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编辑
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复制
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删除
DELETE FROM `penilaian_medis_ralan` WHERE `penilaian_medis_ralan`.`no_rawat` = \'2023/10/01/000028\'
|
2023/10/01/000028 |
2023-10-29 00:09:45 |
2302590 |
Autoanamnesis |
|
os nyeri menerenan(+) |
os nyeri menerenan(+) perut terasa kencang dan teg... |
BSC 1X |
- |
- |
- |
Sehat |
15 |
Compos Mentis |
110/70 |
20 |
20 |
36.5 |
99 |
|
|
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
TFU : 31
Pembukaan (-) |
TFU : 31
Pembukaan (-)
DJJ : 145 |
Terlampir |
G3P1A1 GR 39 Week B.SC 1X |
Rencana SC
IVFD RL 20 tpm
Inj Ceftriaxone 1x2gr |
|
|
|
编辑
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复制
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删除
DELETE FROM `penilaian_medis_ralan` WHERE `penilaian_medis_ralan`.`no_rawat` = \'2023/10/17/000716\'
|
2023/10/17/000716 |
2023-10-30 08:28:15 |
2302590 |
Autoanamnesis |
|
OS MNEGELUHKAN KELUAR AIR AIR DARI JALAN LAHIR (+)... |
OS MNEGELUHKAN KELUAR AIR AIR DARI JALAN LAHIR (+)... |
RIW : PARTUS PREMATUR |
- |
- |
- |
Sehat |
15 |
Compos Mentis |
110/70 |
72 |
20 |
36.5 |
99 |
|
|
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
|
|
|
G5P4A2H2 26 WEEKS PARTUS PREMATUR |
PARTUS NORMAL
IVFD RL 20 TPM
INJ CEFTRIAXONE |
|
|
|
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删除
DELETE FROM `penilaian_medis_ralan` WHERE `penilaian_medis_ralan`.`no_rawat` = \'2023/10/25/000196\'
|
2023/10/25/000196 |
2023-10-25 15:34:07 |
2001328 |
Autoanamnesis |
|
pASIEN HAMIL POSTDATE, GERAK JAIN AKTIF |
TIDAK ADA |
- |
- |
- |
- |
Sehat |
|
Compos Mentis |
120/70 |
|
|
|
|
|
|
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
|
|
usg: JANIN TUNGGAL, PRESKEP, djj +, GERAK +, PLASE... |
G3P1A1, HAMIL 41MGG |
RENCANA INDUKSI PERSALINAN DENGAN MISOPROSTOL 100M... |
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|
|
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删除
DELETE FROM `penilaian_medis_ralan` WHERE `penilaian_medis_ralan`.`no_rawat` = \'2023/10/25/000221\'
|
2023/10/25/000221 |
2023-10-25 11:27:32 |
1301033 |
Autoanamnesis |
|
MENTRUASI LEBIH KURANG 20HR |
MENTRUASI LAMA LEBIIH KURANG 20HR
|
- |
- |
- |
- |
Sehat |
15 |
Compos Mentis |
120/80 |
80 |
20 |
36.5 |
99 |
|
|
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
|
|
USG: UTERUS > NORMAL RF
PANJANG UTERUS 8,14CM TEB... |
DD HIPERPLASIA ENDOMETRIUM
ABORTUS INCOMPLIT |
MRS
RENCANA CURRETASE |
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|
|
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删除
DELETE FROM `penilaian_medis_ralan` WHERE `penilaian_medis_ralan`.`no_rawat` = \'2023/10/26/000467\'
|
