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HISTORY TAKING
18/01/2013
Name : Mrs. R
Age : 54 y.o.
Address : Sukabumi
Complain : vaginal bleeding
P1A0 (y.c 30 years old), vulva
elcer since 2 month.
pain (+)
Vaginal bleeding (+),
leuchorheea (-)
Abdominal mass (-)
Fecal & urinary : no complain
PHYSICAL EXAMINATION
GC : Conscious
BP : 130/90 mmHg
PR : 92 x/minutes
RR : 20 x/minutes
T : Afebrile
GYNECOLOGY EXAMINATION
Abdomen : flat, soft, pain (-), shifting dullnes (-), mass (-)
Inspeculo : fluxus (+), fluor (+), P: carcinomatous 5x6x5 cm
Internal Examination
Vulva : carcinomatous lession 4x3 cm, Lokasinya di mana???
Vagina : Infiltration (+)
P : S/C normal
Uterine cavum : S/C
DC : not prominent
Thank you.
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