medical

1. ER PATIENTS
PPDS-1 Ilmu Penyakit Dalam - Fakultas Kedokteran Universitas Lambung Mangkurat/ RSUD Ulin Banjarmasin

2. New Patient at ER (12/01/2022)
New Patient at ER (11/12/2022)
No Name/Age Diagnosis Info
1. Mrs. H/40 yo
ADHF wet warm with right pleural effusion, CKD st 5 on HD, HT, Anemia
renal, IHD
2. Mrs. Y/46 yo
AFI day 3 + abdominal pain + nausea vomitus with mild moderate
dehydration Susp. Complicated UTI dd. Acute appendicitis dd. Pelvic
inflammatory disease, Hypokalemia
3. Mrs. AK/33 yo
Severe Macrocyte Anemia related to AIHA, Shortness of breath related to
severe anemia, Mild hypokalemia
4. Mr. AR/48 yo
General weakness + nausea dt low intake, cancer cachexia, Susp. Primary
Hepatocellular carcinoma dd Liver metastasis, Shortness of breath, Anemia,
Hypoalbuminemia, Hypokalemia, Hyponatremia

3. No Name/Age Diagnosis Info
Stagnant at ER < 24h (11/12/2022)

4. No Name/Age Diagnosis Info
1. - - -
Stagnant at ER > 24h (11/12/2022)

5. No Name/Age Diagnosis Info
New Patients at ICU (11/12/2022)

6. No Name/Age Diagnosis Info
New Patients at ICCU (11/12/2022)

7. No Name/Age Diagnosis Info
Dead Patients at ICU (11/12/2022)

8. Consult To IPD (11/12/2022)
No
Identity
(Name/Age/RMK/Departem
ent)
Diagnosis Problem Consulted Consultation Answer
1.
Mr. S / 47 yo /
01519387 /Urology
Surgery
Assessment:
1.Gross Haematuria
1.1 Bladder Malignancy
1.2 Bladder/Ureter Stone
1.3 Pyelonephritis
2.Severe Anemia microcytic hypochromic
ec blood loss
3.AKI stage III dd ACKD
Acute insult: infection, blood loss
Chronic: PNC
4.RBBB + ST depression lateral
4.1 related to anemia
4.2 IHD
• Azotemia
Management
Plan:
• Urinalysis
• Evaluate Ur/Cr per 48
hr
Therapy:
• IVFD NS 2000cc/24 hr
Collaboration:
• Collab with Nephrology
Division

9. WARD PATIENTS
TEAM PATIENTS
PDP
PDW
ISO/TB
PPDS-1 Ilmu Penyakit Dalam - Fakultas Kedokteran Universitas Lambung Mangkurat/ RSUD Ulin Banjarmasin

10. No Name/Age Diagnosis Info
1 Mr. AA/39 yo
Abdominal pain with hematochezia dt abdominal mass post ileocecal
resection, Anemia, Hypoalbuminemia, Hyponatremia, Mild Hydronephrosis
with right simple renal cyst
From ER
2 Mr. J/52 yo Severe hypokalemia, HF, Adenocarcinoma colon sigmoid with liver
metastasis, T2DM, HT, ACKD dd AKI stage 2, Hypoalbuminemia
From ER
New Patients at WARD (11/12/2022)

11. No Name/Age Diagnosis Info
Transferred Patients to another WARD (11/12/2022)

12. No Name/Age Diagnosis Info
Transferred Patients to ICU (11/12/2022)

13. No Name/Age Diagnosis Info
1.
Transferred Patients to WARD (11/12/2022)

14. No Name/Age Diagnosis Info
Dead Patients at WARD (11/12/2022)