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o, MW 22
cc : Lump on right and left neck since 3 years ago Present Illness History :
Lump on right and left neck since 3 years ago, initially lump on left neck as big as marble, longer greater as big as chicken eggs, next appear lump at armpit and crotch. Patient have kno n do chemotheraty as much as ! times "ever #$% &ausea #$%, vomite #$% 'ixturation #(% normal )efecation #(% normal
Physical *xamination : +, : 'oderate, -onsc : -'-, .P : /30120 H3 : 2!x1I, 33 : /4x1I, 5 : 36,7 *yes : Icterus $1$, anemis $1$ &eck : Lump ith si8e x x cm Lung : 9esikuler, rh $1$ h $1$ -or : 3egular rhythm, ictus palpable at : fingers medial L'-; 3I- 9, '/<': ,bdomen : Liver and spleen not palpable, bo el sound ( normal
Lab : Hb : gr1dl Leucocyte : 1mm3 Ht : = 5rombosit : 1mm3 &atrium : mmol1l >alium : mmol1l -l : mmol1l >alsium : mmol1l .+3 : mg1dl
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Prochemotherapy @ ith indication Limfoma maligna Hodgkin 5h1 3est1 )aily diet &53 : x / tab