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Discussion
June 5th, 2015
Bosniak Cyst
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Identity
Name : Mrs. Rekna Margini
Age : 51 years o! "e# : $emae
Register : 12.%0.&'.(0
A!!ress : J. "i!oto)o *or 1+&& C "uraaya
-ccu)ation : Nurse
nsurrance : B/J"
"ite o cancer : Right i!ney
!entitiy numer : &5(1'%'10'20002
/hone : 0(1&&0&1&1(
Reerra : 3enera 4os)ita o 4ai "uraaya
6ar! : -ut De)artment o 7roogy
Doctor : 8risno $aar Nursanto 9$AJ
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8/
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Anamnesis
/# reerre! rom 3enera 4os)ita o 4ai"uraaya ;ith right ki!ney cyst
Chie com)aint : right
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Physical Examination
3enera Con!ition: $air 3C" : %5'
arnosky score : @0 6eight : 2 kg height : 15( cm
ita sign : B/ : 1%0+@0 mm4g
/use : (( #+mnt
RR : 1( #+mnt
8.a#i : &',2oC
General State :
4ea!+Neck : a 9=, i 9=, c 9=, ! 9=
8hora# : sim, ret 9=, Cor norma /umo 9>es+>esA!omen : !eans 9=, o;e soun! 9? N, "oee, mass 9? inright u))er ua!rant, siEe : 15 # 10 # 10 cm, moie, cyst,
)ain 9?
F#tremity : ;arm, !ry
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Physical Examination
Urological State :
$ank region : mass 9? in right
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Cinica /icture
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*aoratory $in!ingLaboratoy May 26th, 2!"
4 1%,& g+!*
*eu ,'( .10&+u*
8rom &2( 10&+u*
$4 //8 @,@ 9@=12
A/88 2(, 92&=&&
"3-8+/8 1%+2& 7+*
A %,1 g+!*
RB3 @ mg+!*
4A1C 11,@ B7N+" 1+0,( mg+!
Na++C 1%1+&,(+10mmo+
Ca+/ @,%+&,5 mg+!*
May 26th, 2!"
)4 5,5
Frythrocyte
0, +4/$
*eucocyte
5,( +4/$
F)itheia 2,1' +4/$
7rineCuture
No gro;th o acteriaaero
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8hora# 9March 2&th, 2015
Metastase 9=
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B-$ 9A)ri th,2015
Ra!ioo)aue sha!o; 9 Metastase 9=
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7"3 9"e)temer 25th, 201%
Right kidney mass, cyst, hypovasculair
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7"3 9"e)temer 25th, 201%
Paraaorta lymph nodes enlargement or nodul at liver (-)
8
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Right kidney cyst with size 1!11
cm, septa (") with enhancement,
calci#ication (-), thickened irregular
walls
8 cana!omen9March 'th,
2015
8
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$imple cyst in the %P $ with
size &!',' cm
8 cana!omen9March 'th,
2015
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nter!e)artmentconsutation
Car!ioogy :
CR cass ? 48 st JNC
nterna me!icine : DM ty)e 2
8#. *antus 127=0=0 sc ac, Metormin mg
-sgyn :
No )athoogica mass
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A""F"MFN8
Right ki!ney osniak cyst ? DMty)e 2 ? 48 st JNC ? sim)e cystin the A/ "
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Planning
Decision rom out !e)artment o uroogy!iscussion ;ith !r. /AN + /ro.Dr.!r. "A,")79
#ight radical ne$rectomy
"uggest to :
#ight radical ne$rectomy
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"enior DecisionJune 5n!, 2015
/ro. Dr. !r. "unaryo, ")B, ")79
Right ra!ica nerectomy
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