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UROLOGY PATIENTS, Monday, 2 May 2016

Ward

Identity

Diagnosis

Treatment

Doctor in charge / DPJP

ER

Sutikno/M/59 yo

Urethral Rupture pars bulbous + Schizophren on treatment

Panendoscopy + Silicon catether insertion

TED/PAS

7A

M. Dzakwan/M/3 yo

ALL+ Right lower pole renal stone+ Hepatosplenomegaly+ Anemia+ Trombocytopeni

observation

TED/BES

13

Sunan/M/43 yo

Bilateral proximal urethral stone+ Bilateral Severe Hydronephrosis+ AKI st Failure post HD cito +Urosepsis + Scabies

Bilateral Percutaneous Nephrostomy

GRA/BES

19

Subianto/M/35 yo

Susp. Left Renal Cell Carcinoma T3aN0Mx + Left Hydronephrosis Gr III + Anemia Post Laparotomy Biopsy

Left Radical Nephrectomy

TED/PNT

14

Yohanes/M/67 yo

Fourniere's Gangrene + BPH LUTS Moderate + Absces LLQ Infiltrat Phase + Anemia + Hipoalbuminemia Post Drainage
Absces Incision + Open Cystostomy Day 23

Transecting EEA Urethroplasty Day 6

INO/PAS

14

Sulastri/F/57 YO

Left Psoas Abscess + DM Type II + Spondylosis Lumbalis + Hypoalbuminemia

Incision Drainage Abscess Day 10

DUR/PNT

15

Achmad Saiful/M/4 yo

Scrotal Hypospadia + Severe Chordae

Chordectomy + Urethroplasty

RID/PAS

15

Zaenal Abidin/M/6 yo

Amputation Penis Post Circumcision

Penis Stump Repair Day 5

DUR/PNT

Additional Information

CPC Tuesday

17

Fadelun/M/78yo

Clot retention +Susp. Bladder Cancer cTxN0M0 post clot evacuation Day 6

Cystoscopy kp clot Evacuation kp Biopsy

RID/PNT

17

Lina Masfufah/F/34 yo

Urogenital TB + right ureter stenosis post right DJ Stent insitu+ Non function left renal+ post open nephrostomy

Left Nephrectomy in Left Laparoscopic Nephrectomy

DUR/BES

17

Yustinus Haryani/M/45yo

Mucinosus Proximal Rectal Cancer T2NiM0 on sigmoidostomy post chemotherapy Xeloda

Pro Miles Procedure+Pro join Operation DJ stent insertion

RID/PNT

17

Elizabeth Mbari/F/35 yo

Right Proximal Ureteral Stone + Partial stenosis left proximal ureter+ Left UPJ mass+ Right Lower Pole Renal Stone +
Billateral Hydroneprosis post PNS + CKD st V on Regular HD + Anemia + Hernia sicatricalis post laparotomy

Bilateral RPG + Bilateral URS + Bilateral DJ Stent


insertion+ Left proximal ureter biopsy+ Bilateral
Nephrostomy removal Day 4

ROM/PAS

17

Ansori/M/62 yo

BPH Severe LUTS + Vesicolithiasis + Right Reponible HIL

Cystoscopy + Vesicolithotomy Day 5

TED/BES

18

Diana Amalia/F/52 yo

Ca Recti T4N0M0 + Anemia + Hypoalbuminemia + left Moderate Hydroureteronephrosis

CT Urography Today

DUR/PNT

Join OP digest
Wednesday

19

Qosyim A/M/34 yo

Clot retention + Susp. Upper Pole Renal Tumor cT1aNxM0+Post Cystoscopy Clot Evacuation + Hematuria

CT Angiography

ROM/PNT

Wednsday

19

Samari/M/75yo

Iatrogenic distal urethral rupture pars bulbomembranous post troicart cystostomy

Troicart Cystostomy Day 3

RID/PAS

19

Purwoko/M/32yo

Urehral Stricture Pars Bulbosa post BMG Urethroplasty+Post cystostomy catether obstuction + Perineal SSI

Pro Wound Care i.n. Secondary Hecting

RID/PAS

19

Budianto/m/ 27 yo

PFUI post open cystostomy

BVCUG+ Urethroscopy

TED/PAS

19

Hasan Iskandar/M/46 yo

Right multiple middle-lower pole renal stone post right PNS+ Right moderate HN+ Left multiple middle-lower renal stone

Left RIRS+Right PCNL

ROM/BES

19

Pujo/M/56 yo

BPH with Retention + Vesicolithiasis + Left Pyelum Stone + Susp. Left distal ureter stone + Right hydronephrosis post
right open ureterolithotomy

Vesicolithotripsy + TURP + Bilateral URS

TED/BES

19

Ngatemin/M/58 yo

Urine Retention+ BPH

Panendoscopy n Urethral Dilatation in TURP

RAN/BES

19

Abdul Amin/M/34 yo

Urosepsis + Squamous Cell Bladder Cancer cT4N1M0 + Wound Dehiscance + Fistel Vesicocutan Post Vesicholithotomy
+ DM Type II + Hiponatremia + Anemia + CKD st III + Billateral Moderate Hydronephrosis

Improve General Condition+ pro palliative Radical


Cystectomy

RAN/PNT

19

Seleman/M/70 yo

Panurethral stricture+ BPH + Urine Retention+ Bilateral moderate HN post open cystostomy Day 8 + wound dehiscence +
Anemia

Improve General Condition + Perineostomy

ROM /BES

19

Apriyanto/M/13 yo

post left neglected DJ Stent + Left severe HN + AKI dd A CKD

Chordectomy

TED/PAS

19

Bakri/M/19 Yo

BXO + Panurethral Stricture

One side disection dorsal onlay BMG Urethroplasty Day 5

RID/PAS

19

Jari/M/56 yo

19

Satimin/M/74 yo

Right Staghorn stone + Left pyelum stone+ Secondary left multiple lower pole Renal Stone + Left Severe HN post bilateral Extended Right Pyelolithotomy + Left DJ Stent reinsertion
Dj stent insertion + HHD + CAD + Type II DM
kp URS
Urethral Stricture Total Pars Membranacea + Perineum Rupture Post Sigmoidestomy

BVCUG + Panendoscopy Day 4

ROM/BES

Today

Today

Today

TED/PAS

21

Djamari/M/50yo

Left Staghorn Stone+Left Multiple Renal Stone+Left DJ Stent Insitu

Left Extended Pyelolithotomy + Left DJ Stent removal

22

Sri Utami/F/46 yo

Cervix Cancer IIIB + Billateral Moderate Hydronephrosis + St V CKD post HD + Hypertension + Anuria+ Anemia

Bilateral DJ Stent Insertion

ROM/PNT

22

Djupri/M/45 yo

Right Proximal Ureteral Stone + Left Multiple Renal Stone + DM Type II + Hyperurecemia + Right Severe
Hydroureteronephrosis

Right Laparoscopic Urethrolithotomy in Open

TED/PNT

IVU

24 B

Sutrisno/M/56 yo

Prostate Cancer cT4N0M1(Bone) + DM Type II

TURP + Prostate Biopsy

RAN/PNT

Today

25

Murawati/F/61 yo

Ca Recti T4N1M0 + Right Hydroureteronephrosis Gr I-II + Left Hydronephrosis Gr I + Hypoalbuminemi+ Hyponatremi+


Hypokalemia+ Type II DM

Bilateral DJ Stent Insertion

TED/PNT

Pre op
Post op

DUR/BES
Today

OK

Ward

Identity

13

Suyoto/M/64 yo

13

Sunan/M/43 yo

14

Darmo/M/71 yo

14

Yohanes/M/67 yo

14

Sulastri/F/57 YO

15

Achmad Saiful/M/4 yo

17

Fadelun/M/78yo

17

Lina Masfufah/F/34 yo

17

Yustinus Haryani/M/45yo

17

Elizabeth Mbari/F/35 yo

18

Diana Amalia/F/52 yo

19

Rasmadi/M/71 yo

19

Subianto/M/35 yo

19

Qosyim A/M/34 yo

19

Purwoko/M/32yo

19

Budianto/m/ 27 yo

19

Hasan Iskandar/M/46 yo

19

Pujo/M/56 yo

19

Abdul Amin/M/34 yo

19

Seleman/M/70 yo

19

Apriyanto/M/13 yo

19

Bakri/M/19 Yo

19

Jari/M/56 yo

19

Satimin/M/74 yo

21

Djamari/M/50yo

22

Sri Utami/F/46 yo

22

Djupri/M/45 yo

24 B

Sutrisno/M/56 yo

25

Murawati/F/61 yo
Pre op
Post op

UROLOGY PATIENTS, T
Diagnosis
BPH with Retention + Anemia+ Hypoalbuminemia+ Metabolic acidosis+ Urosepsis

Bilateral proximal urethral stone+ Bilateral Severe Hydronephrosis+ AKI st Failure post HD cito +Urosep
Fournier Gangrene+ Anemia+ Hyponatremia+ Hypoalbuminemia

Fourniere's Gangrene + BPH LUTS Moderate + Absces LLQ Infiltrat Phase + Anemia + Hipoalbuminemia
Absces Incision + Open Cystostomy Day 23
Left Psoas Abscess + DM Type II + Spondylosis Lumbalis + Hypoalbuminemia
Scrotal Hypospadia + Severe Chordae
Clot retention +Susp. Bladder Cancer cTxN0M0 post clot evacuation Day 6

Urogenital TB + right ureter stenosis post right DJ Stent insitu+ Non function left renal+ post open ne

Mucinosus Proximal Rectal Cancer T2NiM0 on sigmoidostomy post chemotherapy Xeloda

Right Proximal Ureteral Stone + Partial stenosis left proximal ureter+ Left UPJ mass+ Right Lower Pole
Billateral Hydroneprosis post PNS + CKD st V on Regular HD + Anemia + Hernia sicatricalis post lap
Ca Recti T4N0M0 + Anemia + Hypoalbuminemia + left Moderate Hydroureteronephrosis

Bladder Cancer cTxNxM1(bone) + Left renal stone non opaque + Anemia+ hypoalbumin+Hyponatrem
hematuria+left mild HN

Susp. Left Renal Cell Carcinoma T3aN0Mx + Left Hydronephrosis Gr III + Anemia Post Laparotom

Susp. Upper Pole Renal Tumor cT1aNxM0+Post Cystoscopy Clot Evacuation + Hematuria

Urehral Stricture Pars Bulbosa post BMG Urethroplasty+Post cystostomy catether obstuction + Per
PFUI post open cystostomy

Right multiple middle-lower pole renal stone post right PNS+ Right moderate HN+ Left multiple middle-low
anemia

BPH with Retention + Vesicolithiasis + Left Pyelum Stone + Susp. Left distal ureter stone + Right hydron
right open ureterolithotomy

Urosepsis + Squamous Cell Bladder Cancer cT4N1M0 + Wound Dehiscance + Fistel Vesicocutan Post V
+ DM Type II + Hiponatremia + Anemia + CKD st III + Billateral Moderate Hydronephrosis

Panurethral stricture+ BPH + Urine Retention+ Bilateral moderate HN post open cystostomy Day 8 + woun
Anemia
Glandular Hypospadias + Bifid scrotum
BXO + Panurethral Stricture + SSI

Right Staghorn stone + Left pyelum stone+ Secondary left multiple lower pole Renal Stone + Left Severe H
Dj stent insertion + HHD + CAD + Type II DM
Urethral Stricture Pars Membranacea + Perineum Rupture Post Sigmoidestomy
Left Staghorn Stone+Left Multiple Renal Stone+Left DJ Stent Insitu

Cervix Cancer IIIB + Billateral Moderate Hydronephrosis + St V CKD post HD + Hypertension + Anuri

Right Proximal Ureteral Stone + Left Multiple Renal Stone + DM Type II + Hyperurecemia + Right
Hydroureteronephrosis
Prostate Cancer cT4N0M1(Bone) + DM Type II
Ca Recti T4N1M0 + Right Hydroureteronephrosis Gr I-II + Left Hydronephrosis Gr I + Hypoalbuminemi+
Hypokalemia+ Type II DM

y, 3 May 2016
Treatment

Doctor in charge / DPJP

Improve General Condition

DUR/BES

Bilateral Percutaneous Nephrostomy Day 2

GRA/BES

Necrotomy Debridement

DUR/BES

Transecting EEA Urethroplasty Day 7

INO/PAS

Incision Drainage Abscess Day 11

DUR/PNT

Chordectomy + Urethroplasty

RID/PAS

Cystoscopy kp clot Evacuation kp Biopsy

RID/PNT

RPG+URS Bilateral +Left Nephrectomy

DUR/BES

Pro Miles Procedure+Pro join Operation DJ stent insertion

RID/PNT

Bilateral RPG + Bilateral URS + Bilateral DJ Stent


insertion+ Left proximal ureter biopsy+ Bilateral
Nephrostomy removal Day 5

ROM/PAS

CT Urography

DUR/PNT

Cystoscopy + TURB Staging

DUR/BES

Left Radical Nephrectomy

TED/PNT

CT abdomen + Contras + Fase Angiography

ROM/PNT

Wound Care

RID/PAS

BVCUG+ Urethroscopy

TED/PAS

Left RIRS+Right PCNL

ROM/BES

Vesicolithotripsy + Bilateral URS+ Left Dj Stent insertion


Day 1

TED/BES

Improve General Condition+ pro palliative Radical


Cystectomy

RAN/PNT

Improve General Condition + Perineostomy

ROM /BES

Chordectomy+ dorsal plication+penoscrotal transposition


Day 1

TED/PAS

Debridement

RID/PAS

Extended Right Pyelonefrolithotomy + Bilateral DJ Stent


reinsertion Day 1

ROM/BES

Anastomosis urethroplasty

TED/PAS

Left Extended Pyelolithotomy + Left DJ Stent removal

DUR/BES

Improve general condition+ Pro Bilateral DJ Stent Insertion

ROM/PNT

Right Laparoscopic Urethrolithotomy in Open

TED/PNT

TURP + Prostate Biopsy + Bilateral subcapsular


Orchidectomy Day 1

RID/PNT

Bilateral DJ Stent Insertion

TED/PNT

Additional Information

OK

Wednesday
Today

Wednesday join op digest

`
Join OP digest Wednesday

CPC Today
Wednesday

Wednesday

Today

Today
Wednesday
Wednesday
IVU

Ward

Identity

13

Suyoto/M/64 yo

14

Darmo/M/71 yo

14

Sulastri/F/57 YO

15

Achmad Saiful/M/4 yo

17

Sunan/M/43 yo

17

Fadelun/M/78yo

17

Lina Masfufah/F/34 yo

17

Yustinus Haryani/M/45yo

17

Elizabeth Mbari/F/35 yo

18

Diana Amalia/F/52 yo

19

Rasmadi/M/71 yo

19

Subianto/M/35 yo

19

Qosyim A/M/34 yo

19

Purwoko/M/32yo

19

Budianto/M/ 27 yo

19

Hasan Iskandar/M/46 yo

19

Pujo/M/56 yo

19

Abdul Amin/M/34 yo

19

Seleman/M/70 yo

19

Apriyanto/M/13 yo

19

Bakri/M/19 Yo

19

Jari/M/56 yo

19

Satimin/M/74 yo

21

Djamari/M/50yo

22

Sri Utami/F/46 yo

22

Djupri/M/45 yo

24 B

Sutrisno/M/56 yo

25

Murawati/F/61 yo

24

Prawira Agung T/M/17 yo

18

Manijem/F/77yo

ER

Marten Asbanu/M/40 yo

19

Abdul Majid/M/77yo

Sarima/F/58 yo
Pre op
Post op

UROLOGY PATIENTS, We
Diagnosis
BPH with Retention + Anemia+ Hypoalbuminemia+ Metabolic acidosis+ Urosepsis
Fournier Gangrene+ Anemia+ Hyponatremia+ Hypoalbuminemia
Left Psoas Abscess + DM Type II + Spondylosis Lumbalis + Hypoalbuminemia
Scrotal Hypospadia + Severe Chordae

Bilateral proximal urethral stone+ Bilateral Severe Hydronephrosis+ AKI st Failure post HD cito +Urosep
Clot retention +Susp. Bladder Cancer cTxN0M0

