4_ectopic pregnancy_1. Wahidin Sudirohusodo Hospital, Friday, June 16th, 2023 (Period June 11th-June 14th, 2023) copy.docx

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1. 1
WAHIDIN SUDIROHUSODO HOSPITAL / Ratkhiaber Asnawi
Period June 11
th
– June 14
th
, 2023
No Date
Patient
Detail of Patient Treatment Recommendation
1.12-06-2023 Mrs. R
26 years old
DOB :17/09/1996
LMP : 03/04/2023
MR : 01019356
Referral : -
Payment Method :
Governmental
Insurance
Education : Bachelor
Degree
P2A0
Chief Complaint :
Abdominal pain since 4 months ago
Physical Examination :
Palpable abdominal mass, cystic consistency, 8x7 cm in size, mobile,
regular surface, pain in palpation.
Ultrasonography :
Hipoechoic mass with 5.7 cm x 6.3 cm in size, regular border
Laboratory Result :
Hb : 13,8 gr/dl
Ca-125 : 7,84 U/ml
RMI : 7,84
Pre-operative Diagnosis:
Ovarian Cyst Neoplasm
Post operative diagnosis:
Right Ovarian Cyst Torsion + Right Ovarian Cyst + Adhesion between Right
Ovarian Cyst with Peritoneum and Uterus
Adhesiolysis
Right Salpingooophorectomy
Monitoring Patient
general condition
Early mobilization
Control for surgical
wound
Waiting for
Histopathology result

Ultrasonography Intra Operative Post Operative

2. 2
WAHIDIN SUDIROHUSODO HOSPITAL / Ratkhiaber Asnawi
Period June 11
th
– June 14
th
, 2023
2.12-06-2023 Mrs. M
25 years old
DOB : 02/12/1997
P2A0
Chief Complaint
Resuscitation
O2 10 lpm via NRM
Monitoring Patient
general condition

3. 3
WAHIDIN SUDIROHUSODO HOSPITAL / Ratkhiaber Asnawi
Period June 11
th
– June 14
th
, 2023
LMP : 06/03/2023
MR : 01025590
Referral : obstetrician
Payment Method :
Governmental
Insurance
Education : senior
high school
Vaginal bleeding since 3 days before admission
Physical Examination :
E3M5V5
BP : 90/60 mmHg
HR : 124 bpm
Fundal Height : 2 fingers below umbilicus
ECO/ICO : Dilated/dilated
Fluxus : blood (+)
Laboratory Result :
Hb : 4,6 g/dl
PLT : 97 x 10
3
/Ul
Urine Pregnancy test : (+)
B-HCG : >1.500 mIU/ml
Ultrasonography :
Anteflexed uterus with honey comb appearance (+)
Pre-Operative Diagnosis:
Hypovolemic Shock Grade 2 + Hydatiform Mole + Severe Anemia
Post-Operative diagnosis:
Hydatiform mole + Severe Anemia
Urinary Catheterization
2 line Infusion
Resuscitation with 1000 ml
Ringer Lactat
Transfusion with 4 bags of
PRC, 4 bags of TC
Total Abdominal
Hysterectomy
Bilateral Salpingectomy
Consult to ICU
Early mobilization
Control for surgical
wound
Waiting for
histopathology result
Consult to Obstetric and
Gynecology Social Division
Ultrasonography Intra Operative

Uterus

4. 4
WAHIDIN SUDIROHUSODO HOSPITAL / Ratkhiaber Asnawi
Period June 11
th
– June 14
th
, 2023
Post Operative
3.14-06-2023 Ms. D
19 years old
DOB : 23/03/2004
LMP : 22/05/2023
Miss
Chief Complaint :
Abdominal enlargement and abdominal pain since 3 months ago.
Partial Right Oophorectomy
Right Salpingectomy
Monitoring Patient
general condition
Early mobilization
Control for surgical

5. 5
WAHIDIN SUDIROHUSODO HOSPITAL / Ratkhiaber Asnawi
Period June 11
th
– June 14
th
, 2023
MR : 01019356
Referral : -
Payment Method :
Governmental
Insurancce
Education : Bachelor
Degree
Physical Examination :
Palpable abdominal mass, cystic consistency, 25 cm x 20 cm in size.
immobile, regular surface
Ultrasonography :
Hypoechoicmass 20cm x 15cm in size, regular border, originating from
adnexa.
Laboratory Result :
Ca-125 : 54.67 U/ml
CT-Scan :
Cystic mass originating from right adnexa, 24,8 x 17,2 x 26 cm in size
Pre-operative Diagnosis:
Ovarian Cyst Neoplasm
Post operative diagnosis:
Paratuba Cyst
wound
Educate the patient
about current condition
Waiting for
Histopathology result
Ultrasonography CT-Scan

6. 6
WAHIDIN SUDIROHUSODO HOSPITAL / Ratkhiaber Asnawi
Period June 11
th
– June 14
th
, 2023
Intra Operative Post Operative

7. 7
WAHIDIN SUDIROHUSODO HOSPITAL / Ratkhiaber Asnawi
Period June 11
th
– June 14
th
, 2023
-
4.13/06/2023Mrs. I
22 years old
MR: 1024626
DOB:
25/10/2000
LMP: 29/04/2023
G1P0A0
6 weeks 3 days of Gestational Age
Chief Complaint :
Lower abdominal pain since 3 days before admission
Laparscopy
-Conception Evacuation
●Control for surgical
wound
●Mobilization
●Waiting for
histopathology
result

8. 8
WAHIDIN SUDIROHUSODO HOSPITAL / Ratkhiaber Asnawi
Period June 11
th
– June 14
th
, 2023
Education:
Bachelor Degree
Payment
Method:
Governmental
Insurance
Referral:
Polyclinic
Laboratory Result:
Hb : 12.8 gr/dl
Urine Pregnancy Test : (+)
Pre-Operative Diagnosis:
Ectopic Pregnancy
Post-Operative Diagnosis:
Ruptured of Right Ovarian + Ovarian Pregnancy
-
Ultrasonography Intra Operative

9. 9
WAHIDIN SUDIROHUSODO HOSPITAL / Ratkhiaber Asnawi
Period June 11
th
– June 14
th
, 2023

Post - Operative

10. 1
WAHIDIN SUDIROHUSODO HOSPITAL / Ratkhiaber Asnawi
Period June 11
th
– June 14
th
, 2023

Total Cases : 4
Right Salpingooophorectomy : 1
Total Abdominal Hysterectomy + Bilateral Salpingectomy : 1
Partial Right Oophorectomy + Right Salpingectomy : 1
Laparoscopy : 1

Makassar, June 15
th
2023
Known by,
Chief Resident:
dr. Annisa Ika Nurrahmayati Syakir
(dr. Andi Uci Febrianti, dr. Kevin Jitro
Frank Noya,dr. Nurlaela,dr. Eta Lestari
Taufan,dr. Lia Aswika Viakosta, dr.
Ratna,dr. Winda Lestari Syamsir)
dr. Nadya Kurnia Wardani Rauf
(dr. Brando Elioth Tayo, dr. Tuty
Muliati,dr. Ratkhiaber Asnawi, dr.Irwan
Setiawan, dr.Nur Hikmah Kusuma,dr.
Stanly Pieter Thenu, dr. Akbar Yunus)

11. 1
WAHIDIN SUDIROHUSODO HOSPITAL / Ratkhiaber Asnawi
Period June 11
th
– June 14
th
, 2023
Supervisor :
dr. Hasnawaty, Sp.OG