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Of Ministry of Healthcare of RussiaVideo-EEG monitoring Patient’s full name: Filimonchik Viktoriia Alekseevna; Sex: female; age: 1 year Date of screening: July 07, 2016
Federal State publicly-funded institution “Federal clinical research center of Dmitriy Rogachev children’s hematology, oncology and immunology center” Of Ministry of Healthcare of Russia Video-EEG monitoring Patient’s full name: Filimonchik Viktoriia Alekseevna; Sex: female; age: 1 year
Federal State publicly-funded institution “Federal clinical research center of Dmitriy Rogachev children’s hematology, oncology and immunology center” Of Ministry of Healthcare of Russia Video-EEG monitoring Patient’s full name: Filimonchik Viktoriia Alekseevna; Sex: female; age: 1 year
Federal State publicly-funded institution “Federal clinical research center of Dmitriy Rogachev children’s hematology, oncology and immunology center” Of Ministry of Healthcare of Russia Video-EEG monitoring Patient’s full name: Filimonchik Viktoriia Alekseevna; Sex: female; age: 1 year
Federal State publicly-funded institution “Federal clinical research center of Dmitriy Rogachev children’s hematology, oncology and immunology center” Of Ministry of Healthcare of Russia
Date and time: July 07, 2016 03:00
Patient’s full name: Filimonchik Viktoriia Alekseevna Patient’s ID: 41945 Date of birth/age: September 26, 2014 (21 months 1 week) Medical records card No.: 2016/37953 Bronchoscopy
Instrument: Pentax(45) Anesthesia: Combined Trachea: Lingual tonsil is not enlarged. Vallecular sinuses are free. Pyriform sinuses are free. Larynx: arytenoid cartilages are not changed. Vocal cords are without abnormalities. Glottis is wide. Subglottic space is free. Tracheal lumen is not deformed, well-passed, at the C3 level of trachea is tracheostomy on frontal wall. Mucosa of trachea, main bronchi, lobar and segmented bronchi is pale-pink, smooth, vessel pattern is preserved. Slight serous drainage on lobar and segmented bronchi of both lungs is observed. Bronchial tree lumen is not deformed. Cytology performed: no Biopsy performed: no Conclusion: installed tracheostomy
Doctor (endoscopy technician): I.V. Zakharov Signature: /Signature/
Stamp: Polyclinic * Federal clinical research center of Dmitriy Rogachev children’s hematology, oncology and immunology center * Ministry of Healthcare of Russia * ID 1027739507212 * for certificates
Federal State publicly-funded institution “Federal clinical research center of Dmitriy Rogachev children’s hematology, oncology and immunology center” Of Ministry of Healthcare of Russia
Neurologist
Date and time: July 04, 2016 Consultation of medical specialist, candidate of medical sciences
Medical records card No.: 41945 Patient’s full name: Filimonchik Viktoriia Alekseevna Age: 21 months 1 week Date of birth: September 26, 2014 Place of residence: Yaroslavl oblast, town of Yaroslavl, ulitsa Uglichskaia Str., house 21, Apt. 14
Complains: of disordered motor activity of right limbs, swallowing difficulty (installed tracheostomy, nasogastric feeding). Medical case history: surgical treatment of atypical teratoid rhabdoid tumor, currently metastases in spinal cord are present. After surgery child has been receiving Carbamazepinum 100 mcg per day, also she was receiving valproic acid. Conscious condition: communicative, answer on demand. Psychomotor development: stands holding the support, walks with assistance. Cranial nerves: pupils: shape – normal, width – S=D, reactive to light, convergence is preserved, palpebral fissures D<S, eyeglobes mobility is not limited, no strabismus, no nystagmus. Trigeminal spots palpation is painless. There is a paresis of mimic muscles on the right, swallowing difficulties. Bulbar palsy is present. Tongue deviation to the right is observed. Muscular strength: decreased in right limbs to 3,5-4 points. Muscular tonus: hypotonia Hyperkinesis: none Coordination test performed: picks up toys confidently. In Romberg's position: static ataxia Walking: with support hemiparetic Sleeping disturbances: sleep is troubled Examination plan: oncologist consultation EEG during wakefulness Treatment plan: continue administration of Carbamazepinum (finlepsin) 100 mcg per day Hydroxyzinum (atarax) 0,025 as ¼ of a pill before bed, 1/8 of a pill twice daily in the morning/at noon. Date of examination: July 04, 2016 Diagnosis: C7.1 Malignant neoplasm of brain stem Clinical description: Right-sided hemiparesis, bulbar palsy. Installed tracheostomy.
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Date of screening: July 07, 2016
Date of screening: July 07, 2016
Date of screening: July 07, 2016