Kidney Cyst Questionnaire

Your Name *:
Country *:
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Q1:Is the patient male or female?
Male Female
Q2:How old is the patient?
Q3:How the kidney cyst is found?
Q4:How many cysts in the kidney?
Q5:Do the cysts affect unilateral or bilateral kidneys?
Q6:What is the size of the largest cyst in the kidney?
Q7:Describe the symptoms and complications that you have?
Q8:Are there walls within the cysts?
Yes No
Q9:Is there mineral calcium in the cysts?
Yes No
Q10:What kind of medicines and treatments have you received?
Q11:What kind of information would you like to know?
 

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