2023/10/26/000467 |
2023-10-26 15:44:10 |
2001328 |
Autoanamnesis |
|
PASIEN HAMIL CUKUP BULAN, GERAK JANIN AKTIF, TEKAN... |
HIPERTENSI |
- |
- |
- |
- |
Sehat |
|
Compos Mentis |
140/90 |
|
|
|
|
|
|
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
|
|
usg: JANIN TUNGGAL, PRESKEP, DJJ+, GERAK +, PALSEN... |
GH, G2P1A0, HAMIL 37MGG 3 HARI, RIW SC 1X |
MONDOK
RENCANA RE SC
CEK LAB
KONSUL ANESTESI DAN P... |
|
|
|
编辑
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复制
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删除
DELETE FROM `penilaian_medis_ralan` WHERE `penilaian_medis_ralan`.`no_rawat` = \'2023/10/30/000150\'
|
2023/10/30/000150 |
2023-10-30 11:07:59 |
1301033 |
Autoanamnesis |
|
PERSIAPAN SC ELEKTIF
RIW SC 3X |
- |
- |
- |
- |
- |
Sehat |
15 |
Compos Mentis |
120/80 |
88 |
20 |
36.5 |
99 |
|
155 |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
TFU SETINGGI 3JARI DI BAWAH PX, JANIN MEMANJANG PR... |
|
LABOR TERLAMPIR |
G4P3A0 HAMIL 38MG DG RIW SC 3X JTH PRESKEP |
MRS
PERSIAPAN SC ELEKTIF
CROSSMATCH DARAH
|
|
|
|
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删除
DELETE FROM `penilaian_medis_ralan` WHERE `penilaian_medis_ralan`.`no_rawat` = \'2023/10/30/000229\'
|
2023/10/30/000229 |
2023-10-30 11:00:19 |
1301033 |
Autoanamnesis |
|
MAU MELAHIRKAN
HAMIL CUKUP BULAN
IBU PENDEK TB:13... |
- |
- |
- |
- |
- |
Sehat |
15 |
Compos Mentis |
120/80 |
88 |
20 |
36.5 |
99 |
74.1 |
136 |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
TFU SETINGGI 2 JARI DI BAWAH PX, JTH, PRESKEP, HIS... |
|
LABOR TERLAMPIR |
G1P0A0 HAMIL 38MG BELUM INPARTU DGB SUSP DKP |
MRS
SC
PERSIAPKAN CROSSMATCH 2 KANTONG WB |
|
|
|
编辑
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复制
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删除
DELETE FROM `penilaian_medis_ralan` WHERE `penilaian_medis_ralan`.`no_rawat` = \'2023/10/30/000328\'
|
2023/10/30/000328 |
2023-10-30 16:01:49 |
2001328 |
Autoanamnesis |
|
PASIEN HAMIL CUKUP BULAN, KONTRAKSI HILANG TIMBUL,... |
- |
- |
- |
- |
- |
Sehat |
15 |
Compos Mentis |
|
88 |
20 |
36.5 |
|
|
|
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
|
|
USG: JANIN TUNGGAL PRESKEP, DJJ+ GERAK+, PLASENTA ... |
G5P5A0 HAMIL 38MG RIW SC 1X |
MONDOK
RE SC
CEL LABOR
KONSUL ANASTESI + PERINATOL... |
|
|
|
编辑
|
复制
|
删除
DELETE FROM `penilaian_medis_ralan` WHERE `penilaian_medis_ralan`.`no_rawat` = \'2023/10/30/000374\'
|
2023/10/30/000374 |
2023-10-30 15:53:57 |
2001328 |
Autoanamnesis |
|
PASIEN HAMILO POST DATE, AIR KETUBAN REMBES + |
- |
- |
- |
- |
- |
Sehat |
15 |
Compos Mentis |
120/80 |
80 |
20 |
36.5 |
99 |
|
|
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
|
|
USG JANIN TUNGGAL PRESKEP DJJ+ GERAK+ PLASENTA DI ... |
OLIGIHIDRAMNION, KPD 1 MINGGU, G1P0A0 HAMIL 42MG |
