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  • Identitas Pasien Keterangan Pemeriksaan Fisik Rencana Tindakan Diagnosa

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    Hilma Putri Lubis
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    Ny. L, a 51-year-old female, has a 18-year history of breast cancer with metastases to the right leg. She presents with swelling of the right leg for 1 week accompanied by fever. On physical examination, there is a palpable mass measuring 3x4 cm on the inner thigh. The diagnosis is recurrent breast cancer with metastases to the right leg. The treatment plan is intravenous antibiotics, analgesics, anti-inflammatory drugs, and bed rest. Follow up radiotherapy is planned for 14-16 January.

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    Tumor Board

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    Ny. L, a 51-year-old female, has a 18-year history of breast cancer with metastases to the right leg. She presents with swelling of the right leg for 1 week accompanied by fever. On physical examination, there is a palpable mass measuring 3x4 cm on the inner thigh. The diagnosis is recurrent breast cancer with metastases to the right leg. The treatment plan is intravenous antibiotics, analgesics, anti-inflammatory drugs, and bed rest. Follow up radiotherapy is planned for 14-16 January.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
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    29 views2 pages

    Identitas Pasien Keterangan Pemeriksaan Fisik Rencana Tindakan Diagnosa

    Uploaded by

    Hilma Putri Lubis
    Ny. L, a 51-year-old female, has a 18-year history of breast cancer with metastases to the right leg. She presents with swelling of the right leg for 1 week accompanied by fever. On physical examination, there is a palpable mass measuring 3x4 cm on the inner thigh. The diagnosis is recurrent breast cancer with metastases to the right leg. The treatment plan is intravenous antibiotics, analgesics, anti-inflammatory drugs, and bed rest. Follow up radiotherapy is planned for 14-16 January.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
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    of 2

    Identitas Pasien Ny. L, 51 tahun, P3A0, APK : 18 tahun, IRT,Batak,i/d Tn. A, sudah menin a!

    " tahun

    Keterangan me#u$akan $asien $%!i %nk%!% i den an dia n%sa : &a 'e#(iks 'td III B ) $%st kem% $!at%sin 5 * ) $%st R+ "5*)$%st ,#akite#a$i "* K-: kaki ki#i ,en kak T: .a! ini dia!ami %s se/ak 0 " min u !a!u, nye#i $ada in uina! ki#i 1)2 se/ak 0 " min u ini. Ri3ayat $e#da#ahan da#i kema!uan 142. Ri3ayat demam 142.

    Pemeriksaan Fisik 'L: a,d%men: s%e$e!, tidak te#a,a massa +kst#emitas: te#a,a massa $adat di in uina! ki#i 5 3*"*" 6m, te#7iksi#,nye#i1)2 Ins$eku!% : massa di (a ina dan muk%sa (a ina 142

    Rencana Tindakan .asi! -'8

    Diagnosa &a 'e#(iks #eku#en

    .asi! La,%#at%#ium: 94dime#: .asi! .ist%$at%!% i t ! 1:/1"/"013: ;ik#%sk%$ik: 'mea# as$i#at tam$ak ke!%m$%kan se!4se! e$ite! ati$ik, inti mem,esa#,$!e%m%#7ik, k#%matin kasa#. Lata# ,e!akan smea# se!4se! da#ah me#ah. Kesim$u!an: ;etastase &a#6in%ma K%nsu! #adi%te#a$i: 9i/ad3a!kan untuk simu!at%# t ! 104014"01<

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