Urogenital TB + right ureter stenosis post right DJ Stent insitu+ Non function left renal+ post open ne

Mucinosus Proximal Rectal Cancer T2NiM0 on sigmoidostomy post chemotherapy Xeloda

Right Proximal Ureteral Stone + Partial stenosis left proximal ureter+ Left UPJ mass+ Right Lower Pole
Billateral Hydroneprosis post PNS + CKD st V on Regular HD + Anemia + Hernia sicatricalis post lap
Ca Recti T4N0M0 + Anemia + Hypoalbuminemia + left Moderate Hydroureteronephrosis

Bladder Cancer cTxNxM1(bone) + Left renal stone non opaque + Anemia+ hypoalbumin+Hyponatrem
hematuria+left mild HN

Susp. Left Renal Cell Carcinoma T3aN0Mx + Left Hydronephrosis Gr III + Anemia Post Laparotom

Susp. Upper Pole Renal Tumor cT1aNxM0+Post Cystoscopy Clot Evacuation + Hematuria

Urehral Stricture Pars Bulbosa post BMG Urethroplasty+Post cystostomy catether obstuction + Per
PFUI post open cystostomy

Right multiple middle-lower pole renal stone post right PNS+ Right moderate HN+ Left multiple middle-low
anemia

BPH with Retention + Vesicolithiasis + Left Pyelum Stone + Susp. Left distal ureter stone + Right hydron
right open ureterolithotomy

Urosepsis + Squamous Cell Bladder Cancer cT4N1M0 + Wound Dehiscance + Fistel Vesicocutan Post V
+ DM Type II + Hiponatremia + Anemia + CKD st III + Billateral Moderate Hydronephrosis

Panurethral stricture+ BPH + Urine Retention+ Bilateral moderate HN post open cystostomy Day 9 + woun
Anemia
Glandular Hypospadias + Bifid scrotum
BXO + Panurethral Stricture + Scrotal Abscess

Right Staghorn stone + Left pyelum stone+ Secondary left multiple lower pole Renal Stone + Left Severe H
Dj stent insertion + HHD + CAD + Type II DM
Urethral Stricture Pars Membranoprostatica + Perineum Rupture Post Sigmoidestomy
Left Staghorn Stone+Left Multiple Renal Stone+Left DJ Stent Insitu

Cervix Cancer IIIB + Billateral Moderate Hydronephrosis + St V CKD post HD + Hypertension + Anuri

Right Proximal Ureteral Stone + Left Multiple Renal Stone + DM Type II + Hyperurecemia + Right
Hydroureteronephrosis
Prostate Cancer cT4N0M1(Bone) + DM Type II
Ca Recti T4N1M0 + Right Hydroureteronephrosis Gr I-II + Left Hydronephrosis Gr I + Hypoalbuminemi+
Hypokalemia+ Type II DM
Ca testis cT2N3MxSx + Left Moderate HN
Left Kidney Tumor TxNxMx
Urosepsis
Prostate Cancer cT2cNxM0 (GS :2+4)+ Stage II HT+ Gross Hematuria
Right Proximal Ureter stone + Vesicolithiasis+Ureter colic+ Hematuria

ay, 4 May 2016


Treatment

Doctor in charge / DPJP

Improve General Condition

GRA/BES

Necrotomy Debridement Day 1

INO/BES

Incision Drainage Abscess Day 12

DUR/PNT

Chordectomy

RID/PAS

Bilateral Percutaneous Nephrostomy Day 3

RAN/BES

Cystoscopy kp clot Evacuation Day 1

RID/PNT

RPG+URS Bilateral Day 1

DUR/BES

Pro Miles Procedure+Pro join Operation Bilateral DJ stent


insertion

RID/PNT

Bilateral RPG + Bilateral URS + Bilateral DJ Stent


insertion+ Left proximal ureter biopsy+ Bilateral
Nephrostomy removal Day 6

ROM/PAS

Bilateral DJ Stent Insertion

DUR/PNT

Cystoscopy + TURB Staging

DUR/BES

Left Radical Nephrectomy+Sigmoidostomy

TED/PNT

CT abdomen + Contras + Fase Angiography

ROM/PNT

Wound Care

RID/PAS

BVCUG+ Panendoscopy+ EEA

TED/PAS

Left RIRS+Right PCNL

ROM/BES

Vesicolithotripsy + Bilateral URS+ Left Dj Stent insertion


Day 2

TED/BES

Improve General Condition+ pro palliative Radical


Cystectomy

RAN/PNT

Improve General Condition + Perineostomy

ROM /BES

Chordectomy+ dorsal plication+penoscrotal transposition


Day 2

TED/PAS

Drainage incision of abscess +Debridement Day 1

RID/PAS

Extended Right Pyelonefrolithotomy + Bilateral DJ Stent


reinsertion Day 2

ROM/BES

Crural separation+Inferior pubectomy+ End to end


urethroplasty Day 1

TED/PAS

Left Extended Pyelolithotomy + Left DJ Stent removal

DUR/BES

Improve general condition+ Pro Bilateral DJ Stent Insertion

ROM/PNT

Right Laparoscopic Urethrolithotomy in Open

TED/PNT

TURP + Prostate Biopsy + Bilateral subcapsular


Orchidectomy Day 2

RID/PNT

Improve general condition+ Bilateral DJ Stent Insertion

TED/PNT

Staging

ROM/BES

CT Scan

ROM /BES

Improve General condition

ROM /BES

USG

ROM /BES

IVU

ROM /BES

Additional Information

Today

Monday
Today join op digest

Today join op digest


Today
Tuesday

OK

Today
Today
IVU

Pro join op digest

Ward

Identity

13

Marten Asbanu/M/40 yo

14

Darmo/M/71 yo

14

Sulastri/F/57 YO

15

Achmad Saiful/M/4 yo

17

Lina Masfufah/F/34 yo

17

Yustinus Haryani/M/45yo

19

Rasmadi/M/71 yo

19

Subianto/M/35 yo

19

Qosyim A/M/34 yo

19

Purwoko/M/32yo

19

Budianto/M/ 27 yo

19

Hasan Iskandar/M/46 yo

19

Pujo/M/56 yo

19

Abdul Amin/M/34 yo

19

Seleman/M/70 yo

19

Apriyanto/M/13 yo

19

Bakri/M/19 Yo

19

Jari/M/56 yo

19

Satimin/M/74 yo

21

Djamari/M/50yo

21

Abdul Majid/M/77yo

22

Sri Utami/F/46 yo

22

Djupri/M/45 yo

24 B

Sutrisno/M/56 yo

25

Murawati/F/61 yo

24

Prawira Agung T/M/17 yo

18

Manijem/F/77yo

Sarima/F/58 yo
Pre op
Post op

UROLOGY PATIENTS, We
Diagnosis
Urosepsis
Fournier Gangrene+ Anemia+ Hyponatremia+ Hypoalbuminemia
Left Psoas Abscess + DM Type II + Spondylosis Lumbalis + Hypoalbuminemia
Scrotal Hypospadia + Severe Chordae

Urogenital TB + right ureter stenosis post right DJ Stent insitu+ Non function left renal+ post open ne

Mucinosus Proximal Rectal Cancer T2NiM0 on sigmoidostomy post chemotherapy Xeloda +Left HN Gr II
Gr I

Susp Bladder Cancer cTxNxM1(bone) dd Cystitis+ Clot retention+ Left renal stone non opaque + A
hypoalbumin+Hyponatremia+Gross hematuria+left mild HN

Susp. Left Renal Cell Carcinoma T3aN0Mx + Left Hydronephrosis Gr III + Anemia Post Laparotom

Susp. Upper Pole Renal Tumor cT1aNxM0+Post Cystoscopy Clot Evacuation + Hematuria

Urehral Stricture Pars Bulbosa post BMG Urethroplasty+Post cystostomy catether obstuction + Per
PFUI post open cystostomy

Right multiple middle-lower pole renal stone post right PNS+ Right moderate HN+ Left multiple middle-low
anemia

BPH with Retention + Vesicolithiasis + Left Pyelum Stone + Susp. Left distal ureter stone + Right hydron
right open ureterolithotomy

Urosepsis + Squamous Cell Bladder Cancer cT4N1M0 + Wound Dehiscance + Fistel Vesicocutan Post V
+ DM Type II + Hiponatremia + Anemia + CKD st III + Billateral Moderate Hydronephrosis

Panurethral stricture+ BPH + Urine Retention+ Bilateral moderate HN post open cystostomy Day 9 + woun
Anemia
Glandular Hypospadias + Bifid scrotum
BXO + Panurethral Stricture + Scrotal Abscess

Right Staghorn stone + Left pyelum stone+ Secondary left multiple lower pole Renal Stone + Left Severe H
Dj stent insertion + HHD + CAD + Type II DM
Urethral Stricture Pars Membranoprostatica + Perineum Rupture Post Sigmoidestomy
Left Staghorn Stone+Left Gr.II HN+ Left Pyelum Stone+ Left Secondary renal stone
Prostate Cancer cT2cNxM0 (GS :2+4)+ Stage II HT+ Gross Hematuria

Cervix Cancer IIIB + Billateral Moderate Hydronephrosis + St V CKD post HD + Hypertension + Anuri

Right Proximal Ureteral Stone + Left Multiple Renal Stone + DM Type II + Hyperurecemia + Right
Hydroureteronephrosis
Prostate Cancer cT4N0M1(Bone) + DM Type II
Ca Recti T4N1M0 + Right Hydroureteronephrosis Gr I-II + Left Hydronephrosis Gr I + Hypoalbuminemi+
Hypokalemia+ Type II DM
Ca testis cT2N3MxSx + Left Moderate HN
Left Kidney Tumor TxNxMx
Right Proximal Ureter stone + Vesicolithiasis+Ureter colic+ Hematuria

ay, 5 May 2016


Treatment

Doctor in charge / DPJP

Left PNS Day 1

GRA /BES

Necrotomy Debridement Day 2

INO/BES

Incision Drainage Abscess Day 13

DUR/PNT

Chordectomy Day 1

RID/PAS

RPG+URS Bilateral Day 2

DUR/BES

RPG + Bilateral DJ Stent Insertion Day 1

RID/PNT

Panendoscopy+ Clot evacuation+Bladder Biopsy Day 1

DUR/BES

Left Radical Nephrectomy+Sigmoidostomy

TED/PNT

CT abdomen + Contras + Fase Angiography

ROM/PNT

Wound Care

RID/PAS

BVCUG+ Panendoscopy+ EEA

TED/PAS

Left RIRS+Right PCNL

ROM/BES

Vesicolithotripsy + Bilateral URS+ Left Dj Stent insertion


Day 3

TED/BES

Improve General Condition+ pro palliative Radical


Cystectomy

RAN/PNT

Improve General Condition + Perineostomy

ROM /BES

Chordectomy+ dorsal plication+penoscrotal transposition


Day 3

TED/PAS

Drainage incision of abscess +Debridement Day 2

RID/PAS

Extended Right Pyelonefrolithotomy + Bilateral DJ Stent


reinsertion Day 3

ROM/BES

Crural separation+Inferior pubectomy+ End to end


urethroplasty Day 2
Left Extended Pyelolithotomy + Left DJ Stent removal Day
1

DUR/BES

USG

ROM /BES

Improve general condition+ Pro Bilateral DJ Stent Insertion


Day 1

ROM/PNT

Right Laparoscopic Urethrolithotomy in Open

TED/PNT

TURP + Prostate Biopsy + Bilateral subcapsular


Orchidectomy Day 3

RID/PNT

Improve general condition+ Bilateral DJ Stent Insertion Day


1

TED/PNT

Re Staging

ROM/BES

CT Abdomen with contrast

ROM /BES

IVU

ROM /BES

TED/PAS

Additional Information

Pro nephrectomy on Monday

Pro vesicolithotomy
Tuesday

OK

UROLOGY PATIENTS, Friday, 6 May 2016


Ward

Identity

Diagnosis

Treatment

Doctor in charge / DPJP

13

Marten Asbanu/M/40 yo

Urosepsis

Left PNS Day 2

GRA /BES

13

Abraham Watimena/M/72th

Klot Retensi + BPH + Susp Ca Buli + Sepsis + AKI + Anemia + Asidosis Metabolik Terkompensasi

Cystoscopy + Clot Evacuation in TURP/ TURBT

GRA /BES

14

Darmo/M/71 yo

Fournier Gangrene+ Anemia+ Hyponatremia+ Hypoalbuminemia

Necrotomy Debridement Day 3

INO/BES

14

Sulastri/F/57 YO

Left Psoas Abscess + DM Type II + Spondylosis Lumbalis + Hypoalbuminemia

Incision Drainage Abscess Day 14

DUR/PNT

Additional Information

15

Achmad Saiful/M/4 yo

Scrotal Hypospadia + Severe Chordae

Chordectomy Day 2

RID/PAS

KRS Tomorrow

17

Lina Masfufah/F/34 yo

Urogenital TB + right ureter stenosis post right DJ Stent insitu+ Non function left renal+ post open nephrostomy

RPG + Bilateral URS + Laparoscopic Nephrectomy in Open

DUR/BES

Pro nephrectomy on Monday

19

Rasmadi/M/71 yo

Susp Bladder Cancer cTxNxM1(bone) dd Cystitis+ Clot retention+ Left renal stone non opaque + Anemia+
hypoalbumin+Hyponatremia+Gross hematuria+left mild HN

Panendoscopy+ Clot evacuation+Bladder Biopsy Day 2

DUR/BES

19

Subianto/M/35 yo

Susp. Left Renal Cell Carcinoma T3aN0Mx + Left Hydronephrosis Gr III + Anemia Post Laparotomy Biopsy

Left Radical Nephrectomy+Sigmoidostomy

TED/PNT

19

Qosyim A/M/34 yo

Susp. Upper Pole Renal Tumor cT1aNxM0+Post Cystoscopy Clot Evacuation + Hematuria

CT abdomen + Contras + Fase Angiography

ROM/PNT

19

Budianto/M/ 27 yo

PFUI post open cystostomy

BVCUG+ Panendoscopy+ EEA

TED/PAS

19

Hasan Iskandar/M/46 yo

Right multiple middle-lower pole renal stone post right PNS+ Right moderate HN+ Left multiple middle-lower renal stone +
anemia

Left RIRS+Right PCNL

ROM/BES

19

Abdul Amin/M/34 yo

Urosepsis + Squamous Cell Bladder Cancer cT4N1M0 + Wound Dehiscance + Fistel Vesicocutan Post Vesicholithotomy
+ DM Type II + Hiponatremia + Anemia + CKD st III + Billateral Moderate Hydronephrosis

Improve General Condition+ pro palliative Radical


Cystectomy

RAN/PNT

19

Seleman/M/70 yo

Panurethral stricture+ BPH + Urine Retention+ Bilateral moderate HN post open cystostomy Day 9 + wound dehiscence +
Anemia

Improve General Condition + Perineostomy

ROM /BES

19

Apriyanto/M/13 yo

Glandular Hypospadias + Bifid scrotum

Chordectomy+ dorsal plication+penoscrotal transposition


Day 4

TED/PAS

19

Bakri/M/19 Yo

BXO + Panurethral Stricture + Scrotal Abscess

Drainage incision of abscess +Debridement Day 3

19

Jari/M/56 yo

19

Satimin/M/74 yo

Urethral Stricture Pars Membranoprostatica + Perineum Rupture Post Sigmoidestomy

Crural separation+Inferior pubectomy+ End to end


urethroplasty Day 3

21

Djamari/M/50yo

Left Staghorn Stone+Left Gr.II HN+ Left Pyelum Stone+ Left Secondary renal stone

Left Extended Pyelolithotomy + Left DJ Stent removal Day 3

21

Abdul Majid/M/77yo

Prostate Cancer cT2cNxM0 (GS :2+4)+ Stage II HT+ Gross Hematuria

Cystoscopy + Clot Evacuation in TURP

ROM /BES

22

Sri Utami/F/46 yo

Cervix Cancer IIIB + Billateral Moderate Hydronephrosis + St V CKD post HD + Hypertension + Anuria+ Anemia

