Contoh Dr Michelle

20
RINCIAN KASUS OBSTETRI DAN GINEKOLOGI RSUD SANJIWANI GIANYAR PERIODE 30 Juni 2014 s/d 7 September 2014 LAPORAN KEGIATAN PPDS I RSUD SANJIWANI GIANYAR Periode : 30 Juni 2014 – 7 September 2014 Nama : dr. Michelle Angelina Tingkat : Junior B No Tangg al Nama Umur No RM Diagnosis Tindak an Supervi sor 1 29 Juni 2014 LDA 23 49177 8 G2P1001, 39-40 minggu, T/H,PK I, PBB: 2945grPK IILahir bayi BBL 2600 gr , AS 8-9, kelainan kongenital (-) PsptB dr. RBY, Sp.OG 3 1 Juli 2014 DPD 31 49234 5 G3P2002, 41 minggu, T/H, PBB: 3875, PK IPK II Lahir bayi , BBL 4300 gram, spontan, AS 8- 9, kelainan kongenital (-) PsptB dr. SY, Sp.OG 4 1 Juli 2014 NKD 22 49232 9 G1P0000, 39 minggu, T/H, PK I (keluar air), PBB: 3100gr PK II Lahir PsptB dr. SY, Sp.OG

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Transcript of Contoh Dr Michelle

Page 1: Contoh Dr Michelle

RINCIAN KASUS OBSTETRI DAN GINEKOLOGI RSUD SANJIWANI GIANYAR

PERIODE 30 Juni 2014 s/d 7 September 2014

LAPORAN KEGIATAN PPDS I RSUD SANJIWANI GIANYAR

Periode : 30 Juni 2014 – 7 September 2014

Nama : dr. Michelle Angelina

Tingkat : Junior B

NoTangga

lNama Umur No RM Diagnosis

Tindakan

Supervisor

129 Juni 2014

LDA 23 491778

G2P1001, 39-40 minggu, T/H,PK I, PBB: 2945grPK IILahir bayi ♂ BBL 2600 gr, AS 8-9, kelainan kongenital (-)

PsptBdr. RBY, Sp.OG

31 Juli 2014

DPD 31 492345

G3P2002, 41 minggu, T/H, PBB: 3875, PK IPK II Lahir bayi ♀, BBL 4300 gram, spontan, AS 8-9, kelainan kongenital (-)

PsptBdr. SY, Sp.OG

41 Juli 2014

NKD 22 492329

G1P0000, 39 minggu, T/H, PK I (keluar air), PBB: 3100gr PK II Lahir bayi ♂, BBL 3200 gram, spontan, AS 8-9, kelainan kongenital (-)

PsptBdr. SY, Sp.OG

52 Juli 2014

NNS 35 492518

G3P2002, 40-41 minggu, T/H, PK I + Susp IUGR PBB: 2480gr PK II Lahir bayi ♀ 2250 gr, AS : 8-9, Anus (+), Kelainan Kongenital (-)

PsptBdr. RDS, Sp.OG

Page 2: Contoh Dr Michelle

63 Juli 2014

WYU 21 487773

G1P0000, 41-42 mg, T/H, PK I, PBB: 3410gr PK II Lahir bayi ♂, BBL 3500 gram, spontan, AS 7-8, kelainan kongenital (-)

PsptBdr. RBY, Sp.OG

74 Juli 2014

MKW 28 492716

G1P0000, 39-40 mg, T/H, PK I PBB: 2945gr PK II Lahir bayi ♀, BBL 2700 gram, spontan, AS 8-9, kelainan kongenital (-)

PsptBdr. PG, Sp.OG

84 Juli 2014

IAK 26 492646

G2P1001, 40-41 mg, T/H, PK I (keluar air) PBB: 3100gr PK II Lahir bayi ♂, BBL 3000 gram, spontan, AS 8-9, kelainan kongenital (-)

PsptBdr. PG, Sp.OG

94 Juli 2014

MSA 30 492695

G2P1001, 38-39 mg, T/H, PK I PBB: 3565gr PK II Lahir bayi ♂, BBL 3400 gram, spontan, AS 6-8, kelainan kongenital (-)

PsptBdr. PG, Sp.OG

104 Juli 2014

NKA 23 492277

G1P0000, 41-42 mg, T/H, PK I PK II Lahir bayi ♂, BBL 3000 gram, spontan, AS 8-9, kelainan kongenital (-)

