bangsal gin mg 1
TRANSCRIPT
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TOTAL PATIENT IN WARD
Ward Patients Total
New Patient Old Patient
1stEnim 3 2 5
2ndEnim 6 - 6
Mawar 2 11Lematan! 1 1 2
M"si Elo# 2 1 3
O!an 3 3 6
$asmin % 1 1 2
&enan!a A - - -
1' 1( 35
TOTAL PATIENT )$ *+)DI,I*ON
Patients Total
New Patient Old Patient.ne/olo!. 6 - 6
On/olo!. 2 11
Endo/rinolo!. - - -
+ro!.ne/olo!. 1 - 1
( 10 1(
.ne/olo!i/al Inatient %ie
Dr4 Ra#mat A#ar ( atients
Dr4 7on 8erians.a atients
Total atients 1' atients
NO Patient9s ID Dia!nosis Mana!ement P.si/ian
1. Mrs. SAR/39/P0A1/UA Ovarian Cancer inadequate
staging
Chemothera! "SR
#. Mrs. $U%/&1/P3A0/RA Stage ''' ( Cervica) cancer Chemothera! "SR
3. Mrs. "A'/#*/P0A0/UA Stage ''' +,- score '+O
3
Chemothera! "SR
&. Mrs. M%/1*/RA Stage ' C Ovarian Cancer Chemothera! "SR
. Mrs.R'S//P#A0/RA Cervica) cancer Stage ''' (
as susected
+enera) condition
imrovment
"SR
*. Mrs. %'/&2/UA/P&A0 Stage '' ( Cervica) cancer P)an or radica)
h!sterectom!
RA-
2. Mrs. -AU/*/UA/PA0 Uterine ro)ase grade ''' 4
C!stoc)e grade ''
P)an or ,56 4 7o)orai
anterior 4 SS
RA-
8. Mrs. UR//RA/P#A0 Stages ''' C Ovarian Cancer Chemothera! RA-
9. Mrs. 6OM/*3/UA/P1A1 Stages '5A Ovarian Cancer Chemothera! RA-
10. Mrs. SU-/20/UA/P10A3 Stage ''' ( Cervica) cancer Chemothera! :6"
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11. Mrs. $U%/&&/UA/P0A0 Uterine m!oma P)an or M!omectom! RA-
1#. Mrs. RUS/2*/RA/P#A0 C!stic ovarian neo)asm
ma)ignanc! as susected
Chemothera! :6"
13 Mrs. SU/#2/+1P0A0/UA +1P0A0 9 ee7s gestationa)age ith threatened
a;ortion intrauterine
Medicina)is COR
1& Mrs. A+U/#2/+3P#A1/
UA
ctoic regnanc! as
susected
%aarosco! right
sa)h!ngostom!
RM
1 Ms. MAR/3#/UA Mu)ti)e uterine m!oma Medicina)is AS"
1* Mrs. PO"/*0/ P&A0/RA AU( e.c %1 Medicina)is 4 )an or
h!sterectom!
AS"
12 Mrs. R"/3#/ P0A#/UA 'ntramura) uterine m!oma P)an or 6-%O AS"
Dr4 Ra#mat A#ar Din"r
1 06406416 %emotera.
Mrs4 *AR:31: P0A1:+A:N*R
0&
M/ Chemothera! ac)ita?e)car;o)atin 5' course =1.11>
Patho)og! "o. P101990 (Ovarial : clear cell carcinoma
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Omental : clear cell carcinoma metastatic
6 0(406416 %emotera.
Mrs4 8OM:63:+A:P1A1:RAD
0#Patho)og! "o. 302/A/#01*
! "igh grade serouse carcinoma ovarial that expanded to the cerviks wall, myometrium and right
and left fallopian tu#e
! "igh grade serouse carcinoma omental metastase
! high grade serouse carcinoma tunica serouse rectosigmoid metastase
$! high grade carcinoma invasion to su#mucosa appendic vascular
' 03406416 Plan or M.ome/tom.
