8/13/2019 Case Protocol - Cabsag

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OSPITAL NG MAYNILA MEDICAL CENTERDEPARTMENT OF OBSTETRICS AND GYNECOLOG

( month PTC !" Persistent of sym'toms

!" e'igastric 'ain

!" cons#lt at )* ommc and diagnosed gastritis

Patient was ad%ised for +A -T and PAP Smear

)ew ho#rs PTC !" Patient was referred for +A -T and PAP Smearres#lts.

C&S-T

PM(

1" 2y'ertension 1" D*, 1" A 1" oiter or C4D was noted.

&o allergy to food nor dr#gs.

Fami.' (istor'

1" 2y'ertension 1" D* 1" A 1" PT

P%S (

1" smoer 1" alcoholic be%erage driner

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8/13/2019 Case Protocol - Cabsag

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OSPITAL NG MAYNILA MEDICAL CENTERDEPARTMENT OF OBSTETRICS AND GYNECOLOG

Me-str/a. (istor'

Age of menarche at (( years old with reg#lar inter%als lasting for 3days and #ses 613 'ads/day 1" dysmenorrhoea.

*P 7 &o%ember (8 60(3

P*P 7 &o%ember 30 60(3

Se/a. (istor' Age of (stcoit#s at 63 years old with ( se9#al 'artner. &o#se of CP. &o STD, 1" dys'are#nia 1" PC.

OB (istor'

G+P131#"14

( (:;1=< >>168 Tem'.13

8/13/2019 Case Protocol - Cabsag

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OSPITAL NG MAYNILA MEDICAL CENTERDEPARTMENT OF OBSTETRICS AND GYNECOLOG

Abdomen 7 lob#lar, soft, nontender with 'el%oabdominal meas#ring60 9 63 cm, cystic, mo%able

PEL;IC:

?ns'ection 7 rossly normal looing e9ternal genitalia

S'ec#l#m e9amination 7 4aginal wall smooth, Cer%i9 smooth and clean

looing, no nod#lation, no erosion.?@7 Cer%i9 firm closed, #ter#s and adne9a cannot be assessed d#e to

h#ge 'el%oabdominal mass e9tendingfrom sym'hysis '#bis #' to 8

finger below 9y'hoid 'rocess meas#ring (6 9 (; cm, cystic, mo%able,

nontender.

@BT>@*?T?@S7 rossly normal, f#ll e#al '#lses, no edema

ASSESSMENT

G+P131#"14 Pe.voab5omi-a. mass 6robab.' Ovaria- I- Origi-6robab.' be-ig-7

S%P Primar' Cesare- setio- G+ 8or 6.ae-ta 6revia 3Baro-ga-6rovi-ia. 9os6ita., 00$4

PLAN

)or @9'loratory a'arotomy, Total Abdominal 2ysterectomy with

ilateral Sal'ingo1oo'horectomy

gro>t9, .i-ia.% tra-svagi-a. /.traso/-5orre.atio- is s/ggeste5Mi.5 8att' .iver 9a-ges)-remar=ab.e /.traso/-5 o8 t9e ga..b.a55er, vis/a.i?e56a-reas, s6.ee-, =i5-e's, aorta a-5 6araaorti areas,

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OSPITAL NG MAYNILA MEDICAL CENTERDEPARTMENT OF OBSTETRICS AND GYNECOLOG

/ri-ar' b.a55er, /ter/s a-5 .e8t ovar'No-@vis/a.i?e5 rig9t ovar'7

Tra-svagi-a. ).traso/-5 3)NITED, November 0, "#$ Da' + o8 me-ses4

)ter/s The #ter#s is ante%erted with smooth conto#r and homogeno#secho'attern meas#ring