MONDOK
RENCANA SC
CEK LABOR
KONSUL ANASTESI DAN P... |
|
|
|
编辑
|
复制
|
删除
DELETE FROM `penilaian_medis_ralan` WHERE `penilaian_medis_ralan`.`no_rawat` = \'2023/10/30/000413\'
|
2023/10/30/000413 |
2023-10-30 16:13:03 |
2001328 |
Autoanamnesis |
|
PASIEN HAMIL CUKUP BULAN, GERAK JANIN AKTIF, KONTR... |
- |
- |
- |
- |
- |
Sehat |
15 |
Compos Mentis |
109/74 |
88 |
20 |
36.5 |
99 |
|
|
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
|
|
USG
JANIN TUNGGAL LETAK OBLIG
DJJ+, GERAK +,
PL... |
LETAK OBLIG, G4P3A0 HAMIL 39MG |
MONDOK
RE SC+MOW
KONSUL ANASTESI + PERINATOLOGI
CE... |
|
|
|
编辑
|
复制
|
删除
DELETE FROM `penilaian_medis_ralan` WHERE `penilaian_medis_ralan`.`no_rawat` = \'2023/10/31/000200\'
|
2023/10/31/000200 |
2023-10-31 12:03:03 |
0601002 |
Autoanamnesis |
|
sesak nafas |
Batuk pilek 2 minggu
Demam tadi malamSesak nafas +... |
- |
- |
sudah nebu ventolin + pulmicort dan combivent di p... |
- |
Sehat |
|
Compos Mentis |
|
|
|
37 |
|
10 |
|
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Retraksi +
Pulmo : ronchi +/+ Wheezing +/+ |
|
Darah rutin CRP
Rontgen thorax AP |
SUSP BRONKHOPNEUMONIA |
O2 nasal 1 l/mnt
IVFD KaEN IB 8 tts/mnt makro
Dexa... |
- |
|
|
编辑
|
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|
删除
DELETE FROM `penilaian_medis_ralan` WHERE `penilaian_medis_ralan`.`no_rawat` = \'2023/10/31/000220\'
|
2023/10/31/000220 |
2023-10-31 11:29:28 |
2101379 |
Autoanamnesis |
|
NYeri dada kiri seperti tertindih benda berat |
Keluhan nyeri di dada kiri , rasa panas seperti te... |
Hipertensi (+), DM (-), Dislipidemia (?) |
- |
- |
TIDAK ADA |
Sakit Sedang |
15 |
Compos Mentis |
200/100 |
100 |
24 |
|
|
|
|
Normal |
Normal |
Normal |
Abnormal |
Normal |
Normal |
Normal |
Normal |
|
|
ECG : AF normo ventricular response |
Hipertensi emergency
UAP
AF NVR |
Terapi :
- IVFD NS 500 cc per 24 jam
- Drip carn... |
Cek lab lengkap
Thorax foto |
|
|
编辑
|
复制
|
删除
DELETE FROM `penilaian_medis_ralan` WHERE `penilaian_medis_ralan`.`no_rawat` = \'2023/10/31/000339\'
|
2023/10/31/000339 |
2023-10-31 15:21:58 |
2001328 |
Autoanamnesis |
|
PERDARAHAN BANYAK DARI JALAN LAHIR |
- |
- |
- |
- |
- |
Sehat |
|
Compos Mentis |
120/80 |
88 |
20 |
36 |
99 |
|
|
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
|
|
USG
UTERUS TAMPAK MASSA AMORF INTRAUTERIN
LABOR T... |
AB INCOMPLIT, G4P1A2 HAMIL 8MG |
MONDOK
PASANG INFUS RL 500ML + DRIP OXYTOCIN 1AMP
... |
|
|
|
编辑
|
复制
|
删除
DELETE FROM `penilaian_medis_ralan` WHERE `penilaian_medis_ralan`.`no_rawat` = \'2023/10/31/000414\'
|
2023/10/31/000414 |
2023-10-31 15:33:48 |
2001328 |
Autoanamnesis |
|
PASIEN HAMIL CUKUP BULAN, GERAK JANIN AKTIF, RIW S... |
RIW SC |
- |
- |
- |
- |
Sehat |
|
Compos Mentis |
140/90 |
88 |
22 |
36.5 |
|
|
|