PsptBdr. PG, Sp.OG

114 Juli 2014

NMY 23 492715

G1P0000, 38-39 mg, T/H, PK I PBB: 3100 gr PK II Lahir bayi ♂, BBL 3000 gram, spontan, AS 8-9, kelainan kongenital (-)

PsptBdr. PG, Sp.OG

12 4 Juli 2014

NKM 31 492725 G1P0000, 41mg, T/H, PK I PBB: 3410gr PK II Lahir bayi ♂, BBL 3400 gram, spontan, AS 8-9, kelainan

PsptB dr. PG, Sp.OG

Page 3: Contoh Dr Michelle

kongenital (-)

134 Juli 2014

MMG 22 492729 Abortus inkomplit Kuretase

PsptBdr. PG, Sp.OG

145 Juli 2014

NKS 32 492739

G4P3003, 38-39 mg, T/H, PK I PBB: 3410gr PK II Lahir bayi ♀, BBL 3400 gram, AS 8-9, kelainan kongenital (-)

PsptBdr. ST, Sp.OG

15 7 Juli 14 NKW 26 492983

G1P000, 38-39 Minggu, T/H, PK I (keluar air) PK II Lahir spontan bayi ♀, BBL 2800 gram, AS 8-9, anus (+), kelainan kongenital (-)

PsptBdr. RDS, Sp.OG

16 8 Juli 14 SUH 30 480720

G2P1001, 38-39 minggu, T/H, PK I (Keluar Air) Distosia 8cm SCTP Lahir bayi ♂, segera menangis, BBL : 3700 gr, AS: 8-9, kel. Kongenital (-)

SCTPdr. RBY, Sp.OG

17 9 Juli 14 KWD 39 493206

G3P2002, 37-38 minggu, T/H, PK I (keluar air), PBB : 3255 gr PK II Lahir spontan bayi ♀, BBL 3200 gram, spontan, AS 8-9, kelainan kongenital (-)

PsptBdr. PG, Sp.OG

18 9 Juli 14 NMP 30 345000

G3P1011, 41-42 mg, T/H, ROB, PK I (keluar air), PBB: 3565 gramPK II Lahir bayi spontan, ♀, segera menangis, 3700 gr, AS: 8-9, Anus (+), Kelainan kongenital (-)

PsptBdr. PG, Sp.OG

Page 4: Contoh Dr Michelle

19 9 Juli 14 LSA 25 493152

G1P000, 40 – 41 minggu, T/H, PK I (keluar air),PBB : 3410 gr PK II Lahir spontan bayi♂, BBL 3500 gram, spontan, AS 8-9, anus (+), kelainan kongenital (-)

PsptBdr. PG, Sp.OG

2010 Juli

14WIR 27 493324

G1P0000, 39 minggu T/H, PK IPBB : 3100 gram, PK II Lahir bayi ♀, BBL 3100 gram, AS 8-9 anus (+), kelainan kongenital (-)

PsptBdr. ST, Sp.OG

2110 Juli

14JUN 18

Abortus inkomplit kuretase Kuretase

dr. ST, Sp.OG

2211 Juli

14SUJ 28 493410

G2P0101, 40 minggu T/H, primi sekunder, PK I (keluar air) ,PBB : 2635 gram PK II Lahir bayi ♀, BBL 2800 gram, AS 8-9 anus (+), kelainan kongenital (-)

PsptBdr. SY, Sp.OG

2313 Juli

14EKA 23 493550

G1P0000, 40-41 minggu T/H, PK I ,PBB : 2945 gram PK II Lahir bayi ♀, BBL 2700 gram, AS 8-9 anus (+), kelainan kongenital (-)

PsptBdr. RBY, Sp.OG

2413 Juli

14SRI 29 493520 abortus inkomplit

kuretaseKuretase

dr. RBY, Sp.OG

2513 Juli

14RAT 32 460246 abortus inkomplit

kuretaseKuretase

dr. RBY, Sp.OG

26 16 Juli 14

SOK 27 493827 G2P1001, 37-38 minggu T/H, PKI, PBB : 3255 gram PK II Lahir bayi

PsptB dr. SY, Sp.OG

Page 5: Contoh Dr Michelle

♀, BBL 3000 gram, AS 8-9 anus (+), kelainan kongenital (-)

