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Neurologist: S.P. Khomiakova





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

 

Ophthalmologist

 

Date and time: July 04, 2016

2.2 Repeated consultation of medical specialist, doctor of medical sciences (higher doctorate)

 

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 OD redness

STATUS OCULORUM: Vis OD = spatial vision

Vis OS = spatial vision

Deviation:OD – converg to 10

Eyeglobes position in orbit:height OD<OS

Eyeglobes mobility: OD limited mobility outwardly. Fine nystagmus is observed periodically in direct look. Eyelids closure is incomplete in OD.

On examination: OS is quiet. OD – conjunctival injection.

Cornea: OD – multiple areas of keratopathy. Corneal reflex is absent in OD.

Pupil: OD<OS. OD – photoreaction is direct and consensual OD<OS.

Eye fundus: OD – behind the haze. OS – optic disc is pale-pink, with sharp contours. Pathway and caliber of vessels is almost unchanged. MZ, periphery is without abnormalities.

Additional methods of examination: soft contact lens on OD

Conclusion: Paresis n.abducens, n.facialis, n.ophthalmicus. No data on intracranial hypertension in eye fundus was obtained. OD – eye fundus is behind the haze.

Recommendations: 1. Soft contact lens sph-0,5 BC 8,2 for the right eye (scheduled replacement once every 7-10 days)

2. Corneregel®/ Solcoseryl® 8 times per day into right eye,

3. Complete occlusion of right eye during sleep.

4. VitA-pos® apply on lower eyelid before bed.

Date of examination: July 04, 2016

Diagnosis: H49.2 Sixth [abducent] nerve palsy

Clinical description:

Time of examination: 10:35

Ophthalmologist: O.A. Boginskaia

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

 

Otolaryngologist

 

Date and time: July 04, 2016

Consultation of medical specialist

 

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.

Medical case history: on March 30, 2016 surgical treatment of atypical teratoid rhabdoid tumor was performed, on 5th day tracheostomy was performed due to bulbar palsy development. Feeding is through nasogastric tube and also anatomically naturally. Choking troubles, liquids and solids sanitize from trachea. Currently patient has metastases into spinal cord.

Rhinoscopy: nasal respiration: conducted, on right side – nasogastric tube. Nasal cavity mucosa is pale, wet. General nasal passages: without abnormal secretion.

Pharyngoscopy: oropharyngeal cavity: palatine arches: contour sharply, of pink color, palatine tonsils: at the level of palatine arches, of elastic consistency. Posterior wall of pharynx is of pink color.

On external examination and neck palpation: on anterior surface of the neck at its usual position is tracheostomy with loaded cuffless tracheostomy tube Bivona No5,5. Mother takes care of tracheostomy and tube herself, she is able to change it herself once a week.

Conclusion: tracheostomy. Constant bearer of tracheal tube. Dysphagia. Bulbar palsy.

Recommendations:Diagnostic fiber-optic laryngotracheoscopy under anesthesia.

- Replacement of tracheostomy tube on tube No.4 with a cuff, preferably by Shiley.

 

Otolaryngologist: O.K. Timofeeva

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

 

Otolaryngologist

 

Date and time: July 06, 2016

2.2 Repeated consultation of medical specialist

 

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

 

Examination: child with diagnosis: tracheostomy. Constant bearer of tracheal tube. Dysphagia. Bulbar palsy.

Treatment conducted at time of examination: Replacement of tracheostomy tube was performed (cuffless tube No.5,5 was installed) on tube No.4 with expansion cuff system. Procedure went well. Tracheostomy channel is well-formed. Respiration through tracheostomy is satisfactory.

Recommendations:- due to mother’s attempts to fees a child through the mouth, it is recommended to try this with expanded cuff.

- Consider installation of gastrostomy with treating doctors.

 

 

Otolaryngologist: O.K. Timofeeva

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

 

Coat of Arms of Russian Federation

BIRTH CERTIFICATE

 

_________________________________ Filimonchik ___________________________________

last name

______________________________Viktoriia Alekseevna _______________________________

name, patronymic

was born on ______________________ September 26, 2014____________________________

date, month, year (in words and in figures)

____________________(twenty-sixth of September, two thousand fourteen) _______________

place of birth: _____________________town of Perm____________________________________

__________________________________Perm Krai_____________________________________

________________________________Russian Federation_______________________________

 

the entry whereof was made in the Birth Register on the 01stof Octoberof 2014under No.1467

Father _______________________________Filimonchik ________________________________

last name

________________________________Aleksei Viktorovich ______________________________

name, patronymic

___________________________________Russian______________________________________

citizenship

Mother______________________________Filimonchik _________________________________

last name

___________________________________Olga Iurevna________________________________

name, patronymic

____________________________________Russian_____________________________________

citizenship

 

Place of state registration: _________Department of Civil Status Registration Office of town of Perm administration (Ordzhonikidze department) of Perm Krai_______________________

(name of Civil Status Registration Office authority)

Date of issue: October 01, 2014

 

Head of Civil Status Registration Office authority ____/Signature/____ Iu.V. Melnichuk

 

Seal: Town of Perm administration * Department of Civil Status Registration Office of town of Perm administration Ordzhonikidze department * Coat of Arms of Russian Federation

III-ВГ No. 601860

 

 

R U S S I A N F E D E R A T I O N   Passport is issued by _____DEPARTMENT OF ADMINISTRATION OF FEDERAL MIGRATION SERVICE OF RUSSIA IN perm krai in ordzhanikidze district of town of perm_________________________________________________________   Date of issue 03. 07. 2014 Subdivision code 590-007     _________________________ Personal code _______Signature_________ ______Signature__________ Personal signature Seal: Russian Federation * Federal Migration Service * 590-007 * Coat of Arms of Russian Federation   57 14 183790
 
    PHOTO
Last name __________FILIMONCHIK_______________

________________________________________________

 

Name _______________OLGA____________________

 

Patronymic __________IUREVNA_________________

 

Sex ___F___ Date of birth _____26. 01. 1980_________

 

Place of birth ___VILLAGE OF CHERNITSYNO___

____________PODOSINOVETS DISTRICT__________

________________KIROV OBLAST_________________

________________________________________________

PNRUSFILIMON3IK<< OL9GA< 7R9EVNA<<<<<<<<<<<<

5711837907RUS8001265F<<<<<<<4140703590007<02

 

 

  57 14 183790

 

 

    No information is available   PLACE OF RESIDENCE  
   
 
Stamp: IS REGISTERED on September 19, 2012 Region: PERM KRAI Town: PERM District: - Street: UL. ADMIRALA STARIKOVA House 9, Bulk A, Apt. 83 by Department of Administration of Federal Migration Service of Russia in Perm Krai in Ordzhonikidze district of town of Perm 590-007 Certified by:Signature
 
 
Stamp: Administration of Federal Migration Service of Russia in Yaroslavl oblast in Leninsk district of town of Yaroslavl IS DEREGISTERED on March 15, 2016 SignatureSignature

 

 


57 14 183790

 

CHILDREN
Sex Last name, name, patronymic Date of birth Personal code
Female Filimonchik 26. 09. 2014 Signature
Viktoriia    
Alekseevna    

Seal: Russian Federation * Federal Migration Service * 760-002 * Coat of Arms of Russian Federation

57 14 183790

 









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