Improve general condition+ Pro Bilateral DJ Stent Insertion


Day 2

ROM/PNT

22

Djupri/M/45 yo

Right Proximal Ureteral Stone + Left Multiple Renal Stone + DM Type II + Hyperurecemia + Right Severe
Hydroureteronephrosis

Right Laparoscopic Urethrolithotomy in Open

TED/PNT

23i

Siti Maisaroh/F/58yo

Susp. Cervic cancer Gr.IIIB+Bilateral Severe HN+CKD St.V+Hipoalbuminemia+Anemia

Bilateral DJ Stent Insertion

RID/BES

25

Murawati/F/61 yo

Ca Recti T4N1M0 + Right Hydroureteronephrosis Gr I-II + Left Hydronephrosis Gr I + Hypoalbuminemi+ Hyponatremi+


Hypokalemia+ Type II DM

Improve general condition+ Bilateral DJ Stent Insertion Day


2

TED/PNT

24

Prawira Agung T/M/17 yo

Ca testis cT2N3MxSx + Left Moderate HN

Re Staging

ROM/BES

Sarima/F/58 yo

Right Proximal Ureter stone + Vesicolithiasis+Ureter colic+ Hematuria

IVU

ROM /BES

Jumantar/M/68 yo

Incarserated Left Inguinal Hernia Post Herniotomy/ Hernioraphy + Post BMG Dorsal Onlay Urethroplasty due to Bulbar
Urethral Stricture + Post Cystostomy

Catheter Removal with Panendoscopy

GRA/PAS

Pre op
Post op

Right Staghorn stone + Left pyelum stone+ Secondary left multiple lower pole Renal Stone + Left Severe HN post bilateral Extended Right Pyelonefrolithotomy + Bilateral DJ Stent
Dj stent insertion + HHD + CAD + Type II DM
reinsertion Day 4

Tuesday

RID/PAS
ROM/BES
TED/PAS
DUR/BES

STOP, if failed

UROLOGY PATIENTS, Monday, May 9th 2016


Ward

Identity

Diagnosis

Treatment

Doctor in charge / DPJP

ER

Pujiono/M/68 yo

Urinary Retention + Urethral Stricture Pars Bulbosa + Urosepsis + Septic Encephalopaty + Bilateral Mild
Hydronephrosis + BXO Meatal Stenosis + Hypertension st II + OMI Inferior Post CVA + Susp Neurogenik Bladder +
Hyponatremia + Hypoalbuminemia + AKI dd ACKD

RPG + Bilateral URS

ROM/PAS

ICU

Febri/F/18 yo

Peritonistis + Endometritis + necrotic utery post SC day 6+ Righthidroureteronephrosis + Sepsis

Right RPG - URS + Right DJ Stent Insertion +


Hysterectomy day 1

GRA/BES

13

Marten Asbanu/M/40 yo

Urosepsis + Total stenosis of left ureter + Left multiple renal stone + Left hydropyonephrosis + post bilateral ureterolithotomy

Left nephrostomy day 5

GRA /BES

13

Abraham Watimena/M/72yo

Clot Retention + BPH + Susp Medical Bleeding + Anemia + Thrombositopenia

Improved General Condition i/n Cystoscopy + Clot


Evacuation in TURP

GRA /BES

13

Abdul Wahab/M/49yo

Urosepsis + Bilateral Pyelum Stone post Bilateral PNS + Fracture Compresi Vertebrae Lumbal I on TLSO + Severe Right
HN + Anemia

Bilateral RPG - URS (pre-operative HD)

GRA /BES

13

Kusnu/M/65yo

Moderate Head Injury + Bifrontal ICH + Partial Urethral Rupture + Right Inguinal Hernia

Catheter Insertion

GRA /BES

Additional Information

Pro APG S

Tuesday

14

Darmo/M/71 yo

Fournier Gangrene+ Anemia+ Hyponatremia+ Hypoalbuminemia

Necrotomy Debridement Day 7

INO/BES

14

Sulastri/F/57 YO

Left Psoas Abscess + DM Type II + Spondylosis Lumbalis + Hypoalbuminemia

Incision Drainage Abscess Day 15

DUR/PNT

17

Lina Masfufah/F/34 yo

Urogenital TB + right ureter stenosis post right DJ Stent insitu+ Non function left renal+ post open nephrostomy

RPG + Bilateral URS + Laparoscopic Nephrectomy in


Open

DUR/BES

Today

17

Prawira Agung T/M/17 yo

Left Testicular Ca cT2N3M0S2 + Left Moderate HN

Left Inguinal Orchidectomy

ROM/BES

Wednesday

ROM /BES

18

Sarima/F/58 yo

Right Proximal Ureter stone + Vesicolithiasis + Dyspepsia

IVU

19

Subianto/M/35 yo

Susp. Left Renal Cell Carcinoma T3aN0Mx + Left Hydronephrosis Gr III + Anemia Post Laparotomy Biopsy

Left Radical Nephrectomy + Sigmoidostomy

TED/PNT

Tuesday

19

Qosyim A/M/34 yo

Clot Retention + Pseudoaneurysm left renal arteri (post blunt trauma) + Post Cystoscopy Clot Evacuation + Anemia

Cystoscopy + Clot Evacuation

ROM/PNT

Today

19

Budianto/M/ 27 yo

PFUI post open cystostomy

BVCUG + Panendoscopy + EEA

TED/PAS

19

Hasan Iskandar/M/46 yo

Right multiple middle-lower pole renal stone post right PNS+ Right moderate HN+ Left multiple middle-lower renal stone +
anemia

Left RIRS + Right PCNL

ROM/BES

19

Seleman/M/70 yo

Panurethral stricture+ BPH + Right Distal Ureteral Stone + Bilateral moderate HN + Urine Retention post open
cystostomy Day 10 + wound dehiscence + Anemia + CKD st V on HD Reguler

Perineostomy

ROM /BES

19

Apriyanto/M/13 yo

Glandular Hypospadias + Bifid scrotum

Chordectomy + dorsal plication + penoscrotal transposition


Day 7

TED/PAS

19

Bakri/M/19 Yo

BXO + Panurethral Stricture + Scrotal Abscess

Drainage incision of abscess + Debridement Day 6

19

Jari/M/56 yo

Right Staghorn stone + Left pyelum stone+ Secondary left multiple lower pole Renal Stone + Left Severe HN post bilateral Right Extended Pyelonefrolithotomy + Bilateral DJ Stent
Dj stent insertion + HHD + CAD + COPD on Treatment + Type II DM
reinsertion Day 7

RID/PAS
ROM/BES

19

Satimin/M/74 yo

Urethral Stricture Pars Membranoprostatica + Perineum Rupture Post Sigmoidestomy

Crural separation + Inferior pubectomy + End to end


urethroplasty Day 6

19

Jumantar/M/68 yo

Incarserated Left Inguinal Hernia Post Herniotomy/ Hernioraphy + Post BMG Dorsal Onlay Urethroplasty due to Bulbar
Urethral Stricture + Post Cystostomy+COPD

Catheter Removal with Urethrography

21

Djamari/M/50yo

Left Staghorn Stone+Left Gr.II HN+ Left Pyelum Stone+ Left Secondary renal stone

Left Extended Pyelolithotomy + Left DJ Stent removal Day 5

21

Abdul Majid/M/77yo

Prostate Cancer cT4NxM1c (Bone+Pulmo+Hepar) (GS :2+4) + Cicatricalis Hernia Post Laparothomy Exploration + Stage
II HT Stop ASA Day 3

Cystoscopy + Clot Evacuation in TURP

ROM /BES

22

Djupri/M/45 yo

Right Proximal Ureteral Stone + Left Multiple Renal Stone + DM Type II + Hyperurecemia + Right Severe
Hydroureteronephrosis

Right Laparoscopic Urethrolithotomy in Open

TED/PNT

23i

Siti Maisaroh/F/58yo

Susp. Cervic cancer Gr.IIIB+Bilateral Severe HN+CKD St.V+Hipoalbuminemia+Anemia

Bilateral DJ Stent Insertion

RID/BES

Pre op
Post op

Today

TED/PAS
TED/PAS

Today

DUR/BES
Wednesday

STOP, if failed

OK

UROLOGY PATIENTS, Tuesday, May 10th 2016


Ward

Identity

Diagnosis

Treatment

Doctor in charge / DPJP

Additional Information

ER

Slamet/M/57 yo

Hematuria + Bilateral Hydroureteronephrosis + CKD st V + Anemia + Hipoalbuminemia + Hiponatremia + Clot Intravesica

Cystoscopy + Bladder Biopsy

TED/PAS

CT Cystography

ER

Abdul Amin/M/34 yo

Urosepsis + Wound Dehiscence + Fistula Vesicocutan Post Vesicolithotomy + Squamous Cell Bladder Cancer cT4bN2M1
(Hepar, Lung) + DM Type II + Susp. Neurogenic Bladder + Hiponatremia + Anemia + CKD st III

Improved General Condition

TED/PAS

Chemotheraphy --> Paliative


Cystectomy

GRA/BES

Intensive VK

Febri/F/18 yo

Peritonistis + Endometritis + necrotic utery post SC day 7 + Righthidroureteronephrosis

Right RPG - URS + Right DJ Stent Insertion +


Hysterectomy day 2

12

Subianto/M/35 yo

Susp. Left Renal Cell Carcinoma T3aN0Mx + Left Hydronephrosis Gr III + Anemia Post Laparotomy Biopsy

Left Radical Nephrectomy + Sigmoidostomy

GRA/PNT

13

Abraham Watimena/M/72yo

Clot Retention + BPH + Susp Medical Bleeding + Anemia + Thrombositopenia

Improved General Condition i/n Cystoscopy + Clot


Evacuation in TURP

GRA /BES

13

Abdul Wahab/M/49yo

Urosepsis + Bilateral Pyelum Stone post Bilateral PNS + Fracture Compresi Vertebrae Lumbal I on TLSO + Severe Right
HN + Anemia

Bilateral RPG - URS (pre-operative HD) kp. Open

GRA /BES

13

Kusnu/M/65yo

Moderate Head Injury + Bifrontal ICH + Partial Urethral Rupture + Right Inguinal Hernia

Catheter Insertion

GRA /BES

Today

Ortho: Posterior Stabilization

14

Darmo/M/71 yo

Fournier Gangrene+ Anemia+ Hyponatremia+ Hypoalbuminemia

Necrotomy Debridement Day 8

INO/BES

14

Sulastri/F/57 YO

Left Psoas Abscess + DM Type II + Spondylosis Lumbalis + Hypoalbuminemia

Reinsertion Drainage

DUR/PNT

17

Lina Masfufah/F/34 yo

Urogenital TB + Right 1/3 Proximal Ureteral Partial Stenosis + Non Function Left Renal post open nephrostomy + Right
Hydronephrosis Gr II

RPG + Right DJ Stent Reinsertion + Left Laparoscopic


Nephrectomy Day 1

DUR/BES

17

Prawira Agung T/M/17 yo

Left Testicular Ca cT2N3M0S2 + Left Moderate HN

Left Inguinal Orchidectomy

RAN/BES

18

Sarima/F/58 yo

Right Proximal Ureter stone + Vesicolithiasis + Dyspepsia

IVU

RAN/BES

Thursday

19

Marten Asbanu/M/40 yo

Urosepsis + Total stenosis of left ureter + Left multiple renal stone + Left hydropyonephrosis + post bilateral ureterolithotomy

Left Nephrostomy day 6

RID /BES

Pro APG S

19

Qosyim A/M/34 yo

Pseudoaneurysm left renal arteri (post blunt trauma) + Anemia

Cystoscopy + Clot Evacuation Day 1

ROM/PNT

PFUI post open cystostomy

BVCUG + Panendoscopy + EEA

19

Budianto/M/ 27 yo

19

Hasan Iskandar/M/46 yo

19
19

ROM/BES

Seleman/M/70 yo

Panurethral stricture+ BPH + Right Distal Ureteral Stone + Bilateral moderate HN + Urine Retention post open cystostomy
Day 10 + wound dehiscence + Anemia + CKD st V

Perineostomy

ROM /BES

Bakri/M/19 Yo

BXO + Panurethral Stricture + Scrotal Abscess

Drainage incision of abscess + Debridement Day 7

RID/PAS

19

Jari/M/56 yo

19

Jumantar/M/68 yo

Incarserated Left Inguinal Hernia Post Herniotomy/ Hernioraphy + Post BMG Dorsal Onlay Urethroplasty Due to Bulbar
Urethral Stricture + Post Cystostomy + COPD

Catheter Removal + Urethrography Day 1

TED/PAS

21

Djamari/M/50yo

Left Staghorn Stone+Left Gr.II HN+ Left Pyelum Stone+ Left Secondary renal stone

Left Extended Pyelolithotomy + Left DJ Stent removal Day 6

DUR/BES

21

Abdul Majid/M/77yo

Prostate Cancer cT4NxM1c (Bone+Pulmo+Hepar) (GS :2+4) + Cicatricalis Hernia Post Laparothomy Exploration + Stage
II HT Stop ASA Day 4

Uroflowmerty + MAB

ROM /BES

22

Djupri/M/45 yo

Right Proximal Ureteral Stone + Left Multiple Renal Stone + DM Type II + Hyperurecemia + Right Severe
Hydroureteronephrosis

Right Laparoscopic Urethrolithotomy in Open

RID/PNT

23i

Siti Maisaroh/F/58yo

Susp. Cervic cancer Gr.IIIB+Bilateral Severe HN+CKD St.V+Hipoalbuminemia+Anemia

Bilateral DJ Stent Insertion

RID/BES

Pre op
Post op

Wednesday

TED/PAS

Bilateral UPJ Stenosis + Bilateral Multiple Renal Stone + Right Severe Hydronehrosis + Left Severe Hydropyonephrosis + Right PNL + Right DJ Stent Insertion + Left URS + Left DJ
CKD st V
Stent Insertion Day 1

Right Staghorn stone + Left pyelum stone+ Secondary left multiple lower pole Renal Stone + Left Severe HN post bilateral Right Extended Pyelonefrolithotomy + Bilateral DJ Stent
Dj stent insertion + HHD + CAD + COPD HAP on Treatment
reinsertion Day 8

Today

ROM/BES

STOP, if failed

OK

MRS

Ward

Identity

Intensive
VK

Febri/F/18 yo

12

Subianto/M/35 yo

13

Totok H./M/60 yo

13

Abdul Wahab/M/49yo

13

Kusnu/M/65yo

13

Abraham Watimena/M/72yo

14

Darmo/M/71 yo

14

Sulastri/F/57 YO

17

Lina Masfufah/F/34 yo

17

Prawira Agung T/M/17 yo

18

Sarima/F/58 yo

19

Slamet/M/57 yo

19

Qosyim A/M/34 yo

19

Budianto/M/ 27 yo

19

Hasan Iskandar/M/46 yo

19

Seleman/M/70 yo

21

Abdul Majid/M/77yo

22

Djupri/M/45 yo

22

Sutomo/M/56 yo

23i

Siti Maisaroh/F/58yo
Pre op
Post op

UROLOGY PATIENTS, Wednesday


Diagnosis
Peritonistis + Endometritis + necrotic utery post SC day 8 + Right Hidroureteronephrosis

Left Renal Hematome DD Left Renal Tumor + Left Hydronephrosis Gr III Post Laparotomy Bio

Right Proximal Ureteral Stone + Right Moderate Hydronephrosis + Peritonotis Generalisata Post Peritone
+ Anemia + Hypoalbuminemia + AKI st II

Urosepsis + Bilateral Pyelum Stone post Bilateral PNS + Fracture Compresi Vertebrae Lumbal I on TLSO
HN + Anemia
Moderate Head Injury + Bifrontal ICH + Partial Urethral Rupture + Right Inguinal Hernia
Clot Retention + BPH + Susp Medical Bleeding + Anemia + Thrombositopenia
Fournier Gangrene+ Anemia+ Hyponatremia+ Hypoalbuminemia
Left Psoas Abscess + DM Type II + Spondylosis Lumbalis + Hypoalbuminemia