2716 Juli

14WID 39 393862

G6P4104, 37-38 minggu T/H, PK I (keluar air),Grande multipara, PBB : 3565 gram PK II Lahir bayi ♂, BBL 3600 gram, AS 8-9 anus (+), kelainan kongenital (-)

PsptBdr. SY, Sp.OG

2817 Juli

14SRI 32 494014

G3P2002, 38 minggu, T/H, PK II PBB : 3200 gram Lahir bayi ♂, BBL 3300 gram, segera menangis, AS 8-9, anus (+), kelainan kongenital (-)

PsptBdr. RDS, Sp.OG

2917 Juli

14KUS 23 494022

G1P0000, 38

minggu, T/H, PK I

(keluar air) , PBB :

2635 gram PK II

Lahir bayi ♀,

BBL 2700 gram,

segera menangis, AS

8-9, anus (+),

kelainan kongenital

(-)

PsptBdr. RDS, Sp.OG

30 19 Juli 14

SUT 16 494199 G1P0000, 37-38 minggu T/H, PK I ,PBB : 2635 gram PK II Lahir spontan bayi perempuan, segera menangis, BBL 2800 gram, AS 8-9, anus

PsptB dr. PG, Sp.OG

Page 6: Contoh Dr Michelle

(+), kelainan kongenital (-)

3119 Juli

14JUL 26 494188 Abortus inkomplit

kuretaseKuretase

dr. PG, Sp.OG

3220 Juli

14MET 25 319928

G2P1001, 39-40 minggu T/H, PK I keluar air, PBB : 3100 gram PK II Lahir spontan bayi ♀, BBL 2900 gram, AS 8-9 anus (+), kelainan kongenital (-)

PsptBdr. ST, Sp. OG

3320 Juli

14NIT 24 494228

G3P1011, 40-41 mg, T/H, PK I (keluar air), PBB : 3255 gr PK II Lahir bayi ♂, BBL 2900 gram, spontan segera menangis, AS 8-9, anus (+), kelainan kongenital (-)

PsptBdr. ST, Sp.OG

3421 Juli

14LES 17 494358

G1P0000, 41-42 minggu, T/H, PK I, PBB : 2325 gram PK II Lahir bayi ♀ 2700 gr, segera menangis AS : 8-9, Anus (+), Kelainan Kongenital (-)

PsptBdr. SY, Sp.OG

3522 Juli

14ART 26 494475 Abortus Inkomplit

KuretaseKuretase

dr. RDS, Sp.OG

3622 Juli

14SAN 28 494470

G3P2002, 39-40 mggu, T/H, PK IPBB :3410 gram PK II lahir bayi spontan, ♂, segera menangis, 3500 gram, AS 8-9kelainan kongenital (-)

PsptBdr. RDS, Sp.OG

37 24 Juli 14

ANG 29 494755 G2P1001,40-41 mggu, T/H, PK II,PBB : 3410 gram lahir bayi ♂, 3500 gram, segera

PsptB dr. PG, Sp.OG

Page 7: Contoh Dr Michelle

menangis, AS 8-9, anus (+), kelainan kongenital (-)

3824 Juli

14WAT 30 464745

G2P002,39-40 mggu, T/H, PK II,PBB : 3255gram lahir bayi ♂, 3400 gram,segera menangis, AS 8-9, kelainan kongenital (-)

PsptBdr. PG, Sp.OG

3925 Juli

14SAS 20 494834

G1P0000, 40-41 minggu T/H, PK I ,PBB : 2790 gram PK II Lahir bayi ♀, BBL 3000 gram, AS 8-9, kelainan kongenital (-)

PsptBdr. ST, Sp.OG

4025 Juli

14DAR 30 494753

G1P0000, 39-40 minggu T/H, PK I (Keluar air)PBB : 3100 gram PK II Lahir bayi ♂, BBL 3200 gram, AS 6-8 anus (+), kelainan kongenital (-)

PsptBdr. ST, Sp.OG

4125 Juli

14SUM 23 494753

G2P0010, 37-38 minggu T/H, PK I + ROBPBB : 2635 gram PK II Lahir bayi ♂, BBL 2650 gram, AS 8-9 anus (+), kelainan kongenital (-)

PsptBdr. ST, Sp.OG

4225 Juli

14PAR 19 494842

G1P0000, 40-41 minggu T/H, PK I , PBB: 3410PK II Lahir bayi ♀, BBL 3500 gram, AS 8-9, kelainan kongenital (-)