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
|
|
USG:JANIN TUNGGAL, PRESKEP, DJJ +, GERAK +, PLASEN... |
G3P1A1, HAMIL 39MGG, RIW SC 1X |
MONDOK
RENCANA RE SC
CEK LAB
KONSUL ANESTSI DAN PE... |
|
|
|
编辑
|
复制
|
删除
DELETE FROM `penilaian_medis_ralan` WHERE `penilaian_medis_ralan`.`no_rawat` = \'2023/11/01/000395\'
|
2023/11/01/000395 |
2023-11-01 19:12:57 |
1602051 |
Autoanamnesis |
|
Demam |
Demam sejak tadi pagi, nyeri perut terasa kembung,... |
- |
- |
- |
- |
Sakit Sedang |
15 |
Compos Mentis |
- |
98 |
22 |
36,5 |
99 |
|
|
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
|
|
|
TFA |
Rawat Jalan |
|
|
|
编辑
|
复制
|
删除
DELETE FROM `penilaian_medis_ralan` WHERE `penilaian_medis_ralan`.`no_rawat` = \'2023/11/02/000225\'
|
2023/11/02/000225 |
2023-11-02 11:49:39 |
0601002 |
Autoanamnesis |
|
sesak nafaas 3 hari |
demam tgl 23 Okt selama 3 hari. Demam kembali seja... |
- |
- |
- |
- |
Sehat |
|
Compos Mentis |
|
|
|
|
|
7.8 |
|
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
PUlmo: ronchi -, wheezing +
Retraksi miniimal |
|
DPL, CRP |
Bronkhiolitis
DD/ Asma Bronkhial |
IVFD KaEN IB 4 TTS/MNT MAKRO
Dexametason 2,5 mg iv... |
|
|
|
编辑
|
复制
|
删除
DELETE FROM `penilaian_medis_ralan` WHERE `penilaian_medis_ralan`.`no_rawat` = \'2023/11/03/000039\'
|
2023/11/03/000039 |
2023-11-03 01:50:11 |
1602051 |
Autoanamnesis |
|
Nyeri |
Nyeri perut kanan atas sejak tadi malam
RPD : Riw... |
- |
- |
- |
- |
Sakit Sedang |
15 |
Compos Mentis |
170/90 |
80 |
20 |
36,5 |
99 |
|
|
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
|
|
|
Colic Abdomen e.c Cholelithiasis |
Inj. Ketorolac 1 amp
Inj. Ranitidine 1 amp |
|
|
|
编辑
|
复制
|
删除
DELETE FROM `penilaian_medis_ralan` WHERE `penilaian_medis_ralan`.`no_rawat` = \'2023/11/03/000129\'
|
2023/11/03/000129 |
2023-11-03 17:06:32 |
1601052 |
Autoanamnesis |
|
G4P1A2
HPHT :9/3/23 |
- |
- |
- |
- |
|
Sehat |
15 |
Compos Mentis |
130/70 |
80 |
20 |
36.0 |
|
75 |
- |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
|
|
WIDAL (+) DEMAM TYPOID |
G4P1A2 GR 31 MINGGU 6 HARI + JTH PRESKEP+ DKP + S... |
RAWAT INAP
TERAPI SUPORTIF
MEDICINALIS (ANTIBIOTI... |
|
|
|
编辑
|
复制
|
删除
DELETE FROM `penilaian_medis_ralan` WHERE `penilaian_medis_ralan`.`no_rawat` = \'2023/11/03/000207\'
|
2023/11/03/000207 |
2023-11-03 16:23:00 |
1701081 |
Autoanamnesis |
|
BAB susah |
BAB sedikit2 frek 4 X / hr
Sdh 2 thn |
- |
- |
- |
- |
Sehat |
|
Compos Mentis |
|
|
|
36.5 |
|
15 |
|
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
abd supel |
|
- |
skibala
konstipasi |
klisma laxarec 1 respul + NaCl 0.9 % 20 cc (2x/har... |
- |
|
|
编辑
|
复制
|
删除
DELETE FROM `penilaian_medis_ralan` WHERE `penilaian_medis_ralan`.`no_rawat` = \'2023/11/03/000293\'
|
2023/11/03/000293 |
2023-11-03 15:28:48 |
