|
Ubah
|
Salin
|
Hapus
DELETE FROM `penilaian_medis_igd` WHERE `penilaian_medis_igd`.`no_rawat` = \'2024/02/02/000001\'
|
2024/02/02/000001 |
2024-02-02 16:35:32 |
2001121317 |
Autoanamnesis |
|
Nyeri ulu hati sejak 2 hari ini. Nyeri ulu hati di... |
- |
- |
- |
- |
- |
Sehat |
|
Compos Mentis |
120/80 |
80 |
20 |
37 |
100 |
|
|
Normal |
Normal |
Normal |
Normal |
Normal |
Abnormal |
Normal |
Normal |
NTE (+) |
|
Sinus Rhythm
HR 80x/menit |
|
|
Kolik Abdomen VAS 6-7 |
-Inj. Omeprazole 1 vial/iv
-Observasi 1-2 jam
-Suk... |
|
Ubah
|
Salin
|
Hapus
DELETE FROM `penilaian_medis_igd` WHERE `penilaian_medis_igd`.`no_rawat` = \'2024/02/02/000034\'
|
2024/02/02/000034 |
2024-02-02 14:48:13 |
2001121317 |
Autoanamnesis |
|
Nyeri dada sejak pukul 05.00 wib pagi ini (onset 1... |
- |
- |
- |
- |
- |
Sakit Sedang |
15 |
Compos Mentis |
120/80 |
72 |
20 |
36.6 |
99 |
|
|
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
|
|
ST Elevasi Lead 2,3,avF |
Trakea midline, corakan bronkovaskuler normal, sud... |
Hb: 14.4, Ht: 39% Leukosit:9500, Trombosit:245000
... |
STEMI Inferior |
-Oksigen 3-5 LPM Nasal Kanul
-IVFD RK 12 jam/kolf ... |
|
Ubah
|
Salin
|
Hapus
DELETE FROM `penilaian_medis_igd` WHERE `penilaian_medis_igd`.`no_rawat` = \'2024/02/02/000085\'
|
2024/02/02/000085 |
2024-02-03 00:04:49 |
2001121317 |
Autoanamnesis |
|
Kejang sejak 3 jam SMRS. Frek kejang > 3x. Anak ti... |
- |
- |
- |
- |
- |
Sakit Sedang |
12 |
Apatis |
|
130 |
30 |
40 |
99 |
5.1 |
|
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Kepala: UUB terbuka rata, kaku kuduk (-)
Mata: pup... |
|
|
|
|
|
|
|
Ubah
|
Salin
|
Hapus
DELETE FROM `penilaian_medis_igd` WHERE `penilaian_medis_igd`.`no_rawat` = \'2024/03/01/000004\'
|
2024/03/01/000004 |
2024-03-01 10:19:17 |
2001121317 |
Autoanamnesis |
|
assa |
demam |
- |
- |
- |
- |
Sehat |
15 |
Compos Mentis |
120/80 |
80 |
20 |
|
|
|
|
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
|
tidak ada |
|
|
|
obs febris |
pct 3x1 |
|
Ubah
|
Salin
|
Hapus
DELETE FROM `penilaian_medis_igd` WHERE `penilaian_medis_igd`.`no_rawat` = \'2024/03/01/000071\'
|
2024/03/01/000071 |
2024-03-01 16:47:45 |
2001121317 |
Autoanamnesis |
|
demam 1 minggu, nyeri dada kanan bawah 3 hari, ses... |
- |
- |
- |
- |
- |
Sehat |
15 |
Compos Mentis |
110/70 |
86 |
28 |
37.9 |
99 |
|
|
Normal |
Normal |
Normal |
Normal |
Abnormal |
Normal |
Normal |
Normal |
ronki +/- |
|
normal |
efusi pleura kanan |
|
CAP + Efusi pleura kanan |
o2 3-5 lpm
ivfd rl 8 jam/kolf
drip ceftriaxone 1x2... |
|
Ubah
|
Salin
|
Hapus
DELETE FROM `penilaian_medis_igd` WHERE `penilaian_medis_igd`.`no_rawat` = \'2024/03/01/000076\'
