Case Report Liphoma
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Transcript of Case Report Liphoma
Liphoma case report
Name : Renny Anggraini
identity
Name: Ny.Z Age: 36 years Gender: ♀ Occupation: Housewife Status: Married
The main complaint:
Lump in the back that getting bigger since 5 years before admitted to hospital
History of present illness:Since 5 years before admission the patient complained of a lump in the back,(-) Pain, (-) fever.
Family history:There is no family who has the same complaint.
History of other diseases;(-)
physical examination
Status generalist; General conditions: good Awareness: composmentis Nutritional status: good
Vital sign: Blood pressure: 100/70 mmHg Pulse rate: 73x / min Breath: 21x/menit Temperature: 36.8 C
Physical examination
Head: Normal Neck: Normal Thoracic (mammary Region): Normal Abdomen: Normal Urogenital: Normal Extremities: Normal Lymfe node: Status localist
Status localist
The examination;
inspection: visible lump in the right back localist
status
Breathing movements symmetrical left and right
palpation: solitary tumor with a size 15 x 10x 4 cm, diffuse, soft consistency, tenderness (-),
Pemeriksaan penunjang
Routine blood tests: Hb: 14.3 gr / dl Ht: 40.0% Leukocytes: 10.300/ul Trobosit: 409.000/ul
working diagnosis
Liphoma
Plan supporting examination
Thorax Photos incisional biopsy Mamografy installation WSD
Thank’s