| Symptoms
& History
Physical
Findings
Stop
& Think
Lab
and X-Ray
Differential
Diagnosis
The
Disease
Treatment
Conclusions
Quiz
& Evaluation |
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This
is definitely not looking good for Mr. Helms.
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Terrible chest film. Suggests
neoplasm.
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Bad chemistry labs. What do
you think they suggest?
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Lousy history. Smoking and father
dying of lung cancer.
The lung mass needs to be evaluated
pronto.
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A sputum
for cytology is quick, easy and cheap. We can see the cells plus get
a culture.
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Skin test for TB or Histoplasmosis
might help, but if it is one or the other, he is likely to have such a
profound cutaneous response he may actually ulcerate and lose some skin.
Tread carefully here
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Bronchoscopy certainly seems
indicated, but can you get him talked into it?
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