|
2024/03/01/000076 |
2024-03-01 16:02:56 |
2001121317 |
Autoanamnesis |
|
demam sejak 2 hari, lemas (+), nafsu makan (+) |
- |
- |
- |
- |
- |
Sehat |
15 |
Compos Mentis |
110/80 |
142 |
30 |
39.4 |
99 |
22 |
|
Normal |
Normal |
Normal |
Normal |
Abnormal |
Normal |
Normal |
Normal |
retraksi (-), ronki +/+, wheezing -/-, bising (+) |
|
LVH, HR 142x |
Kardiomegali, infiltrat (+) |
leukosit 13.000 |
Bronkopneumonia + Thypoid Fever + Asianotik VHD ec... |
ivfd d5 1/2 ns 10 tpm
inj. ampisilin 4x1gr
inj. ge... |
|
Ubah
|
Salin
|
Hapus
DELETE FROM `penilaian_medis_igd` WHERE `penilaian_medis_igd`.`no_rawat` = \'2024/03/01/000082\'
|
2024/03/01/000082 |
2024-03-01 17:49:19 |
2011111524 |
Autoanamnesis |
|
Demam sejak 5 hari, mual (+), muntah (+), mencret ... |
- |
- |
- |
- |
- |
Sakit Ringan |
15 |
Compos Mentis |
|
108 |
22 |
38.9 |
100 |
20 |
|
Normal |
Normal |
Abnormal |
Normal |
Normal |
Normal |
Normal |
Normal |
leukoplakia |
|
|
|
Widal O 1/320
Widal H 1/320 |
Thypoid Fever + Indake Sulit |
IVFD D5 ½ NS 20 TPM mikro
Drip Ceftriaxone 1 gram/... |
|
Ubah
|
Salin
|
Hapus
DELETE FROM `penilaian_medis_igd` WHERE `penilaian_medis_igd`.`no_rawat` = \'2024/03/01/000086\'
|
2024/03/01/000086 |
2024-03-02 00:28:06 |
2011111524 |
Autoanamnesis |
|
demam sejak 2 minggu, sesak nafas (-), batuk (-), ... |
- |
- |
- |
- |
- |
Sakit Ringan |
|
Compos Mentis |
|
142 |
24 |
39.4 |
99 |
22 |
|
Normal |
Normal |
Normal |
Normal |
Abnormal |
Normal |
Normal |
Normal |
jantung: bising (+) |
|
LVH, HR 142x/menit |
kardiomegali, CRT 67% |
|
Thypoaid fever + BP + Asianotik VHD ec susp. ASD |
O2 2-3 LPM
IVFD D5 ½ NS 10 TPM mikro
Inj. Ampisili... |
|
Ubah
|
Salin
|
Hapus
DELETE FROM `penilaian_medis_igd` WHERE `penilaian_medis_igd`.`no_rawat` = \'2024/03/01/000089\'
|
2024/03/01/000089 |
2024-03-01 21:18:58 |
2011111524 |
Autoanamnesis |
|
Demam sejak 1 hari, pilek (+) |
- |
- |
- |
- |
- |
Sakit Ringan |
15 |
Compos Mentis |
120/80 |
80 |
22 |
38.9 |
100 |
|
|
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
|
|
|
|
|
obs febris h+1 |
cwfixime 2x2oo
paracetamol 3x500
cetirizin 1x1
sel... |
|
Ubah
|
Salin
|
Hapus
DELETE FROM `penilaian_medis_igd` WHERE `penilaian_medis_igd`.`no_rawat` = \'2024/03/01/000091\'
|
2024/03/01/000091 |
2024-03-02 00:53:51 |
2011111524 |
Autoanamnesis |
|
Nyeri ulu hati sejak 1 minggu, memberat 1 hari. ny... |
- |
- |
- |
- |
- |
Sakit Ringan |
15 |
Compos Mentis |
130/80 |
78 |
22 |
36.9 |
99 |
|
|
Normal |
Normal |
Normal |
Normal |
Normal |
Abnormal |
Normal |
Normal |
nyeri ulu hati |
|
dalam batas normal |