Urogenital TB + Right 1/3 Proximal Ureteral Partial Stenosis + Non Function Left Renal post open neph
Hydronephrosis Gr II
Left Testicular Ca cT2N3M0S2 + Left Moderate HN
Right Proximal Ureter stone + Vesicolithiasis + Dyspepsia

Hematuria + Susp. Bladder Cancer + Vesicolithiasis + Bilateral Hydroureteronephrosis + CKD st IV +


Hipoalbuminemia + Hiponatremia + Clot Intravesica
Pseudoaneurysm left renal arteri (post blunt trauma) + Anemia
PFUI post open cystostomy

Bilateral UPJ Stenosis + Bilateral Multiple Renal Stone + Right Severe Hydronehrosis + Left Severe Hydro
CKD st V + Metabolic Acidosis
Panurethral stricture+ BPH + Right Distal Ureteral Stone + Bilateral moderate HN + Urine Retention post
Day 11 + wound dehiscence + Anemia + CKD st V

Prostate Cancer cT4NxM1c (Bone+Pulmo+Hepar) (GS :2+4) + Cicatricalis Hernia Post Laparothomy Exp
II HT Stop ASA Day 5

Right Proximal Ureteral Stone + Left Multiple Renal Stone + DM Type II + Hyperurecemia + Righ
Hydroureteronephrosis

Susp. Right Renal Grawitz Tumor T2NxMx + Anemia + Hypoalbuminemia + Hyponatremia


Susp. Cervic cancer Gr.IIIB+Bilateral Severe HN+CKD St.V+Hipoalbuminemia+Anemia

1th 2016
Treatment

Doctor in
charge / DPJP

Right RPG - URS + Right DJ Stent Insertion +


Hysterectomy day 3

DUR/BES

Left Radical Nephrectomy + Hematoma Evacuation Day 1

GRA/PNT

Improve General Condition

RAN/PAS

Re PNS Day 1

GRA /BES

Catheter Insertion

GRA /BES

Improved General Condition i/n Cystoscopy + Clot


Evacuation

GRA /BES

Necrotomy Debridement Day 9

INO/BES

Reincision Drainage Day 1

DUR/PNT

RPG + Right DJ Stent Reinsertion + Left Laparoscopic


Nephrectomy Day 2

DUR/BES

Left Inguinal Orchidectomy

RAN/BES

IVU

RAN/BES

Cystoscopy + Bladder Biopsy

TED/PAS

Cystoscopy + Clot Evacuation Day 2

ROM/PNT

BVCUG + Panendoscopy + EEA

TED/PAS

Right PNL + Right DJ Stent Insertion + Left URS + Left DJ


Stent Insertion Day 2

ROM/BES

Perineostomy + Hecting Wound Dehisence

ROM /BES

MAB

ROM /BES

Right Proximal Urethrolithotomy

RID/PNT

Abdominal CT Scan With Contrast

RAN/PAS

Bilateral DJ Stent Insertion

RID/BES

Additional Information

Ortho: Posterior Stabilization

Today
Thursday
CT Cystography

Thursday

Today

OK

MRS

Today

STOP, if failed (Today)

Ward

Identity

13

Abdul Wahab/M/49yo

13

Abraham Watimena/M/72yo

14

Darmo/M/71 yo

14

Sulastri/F/57 YO

17

Lina Masfufah/F/34 yo

17

Prawira Agung T/M/17 yo

18

Sarima/F/58 yo

18

Busanita/F/42 yo

19

Subianto/M/35 yo

19

Slamet/M/57 yo

19

Qosyim A/M/34 yo

19

Budianto/M/ 27 yo

19

Hasan Iskandar/M/46 yo

19

Seleman/M/70 yo

21

Ahmad Amirul/M/19 yo

21

Abdul Majid/M/77yo

21

Fifi I./F/41 yo

22

Djupri/M/45 yo

22

Sutomo/M/56 yo

23i

Siti Maisaroh/F/58yo
Pre op
Post op

UROLOGY PATIENTS, Thursday,


Diagnosis

Urosepsis + Bilateral Pyelum Stone post Bilateral PNS + Fracture Compresi Vertebrae Lumbal I on TLSO
HN + Anemia
Clot Retention + BPH + Susp Medical Bleeding + Anemia + Thrombositopenia
Fournier Gangrene+ Anemia+ Hyponatremia+ Hypoalbuminemia Post Necrotomy Debridement
Left Psoas Abscess + DM Type II + Spondylosis Lumbalis + Hypoalbuminemia

Urogenital TB + Right 1/3 Proximal Ureteral Partial Stenosis + Non Function Left Renal post open neph
Hydronephrosis Gr II
Left Testicular Ca cT2N3M0S2 + Left Moderate HN
Right Proximal Ureter stone + Vesicolithiasis + Dyspepsia
Left Distal Ureteral Stenosis dd Left Non Opaque Ureteral Distal Stone + Left Hydroureteronephrosis Gr
Pole Renal Stone

Left Renal Hematome DD Left Renal Tumor + Left Hydronephrosis Gr III Post Laparotomy Bio

Hematuria + Susp. Bladder Cancer + Vesicolithiasis + Bilateral Hydroureteronephrosis + CKD st IV +


Hipoalbuminemia + Hiponatremia + Clot Intravesica

Pseudoaneurysm left renal arteri (post blunt trauma) + Anemia Post Cystoscopy and Clot Evacuati
PFUI post open cystostomy

Bilateral UPJ Stenosis + Bilateral Multiple Renal Stone + Right Severe Hydronehrosis + Left Severe Hydro
CKD st V + Metabolic Acidosis
Panurethral stricture+ BPH + Right Distal Ureteral Stone + Bilateral moderate HN + Urine Retention post
Day 11 + wound dehiscence + Anemia + CKD st V
Right DJ Stent Insitu

Prostate Cancer cT4NxM1c (Bone+Pulmo+Hepar) (GS :2+4) + Cicatricalis Hernia Post Laparothomy Exp
II HT Stop ASA Day 6

Left Distal Ureteral Stenosis dd Left Non Opaque Ureteral Stone + Left Moderate Hydronephr

Right Proximal Ureteral Stone + Left Multiple Renal Stone + DM Type II + Hyperurecemia + Righ
Hydroureteronephrosis

Susp. Right Renal Grawitz Tumor T2NxMx + Anemia + Hypoalbuminemia + Hyponatremia

Susp. Cervic cancer Gr.IIIB + Bilateral Severe HN + Left Ureteral Stenosis + CKD St.V + Hipoalbumine

th 2016
Treatment

Doctor in
charge / DPJP

Re PNS Day 2

GRA /BES

Improved General Condition i/n Cystoscopy + Clot


Evacuation

GRA /BES

Improve General Condition Pro Re Debridement

INO/BES

Reincision Drainage Day 2

DUR/PNT

RPG + Right DJ Stent Reinsertion + Left Laparoscopic


Nephrectomy Day 3

DUR/BES

Left Inguinal Orchidectomy Day 1

GRA/PNT

IVU

RAN/BES

Left URS

RID/PNT

Left Radical Nephrectomy + Hematoma Evacuation Day 2

TED/PNT

Cystoscopy + Bladder Biopsy

TED/PAS

Embolization Left Renal Artery

ROM/PNT

BVCUG + Panendoscopy + EEA

TED/PAS

Right PNL + Right DJ Stent Insertion + Left URS + Left DJ


Stent Insertion Day 3

ROM/BES

Perineostomy With Blandy Flap + Repair Wound


Dehisence Day 1

ROM /BES

Right DJ Stent Removal

TED/BES

MAB

ROM /BES

Left RPG + Left URS

DUR/PNT

Right Proximal Urethrolithotomy + Right DJ Stent Insitu


Day 1

RID/PNT

Abdominal CT Scan With Contrast

RAN/PAS

Left RPG + Left URS Day 1

RID/BES

Additional Information
Ortho: Posterior Stabilization (In Join
OP)
Today

CT Cystography (13-05-2016)
Today
Today

Today

OK

MRS

Monday

Ward

Identity

Alwy Achbi/M/7 y.o

13

Abdul Wahab/M/49yo

14

Darmo/M/71 yo

14

Sulastri/F/57 YO

17

Jumari/M/57 yo

17

Latief Sukendro/M/56 yo

17

Mufakhiro/F/37 yo

17

Veronika/F/53 yo

17

Yahya/M/65 yo

17

Suadi/M/67 yo

18

Sarima/F/58 yo

18

Busanita/F/42 yo

18

Alfiyah/M/50 yo

18

Adil Abila/M/12 yo

19

M. Shahzad/M/13 yo

19

Purwoko/M/37 yo

19

Pujo/M/70 yo

19

Hasyim/M/65 yo

19

Slamet/M/57 yo

19

Qosyim A/M/34 yo

19

Budianto/M/ 27 yo

19

Hasan Iskandar/M/46 yo

21

Abraham Watimena/M/72yo

21

Fifi I./F/41 yo

22

Sutomo/M/56 yo
Pre op
Post op

UROLOGY PATIENTS, Monday, M


Diagnosis

Severe Hydronephrosis inferior S + Incomplete Double System Ren S + Phymosis gr III Kikiros+ Sepsis +
dt OMSK dd CMV Infection

Urosepsis + Bilateral Pyelum Stone post Bilateral PNS + Fracture Compresi Vertebrae Lumbal I on TLSO
HN + Anemia
Fournier Gangrene+ Anemia+ Hyponatremia+ Hypoalbuminemia Post Necrotomy Debridement
Left Psoas Abscess + DM Type II + Spondylosis Lumbalis + Hypoalbuminemia
Urinary Retention + BXO + Meatal Stenosis + Stricture Urethra Partial Pars Bulbosa

Septicaemia + Partial Ileus Obstruction susp Malignancy + Hypertension st II + Susp UTI


Right Pyelum Stone +Right Hydronephrosis Gr II

Right Stenosis Ureter Proximal + Right Hydronephrosis gr II


Susp Bladder Cancer TxNxM1 (Lung and Bone) + Left Moderate Hydronephrosis + Hyponatremia + Com
VL III
Inferior Paraparesis + Fracture Compression of VLII-III Fr D + BPH + LUTS + Anemia
Right Proximal Ureter stone + Vesicolithiasis + Dyspepsia
Left Distal Ureteral Stenosis dd Left Non Opaque Ureteral Distal Stone + Left Hydroureteronephrosis Gr
Pole Renal Stone
Right Ureteral Stone Proximal + Right HN gr.II
Left Incomplete Double System
Buried Penis

Urethral Stricture pars Bulbosa post BMG Urethroplasty + Post Cystostomy Catheter Obstruction + P
Left Pyelum Stone + Left Proximal Ureteral Stone+ Left DJ Stent Insitu

Right DJ Stent Insitu

Hematuria + Susp. Bladder Cancer + Vesicolithiasis + Bilateral Hydroureteronephrosis + CKD st IV +


Hipoalbuminemia + Hiponatremia + Clot Intravesica

Pseudoaneurysm left renal arteri (post blunt trauma) + Anemia Post Cystoscopy and Clot Evacu

PFUI post open cystostomy


Bilateral UPJ Stenosis + Bilateral Multiple Renal Stone + Right Severe Hydronehrosis + Left Severe Hydro
CKD st V + Metabolic Acidosis
Clot Retention + BPH + Susp Medical Bleeding + Anemia + Thrombositopenia

Left Distal Ureteral Stenosis dd Left Non Opaque Ureteral Stone + Left Moderate Hydronephr

Susp. Right Renal Grawitz Tumor T4N0M0 + Anemia + Hypoalbuminemia + Hyponatremia

h 2016
Treatment

Doctor in
charge / DPJP

pro PNS S (GA)

RID/BES

Re PNS Day 8

GRA /BES

Improve General Condition Pro Re Debridement

INO/BES

Reincision Drainage Day 6

DUR/PNT

Troicart Cystostomy Day 1

TED/PAS

Conservative Management

GRA/PAS

Right PCNL

ROM/BES

Right URS

ROM/PNT

Abdominal CT Scan With Contrast

TED/PAS

Cystoscopy

GRA/PNT

Cystoscopy or Vesicolithotripsy if Needed + Right Proximal


Ureterolithotomy

RAN/BES

Left URS

RID/PNT

Right PNL

TED/BES

Left URS

RAN/PAS

Reconstruction + Circumcision

DUR/PAS

DK Removal + Urethrography in Panendoscopy

TED/BES

Left Pyelolithotomi

DUR/BES

Right DJ Stent Removal

RAN/PNT

Cystoscopy + Bladder Biopsy

TED/PAS

Embolization Left Renal Artery Day 4

ROM/PNT

BVCUG + Panendoscopy + EEA Day 4


Right PNL + Right DJ Stent Insertion + Left URS + Left DJ
Stent Insertion Day 7

TED/PAS
ROM/BES

Improved General Condition i/n Cystoscopy + Clot


Evacuation Day 4

ROM /BES

pro Laparoscopic ureteronefrectomy S

DUR/PNT

Abdominal CT Scan With Contrast+ pro paliative


systectomy

RAN/PAS

Additional Information

Ortho: Post Posterior Stabilization


Day 3

Next Step: BMG Urethroplasty


Digesti: pro Colonoscopy

Urine Culture + Uroflowmetri + USG


Evaluation
Today

OK

MRS

Today
CT Cystography (13-05-2016)

Today

Ward

Identity

Alwy Achbi/M/7 y.o

13

Abdul Wahab/M/49yo

14

Darmo/M/71 yo

14

Sulastri/F/57 YO

17

Jumari/M/57 yo

17

Mufakhiro/F/37 yo

17

Veronika/F/53 yo

17

Yahya/M/65 yo

17

Suadi/M/67 yo

17

Tutuk/F/22 yo

18

Sarima/F/58 yo

18

Busanita/F/42 yo

18

Alfiyah/M/50 yo

18

Adil Abila/M/12 yo

19

M. Shahzad/M/13 yo

19

Purwoko/M/37 yo

19

Pujo/M/70 yo

19

Hasyim/M/65 yo

19

Mat Rai/M/63 yo

19

Slamet/M/40 yo

19

Slamet/M/57 yo

19

Qosyim A/M/34 yo

19

Budianto/M/ 27 yo

19

Hasan Iskandar/M/46 yo

19

Farid/M/17 yo

21

Abraham Watimena/M/72yo

21

Fifi I./F/41 yo

21

Tutik Rahayu/F/50 yo

22

Sutomo/M/56 yo
Pre op
Post op

UROLOGY PATIENTS, Tuesday, M


Diagnosis

Severe Hydronephrosis inferior S + Incomplete Double System Ren S + Phymosis gr III Kikiros+ Sepsis +
dt OMSK dd CMV Infection

Urosepsis + Bilateral Pyelum Stone post Bilateral PNS + Fracture Compresi Vertebrae Lumbal I on TLSO
HN + Anemia
Fournier Gangrene+ Anemia+ Hyponatremia+ Hypoalbuminemia Post Necrotomy Debridement
Left Psoas Abscess + DM Type II + Spondylosis Lumbalis + Hypoalbuminemia
Urinary Retention + BXO + Meatal Stenosis + Stricture Urethra Partial Pars Bulbosa
Right Pyelum Stone +Right Hydronephrosis Gr II
Right Stenosis Ureter Proximal + Right Hydronephrosis gr II

Susp Bladder Cancer TxNxM1 (Lung and Bone) + Left Moderate Hydronephrosis + Hyponatremia + Com
VL III
Inferior Paraparesis + Fracture Compression of VLII-III Fr D + BPH + LUTS + Anemia
Calculus of Middle Pole Right Kidney + Right DJ Stent Insitu
Right Proximal Ureteral Stone

Left Distal Ureteral Stenosis + Left Ureteral Distal Stone + Left Hydroureteronephrosis Gr IV
Right Ureteral Stone Proximal + Right HN gr.II
Left Incomplete Double System
Buried Penis

Urethral Stricture pars Bulbosa post BMG Urethroplasty + Post Cystostomy Catheter Obstruction + Perin
Urethrocutan Fistule

Left Pyelum Stone + Left Proximal Ureteral Stone+ Left DJ Stent Insitu + CKD st V on HD
Right DJ Stent Insitu
Urethral Stricture pars Bulbosa

