarakat.
• Menghasilkan karya inovatif dan prospektif dalam bidang bedah saraf bagi kemajuan Program Studi
Spesialis Bedah Saraf Fakultas Kedokteran Universitas Udayana serta perekonomian nasional.

2. Thursday, October 6rd 2022
Supervisor : Prof. Dr. dr. Sri Maliawan, Sp.BS(K)
JR : MBP
Chief : MOT
Bedah Saraf Lanjut : ASK
Bedah Saraf Dasar : AHA
Bedah Umum : AMK

3. Resume
Total patient : 4 patients
• Neurotrauma : 2 patients
• Neurovascular : 1 patient
• Neurospine : 0 patient
• Neurooncology : 1 patient
• Neurofunctional : 0 patient
• Neuropediatric : 0 patient
• Neuroinfection : 0 patient
Surgery : 1 patient
Consultation : 1 patient
Mortality : 0 patient

4. Triage (3)

5. a
No Identity Diagnosis Management
1. Ni Nyoman Murni /
F / 58 yo / 22048108
/ Neurooncology
• Multiple Tumors Intraaxial Right
Parietal Region, Right and Left
Cerebellum e.c Susp Metastases
• Non Communicating
Hydrocephalus post VP Shunt Left
Keen (29/09/2022)
• Severe Hypokalemia (2.32)
• Leukocytosis (18.49)
Neurosurgery
Craniotomy Tumor Resection
Urgent
- Head Up 30⁰
- IVFD NaCl 0.9% 20 dpm
- Dexamethasone bolus 10 mg
maintenance 5 mg/6 hours IV
- Omeprazole 40 mg/12 hours
IV
- Paracetamol 500 mg/8 hours
IO
- KSR 3 x 1 tab IO

6. Head MRI + C
Siloam Hospital
29/9/2022

7. Head MRI + C
Siloam Hospital
29/9/2022

8. Head MRI + C
Siloam Hospital
29/9/2022

9. Head MRI + C
Siloam Hospital
29/9/2022

10. Head MRI + C
Siloam Hospital
29/9/2022

11. Head MRI + C
Siloam Hospital
29/9/2022

12. Head CT Scan
Prof. I G.N.G.
Ngoerah Hospital
6/10/2022

13. Head CT Scan
Prof. I G.N.G.
Ngoerah Hospital
6/10/2022

14. Head CT Scan
Prof. I G.N.G.
Ngoerah Hospital
6/10/2022

15. Laboratory Result
Prof. I.G.N.G Ngoerah
Hospital
6/10/2022

16. a
No Identity Diagnosis Management
2. Desak Made Ema
Dwipayani / F / 22
yo / 22049068 /
Neurotrauma
• Mild TBI (E4V5M6) Neurosurgery
Conservative
Observe 24hours
- Head up 30⁰
- O2 on nasal cannula 2 lpm
- IVFD NaCl 0.9% 20 tpm
- Ranitidine 150 mg/12 hours
IO
- Paracetamol 500 mg/6 hours
IO
- Metoclopramide 10mg/8 hour
IV k/p
- Obs. GCS, vital signs and
signs of increased ICP. If GCS
decrease >2 points Head CT
Scan evaluate

17. Head CT Scan
Prof. I G.N.G.
Ngoerah Hospital
6/10/2022

18. Head CT Scan
Prof. I G.N.G.
Ngoerah Hospital
6/10/2022

19. Head CT Scan
Prof. I G.N.G.
Ngoerah Hospital
6/10/2022

20. Head CT Scan
Prof. I G.N.G.
Ngoerah Hospital
6/10/2022

21. Laboratory Result
Prof. I.G.N.G Ngoerah
Hospital
6/10/2022

22. a
No Identity Diagnosis Management
3. Solihin/ M / 24 yo /
22049087 /
Neurotrauma
• Mild TBI (E4V5M6)
• SDH Interhemispheric
• SDH Tentorium
• IVH Right and Left Lateral Ventricle
• Left ZMC Fracture
• Left Maxilla Fracture.
• Symphysis Mandibular Fracture
• Fracture of the left proximal third
clavicle (Allman group I)
• Left proximal third femur shaft
fracture
Neurosurgery
Conservative
- Head up 30⁰
- O2 on nasal cannula 2 lpm
- IVFD NaCl 0.9% 20 tpm
- Ranitidine 150 mg/12 hours IO
- Paracetamol 500 mg/6 hours IO
- Phenytoin 100 mg/8 hours IO
- Obs. GCS, vital signs and signs of increased
ICP. If GCS decrease >2 points Head CT
Scan evaluate
Trauma Division
- ORIF Miniplate
- Head up 30
- 02 via NC 3 LPM
- IVFD RL 20 tpm
- Non-chewing diet
- WT, Primary Hecting
- Tetagam 250mg IM
- Ceftriaxone 1 gr/12 hours IV
- Drip pethidine 100mg + ketorolac 60 mg in
NS 500ml/ 24 hours
- Omeprazole 40mg/12 hours IV
Orthopedic
- ORIF PS Elective

23. Head CT Scan
Wangaya Hospital
6/10/2022

24. Head CT Scan
Wangaya Hospital
6/10/2022

25. Head CT Scan
Wangaya Hospital
6/10/2022

26. Head CT Scan
Wangaya Hospital
6/10/2022

27. Head CT Scan
Wangaya Hospital
6/10/2022

28. Laboratory Result
Prof. I.G.N.G Ngoerah
Hospital
7/10/2022

29. Consultation (1)

30. a
No Identity Diagnosis Management
1. I Nyoman Wenga /
M / 87 yo / 22049083
/ Neurovascular
• Chronic SDH Right FrontoParietal
Region (thickness 23mm, MLS
6mm to the left)
• Anemia (Hb 8.5)
Neurosurgery
Right Burrhole Drainage 2 Holes
Neurology
- Head Up 30
- Bed Rest
- Tilt left and right every 2 hours
- IVFD NaCl 0.9% 20 tpm
- Citicoline 250 mg/12 hours IV
- Omeprazole 40 mg / 12 hours
IV
- Paracetamol 1000 mg / 8
hours IO
- Amlodipine 5 mg/24 hr IO

31. Head CT Scan
Prof. I G.N.G.
Ngoerah Hospital
6/10/2022

32. Head CT Scan
Prof. I G.N.G.
Ngoerah Hospital
6/10/2022

33. Head CT Scan
Prof. I G.N.G.
Ngoerah Hospital
6/10/2022

34. Laboratory Result
Prof. I.G.N.G Ngoerah
Hospital
7/10/2022

35. Surgery (1)

36. Assessments:
• Moderate TBI (E2V2M5)
• tICH Left temporal region ( Vol 27cc,
MLS 0mm)
• tICH Right temporal region (vol 25cc
MLS 0mm)
• tSAH Left Parietal region
• SDH Left temporal region
• Linear Fracture Right Temporoparietal
Bone
• Post Craniotomy Right and Left ICH
Evacuation (02/10/22)
• Hypoalbuminemia (Alb 2.82)
Procedure : Tracheostomy
Supervisor : Prof. Dr. dr. Sri Maliawan, Sp.BS(K)
Operator : GUD
As. Operator : AHA / AMK
Time Duration : 20.35-21.15 (40 Minutes)
Bleeding : 5cc

37. Durante OP

38. Mortality (0)