|
|
DM tipe 2 + Kolik abdomen |
ivfd nacl 0.9% 8 jam/kolf
inj. omeprazole 2x1 vial... |
|
Ubah
|
Salin
|
Hapus
DELETE FROM `penilaian_medis_igd` WHERE `penilaian_medis_igd`.`no_rawat` = \'2024/03/01/000092\'
|
2024/03/01/000092 |
2024-03-02 00:48:19 |
2011111524 |
Autoanamnesis |
|
nyeri dada kiri sejak 1 hari, mual (-), muntah (-)... |
- |
- |
- |
- |
- |
Sakit Ringan |
15 |
Compos Mentis |
110/70 |
90 |
24 |
36.7 |
100 |
|
|
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
|
|
dalam batas normal |
|
|
Palpitasi + GERD |
ivfd rl 8 jam/kolf
inj. omeprazole 1x1 vial/iv
suk... |
|
Ubah
|
Salin
|
Hapus
DELETE FROM `penilaian_medis_igd` WHERE `penilaian_medis_igd`.`no_rawat` = \'2024/03/02/000001\'
|
2024/03/02/000001 |
2024-03-02 00:41:17 |
2011111524 |
Autoanamnesis |
|
demam sejak 2 hari, nyeri ulu hati, mual (+) |
- |
- |
- |
- |
- |
Sehat |
15 |
Compos Mentis |
|
100 |
20 |
38.6 |
100 |
36 |
|
Normal |
Normal |
Normal |
Normal |
Normal |
Abnormal |
Normal |
Normal |
nyeri ulu hati |
|
|
|
|
Obs Febris H+1 |
IVFD D5 ½ NS 20 TPM mikro
Drip Ceftriaxone 1 gram/... |
|
Ubah
|
Salin
|
Hapus
DELETE FROM `penilaian_medis_igd` WHERE `penilaian_medis_igd`.`no_rawat` = \'2024/03/02/000002\'
|
2024/03/02/000002 |
2024-03-02 01:14:24 |
2011111524 |
Autoanamnesis |
|
demam sejak 3 hari, batuk (+), sakit kepala (+) |
- |
- |
- |
- |
- |
Sakit Ringan |
|
Compos Mentis |
110/70 |
80 |
22 |
38.6 |
100 |
|
|
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
|
|
|
|
|
Bronkitis Akut |
ivfd rl 8 jam/kolf
inj norages 1 ampul
inj. raniti... |
|
Ubah
|
Salin
|
Hapus
DELETE FROM `penilaian_medis_igd` WHERE `penilaian_medis_igd`.`no_rawat` = \'2024/03/03/000002\'
|
2024/03/03/000002 |
2024-03-03 16:22:05 |
2011111524 |
Autoanamnesis |
|
mual, muntah sejak 1 hari
pasien disengat lebah 6 ... |
- |
- |
- |
- |
- |
Sehat |
|
Compos Mentis |
110/70 |
90 |
24 |
36.7 |
100 |
|
|
Normal |
Normal |
Normal |
Normal |
Normal |
Abnormal |
Normal |
Normal |
nyeri tekan epigastrium |
|
|
|
|
envenomasi lebah + gerd |
ivfd rl 8 jam/kolf
drip ceftriaxone 1x2gram
inj. o... |
|
Ubah
|
Salin
|
Hapus
DELETE FROM `penilaian_medis_igd` WHERE `penilaian_medis_igd`.`no_rawat` = \'2024/03/03/000018\'
|
2024/03/03/000018 |
2024-03-03 15:54:37 |
2011111524 |
Autoanamnesis |
|
Demam sejak 2 hari, mual, muntah, mencrett, nafsu ... |
penyakut jantung |
- |
- |
- |
- |
Sakit Sedang |
|
Compos Mentis |
130/70 |
80 |
22 |
38.6 |
99 |
|
|
Normal |
Abnormal |
Normal |
Normal |
Normal |
Abnormal |
Normal |
Normal |
agak cekung, nyeri ulu hati |
|
|
|
|
Diare akut dehidrasi sedang |
ivfd rl 8 jam/kolf