1601052 |
Autoanamnesis |
|
HAMIL PERTAMA
HPHT ?/1/2023 |
- |
- |
- |
- |
- |
Sehat |
15 |
Compos Mentis |
130/100 |
80 |
20 |
36.5 |
|
50 |
- |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
|
|
CEK LABOR LENGKAP |
G1P0A0 GR 41 MINGGU DENGAN JTH +DKP + OLIGO +INSUF... |
TERMINASI KEHAMILAN
MISOPROSTOL 1/4 TAB
RENCANA ... |
|
|
|
编辑
|
复制
|
删除
DELETE FROM `penilaian_medis_ralan` WHERE `penilaian_medis_ralan`.`no_rawat` = \'2023/11/03/000372\'
|
2023/11/03/000372 |
2023-11-03 18:33:59 |
1601052 |
Autoanamnesis |
|
P1A1 AB SPONTAN 2 MINGGU YANG LALU
DARAH MASIH KE... |
- |
- |
- |
- |
- |
Sehat |
15 |
Compos Mentis |
110/70 |
80 |
20 |
36.5 |
|
65 |
- |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
|
|
USG ,BAGIAN ATAS TAMPAK BERSIH BAGIAN BAWAH TAMPAK... |
P1A1 ABORTUS SPONTAN DENGAN SISA KONSEPSI |
CURET CITO
IVFD
LABOR LENGKAP |
|
|
|
编辑
|
复制
|
删除
DELETE FROM `penilaian_medis_ralan` WHERE `penilaian_medis_ralan`.`no_rawat` = \'2023/11/07/000296\'
|
2023/11/07/000296 |
2023-11-07 16:36:32 |
1601052 |
Autoanamnesis |
|
MUAL MUNTAH
HPHT 12/8/23
G6P5A0 B.SC 1 KALI |
- |
- |
- |
- |
- |
Sehat |
15 |
Compos Mentis |
100/70 |
70 |
21 |
36 |
|
40 |
- |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
|
|
CEK LABOR LENGKAP |
G6P5A0 GR 12 MINGGU 3 HARI JTH DENGAN HEG |
RANAP
SESUAI PROTOKOL HEG |
- |
|
|
编辑
|
复制
|
删除
DELETE FROM `penilaian_medis_ralan` WHERE `penilaian_medis_ralan`.`no_rawat` = \'2023/11/07/000297\'
|
2023/11/07/000297 |
2023-11-07 16:15:53 |
1601052 |
Autoanamnesis |
|
HAMIL PERTAMA MUAL MUNTAH PUSING, FLU
HPHT : 20/9/... |
- |
- |
- |
- |
- |
Sehat |
15 |
Compos Mentis |
140/80 |
80 |
20 |
36.2 |
|
45 |
- |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
|
|
USG |
G1P0A0 GR 6 MINGGU 6 HARI DENGAN JTH +HEG |
RANAP
CEK LABOR DR,UR ,LENGKAP
SESUAI PROTAP HEG |
|
|
|
编辑
|
复制
|
删除
DELETE FROM `penilaian_medis_ralan` WHERE `penilaian_medis_ralan`.`no_rawat` = \'2023/11/09/000417\'
|
2023/11/09/000417 |
2023-11-09 16:19:44 |
1601052 |
Autoanamnesis |
|
G1P0A0
HPHT : 31/01/23 |
- |
- |
- |
- |
- |
Sehat |
|
Compos Mentis |
|
|
|
|
|
|
|
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
|
|
LABOR LENGKAP |
G1P0A0 GR 40 MINGGU 2 HARI DENGAN JTH PRESKEP ,DKP... |
RANAP , TERMINASI KEHAMILAN
MISOPOROSTOL 1/4 TAB /... |
|
|
|
编辑
|
复制
|
删除
DELETE FROM `penilaian_medis_ralan` WHERE `penilaian_medis_ralan`.`no_rawat` = \'2023/11/10/000248\'
|
2023/11/10/000248 |
2023-11-10 17:02:31 |
1601052 |
Autoanamnesis |
|
G6P5A0H3
HPHT : ?/3/23 |
- |
- |
- |
- |
- |
Sehat |
|
Compos Mentis |
|
|
|
|
|
|
|
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
Normal |
|
|
LABOR LENGKAP |
G6P5A0H3 DENGAN GR 38-39 MINGGU JTH LETLI DKP OLIG... |
RANAP
TERMINASI KEHAMILAN
SC CITO |
|