Posterior Urethral Stone + Right Pyelum Stone + Right Secondary Renal Stone + Left Ureteral 1/3 Proxim
Mild Hydronephrosis

BBB + susp. Bladder Cancer + Chronic Kidney Disease + Right and Left Hydronephrosis

Pseudoaneurysm left renal arteri (post blunt trauma) + Anemia Post Cystoscopy and Clot Evacu

PFUI post open cystostomy


Bilateral UPJ Stenosis + Bilateral Multiple Renal Stone + Right Severe Hydronehrosis + Left Severe Hydro
CKD st V + Metabolic Acidosis
PFUI post EEA Inferior Pubectomy Urethroplasty
Clot Retention + BPH + Susp Medical Bleeding + Anemia + Thrombositopenia
Total Stenosis of Left Proximal Ureter + Left Hydronephrosis

Adeno Ca Recti 1/3 Distal T4N0M1(Lung) + Bilateral DJ Stent Insitu + Mild Bilateral Hydroneph

Susp. Right Renal Grawitz Tumor T4N0M0 + Anemia + Hypoalbuminemia + Hyponatremia

h 2016
Treatment

Doctor in
charge / DPJP

pro PNS S (GA) Day 1

RID/BES

Re PNS Day 9

GRA /BES

Improve General Condition Pro Re Debridement

INO/BES

Reincision Drainage Day 7

DUR/PNT

Troicart Cystostomy Day 2

TED/PAS

Right PCNL

ROM/BES

Right URS

ROM/PNT

Abdominal CT Scan With Contrast

TED/PAS

Cystoscopy

RID/PNT

Right ESWL + Right DJ Stent Removal

INO/BES

Cystoscopy + Right Proximal Ureterolithotomy Day 1

RAN/BES

RPG + URS Litjotripsy + Left DJ Stent Insertion Day 1

RID/PNT

Right PNL

TED/BES

Left URS

RAN/PAS

Reconstruction of Buried Penis

DUR/PAS

DK Removal + Urethrography in Panendoscopy + Catheter


Reinsertion Day 1

TED/BES

Left Pyelolithotomi

DUR/BES

Right DJ Stent Removal Day 1

RAN/PNT

Panendoscopy + Urethral Dilatation or BMG Urethroplasty


if Needed

TED/PAS

Panendoscopy + Vesicolithotripsy + Diverticle Evaluation

TED/PNT

Cystoscopy + Bladder Biopsy Day 1

TED/PAS

Embolization Left Renal Artery Day 5

ROM/PNT

BVCUG + Panendoscopy + EEA Day 5


Right PNL + Right DJ Stent Insertion + Left URS + Left DJ
Stent Insertion Day 8
Urethrography at OR
Improved General Condition i/n Cystoscopy + Clot
Evacuation Day 5

ROM/PAS
ROM/BES
DUR/PAS
ROM /BES

Post Left Laparoscopic Nephrectomy Day 1

DUR/PNT

Bilateral DJ Stent Reinsertion

RID/PNT

Abdominal CT Scan With Contrast+ pro paliative


systectomy

RAN/PAS

Additional Information

OK

MRS

Ortho: Post Posterior Stabilization


Day 4

Next Step: BMG Urethroplasty

Urine Culture + Uroflowmetri + USG


Evaluation
Today

Today

16/5/2016

Today

Today

16/5/2016

16/5/2016

Ward

Identity

CVCU

Kasman Chudory/M/73 yo

13

Abdul Wahab/M/49yo

14

Darmo/M/71 yo

14

Sulastri/F/57 YO

17

Mufakhiro/F/37 yo

17

Veronika/F/53 yo

17

Yahya/M/65 yo

17

Suadi/M/67 yo

17

Heri Nurcahyo/M/45 yo

18

Sarima/F/58 yo

18

Alfiyah/M/50 yo

18

Adil Abila/M/12 yo

18

Diana Widiyaningsih/F/21 yo

19

Pujo/M/70 yo

19

Mat Rai/M/63 yo

19

Slamet/M/57 yo

19

Qosyim A/M/34 yo

19

Budianto/M/ 27 yo

19

Farid/M/17 yo

19

Aziz Zaenudin/M/37 yo

21

Abraham Watimena/M/72yo

21

Fifi I./F/41 yo

21

Tutik Rahayu/F/50 yo

22

Sutomo/M/56 yo

22

Tawi/M/75 yo
Pre op
Post op

UROLOGY PATIENTS, Wednesday


Diagnosis
Gross Hematuria ec susp Medical Bleeding + Anterior NSTEMI + AF + CVA Emboli

Urosepsis + Bilateral Pyelum Stone post Bilateral PNS + Fracture Compresi Vertebrae Lumbal I on TLSO
HN + Anemia
Fournier Gangrene+ Anemia+ Hyponatremia+ Hypoalbuminemia Post Necrotomy Debridement
Left Psoas Abscess + DM Type II + Spondylosis Lumbalis + Hypoalbuminemia
Right Pyelum Stone +Right Hydronephrosis Gr II
Right Stenosis Ureter Proximal + Right Hydronephrosis gr II

Susp Colon Cancer Bladder Infiltration dd Bladder Cancer TxNxM1 (Lung and Bone) + Left Moderate Hy
Hyponatremia + Compresion Fracture VL III
Inferior Paraparesis + Fracture Compression of VLII-III Fr D + BPH + LUTS + Anemia

Left Ureteral Stone 1/3 Middle + Vesicolithiasis + HT st II + Left Moderate Hydronephrosis


Right Proximal Ureteral Stone
Right Ureteral Stone Proximal + Right HN gr.II
Left Incomplete Double System
Left Ureteral 1/3 Middle Stone + Left Hydroureteronephrosis Gr II

Left Staghorn Stone + Left Pyelum Stone + Left Proximal Ureteral Stone + Left Secondary Middle Pole S
Stent Insitu + CKD st V on HD
Urethral Stricture pars Bulbosa

Vesicolithiasis + susp. Bladder Cancer + Chronic Kidney Disease + Bilateral Hydronephrosis post Cystosc

Pseudoaneurysm left renal arteri (post blunt trauma) + Anemia Post Cystoscopy and Clot Evacu

PFUI post open cystostomy


PFUI post EEA Inferior Pubectomy Urethroplasty

Right Kidney Staghorn Stone + Bladder Cancer cT2bN0M0 + Right Hydronephrosis Gr IV


Clot Retention + BPH + Susp Medical Bleeding + Anemia + Thrombositopenia
Total Stenosis of Left Proximal Ureter + Left Hydronephrosis

Adeno Ca Recti 1/3 Distal T4N0M1(Lung) + Bilateral DJ Stent Insitu + Mild Bilateral Hydroneph

Susp. Right Renal Grawitz Tumor T4N0M0 + Anemia + Hypoalbuminemia + Hyponatremia


Urosepsis + Multiple Bilateral Renal Stone + HT st I + DM Type II + Scoliosis + Severe Bilateral Hydropyo
Renal Failure st Injury + Hypoalbumin

8th 2016
Treatment

Doctor in charge /
DPJP

Conservative

RID/PNT

Re Insertion Right PNS Day 1

GRA /BES

Improve General Condition Pro Re Debridement

INO/BES

Reincision Drainage Day 8

DUR/PNT

Right PCNL

ROM/BES

Right URS

ROM/PNT

Abdominal CT Scan With Contrast

TED/PAS

Cystoscopy

RID/PNT

Vesicolithotripsy + Left URS

RID/BES

Cystoscopy + Right Proximal Ureterolithotomy Day 2

RAN/BES

Right URS

TED/BES

Left URS

RAN/BES

Left URS

RAN/BES

Left Pyelolithotomy Day 1

DUR/BES

Panendoscopy + Urethral Dilatation or BMG Urethroplasty


if Needed

TED/PAS

Radical Cystectomy

TED/PAS

Embolization Left Renal Artery Day 6

ROM/PNT

Transpubectomy Omental flap Urethroplasty EEA Day 6

ROM/PAS

Catheter Removal + Urethrography Day 1

DUR/PAS

Review of PA Result

DUR/PNT

Improved General Condition + Clot Evacuation Day 6

ROM /BES

Post Left Laparoscopic Nephrectomy Day 2

DUR/PNT

Bilateral DJ Stent Reinsertion

RID/PNT

Radical Nephrectomy

RAN/PAS

Bilateral PNS

RID/BES

Additional Information

OK

MRS

Ortho: Post Posterior Stabilization


Day 5

Today
Waiting for USG Evaluation

Ortho: Posterior Stabilization


Urgent

Today
Today
Thursday

Today
Monday

17/5/2016

Uroflowmetry Today

16/5/2016
17/5/2016

Today
Thursday
Today

16/5/2016

Ward

Identity

ER

Indah Winarti/F/51 yo

CVCU

Kasman Chudory/M/73 yo

10

Sri Kartatik/F/51 yo

13

Abdul Wahab/M/49yo

14

Darmo/M/71 yo

14

Sulastri/F/57 YO

14

Nurhayati/F/44 yo

17

Mufakhiro/F/37 yo

17

Veronika/F/53 yo

17

Yahya/M/65 yo

17

Suadi/M/67 yo

17

Heri Nurcahyo/M/45 yo

18

Alfiyah/M/50 yo

18

Adil Abila/M/12 yo

18

Diana Widiyaningsih/F/21 yo

19

Pujo/M/70 yo

19

Mat Rai/M/63 yo

19

Qosyim A/M/34 yo

19

Budianto/M/ 27 yo

19

Aziz Zaenudin/M/37 yo

19

Sunan/M/43 yo

21

Abraham Watimena/M/72yo

21

Tutik Rahayu/F/50 yo

21

Nurul Aziz/M/8 yo

22

Sutomo/M/56 yo

22

Tawi/M/75 yo
Pre op
Post op

UROLOGY PATIENTS, Thursday,


Diagnosis

Septic Shock + Ulcus Diabeticum + susp. Neurogenic Bladder + Cystitis + Anemia + Acute Renal Failure +
Hypokalemia + Urinary Tract Infection
Gross Hematuria ec susp Medical Bleeding + Anterior NSTEMI + AF + CVA Emboli

Cystoma Ovarii Susp Malignancy + Non Visualized Right Kidney + Severe Right Hydronephrosis + Left H
III + Ascites + HT

Urosepsis + Bilateral Pyelum Stone post Bilateral PNS + Fracture Compresi Vertebrae Lumbal I on TLSO
HN + Anemia
Fournier Gangrene+ Anemia+ Hyponatremia+ Hypoalbuminemia Post Necrotomy Debridement
Left Psoas Abscess + DM Type II + Spondylosis Lumbalis + Hypoalbuminemia
Post Left URS + DJ Stent Insitu ec Left Partial Prox. Ureteral Stenosis + Left non Opaque Lower Pole
Right Pyelum Stone + Right Hydronephrosis Gr II
Right Stenosis Ureter Proximal + Right Hydronephrosis gr II

Susp Colon Cancer Bladder Infiltration dd Bladder Cancer TxNxM1 (Lung and Bone) + Left Moderate Hy
Hyponatremia + Compresion Fracture VL III
Inferior Paraparesis + Fracture Compression of VLII-III Fr D + BPH + LUTS + Anemia

Left Ureteral Stone 1/3 Middle + Vesicolithiasis + HT st II + Left Moderate Hydronephrosis


Right Ureteral Stone Proximal + Right Hydronephrosis gr.III
Left Incomplete Double System
Left Ureteral 1/3 Middle Stone + Left Hydroureteronephrosis Gr II

Left Staghorn Stone + Left Pyelum Stone + Left Proximal Ureteral Stone + Left Secondary Middle Pole S
Stent Insitu + CKD st V on HD
Partial Urethral Stricture pars Bulbosa (Distal & Prox) + BPH

Pseudoaneurysm left renal arteri (post blunt trauma) + Anemia Post Cystoscopy and Clot Evacu

PFUI post open cystostomy

Right Kidney Staghorn Stone + Bladder Cancer cT2bN0M0 + Right Hydronephrosis Gr IV

Acute on Chronic Renal Failure + Bilateral Ureter Proximal Stone + Bilateral Severe Hydroneph
Clot Retention + BPH + Susp Medical Bleeding + Anemia + Thrombositopenia

Adeno Ca Recti 1/3 Distal T4N0M1(Lung) + Bilateral DJ Stent Insitu + Mild Bilateral Hydroneph

Left UPJ Stenosis + Left Hydronephrosis gr IV post Laparoscopy Pyeloplasty + Left DJ Stent I

Susp. Right Renal Grawitz Tumor T4N0M0 + Anemia + Hypoalbuminemia + Hyponatremia


Urosepsis + Multiple Bilateral Renal Stone + HT st I + DM Type II + Scoliosis + Severe Bilateral Hydropyo
Renal Failure st Injury + Hypoalbumin

th 2016
Treatment

Doctor in charge /
DPJP

Blood Culture + Urine Culture + Urine Cytology

GRA/PAS

Conservative

RID/PNT

Bilateral DJ Stent Insertion (Join op with OBG: Laparotomy


+ VC)

GRA/PNT

Re Insertion Right PNS Day 2

GRA /BES

Improve General Condition Pro Re Debridement

INO/BES

Reincision Drainage Day 9

DUR/PNT

Left DJ Stent Removal

ROM/PNT

Right PNL + Lithotripsy Day 1

ROM/BES

Right URS

ROM/PNT

Abdominal CT Scan With Contrast

TED/PAS

Cystoscopy

RID/PNT

Vesicolithotripsy + Left URS Day 1

RID/BES

Right URS Lithotripsy + DJ Stent Insertion Day 1

TED/BES

Left URS Day 1

RAN/BES

Left URS

RAN/BES

Left Pyelolithotomy Day 2

DUR/BES

Panendoscopy + Urethral Dilatation Day 1

TED/PAS

Embolization Left Renal Artery Day 7

ROM/PNT

Transpubectomy Omental flap Urethroplasty EEA Day 6

ROM/PAS

Review of PA Result

DUR/PNT

Bilateral APG

GRA/BES

Improved General Condition + Clot Evacuation Day 7

ROM /BES

Bilateral DJ Stent Reinsertion + Kalium Correction

RID/PNT

Left DJ Stent Removal

GRA/BES

Radical Nephrectomy

RAN/PAS

Bilateral PNS Day 1

RID/BES

Additional Information

OK

MRS

Today
Ortho: Post Posterior Stabilization
Day 6

Today

Waiting for USG Evaluation


Friday
Ortho: Posterior Stabilization

Today

17/5/2016

17/5/2016

16/5/2016
Today
Today

Ward

Identity

CVCU

Kasman Chudory/M/73 yo

10

Sri Kartatik/F/51 yo

12

Sutomo/M/56 yo

13

Abdul Wahab/M/49yo

14

Darmo/M/71 yo

14

Sulastri/F/57 YO

17

Mufakhiro/F/37 yo

17

Veronika/F/53 yo

17

Yahya/M/65 yo

17

Suadi/M/67 yo

17

Tutik Rahayu/F/50 yo

18

Diana Widiyaningsih/F/21 yo

18

Sri Wahyuni/F/50 yo

19

Pujo/M/70 yo

19

Slamet/M/57 yo

19

Qosyim A/M/34 yo

19

Aziz Zaenudin/M/37 yo

19

Sunan/M/43 yo

21

Nurul Aziz/M/8 yo

22

Tawi/M/75 yo

26

Indah Winarti/F/51 yo
Pre op
Post op

UROLOGY PATIENTS, Friday, M


Diagnosis
Gross Hematuria ec susp Medical Bleeding + Anterior NSTEMI + AF + CVA Emboli

Cystoma Ovarii Susp Malignancy + Non Visualized Right Kidney + Severe Right Hydronephrosis + Left H
III + Ascites + HT
Right Renal Grawitz Tumor Duodenum Infiltration

Urosepsis + Bilateral Pyelum Stone post Bilateral PNS + Fracture Compresi Vertebrae Lumbal I on TLSO
HN + Anemia
Fournier Gangrene+ Anemia+ Hyponatremia+ Hypoalbuminemia Post Necrotomy Debridement
Left Psoas Abscess + DM Type II + Spondylosis Lumbalis + Hypoalbuminemia
Right Pyelum Stone + Right Hydronephrosis Gr II
Right Stenosis Ureter Proximal + Right Hydronephrosis gr II