inj. ondansetron 3x4mg
inj. ome... |
|
Ubah
|
Salin
|
Hapus
DELETE FROM `penilaian_medis_igd` WHERE `penilaian_medis_igd`.`no_rawat` = \'2024/03/03/000053\'
|
2024/03/03/000053 |
2024-03-03 15:47:32 |
2011111524 |
Autoanamnesis |
|
Demam 2 hari, mal, muntah, nafsu makan (-) |
- |
- |
- |
- |
- |
Sakit Ringan |
|
Compos Mentis |
|
110 |
24 |
39 |
100 |
|
|
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
|
|
|
|
|
Obs Febrih H+1 |
ivfd d5 1/2 ns 10 tpm
inj. ondansetron 3x1.5mg
inj... |
|
Ubah
|
Salin
|
Hapus
DELETE FROM `penilaian_medis_igd` WHERE `penilaian_medis_igd`.`no_rawat` = \'2024/03/05/000093\'
|
2024/03/05/000093 |
2024-03-05 17:24:27 |
2011111524 |
Autoanamnesis |
|
sesak nafas sejak 1 hari, batuk (+)
riw perokok |
- |
- |
- |
ventolin inhaler |
- |
Sakit Sedang |
|
Compos Mentis |
130/70 |
88 |
36 |
36.7 |
96% |
|
|
Normal |
Normal |
Normal |
Normal |
Abnormal |
Normal |
Normal |
Normal |
thorax: retraksi, ronki +/+, wheezing +/+ |
|
ekg normal |
emfisematous, jantung normal |
|
CAP + PPOK eksaserbasi akut |
o2 3lpm
ivfd rl 8 jam/kolf
drip ceftriaxone 1x2 gr... |
|
Ubah
|
Salin
|
Hapus
DELETE FROM `penilaian_medis_igd` WHERE `penilaian_medis_igd`.`no_rawat` = \'2024/03/05/000094\'
|
2024/03/05/000094 |
2024-03-05 17:05:54 |
2011111524 |
Autoanamnesis |
|
demam 1 hari
lemah semua anggota gerak |
hipokalemia |
- |
- |
- |
- |
Sakit Sedang |
15 |
Compos Mentis |
130/90 |
102 |
24 |
38.9 |
99 |
|
|
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Abnormal |
motorik 4 |
|
st depresi v2-v4 |
dalam batas normal |
|
Febris H+1 + Periodic paralysis ec Hipokalemia + C... |
O2 3-4 LPM
ivfd RL 8 jam/kolf
Frip ceftriaxone 1x2... |
|
Ubah
|
Salin
|
Hapus
DELETE FROM `penilaian_medis_igd` WHERE `penilaian_medis_igd`.`no_rawat` = \'2024/03/05/000103\'
|
2024/03/05/000103 |
2024-03-05 17:42:58 |
2011111524 |
Autoanamnesis |
|
luka jari tengah kanan, terjepit rantai sepeda mot... |
- |
- |
- |
- |
- |
Sakit Ringan |
|
Compos Mentis |
110/70 |
80 |
20 |
36.6 |
100 |
|
|
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Abnormal |
jari tengah kanan: traumatic amputasi |
|
|
|
|
traumatic amputasi digiti 3 dextra |
ivfd rl 8 jam/kolf
inj. ceftriaxone 2x1gram
inj. k... |
|
Ubah
|
Salin
|
Hapus
DELETE FROM `penilaian_medis_igd` WHERE `penilaian_medis_igd`.`no_rawat` = \'2024/03/05/000106\'
|
2024/03/05/000106 |
2024-03-05 17:52:44 |
2011111524 |
Autoanamnesis |
|
demam 1 minggu |
DM |
- |
- |
- |
- |
Sakit Sedang |
16 |
Compos Mentis |
140/80 |
90 |
20 |
38.9 |
100 |
|
|
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
|
|
dalam batas normal |
