| Symptoms
& History
Physical
Findings
Stop
& Think
Lab
and X-Ray
Differential
Diagnosis
The
Disease
Treatment
Conclusions
Quiz
& Evaluation |
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Evaluation
of operative status for someone with Mr. Helms' disease would include
some or all of the following:
-
Pulmonary function studies.
You
better find out before he goes to surgery if there's enough pulmonary function
to get by on one lung. Remember these guys have bad emphysema too. You
don't want to find out in the surgical recovery room while you're trying
to get him off the ventilator.
-
Bone
scan. Bone involvement makes this a Stage
IV malignancy and therefore not a surgical candidate.
-
CT of
head. Same as above. Brain metastasis make
him a Stage IV.
-
Abdominal
and chest CT. As above, we are looking
for mediastinal, liver, adrenal, kidney and whatever else involvement.
Here's
the scoop on Mr. Helms pre-operative evaluation.
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