Susp Colon Cancer Bladder Infiltration dd Bladder Cancer TxNxM1 (Lung and Bone) + Left Moderate Hy
Hyponatremia + Compresion Fracture VL III
Inferior Paraparesis + Fracture Compression of VLII-III Fr D + BPH + LUTS + Anemia

Adeno Ca Recti 1/3 Distal T4N0M1(Lung) + Bilateral DJ Stent Insitu + Mild Bilateral Hydroneph
Left Ureteral Distal Stone + Left Hydroureteronephrosis Gr III
Left UPJ Stone + Right Lower Pole Renal Stone + Bilateral DJ Stent Insitu

Left Staghorn Stone + Left Pyelum Stone + Left Proximal Ureteral Stone + Left Secondary Middle Pole S
Stent Insitu + CKD st V on HD

Vesicolithiasis + susp. Bladder Cancer + Chronic Kidney Disease + Bilateral Hydronephrosis post Cystosc

Pseudoaneurysm left renal arteri (post blunt trauma) + Anemia Post Cystoscopy and Clot Evacu

Right Kidney Staghorn Stone + Bladder Cancer cT2bN0M0 + Right Hydronephrosis Gr IV

Acute on Chronic Renal Failure + Bilateral Ureter Proximal Stone + Bilateral Severe Hydroneph
Post Left Laparoscopy Pyeloplasty + Left DJ Stent Insitu

Urosepsis + Multiple Bilateral Renal Stone + HT st I + DM Type II + Scoliosis + Severe Bilateral Hydropyo
Renal Failure st Injury + Hypoalbumin

Septic Shock + Ulcus Diabeticum + susp. Neurogenic Bladder + Cystitis + Anemia + Acute Renal Failure +
Hypokalemia + Urinary Tract Infection

2016
Treatment

Doctor in charge /
DPJP

Conservative

RID/PNT

Left DJ Stent Insertion (Join op with OBG: Laparotomy +


VC) Day 1
Right Radical Nephrectomy Day 1

GRA/PNT
GRA/PNT

Re Insertion Right PNS Day 3

GRA /BES

Improve General Condition Pro Re Debridement

INO/BES

Reincision Drainage Day 10

DUR/PNT

Right PNL + Lithotripsy Day 2

ROM/BES

Right URS

ROM/PNT

Abdominal CT Scan With Contrast

TED/PAS

Cystoscopy

RID/PNT

Bilateral DJ Stent Reinsertion + Kalium Correction

RID/PNT

Left RPG + URS + Lithotripsy + DJ Stent Insertion Day 1

RAN/BES

ESWL + Left DJ Stent Removal

INO/BES

Left Pyelolithotomy Day 3

DUR/BES

Radical Cystectomy

TED/PAS

Embolization Left Renal Artery Day 8

ROM/PNT

Review of PA Result

DUR/PNT

Bilateral APG

GRA/BES

Left DJ Stent Removal with GA Day 1

GRA/BES

Bilateral PNS Day 2

RID/BES

Blood Culture + Urine Culture + Urine Cytology

GRA/PAS

Additional Information

OK

MRS

Ortho: Post Posterior Stabilization


Day 7

Waiting for USG Evaluation

Ortho: Posterior Stabilization


16/5/2016
17/5/2016
Today

Waiting for PA Results

17/5/2016

Ward

Identity

PICU

Ezra/ M/13 yo

Lilik Pujiati/F/53 yo

Alwy Achbi/M/7 y.o

13

Sukardi Salim/M/60 yo

13

Sutomo/M/56 yo

13

Abdul Wahab/M/49yo

14

Darmo/M/71 yo

14

Sulastri/F/57 YO

17

Veronika/F/53 yo

17

Yahya/M/65 yo

17

Suadi/M/67 yo

17

Tutik Rahayu/F/50 yo

18

Urifah/F/58 yo

19

M.Mukhtar/M/56th

19

Suhro Wardi/M/60 yo

19

Moh. Dafir/M/60 th

19

M. Ali Sadikin/M/50 yo

19

Hari Sumarno/M/70 yo

19

Kabit mulyanto/M/ 58 yo

19

Raun/M/ 63 yo

19

Qosyim A/M/34 yo

19

Aziz Zaenudin/M/37 yo

19

Sunan/M/43 yo

20

Widya / F/49 yo

21

Marni/F/51 yo

22

Tawi/M/75 yo

Pre op
Post op

UROLOGY PATIENTS, Monday, M


Diagnosis
Multiple Trauma + Grade III Kidney Injury + EDH+FBC+ Fr. Maxilla+ Blunt Chest Trauma+ closed fracture rami
Abdominal trauma+ Multiple Closed fracture of Extremity

Anuria+ Ovarial Ca+ on NACT Carboplatin+ Right Severe HN+ Left Moderate HN + AKI St.Injury+ +Hyponatre

Severe Hydronephrosis inferior S + Incomplete Double System Ren S + Phymosis gr III Kikiros+ Sepsis + Prolonge
dd CMV Infection
Urosepsis+Vesicolithiasis+ Catheter Insitu+ Decubitus Ulcer+ CVA+ Hyponatremia
Right Renal Tumor with Duodenum Infiltration

Urosepsis + Bilateral Pyelum Stone post Bilateral PNS + Fracture Compresi Vertebrae Lumbal I on TLSO + Sev
Anemia

Fournier Gangrene+ Anemia+ Hyponatremia+ Hypoalbuminemia Post Necrotomy Debridement Day


Left Psoas Abscess + DM Type II + Spondylosis Lumbalis + Hypoalbuminemia
Susp. Right Stenosis Ureter Proximal

Susp Colon Cancer Bladder Infiltration dd Bladder Cancer TxNxM1 (Lung and Bone) + Left Moderate Hydronephros
+ Compresion Fracture VL III
Inferior Paraparesis + Fracture Compression of VLII-III Fr D + BPH + LUTS + Anemia

Adeno Ca Recti 1/3 Distal T4N0M1(Lung) + Bilateral DJ Stent Insitu + Mild Bilateral Hydronephros
Right Staghorn Stone + delayed function right kidney+ Right Gr.III HN
Urine Retention+Panurethral stricture+Meatal stenosis+Stage II HT + Anterior urethral Stone
Right intra adbominal tumor Susp GIST DD Leiomyoma+ Right upper pole renal tumor T4NxM0
Left 1/3 distal ureteral stone + Left Moderate HN
Right 1/3 proximal ureteral stone + Left pyelum stone + Right moderate HN
Bulbar Stricture+ urethrocutan fistula post TURP + Left HIL reponibilis

Left renal stone + susp left ureteral stone dd ureteral stenosis + delayed function left kidney + mild lef
Post TURP Stricture

Pseudoaneurysm left renal arteri (post blunt trauma) + Anemia + Clot Retention

Right Multiple Stone + susp Bladder Cancer cT2bN0M0 with PA result: squamous metaplasia + Right Hydrone

Acute on Chronic Renal Failure + Bilateral Ureter Proximal Stone + Bilateral Severe Hydronephros
Right Multiple renal stone + Right moderate HN+ non visualized right kidney

Right Lower pole renal stone+ Right Severe Hydroureteronephrosis + Right neglected DJ Stent + Left Re

Urosepsis + Multiple Bilateral Renal Stone + HT st I + DM Type II + Scoliosis + Severe Bilateral Hydropyoneprosi
Failure st Injury + Hypoalbumin

2016
Treatment

Doctor in charge /
DPJP

Conservative Bed Rest

GRA /BES

Left DJ Stent Insertion

RID/PNT

Cancelled Left PNS (GA)

RID/BES

Improve General Condition

GRA /BES

Right Radical Nephrectomy+ duodenum repair + jejunostomy


feeding Day 4

GRA/PNT

Re Insertion Right PNS Day 7

GRA /BES

Re Debridement Day 14

INO/BES

Reincision Drainage Day 13

DUR/PNT

Right URS

ROM/PNT

Abdominal CT Scan With Contrast

TED/PAS

Cystoscopy

RID/PNT

Bilateral DJ Stent Reinsertion

RID/PNT

PCNL in. Pyelolithotomy

RAN/BES

Trocar cystostomy Day 2

RID/BES

Laparotomy exploration i.n tumor resection + i.n incisional


biopsy if failed+ Right renal exploration

ROM/PNT

URS S

TED/BES

Open ureterolithotomy

INO/BES

Urethroplasty BMG

ROM/PAS

URS S

DUR/BES

Panedsoscopy kp Dilatation kp TURP

RID/BES

Clot Evacuation

ROM/PNT

Cystoscopy rebiopsy

DUR/PNT

bilateral URS kp Open Uretrolithotomy + Right Re PNS

RID/BES

Right pyelolithotomy in. Right nephrectomy

DUR/BES

Right DJ Stent Reinsertion

ROM/BES

Right PNS Day 5

RID/BES

Additional Information

OK

MRS
19/5/16

Joint Care with Obgyn

Ortho: Post Posterior Stabilization Day 7

Today

Ortho: Posterior Stabilization


Today

16/5/2016

21/5/16
Joint OP Digest

19/5/16
19/5/16
19/5/16
19/5/16
Today

19/5/16
19/5/16

Today

Today

17/5/2016

19/5/16

Today

19/5/16

Ward

Identity

PICU

Ezra/ M/13 yo

Lilik Pujiati/F/53 yo

Nur Asriningsih/F/48 yo

13

Qosyim A/M/34 yo

13

Sukardi Salim/M/60 yo

13

Sutomo/M/56 yo

13

Abdul Wahab/M/49yo

14
14
17

Darmo/M/71 yo
Sulastri/F/57 YO
Veronika/F/53 yo

17

Yahya/M/65 yo

17
18
19
19

Tutik Rahayu/F/50 yo
Urifah/F/58 yo
Endri/M/55 yo
Misnali/M/49 yo

19

Suhro Wardi/M/60 yo

19
19
19
19
19
19

Moh. Dafir/M/60 th
Budi Hartoko/M/54 yo
M. Ali Sadikin/M/50 yo
Hari Sumarno/M/70 yo
Kabit mulyanto/M/ 58 yo
Raun/M/ 63 yo

19

Aziz Zaenudin/M/37 yo

19

Sunan/M/43 yo

20
20
21

Holipah/ F/ 44 yo
Widya / F/49 yo
Marni/F/51 yo

21

Slamet/M/48 yo

22

Tawi/M/75 yo
Pre op
Post op

UROLOGY PATIENTS, Tuesday, M


Diagnosis
Multiple Trauma + Grade III Kidney Injury + EDH+FBC+ Fr. Maxilla+ Blunt Chest Trauma+ closed fracture rami
Abdominal trauma+ Multiple Closed fracture of Extremity

Anuria+ Ovarial Ca+ on NACT Carboplatin+ Right Severe HN+ Left Moderate HN + AKI St.Injury+ +Hyponatre

Abdominat tumor DD susp. Imature teratoma + Right neglected DJ Stent Insitu+ Right moderate H

Pseudoaneurysm+ left renal artery embolization + anemia + post clot evacuation Clot retention ec. Left re
Sepsis+Vesicolithiasis+ Neglected indwelling catheter + Decubitus Ulcer+ CVA+ Hyponatremia
Right Renal Tumor with Duodenum Infiltration

Urosepsis + Bilateral Pyelum Stone post Bilateral PNS + Fracture Compresi Vertebrae Lumbal I on TLSO + Sev
Anemia
Fournier Gangrene+ Anemia+ Hyponatremia+ Hypoalbuminemia Post Necrotomy Debridement Day
Left Psoas Abscess + DM Type II + Spondylosis Lumbalis + Hypoalbuminemia
Normal Right PCS
Susp Colon Cancer Bladder Infiltration dd Bladder Cancer TxNxM1 (Lung and Bone) + Left Moderate Hydronephros
+ Compresion Fracture VL III
Adeno Ca Recti 1/3 Distal T4N0M1(Lung) + Bilateral DJ Stent Insitu + Bilateral Gr. II Hydronephros
Right Staghorn Stone + delayed function right kidney+ Right Gr.III HN
Urine retention+ Susp. urethral stricture + Severe LUTS
Vesicolithiasis+ Bilateral ureteral stone+ Bilateral renal stone
Right intra adbominal tumor Susp GIST DD Leiomyoma+ Right upper pole renal tumor T4NxM0
Left 1/3 distal ureteral stone + Left Moderate HN
Right Proximal ureteral stone + Left distal ureteral stone + Right moderate HN
Right 1/3 proximal ureteral stone + Left pyelum stone + Right moderate HN
Bulbar Stricture+ urethrocutan fistula post TURP + Left HIL reponibilis
Left Partial distal ureteral stenosis + Left HN Gr.II + Left lower pole renal stone
Post TURP Stricture

Right Multiple Stone + susp Bladder Cancer cT4bN0M0 with PA result: squamous metaplasia + Right Hydrone

Acute on Chronic Renal Failure + Bilateral Ureter Proximal Stone + Bilateral Severe Hydronephros

Left lower pole renal stone+ Left DJ Stent insitu


Right Multiple renal stone + Right moderate HN+ non visualized right kidney
Right Lower pole renal stone+ Right Gr.III HN + Right neglected DJ Stent + Left Renal cyst
Bulbora urethral stricture + Anterior urethral stone + Right Renal stone + Right secondary renal stone + Left 1/3 dist
Right moderate Hydronephrosis
Urosepsis + Multiple Bilateral Renal Stone + HT st I + DM Type II + Scoliosis + Severe Bilateral Hydropyoneprosi
Failure st Injury + Hypoalbumin

2016
Treatment

Doctor in charge /
DPJP

Conservative Bed Rest

GRA /BES

Left DJ Stent Insertion

RID/PNT

Right DJ Stent reinsertion + Left DJ Stent Insertion

DUR/PNT

Pro Left Laparoscopic Nephrectomy (urgent)

ROM/PNT

Improve General Condition


Right Radical Nephrectomy+ duodenum repair + jejunostomy
feeding Day 5

GRA /BES

Re Insertion Right PNS Day 8

GRA /BES

Re Debridement
Reincision Drainage Day 14
Right URS Day 1

INO/BES
DUR/PNT
ROM/PNT

Abdominal CT Scan With Contrast

TED/PAS

Bilateral DJ Stent Reinsertion Day 1


Extended Pyelolithotomy D
Panendoscopy+ Urethral dilatation
Cystoscopy+ Vesicolithotripsy+ Bilateral URS
Laparotomy exploration i.n tumor resection + i.n incisional
biopsy if failed+ Right renal exploration
URS S
URS D/S
Open ureterolithotomy
Urethroplasty BMG
Left URS + Left DJ Stent insertion Day 1
Panedsoscopy kp Dilatation kp TURP

RID/PNT
RAN/BES
DUR/PAS
RAN/BES

GRA/PNT

ROM/PNT
TED/BES
TED/BES
INO/BES
ROM/PAS
DUR/BES
RID/BES

Cystoscopy rebiopsy Day 1

DUR/PNT

bilateral URS kp Open Uretrolithotomy + Right Re PNS

RID/BES

Left ESWL+ Left DJ Stent removal


Right laparoscopic nephrectomy
Right DJ Stent Reinsertion Day 1

TED/BES
DUR/BES
ROM/BES

Panendoscopy + Urethral Dilatation + Vesicolithotripsy

RID/BES

Right PNS Day 6

RID/BES

Additional Information

OK

MRS
19/5/16

Joint Care with Obgyn


Joint Care with Obgyn
Today

Ortho: Post Posterior Stabilization Day 10


Today

16/5/2016
Today
Joint OP Digest

23/5/16
23/5/16
19/5/16
19/5/16
19/5/16
19/5/16
19/5/16
19/5/16
19/5/16
17/5/2016

Today
Right ESWL Today

23/5/16
19/5/16
19/5/16
19/5/16

Ward

Identity

ER

Endi/M/36yo

Lilik Pujiati/F/53 yo

Nur Asriningsih/F/48 yo

12

Ezra/ M/13 yo

12

Qosyim A/M/34 yo

13

Sukardi Salim/M/60 yo

13

Sutomo/M/56 yo

13

Abdul Wahab/M/49yo

14
14
17
17
18
19

Darmo/M/71 yo
Sulastri/F/57 YO
Yahya/M/65 yo
Tutik Rahayu/F/50 yo
Urifah/F/58 yo
Sunan/M/43 yo