PsptBdr. ST, Sp.OG

Page 8: Contoh Dr Michelle

4325 Juli

14WIJ 41 494817

G4P3003,38-39 mggu, T/H, PK I,PBB : 2945gr PK II lahir bayi ♂, 3100 gram, segera menangis, AS 8-9, kelainan kongenital (-)

PsptBdr. ST, Sp.OG

4426 Juli

14ARD 26 494894

G3P2002, 40-41 minggu, T/H, PK I Susp.MakrosomniaPBB : 4185 gr PK II Lahir bayi ♂, BBL 4800 gram, spontan, AS 8-9, kelainan kongenital (-)

PsptBdr. SY, Sp.OG

4526 Juli

14MAR 30 494938

G3P2002, 38-39 mg, T/H, PK1,PBB : 3450 gr PK II Lahir bayi ♀, BBL 3500 gram, spontan segera menangis, AS 8-9, kelainan kongenital (-)

PsptBdr. SY, Sp.OG

4626 Juli

14WID 21 494913

G1P0000, 40-41mg , T/H, PK I, PBB : 3720 gr PK II Lahir bayi ♂, BBL 3800 gram, spontan segera menangis, AS 8-9, anus (+), kelainan kongenital (-)

PsptBdr. SY, Sp.OG

4726 Juli

14UYE 25 451083

G3P1011, 40M, T/H, PK I (keluar air), ROB, PBB: 3255 gr, distosia 4cm ec.powerdrip oksitosinPK IILahir Bayi ♀, 3400 gr, AS 8-9, kelainan kongenital (-)

PsptBdr. SY, Sp.OG

48 27 Juli 14

PUR 19 494302 G1P0000, 40-41 minggu T/H PK 1 (keluar air),PBB :

PsptB dr. RDS, Sp.OG

Page 9: Contoh Dr Michelle

3100 gr PK II Lahir bayi ♂, spontan, segera menangis, AS 8-9, BBL 3200 gr , kelainan

4927 Juli

14PUR 17 494437

G1P0000, 39-40 minggu, T/H, PK I ,PBB : 2635 gr PK II Lahir bayi ♀, segera menangis, BBL 2500 gram, AS 8-9 Anus (+) kelainan kongenital (-)

PsptBdr. RDS, Sp.OG

5027 Juli

14DAR 19 494989

G1P0000, 40-41 minggu, T/H, PK I PBB : 3100 gr PK II Lahir bayi ♂, BBL 3200 gram, spontan, AS 8-9, kelainan kongenital (-) Anus (+)

PsptBdr. RDS, Sp.OG

5127 Juli

14KEN 31 494991

G1P0000, 40-41 minggu, T/H, PK I , PBB : 2945 gr PK II PK II (lama) VaE Lahir bayi ♀, 3000 gr, AS : 6-8, anus (+), Kelainan kongenital (-).

PsptBdr. RDS, Sp.OG

5228 Juli

14TRI 29 303735

G2P1001,40-41 mggu, T/H, PK I,PBB : 3565 gr PK II lahir bayi ♀ spontan, perempuan, segera menangis, 3800 gram, AS 8-9

PsptBdr. RBY, Sp.OG

53 28 Juli 14

MUR 18 495062 G1P0000, 40-41 mggu, T/H, PK II,PBB :3565 gr lahir bayi spontan, ♂3500 gram, AS 7-8,kelainan kongenital

PsptB dr. RBY, Sp.OG

Page 10: Contoh Dr Michelle

(-)

5428 Juli

14RES 35 470879

G3P2002, 40-41 minggu T/H PK 1, PBB : 3410 gr PK II Lahir bayi ♀, spontan, segera menangis, AS 8-9, BBL 3400 gr, anus (+), kelainan kongenital (-)

PsptBdr. RBY, Sp.OG

5530 Juli

14WAR 32 484045

31P2002, 42 minggu, T/H, PK II ,PBB : 3656gr Lahir bayi ♂,spontan, segera menangis, BBL 3900 gram, AS 8-9 Anus (+) kelainan kongenital (-)

PsptBdr. ST, Sp.OG

5630 Juli

14FAR 19 495222

G1P0000, 38 mg, T/H, PK IPBB : 3255 gr PK II Lahir bayi ♀, BBL 3200 gram, spontan, segera menangis, AS 8-9, kelainan kongenital (-),

