A. S. 75/M GUINDULUNGAN, MAGUINDANAO

E. B.59/FMIDSAYAP, COTABATOCC: MASS, RIGHT POPLITEAL AREA

HISTORY OF PRESENT ILLNESS6 months PTC patient noted an enlarging mass, 4x4cm, on her right popliteal area, associated with pain on right knee, temporarily relieved by pain relievers. No consult done.

1 month PTC consult done at private physician and advised for ultrasound of the right popliteal area. HISTORY OF PRESENT ILLNESSShe was then referred in this institution for surgical evaluation and management. FAMILY MEDICAL HISTORYNo diabetes mellitusNo hypertensionNo bronchial asthmaNo cancerSOCIAL AND PERSONAL HISTORYSmoker, 10 pack yearsNon alcoholic beverage drinkerHousewifePHYSICAL EXAMINATIONGeneral Exam: conscious, coherent, afebrileVital signs: BP- 120/80, RR-20/min, PR-90/min Ht 165 cm, Wt 51 kg, BMI 20Skin: good turgorNeck: (-) lymphadenopathyChest: Equal chest expansion, Clear Breath SoundAbdomen: soft, nontender abdomenExtremities: palpable pulses, good femoral and dorsalis pedis pulses

Mass, right popliteal area, 4x4cm, no erythema, soft, nontender, movable, well circumscribed, nonpulsatile

Mass, right popliteal area, 4x4cm, no erythema, soft, nontender, movable, well circumscribed, nonpulsatile

ULTRASOUND OF THE RIGHT POPLITEAL AREA (12/23/2013)There is a cyst lesion measuring 4.6 x 2.9 x 2.5cm seen in the right popliteal area. There are thin septae noted within. No solid component detected. The rest of the surrounding structures are unremarkable.

IMPRESSION: SUGGESTIVE WITH BAKERS CYST, RIGHT POPLITEAL REGION. LABORATORIESCBCWBC 9.3HGB 145HCT 0.44BT A URINALYSISPUS -0-2RBC 0-2

FBS5mmol/LCREATININE96.32umol/L

LABORATORIESECG SINUS RYTHMCHEST XRAYATHEROMATOUS AORTA

MEDICAL CLEARANCE: INTERMEDIATE RISK

IMPRESSIONBAKERS CYST, RIGHT POPLITEAL AREAPLANEXCISION OF THE CYST