19

Endri/M/55 yo

19

Misnali/M/49 yo

19

Suhro Wardi/M/60 yo

19

Moh. Dafir/M/60 th

19

Budi Hartoko/M/54 yo

19

M. Ali Sadikin/M/50 yo

19

Hari Sumarno/M/70 yo

19

Kabit mulyanto/M/ 58 yo

19

Raun/M/ 63 yo

19

Aziz Zaenudin/M/37 yo

20

Widya / F/49 yo

21

Sri Rahayu/ F/53 yo

21

Sukarti/F/53 yo

21

Marni/F/51 yo

21

Slamet/M/48 yo

22

Tawi/M/75 yo
Pre op
Post op

UROLOGY PATIENTS, Wednesday,


Diagnosis

Bloody urethral discharge+iatrogenic bulbar urethral rupture+St. V CKD on CAPD+ Infected CAPD+HT+Encephal
Uremic+Ascites+pleural efusion+hypokalemia+ compensated metabolic acidosis

Anuria+ Ovarial Ca+ on NACT Carboplatin+ Right Severe HN+ Left Moderate HN + AKI St.Injury

Abdominat tumor DD susp. Imature teratoma + Right neglected DJ Stent Insitu+ Right moderate H
Multiple Trauma + Grade III Kidney Injury + EDH+FBC+ Fr. Maxilla+ Blunt Chest Trauma+ closed fracture rami
Abdominal trauma+ Multiple Closed fracture of Extremity

Pseudoaneurysm+ left renal artery embolization + anemia + post clot evacuation Clot retention ec. Left re
Sepsis+Vesicolithiasis+ Neglected indwelling catheter + Decubitus Ulcer+ CVA+ Hyponatremia
Right Renal Tumor with Duodenum Infiltration

Urosepsis + Bilateral Pyelum Stone post Bilateral PNS + Fracture Compresi Vertebrae Lumbal I on TLSO + Sev
Anemia

Fournier Gangrene+ Anemia+ Hyponatremia+ Hypoalbuminemia Post Necrotomy Debridement Day


Left Psoas Abscess + DM Type II + Spondylosis Lumbalis + Hypoalbuminemia
Sarcoma + fr. Patologis VL II-III + Left HN gr IV
Adeno Ca Recti 1/3 Distal T4N0M1(Lung) + Bilateral DJ Stent Insitu + Bilateral Gr. II Hydronephros
Right Staghorn Stone + delayed function right kidney+ Right Gr.III HN
Acute on Chronic Renal Failure + Bilateral Ureter Proximal Stone + Bilateral Severe Hydronephros
Partial bulbar urethral stricture

Vesicolithiasis+ right proximal ureteral stone + Left UVJ stone+ Bilateral lower pole renal stone + Bilateral gr. III HN
Right intra adbominal tumor Susp GIST DD Leiomyoma+ Right upper pole renal tumor T4NxM0
Left 1/3 distal ureteral stone + Left Moderate HN
Right Proximal ureteral stone + Left distal ureteral stone + Right moderate HN
Right 1/3 proximal ureteral stone + Left pyelum stone + Right moderate HN
Bulbar Stricture+ urethrocutan fistula post TURP + Left HIL reponibilis
Left Partial distal ureteral stenosis + Left HN Gr.II + Left lower pole renal stone
BNS dd BPH Residif

Right Multiple Stone + susp Bladder Cancer cT4bN0M0 with PA result: squamous metaplasia + Right Hydrone

Right Multiple renal stone + Right moderate HN+ non visualized right kidney
Right DJ Stent insitu post right pyelolithotomy
Left DJ Stent Insitu+ Right HN
Right Lower pole renal stone+ Right Gr.III HN + Right neglected DJ Stent + Left Renal cyst

Bulbar urethral stricture + Right Renal stone + Right multiple renal stone + anterior urethral stone+ bladder divertic

Urosepsis + Multiple Bilateral Renal Stone + HT st I + DM Type II + Scoliosis + Severe Bilateral Hydropyoneprosi
Failure st Injury + Hypoalbumin

h 2016
Treatment

Doctor in charge /
DPJP

Improve General Condition

GRA/BES

Bilateral DJ Stent Insertion

RID/PNT

Right DJ Stent reinsertion + Left DJ Stent Insertion

DUR/PNT

Conservative Bed Rest

GRA /BES

Left Laparoscopic Nephrectomy converted to open nephrectomy


+ Clot Evacuation Day 1

ROM/PNT

Improve General Condition

GRA /BES

Right Radical Nephrectomy+ duodenum repair + jejunostomy


feeding Day 6

GRA/PNT

Bilateral PNS Reinsertion Day 2

GRA /BES

Primary Closure Day 1


Reincision Drainage Day 15
CPC
Bilateral DJ Stent Reinsertion Day 2
Extended Pyelolithotomy D
bilateral URS in Left Open Uretrolithotomy

INO/BES
DUR/PNT
TED/PAS
RID/PNT
RAN/BES
RID/BES

Panendoscopy+ Urethral dilatation + Silicon Catether insertion


Day 1

DUR/PAS

Cystoscopy+ Vesicolithotripsy+ Bilateral URS

RAN/BES

Laparotomy exploration i.n tumor resection + i.n incisional


biopsy if failed+ Right renal exploration

ROM/PNT

URS S

TED/BES

URS D/S

TED/BES

Open ureterolithotomy

INO/BES

Urethroplasty BMG

ROM/PAS

Left URS + Left DJ Stent insertion Day 2

DUR/BES

Panedsoscopy kp BNI kp TURP

RID/PAS

Cystoscopy rebiopsy Day 2

DUR/PNT

Right laparoscopic nephrectomy

DUR/BES

Right DJ Stent Removal

DUR/BES

Left DJ Stent removal

INO/BES

Right DJ Stent Reinsertion Day 2 + ESWL Day 1

ROM/BES

Panendoscopy + Urethral Dilatation + Vesicolithotripsy+


Diverticle evaluation + Right RPG

RID/PAS

Right PNS Day 7

RID/BES

Additional Information

OK

MRS

5/24/2016

Joint Care with Obgyn


Joint Care with Obgyn, if failed stop

TODAY
TODAY

23/5/16

19/5/16

Ortho: Post Posterior Stabilization Day 12

16/5/2016

23/5/16
TODAY
Joint OP Digest

23/5/16
19/5/16
19/5/16

ROM Bimb PAS

TODAY

19/5/16
19/5/16

BVCUG Today

TODAY

19/5/16
19/5/16
19/5/16
17/5/2016

TODAY

19/5/16

TODAY

24/5/16
24/5/16
19/5/16
19/5/16

Ward

Identity

ER

Marsuto/M/41 yo

ER

Kasiyo/M/59 yo

Lilik Pujiati/F/53 yo

Nur Asriningsih/F/48 yo

13

Qosyim A/M/34 yo

13

Sutomo/M/56 yo

14
14
17
19
19

Darmo/M/71 yo
Sulastri/F/57 YO
Yahya/M/65 yo
Sukardi Salim/M/60 yo
Mujianto/M/ 44 yo

19

Abdul Wahab/M/49yo

19

Sunan/M/43 yo

19

Endri/M/55 yo

19

Misnali/M/49 yo

19

Suhro Wardi/M/60 yo

19
19
19
19
19

Moh. Dafir/M/60 th
Budi Hartoko/M/54 yo
M. Ali Sadikin/M/50 yo
Hari Sumarno/M/70 yo
Raun/M/ 63 yo

19

Aziz Zaenudin/M/37 yo

20

Widya / F/49 yo

21

Slamet/M/48 yo

22

Tawi/M/75 yo
Pre op
Post op

UROLOGY PATIENTS, Thursday, May 26th 2016


Diagnosis

Intraperitoneal bladder rupture+ Mandibular Fracture+ Closed Fracture left distal radius+Closed fracture right
transaminitis reaction+compensated alkalosis metabolic

Urosepsis+ Bilateral multiple lower pole renal stone+ Left proximal ureteral stone+ Right moderate HN + Left se
stad.+ Hyponatremia+Metabolic acidosis compensated

Anuria+ Ovarial Ca+ on NACT Carboplatin+ Right Severe HN+ Left Moderate HN + AKI St.In

Abdominat tumor DD susp. Imature teratoma + Right neglected DJ Stent Insitu+ Right moderat

Pseudoaneurysm+ left renal artery embolization + anemia + post clot evacuation Clot retention ec. Lef
Right Renal Tumor with Duodenum Infiltration

Fournier Gangrene+ Anemia+ Hyponatremia+ Hypoalbuminemia Post Necrotomy Debridement


Left Psoas Abscess + DM Type II + Spondylosis Lumbalis + Hypoalbuminemia
Sarcoma + fr. Patologis VL II-III + Left HN gr IV
Sepsis+Vesicolithiasis+ Neglected indwelling catheter + Decubitus Ulcer+ CVA+ Hyponatrem
Right staghorn Stone + Right DJ Stent Insitu+ Bilateral HN
Urosepsis + Bilateral Pyelum Stone post Bilateral PNS + Fracture Compresi Vertebrae Lumbal I on TLSO + S
Anemia
Acute on Chronic Renal Failure + Bilateral Ureter Proximal Stone + Bilateral Severe Hydroneph
Partial bulbar urethral stricture

Vesicolithiasis+ right proximal ureteral stone + Left UVJ stone+ Bilateral lower pole renal stone + Bilateral gr. II

Right intra adbominal tumor Susp GIST DD Leiomyoma+ Right upper pole renal tumor T4Nx
Left 1/3 distal ureteral stone + Left Moderate HN
Right Proximal ureteral stone + Right Gr.III HN + Left Partial Stenosis Distal Ureter.
Right 1/3 proximal ureteral stone + Left pyelum stone + Right moderate HN
Partial Bulbar Stricture + urethrocutan fistula post TURP + Left HIM reponibilis
BNS dd BPH Residif

Right Multiple Stone + susp Bladder Cancer cT4bN0M0 with PA result: squamous metaplasia + Right Hydr
Right Multiple renal stone + Right moderate HN+ non visualized right kidney

Bulbar urethral stricture + Right Renal stone + Right multiple renal stone + anterior urethral stone+ bladder dive

Urosepsis + Multiple Bilateral Renal Stone + HT st I + DM Type II + Scoliosis + Severe Bilateral Hydropyonep
Failure st Injury + Hypoalbumin

Treatment

Doctor in charge /
DPJP

Open Cystostomy Day 1

TED/PAS

Left PNS

BES/TED

Cystoscopy Day 1

RID/PNT

Right DJ Stent reinsertion + Left DJ Stent Insertion Day 1

DUR/PNT

Left Laparoscopic Nephrectomy converted to open nephrectomy


+ Clot Evacuation Day 2
Right Radical Nephrectomy+ duodenum repair + jejunostomy
feeding Day 7
Primary Closure Day 2
Reincision Drainage Day 16
CPC
Improve General Condition
Cystoscopy in lihotripsy + Right URS

ROM/PNT
GRA/PNT
INO/BES
DUR/PNT
TED/PAS
TED/BES
RID/BES

Bilateral PNS Reinsertion Day 3

DUR /BES

bilateral URS in Left Open Uretrolithotomy


Panendoscopy+ Urethral dilatation + Silicon Catether insertion
Day 2

RID/BES

Bilateral URS Lithotripsy + Vesicolithotripsy + Right


Ureterolithotomy + Bilateral DJ stent Insertion Day 1
Laparotomy exploration i.n tumor resection + i.n incisional
biopsy if failed+ Right renal exploration
URS S
Bilateral URS +Bilateral DJ Stent insertion Day 1
Open ureterolithotomy
Post BVCUG day 1
Panendsoscopy kp BNI kp TURP

DUR/PAS
RAN/BES
ROM/PNT
TED/BES
TED/BES
INO/BES
ROM/PAS
RID/PAS

Cystoscopy rebiopsy Day 3

DUR/PNT

Right laparoscopic nephrectomy Day 1

DUR/BES

Panendoscopy + Urethral Dilatation + Vesicolithotripsy+


Diverticle evaluation + Right RPG

RID/PAS

Right PNS Day 8

RID/BES

Additional Information

OK

MRS

Joint Care with Obgyn


Joint Care with Obgyn, if failed stop

23/5/16

24/5/16
Ortho: Post Posterior Stabilization Day 13

23/5/16
23/5/16
Joint OP Digest

19/5/16
Today

ROM Bimb PAS


Digestif Join op HTHR

19/5/16
19/5/16
19/5/16
19/5/16
19/5/16
17/5/2016
19/5/16

Today

19/5/16
Today

Ward

Identity

13

Marsuto/M/41 yo

13

Kasiyo/M/59 yo

13

Jafar/M/42 yo

13

Evi/40 yo

13

Tukeni/M/62 yo

14

Sutomo/M/56 yo

14
14

Darmo/M/71 yo
Sulastri/F/57 YO

17

Abdul Nasir/M/71 yo

17

M. Zairullah/M/5 yo

17

Timan/M/64 yo

17
17
18
18

Yahya/M/65 yo
Mujiati/F47 yo
Urifah/F/58 yo
Fatimah/F/33 yo

19

Mujianto/M/ 44 yo

19

Qosyim A/M/34 yo

19

Sunan/M/43 yo

19

Misnali/M/49 yo

19

Suhro Wardi/M/60 yo

19

M. Ali Sadikin/M/50 yo

19

Hari Sumarno/M/70 yo

19

Raun/M/ 63 yo

19

Aziz Zaenudin/M/37 yo

20
21
21
21

Wahyu Indah/F/32 yo
Siegfried S/M/55 yo
Ety/F/45 yo
Abdul Wahid/M/57 yo

21

Sukarti/F/53 yo

Pre op
Post op

UROLOGY PATIENTS, Monday, May 30th 2016


Diagnosis

Intraperitoneal bladder rupture+ Mandibular Fracture+ Closed Fracture left distal radius+Closed fracture right
transaminitis reaction+compensated alkalosis metabolic

Urosepsis+ Bilateral multiple lower pole renal stone+ Left proximal ureteral stone+ Right moderate HN + Left se
stad.+ Hyponatremia+Metabolic acidosis compensated

Anuria + Urosepsis + Susp. Right 1/3 Distal Ureteral Stone dd Ureteral Stenosis +Left Multiple Renal Stone
Hydropyonephrosis + Left Mild Hydropyonephrosis + AKI End Stage

Susp Bladder haematom + Mild Head Injury + Four Rami pubis fracture +Distal femur close fracture + middle Tib
+ Perineal Rupture Grade 2
Clot Retention + Sus Bladder Cancer TxNxMx + Ht st II + AKI dd ACKD + Urosepsis + Right Moderate Hydron
Hydronephrosis + Anemia
Right Renal Tumor with Duodenum Infiltration
Fournier Gangrene+ Anemia+ Hyponatremia+ Hypoalbuminemia Post Necrotomy Debridement
Left Psoas Abscess + DM Type II + Spondylosis Lumbalis + Hypoalbuminemia

Right 1/3 Middle Ureteral Stone + Left Multiple Renal Stone + Right Severe Hydronephrosis + Left Mild Hydrone
Susp. Vesicholithiasis +Phymosis Gr IV Kikiros
Anterior Urethral Stone + History of Bladder Cancer Post Mitomycin
Sarcoma + fr. Patologis VL II-III + Left HN gr IV
Left DJ Stent Insitu post left RIRS + Left Ureteral Partial Stenosis
Right Staghorn Stone + delayed function right kidney+ Right Gr.III HN
Left DJ Stent Insitu + Left 1/3 Proximal Ureteral Stone
Right staghorn Stone + Right Neglected DJ Stent Insitu+ Bilateral HN

Pseudoaneurysm+ left renal artery embolization + anemia + post clot evacuation Clot retention ec. Lef

Chronic Renal Failure + Bilateral Ureter Proximal Stone + Bilateral Severe Hydronephrosis+ Hypoalbumin

