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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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