dalam batas normal |
|
obs febris H+7 + DM tipe 2 |
ivfd nacl 0.9% 8 jam/kolf
drip ceftriaxone 1x2gram... |
|
Ubah
|
Salin
|
Hapus
DELETE FROM `penilaian_medis_igd` WHERE `penilaian_medis_igd`.`no_rawat` = \'2024/03/06/000114\'
|
2024/03/06/000114 |
2024-03-06 15:13:11 |
2011111524 |
Autoanamnesis |
|
Demam 2 hari
sesak nafas 2 hari
batuk berdahak 2 h... |
- |
- |
- |
- |
- |
Sakit Sedang |
15 |
Compos Mentis |
|
112 |
34 |
37.9 |
99 |
43 |
|
Normal |
Normal |
Normal |
Normal |
Abnormal |
Normal |
Normal |
Normal |
thorax: retraksi (+), ronki (+/+), wheezing (-/-) |
|
|
infiltrat (+) |
|
Bronkopneumonia + Kandidosis oral |
O2 2-3 LPM
ivfd d5 1/2 ns 20 tpm mikro
inj. ampisi... |
|
Ubah
|
Salin
|
Hapus
DELETE FROM `penilaian_medis_igd` WHERE `penilaian_medis_igd`.`no_rawat` = \'2024/03/06/000115\'
|
2024/03/06/000115 |
2024-03-06 15:27:52 |
2011111524 |
Autoanamnesis |
|
demam 2 hari, batuk berdahak, nyeri sendi |
- |
- |
- |
- |
- |
Sakit Ringan |
15 |
Compos Mentis |
110/80 |
88 |
20 |
39 |
99 |
|
|
Normal |
Normal |
Normal |
Normal |
Abnormal |
Normal |
Normal |
Normal |
slem (+) |
|
|
|
|
bronkitis akut |
inj. norages 1 ampul ekstra
ciprofloxacin 2x500
am... |
|
Ubah
|
Salin
|
Hapus
DELETE FROM `penilaian_medis_igd` WHERE `penilaian_medis_igd`.`no_rawat` = \'2024/03/06/000141\'
|
2024/03/06/000141 |
2024-03-07 15:24:18 |
2011111524 |
Autoanamnesis |
|
nyeri pinggang kana 1 hari |
- |
- |
- |
- |
- |
Sakit Ringan |
15 |
Compos Mentis |
130/90 |
90 |
20 |
36.7 |
100 |
|
|
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
|
|
|
|
|
kolik renal dextra |
ivfd rl 8 jam/kolf
inj ceftriaxone 1x2gram
inj. ke... |
|
Ubah
|
Salin
|
Hapus
DELETE FROM `penilaian_medis_igd` WHERE `penilaian_medis_igd`.`no_rawat` = \'2024/03/07/000040\'
|
2024/03/07/000040 |
2024-03-07 14:18:17 |
2011111524 |
Autoanamnesis |
|
muntah sejak 3 hari, mual (+) |
HT (+), DM (+) |
- |
- |
- |
- |
Sakit Sedang |
15 |
Compos Mentis |
210/110 |
89 |
22 |
37 |
99 |
|
|
Normal |
Normal |
Normal |
Normal |
Normal |
Abnormal |
Normal |
Normal |
NTE |
|
dalam batas normal |
|
|
DM tipe 2 + AKI dd akut on CKD + HT |
|
|
Ubah
|
Salin
|
Hapus
DELETE FROM `penilaian_medis_igd` WHERE `penilaian_medis_igd`.`no_rawat` = \'2024/03/07/000062\'
|
2024/03/07/000062 |
2024-03-07 14:39:14 |
2011111524 |
Autoanamnesis |
|
nyeri dada 30 menit, keringat dingin |
HT (+) |
- |
- |
- |
- |
Sakit Sedang |
15 |
Compos Mentis |
130/80 |
68 |
22 |
36.8 |
100 |
|
|
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
|
|
st elevasi 2,3,afV |
|
|
STEMI Inferior |
o2 3-5lpm
ivfd rl 12 jam/kolf
drip ntg 10mcg (3cc/... |