Vesicolithiasis+ right proximal ureteral stone + Left UVJ stone+ Bilateral lower pole renal stone + Bilateral gr. II

Right intra adbominal tumor Susp GIST DD Leiomyoma+ Right upper pole renal tumor T4Nx
Right 1/3 proximal ureteral stone + Left pyelum stone + Right moderate HN

Partial Bulbar Stricture + urethrocutan fistula post TURP + Left HIM reponibilis Post BVCUG

BNS dd BPH Residif


Right Multiple Stone + Right Hydronephrosis Gr IV + Papilary Urothelial Neoplasm of Low Malignant Potentia
Metaplasia
Bilateral DJ Stent Insitu
BPH + Severe LUTS
Right Staghorn Stone + Right Hydronephrosis Gr III
Left DJ Stent Insitu
Left DJ Stent Insitu+ Right HN

Treatment

Doctor in charge /
DPJP

Bladder Repair + Cystostomy Day 4

GRA/PNT

Left PNS Day 4

GRA/BES

Left PNS Day 1

GRAPNT

Conservatif treatment

GRA/PNT

Clot Evacuation + TURBT Day 1

GRA/PNT

Right Radical Nephrectomy+ duodenum repair + jejunostomy


feeding Day 11
Primary Closure Day 6
Reincision Drainage Day 20

INO/BES
DUR/PNT

Bilateral URS

RID/PNT

Circumcision + Cystoscopy

DUR/PAS

BVCUG + Panendoscopy

TED/PAS

CPC
Left DJ Stent Removal Day 1
Right Extended Pyelolithotomy Day 1
Open ureterolithotomy
Cystoscopy + lihotripsy + Right URS + Right Open
Nephrolithotomy
Left Laparoscopic Nephrectomy converted to open nephrectomy
+ Clot Evacuation Day 6

TED/PAS
DUR/BES
RAN/BES
RID/BES

RAN/PNT

RID/BES
ROM/PNT

Bilateral URS in Left Open Ureterolithotomy

RID/BES

Bilateral URS Lithotripsy + Vesicolithotripsy + Right


Ureterolithotomy + Bilateral DJ stent Insertion Day 5

RAN/BES

Laparotomy exploration i.n tumor resection + i.n incisional


biopsy if failed+ Right renal exploration
Open ureterolithotomy Day 1

ROM/PNT
INO/BES

Panendoscopy + Urethral Dilatation + Catheter Insertion;

ROM/PAS

Panendsoscopy kp BNI kp TURP Day 1

RID/PAS

Laparoscopic Nephrouretetomy

DUR/PNT

Bilateral DJ Stent Removal


TURP
Right PNL in Open
Left DJ Stent Removal
Right URS Lithotripsy + Right DJ Stent Insertion + Left DJ Stent
Removal Day 4

ROM/PNT
RAN/PNT
INO/PAS
INO/BES
INO/BES

Additional Information

OK

Urgent Bilateral URS

MRS

27/5/16

Monday

CT scan Abd with contrast (today)


Today

27/5/16

Monday
Monday
Today

27/5/16

24/5/16

23/5/16
Joint OP Digest

19/5/16
Monday

Digestif Join op HTHR (Today)

19/5/16
Monday

Wednesday

19/5/16

19/5/16
17/5/2016

24/5/16

Pulang Hari Ini

Ward

Identity

ER

Ngatini/F/46 yo

14

Pingi/M/76 yo

13

Sujud/M/36 yo

13

Marsuto/M/41 yo

13

Kasiyo/M/59 yo

13

Jafar/M/42 yo

13

Evi/40 yo

13

Tukeni/M/62 yo

14

Sutomo/M/56 yo

14

Sulastri/F/57 YO

17

Abdul Nasir/M/71 yo

17

M. Zairullah/M/5 yo

17

Timan/M/64 yo

17
17

Yahya/M/65 yo
Mujiati/F47 yo

18

Urifah/F/58 yo

18
19

Fatimah/F/33 yo
Raun/M/ 63 yo

19

Mujianto/M/ 44 yo

19

Sunan/M/43 yo

19

M. Ali Sadikin/M/50 yo

19

imam Budianto/M/25 yo

19

Qosyim A/M/34 yo

19

Misnali/M/49 yo

19

Suhro Wardi/M/60 yo

19

Hari Sumarno/M/70 yo

19

Aziz Zaenudin/M/37 yo

20
21
21

Wahyu Indah/F/32 yo
Ety/F/45 yo
Abdul Wahid/M/57 yo

21

Sukarti/F/53 yo
Pre op
Post op

UROLOGY PATIENTS, Tuesday, May 31th 2016


Diagnosis

Anuria ec Susp Ca cervic 3B + Ht st II + Anemia + Hyperkalemia + ACKD + Pleural Efusion ec Metastatic dd P


Moderate HN

Suprapubic Absces + Susp. Left HIL Residif + leukositosis + Hypoalbuminemia + Hyponatrem

Obstructive Icterus + Chlangitis ec Multiple Cholelithiasis + CBD State + Renal Stone Without Hydro

Intraperitoneal bladder rupture+ Mandibular Fracture+ Closed Fracture left distal radius+Closed fracture right
transaminitis reaction+compensated alkalosis metabolic

Urosepsis+ Bilateral multiple lower pole renal stone+ Left proximal ureteral stone+ Right moderate HN + Left se
stad.+ Hyponatremia+Metabolic acidosis compensated

Anuria + Urosepsis + Susp. Right 1/3 Distal Ureteral Stone dd Ureteral Stenosis +Left Multiple Renal Stone
Hydropyonephrosis + Left Mild Hydropyonephrosis + AKI End Stage

Susp Bladder haematom + Mild Head Injury + Four Rami pubis fracture +Distal femur close fracture + middle Tib
+ Perineal Rupture Grade 2
Clot Retention + Sus Bladder Cancer TxNxMx + Ht st II + AKI dd ACKD + Urosepsis + Right Moderate Hydron
Hydronephrosis + Anemia
Right Renal Tumor T4N0M1 with Duodenum Infiltration
Bilateral Psoas Abscess + DM Type II + Spondylosis Lumbalis + Hypoalbuminemia

Right 1/3 Middle Ureteral Stone + Left Multiple Renal Stone + Right Severe Hydronephrosis + Left Mild Hydrone
Susp. Vesicholithiasis + Phymosis Gr III Kikiros
Anterior Urethral Stone + History of Bladder Cancer Post Mitomycin
Sarcoma + fr. Patologis VL II-III + Left HN gr IV
Left DJ Stent Insitu post left RIRS + Left Ureteral Partial Stenosis
Right Staghorn Stone + delayed function right kidney+ Right Gr.III HN
Left DJ Stent Insitu + Left 1/3 Proximal Ureteral Stone
BPH Residif
Right staghorn Stone + Right Neglected DJ Stent Insitu+ Bilateral HN

Chronic Renal Failure + Bilateral Ureter Proximal Stone + Bilateral Severe Hydronephrosis+ Hypoalbumin
Right 1/3 proximal ureteral stone + Left pyelum stone + Right moderate HN
Traumatic Bulbar Stricture

Pseudoaneurysm+ left renal artery embolization + anemia + post clot evacuation Clot retention ec. Lef

Vesicolithiasis+ right proximal ureteral stone + Left UVJ stone+ Bilateral lower pole renal stone + Bilateral gr. II

Right intra adbominal tumor Susp GIST DD Leiomyoma+ Right upper pole renal tumor T4Nx

Partial Bulbar Stricture + urethrocutan fistula post TURP + Left HIM reponibilis Post BVCUG

Right Multiple Stone + Right Hydronephrosis Gr IV + Papilary Urothelial Neoplasm of Low Malignant Potentia
Metaplasia
Bilateral DJ Stent Insitu
Right Staghorn Stone + Right Hydronephrosis Gr III
Left DJ Stent Insitu
Left DJ Stent Insitu+ Right HN

Treatment

Doctor in charge /
DPJP

Billateral DJ Stent if fail Internal Stenting or Ureterocutaneous


tomy

GRA/BES

Conservative management

GRA/BES

IVP + Left EWSL

GRA/BES

Bladder Repair + Cystostomy Day 5

GRA/PNT

Left PNS Day 5

GRA/BES

Left PNS Day 2

GRAPNT

Conservatif treatment

GRA/PNT

Clot Evacuation + TURBT Day 1

GRA/PNT

Right Radical Nephrectomy+ duodenum repair + jejunostomy


feeding Day 12
Reincision Drainage Day 21

DUR/PNT

Bilateral URS

RID/PNT

Circumcision + Cystoscopy

DUR/PAS

BVCUG + Panendoscopy

TED/PAS

CPC
Left DJ Stent Removal Day 1

TED/PAS
DUR/BES

Right Extended Pyelolithotomy + Right Nefrostomy Day 1

RAN/BES

URS Lithotripsy in Open ureterolithotomy


TURP Day 1
Cystoscopy + lihotripsy + Right URS + Right Open
Nephrolithotomy

RID/BES
RID/PAS

Bilateral URS in Left Open Ureterolithotomy

RID/BES

Right Open ureterolithotomy + Right DJ Stent Insertion Day 1

INO/BES

Anastomotic Urethroplasty
Left Laparoscopic Nephrectomy converted to open nephrectomy
+ Clot Evacuation Day 7

RID/PAS

RAN/PNT

RID/BES

ROM/PNT

Bilateral URS Lithotripsy + Vesicolithotripsy + Right


Ureterolithotomy + Bilateral DJ stent Insertion Day 6

RAN/BES

Laparotomy exploration i.n tumor resection + i.n incisional


biopsy if failed+ Right renal exploration

ROM/PNT

Panendoscopy + Urethral Dilatation + Catheter Insertion;

ROM/PAS

Laparoscopic Nephroureterectomy

DUR/PNT

Bilateral DJ Stent Removal


Right PNL in Open
Left DJ Stent Removal
Right URS Lithotripsy + Right DJ Stent Insertion + Left DJ Stent
Removal Day 5

ROM/PNT
INO/PAS
INO/BES
INO/BES

Additional Information

OK

MRS

OBGYN: Cervix Byopsy: IPD: HD cito; Paru;


USG Thorax Marker Prof Puncture + Sputum
Cytology
Uroflowmetry
Digestive: Pro Explore CBD + Choledocotomy
+ Choledoscopy + Cholecystectomy

Left RPG (1/6/16)


Urgent Bilateral URS

27/5/16

Monday

CT scan Abd with contrast (today)


Today

27/5/16

30/5/16
Monday

27/5/16

Monday
Monday
Wednesday

30/5/16
19/5/16
24/5/16

Monday

19/5/16
27/5/16

23/5/16
Joint OP Digest (Today)

19/5/16

Pulang Hari Ini

Digestif Join op HTHR (Today)

19/5/16

Wednesday

17/5/2016

Today

30/5/16

Today

30/5/16
24/5/16

19

Slamet/M/57 yo

17

Mufakhiro/F/37 yo

18

Diana Widiyaningsih/F/21 yo

21

Nurul Aziz/M/8 yo

26

Indah Winarti/F/51 yo

19

Sujiyo/M/65 yo

17

Veronika/F/53 yo

20

Holipah/ F/ 44 yo

12

Ezra/ M/13 yo

21

Marni/F/51 yo

21

Sri Rahayu/ F/53 yo

19

Kabit mulyanto/M/ 58 yo

17

Tutik Rahayu/F/50 yo

TGL 29-05-2016

20

Widya / F/49 yo

19

Abdul Wahab/M/49yo

19

Sukardi Salim/M/60 yo

19

Moh. Dafir/M/60 th

Nur Asriningsih/F/48 yo

19

Endri/M/55 yo

19

Budi Hartoko/M/54 yo

21

Slamet/M/48 yo

14
21

Darmo/M/71 yo
Sukarti/F/53 yo

31/05/16

Vesicolithiasis + susp. Bladder Cancer + Chronic Kidney Disease + Bilateral Hydronephrosis


post Cystoscopy Biopsy Day 3

Right Pyelum Stone + Right Hydronephrosis Gr II

Left Ureteral Distal Stone + Left Hydroureteronephrosis Gr III


Post Left Laparoscopy Pyeloplasty + Left DJ Stent Insitu
Septic Shock + Ulcus Diabeticum + susp. Neurogenic Bladder + Cystitis + Anemia + Acute
Renal Failure + Hyponatremia + Hypokalemia + Urinary Tract Infection
Urine Retention+ Bladder neck stenosis post open prostatectomy + HT St II
Normal Right PCS
Left lower pole renal stone+ Left DJ Stent insitu
Multiple Trauma + Grade III Kidney Injury + EDH+FBC+ Fr. Maxilla+ Blunt Chest Trauma+
closed fracture rami of pubic+ Blut Abdominal trauma+ Multiple Closed fracture of Extremity
Right Lower pole renal stone+ Right Gr.III HN + Right neglected DJ Stent + Left Renal cyst
Right DJ Stent insitu post right pyelolithotomy
Left Partial distal ureteral stenosis + Left HN Gr.II + Left lower pole renal stone
Adeno Ca Recti 1/3 Distal T4N0M1(Lung) + Bilateral DJ Stent Insitu + Bilateral Gr. II
Hydronephrosis

Right Multiple renal stone + Right moderate HN+ non visualized right kidney
Urosepsis + Bilateral Pyelum Stone post Bilateral PNS + Fracture Compresi Vertebrae Lumbal
I on TLSO + Severe Right HN + Anemia
Sepsis+Vesicolithiasis+ Neglected indwelling catheter + Decubitus Ulcer+ CVA+ Hyponatremia
Left 1/3 distal ureteral stone + Left Moderate HN
Abdominat tumor DD susp. Imature teratoma + Right neglected DJ Stent Insitu+ Right
moderate HN
Partial bulbar urethral stricture

Right Proximal ureteral stone + Right Gr.III HN + Left Partial Stenosis Distal Ureter.
Bulbar urethral stricture + Right Renal stone + Right multiple renal stone + anterior urethral
stone+ bladder diverticle + Bladder stone

Fournier Gangrene+ Anemia+ Hyponatremia+ Hypoalbuminemia Post Necrotomy Debridement


Day 21
Left DJ Stent Insitu+ Right HN

Radical Cystectomy

Right PNL + Lithotripsy Day 5

Left RPG + URS + Lithotripsy + DJ Stent Insertion Day 4


Left DJ Stent Removal with GA Day 4
Blood Culture + Urine Culture + Urine Cytology
Open cystostomy
Right URS Day 2
Left ESWL+ Left DJ Stent removal Day 1
Conservative Bed Rest
Right DJ Stent Reinsertion Day 3 + ESWL Day 2
Right DJ Stent Removal Day 1
Left URS + Left DJ Stent insertion Day 3
Bilateral DJ Stent Reinsertion Day 3

Right laparoscopic nephrectomy Day 5

Bilateral PNS Reinsertion Day 7

Improve General Condition


Left URS Lithotripsy + Left DJ Stent Insertion day 4
Right DJ Stent reinsertion + Left DJ Stent Insertion Day 5
Panendoscopy+ Urethral dilatation + Silicon Catether insertion Day 6

Bilateral URS +Bilateral DJ Stent insertion Day 5


Panendoscopy + Urethral Dilatation + Evacuation Of Urethral Stone
+ Silicon Catheter Insertion + Bilateral RPG Day 4

Primary Closure Day 7


Right RPG in Right URS + Left DJ Stent Removal

TED/PAS

Waiting for PA
Results

ROM/BES

RAN/BES
GRA/BES
GRA/PAS
ROM/BES
ROM/PNT
TED/BES
GRA /BES
ROM/BES
DUR/BES
DUR/BES
RID/PNT

DUR/BES

DUR /BES

Ortho: Post
Posterior
Stabilization
Day 17

TED/BES
TED/BES
DUR/PNT
DUR/PAS

Joint Care with Obgyn, if failed stop

TED/BES

ROM Bimb PAS

RID/PAS

INO/BES
INO/BES

Today

17/5/2016

19/5/16

23/5/16

25/5/16
25/5/16
24/5/16
19/5/16
16/5/2016

19/5/16

19/5/16
23/5/16
23/5/16

19/5/16
19/5/16

24/5/16

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