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분야
ppt2.Review of system
3.Physical examination
4.Initial radiologic findings
5.Initial laboratory findings
6.Impression & plan
7.CT findings
8.Brief op. note
9.POD #0
Post op. Dx: Lt. UPJ stone, 15mm
Op name: Ureteroscopic exam with DJ catheter insertion
Op findings
15mm, yellowish irregular shape stone in Lt. UPJ
Lt. hydroureterosis
Lt. UPJ stone removal failed
Bladder, prostate, left ureter orifice was normal
S) Fever/ chill (-/-)
Pain (-)
O) V/S stable
Foley drainage: pinkish
A) s/p Ureteroscopic exam with DJ catheter insertion
P) Keep DJ Cath. & check foley drainage
CBC & BUN/Cr F/U
ESWL after Cr normalization
S) Fever/ chill (-/-)
Pain (-)
O) V/S stable
WBC 16000-Hb 12.6-Plt 154K
BUN/ Cr 30.5/ 2.1
e' : 141/3.3/107
Foley drainage: pinkish
A) s/p Ureteroscopic exam with DJ catheter insertion
P) Keep DJ Cath. & check foley drainage
ESWL after Cr normalization
CBC & BUN/Cr F/U
