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Anamnesis and physical

examination.

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Anamnesis and physic examination.

• For determine clinic diagnostic, we must fndabout;

•  Tumor state

 – Main complaint and other complaint along with it andalso the onset

 – riwayat penyakit

 – pengobatan yg telah diberikan

 – aktor risiko

 – lokasi topograf tumor dan metastasisnya – siat tumor

 – operabilitas tumor

 – luas ekstensi

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• komplikasi penyakit

• penyakit sekunder

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hysical !xamination

hysically examination di"ided intotwo#

$. general physical examination%. local examination

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&eneral hysical !xamination

the goal is to check and make sure how the whole bodytumor su'ered by the patient, and examining the unctiono "ital organs.

general physical examination included #

$. inspectionobser"e the condition o mental, physical and nutritionalstatus o the patient, to determine the in(uence o thetumor on the o"erall condition o the body

%. smellingpatients su'ering rom ulcerated tumors and already it willproduce a oul)smelling discharge.

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*. alpation This examination to check the tumor

surace and the inside o the body.

+. ercussion

usually or examination the thoracicca"ity and abdominal organs

. Auscultation

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%. local examinationaim to make sure the tumor and its relationship with thesurrounding tissue and the in"ol"ement o regional

lymph nodes

$. examination o the tumor include#) tumor-s location) tumor-s sie

) tumor-s orm) tumor-s boundary) consistency o the tumor) surace o the tumor) le"el o mobility

) tenderness) skin temperature) pulsation and bruit

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%. examination o regional lymphnodesto distinguish cause enlargement olymph nodes, understanding thepresence or absence o metastasis to

lymph nodes regionaldan determinetherapy