PsptBdr. ST, Sp.OG

5731 Juli

14SUM 31 495346

G2P1001, 38-39 minggu, T/H, PK I,PBB : 3255 gr PK II Lahir bayi ♀,spontan, segera menangis, BBL 3300 gram, AS 8-9 Anus (+) kelainan kongenital (-)

PsptBdr. SY, Sp.OG

58 31 Juli 14

SRI 20 495342 G2P1001, 39-40 minggu, T/H, PK I, PBB : 3100 gr PK II Lahir bayi ♂,spontan, segera menangis, BBL 3300 gram, AS 8-9 kelainan kongenital

PsptB dr. SY, Sp.OG

Page 11: Contoh Dr Michelle

(-)

591

Agustus 14

SET 20 495228Abortus Inkomplit Kuretase Kuretase

dr. RBY, Sp.OG

601

Agustus 14

BUD 19 495407

G1P000, 40-41 mggu, T/H, PK I keluar air,PBB : 3410gr PK II lahir bayi spontan,♀, segera menangis, 3300 gram, AS 8-9, kelainan kongenital (-)

PsptBdr. RBY, Sp.OG

612

Agustus 14

SUK 36 495523 Abortus inkomplit kuretase

Kuretasedr. PG, Sp.OG

623

Agustus 14

NOP 20 495590

G1P0000, 37 minggu, T/H, PK I (keluar air),PBB : 3875 gr PK II Lahir bayi ♂,spontan, segera menangis, BBL 4100 gram, AS 8-9 kelainan kongenital (-)

PsptBdr. ST, Sp.OG

634

Agustus 14

JUL 28 492092

G2P1001 41-42 minggu, T/H, PK I,PBB : 3255 gr PK II Lahir bayi ♂,spontan, segera menangis, BBL 2800 gram, AS 8-9 Anus (+) kelainan kongenital (-)

PsptBdr. SY, Sp.OG

645

Agustus 14

ANG 17 495885 Abortus inkomplit kuretase

Kuretasedr. RDS, Sp.OG

65 7 Agustus

14

LEL 34 409536 G3P2002, 39-40 mggu, T/H, PK I keluar ,PBB : 3565 gr PK II lahir bayi spontan, ♀, segera menangis, 3750 gram, AS 8-

PsptB dr. PG, Sp.OG

Page 12: Contoh Dr Michelle

9,kelainan kongenital (-)

667

Agustus 14

MUR 37 379360

G5P3013, 40-41 mggu, T/H, PK I ,PBB : 3410 gr PK II lahir bayi spontan, ♀, segera menangis, 3850 gram, AS 8-9, kelainan kongenital (-)

PsptBdr. PG, Sp.OG

6711

Agustus 14

MUR 27 496436

G3P2002, 40-41 mggu, T/H, PK I , PBB : 3255 gr PK II Lahir spontan bayi ♂, segera menangis, bbl: 3300 gram, AS: 8-9, kelainan kongenital (-) anus (+)

PsptBdr. RBY, Sp.OG

6811

Agustus 14

SUM 38 499546

G3P2002, 39-40 minggu, T/H, PK I keluar airPBB : 3100 gr PK II Lahir spontan bayi ♀, segera menangis, bbl: 2900 gram, AS: 8-9, kelainan kongenital (-) anus (+)

PsptBdr. RBY, Sp.OG

6913

Agustus 14

YUN 33 496699

G3P2002, 37 mggu, T/H, PK II,PBB : 2945 gr PK II lahir bayi spontan, ♀, segera menangis, 2800 gram, AS 8-9, kelainan kongenital (-)

PsptBdr. ST, Sp.OG

70 15 Agustus

14

KUR 30 496812 G5P3012, 40 minggu, T/H, ROB, PK I,PBB : 3255 gr PK II Lahir spontan bayi ♀,

PsptB dr. RDS, Sp.OG

Page 13: Contoh Dr Michelle

segera menangis, BBL: 3400 gram, AS: 8-9, kelainan kongenital (-)

7117

Agustus 14

DES 24 438367

G3P1011, 39-40 minggu T/H, ROB, PK I (keluar air),PBB : 3255 gr PK II Lahir bayi ♀, BBL 3100 gram, AS 8-9 kelainan kongenital (-)

PsptBdr. PG, Sp.OG

Gianyar, 07 September 2014 Mengetahui,

Kepala SMF OBGIN RSUD Sanjiwani Gianyar

dr. Pande M.N. Geriawan, SpOG

NIP. 19600425 198709 1 001