Clinical Case: Mr. Herbert is tired.
 
Symptoms & History

Physical Findings

Stop & Think

Lab and X-Ray

Differential Diagnosis

The Disease

Treatment

Conclusions

Quiz & Evaluation

There is no short cut to giving someone this kind of news. You can't send a letter or have your nurse call. 
  • You need to meet with the person face-to-face.
  • No, they won't hear what you're saying at first, everything will likely need to be repeated a few days later.
Once Mr. Herbert understood the situation, he readily agreed to the necessary surgery.
  • Five days later, he had a partial colectomy.
  • There was no evidence of liver metastasis and 
  • No obvious involvement of the regional lymph nodes at the time of surgery. 
  
  
Here's what the tumor looked like.                                  Back
 

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