1. Mrs. Endang Karawati/56y.o/12.92.41.73/dr.

KID, SpOG
(S) Patient was consulted by internist colleague with Cervical cancer st IIIB; P1001;
Married 1x  32 years; Youngest living Child : 31 years old; Contraception: (-); LMP:
Menopause since 2010; Menarche: 11 y.o.; Cycle : 30 days; duration 7 days; volume 3
diapers/day (O) General Status: GCS 456 A(-)/I(-)/C(-)/D(-); BP: 114/75, HR: 109, RR:
20; Trect: 37,1oC, Sp.O2: 98% (free air); Cor: WNL; Pulmo: WNL;Abdomen : Soefl, BU
(+) N ;Weight: 53 kg, Height: 160 cm, BMI: 28; Gynecologi status: Vaginal exam: v/v
fluxus (+) fluor (-), Portio: exophitic, friable; CU: AF ~ WNL, AP D/S: mass (-),
tenderness (-), CD: WNL; RT: TSA (+) N, smooth mucosa, CFS 0%/0%; US (Upper
lower abd): Left kidney: There is moderate ecstasis of the perlviocalyceal system with
dilatation of the proximal ureter ± 0.7 cm; Ureter: A solid hypoechoc mass appears,
irregular in shape, partially circumscribed, measuring ± 6.50x6.80x10.0 cm in the uterine
cervix, seems to extend to the inferior side of the uterine body; Swab ID Now : Negative ;
Biopsy: Invasive Keratinizing SCC; Laboratory : Hb 7,5; HCT 23,8; WBC 30.780; Plt
349.000; Neut/Lymph 83,9/ 7,3; Na/K/Cl 127/5/94; BGA: pH 7,45; pO2 50; pCO2 34;
HCO3 23,6; BE -0,4; BUN/SK 18/1,41; GDA 124; PPT/APTT 15,2/28,4; Alb 3,09;
OT/PT 49/68; Bil D/T 0,15/0,36SO2 87 (A) Cervical Cancer IIIB + AKI dd ACKD (SK
1,41) + moderate hydronephrosis S + hydroureter S + Hyponatremia (Na 127) (P) Roll
tampon application  follow up.