Mrs4 $+L:;;:+A:P0A0:A*N
0M
0#.00 PM -/ ctoic regnanc! as susected =O00.9>
0*0*1* M/ %aarasco! sa)hingostom! de7stra =**.01>
"O ASSSM",Dr4 Ra#mat A#ar Din"r 5A%U MA "otes
1 Reort technique 30
# Paer ac7no)edgment 3
3 6onest! 3
Mean 100
Dr4 7on 8erians.a
1 0'406416 %emotera.
Mrs4 NAI:23: P0A1:+A:N*R03
M/ Chemothera! Methotre?ateRescovu)in 3rdcourse =1.11>
Patho)og! "o. PA 0311/PA/C6/#01*
"ydtidiform mole trofo#last cell complete proliferation
2 06406416 %emotera.
Msr4 *AN:5;:P;A0+A:N*R
11
M/ Chemothera! O?a)a)atin @ +emcita;in 1stcourse =1.11>
Patho)og! "o. PA ##12/A/#01*
Non keratinizing squamous cell carcinoma cervic,moderately differentiated
3 02406416 eneral /ondition imro?ment Mrs4RI*:;2:P2A0
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:RA:N*R
-/Cervica) cancer stage ''' ( as susected 4 moderate anemia =C3.9>
M/+enera) condition imrovment
P)an or c)inica) staging
Patho)og! "o. PA SS.1*0&00&9
keratinizing squamous cell carcinoma cervic,moderately differentiated
; 26405416 %emotera.
Mrs4 *+D:'0:+A:P10A3:78N
02
M/ PRC transusion
P/ tota) a;domina) h!sterectom!
05406416 Plan or 8DLO
Mrs4 REN:32: P0A2:+A:A*N
0.30 PM -/ 'ntramura) uterine m!oma 4 secondar! inerti)e !ears =-#.1>
M/ P)an or 6-%O
Ostetri/al %ie on D"t. Dr4 7on 8erians.aT"esda.@ 7"ne 't@ 2016 at 03400 PM- T"rsda.@ 7"ne (t@ 2016 at 0'400 AM
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%ons"ltant on D"t. Dr4 A4 Aadi@ *O&B
1.
07-06-1602:15 PM
Spontaneous deliveryMrs.
DAH/31/UA/RZM
Hb: 11.2 g/dLWBC: 9.100PLT 264.00LEA(-)
D/ G2P1A0 40 wee! ge!"#!$%' #ge $&'#b% !" !"#g'#"e&" *+#!e w$"+ P,M 1 d# e"#*'%"be3'%!$! w$"+ $&3%*'e"e "+e#* L 3e*+#'$*e!e&"#"$%&
US R =+'">
Sing)e )ie etus ceha)ic resentation
(iometr! Acce)eration ith o?!tocin dri
Consu)t to interna) deartment
P/ 5agina) de)iver!'nterna) -eartement A/ there is no sign o u)monar! ,(
03
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19
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6C < #*8 mm %< #.1 mm
D< 131& g
P)acenta in osterior corus o uterine
Amniotic )uid as enough
C/ #9 ee7s gestationa) ageB S% ceha)ic resentationM/ O;served vita) signB 6RB in)a;or signs
'5- R% ?? dros / mnt
%a;orator! e?amination
Urinar! catheter insertion
MgSO& inE F rotoco)
"iediine 10 mg/ 8 hours PO
Consu)t to interna) and ohtha)mo)og! deartment
-e7sametasone inEection 10 mg/1# hours
P/ ?ectative management
;4 0'-06-1602< 00 PM
Partial eCtra/tion
Mrs4 *RI:2:RA:A)
-/ +3P1A1 39 ee7s gestasiona) age in)a;or second stageB sing)e )ie
etus ;reech resentation
M/ o;s. 5ita) signB contractionB 6R
%a;orator! e?amination
'5- R% ?? dros/m
P/ conduct the )a;or02
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Acce)eration ith o?!tocin dri
Consu)t to interna) and ohtha)mo)og! deartment
,u;a) )igation counse)ingB agree
P/ vagina) de)iver!
0(-06-16
01
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histor! o CS 1?B S% ceha)ic resentation
US R
Sing)e )ie etus ceha)ic resentation
(iometr!