Medical Case Scenario

the American Cancer Society there are benign tumors, which are rare and often develop in

He does not smoke or drink. He is married with two children. There is no cancer within the family. No known drug allergies. Current home medications are Omeprazole 20 mg 1 tablet daily, Ondansetron 4 mg 1 tablet daily, Oxycodone 5 mg 1 tablet p.r.n. for pain. He was recently started on FOLFOX with chemotherapy. Currently patient has been on Hydrocodone, morphine IV for pain, Ondansetron IV for nausea, and Lovenox SC for DVT prophylactic. Patient has been not taking any blood pressure or diabetes medication as per hospital record which may lead to raise in blood glucose level and blood pressure (due to pain) postoperatively. Close monitoring of vital signs, pain scale and CBG will be the important in patient’s care. Due to his extensive metastatic condition, obesity and being prediabetic makes his overall prognosis poor with high chance of having complications postop including fistulas, bowel injury, infection, slow wound healing and

Henderson in regards to his diagnosis, prognosis, and treatment options. Unfortunately, the patient has a tumor that is greater than 5 cm and thus precludes surgery. Therefore, I will consult Interventional Radiology to see if transarterial chemoembolization (TACE) can be offered to the patient. I will see the patient after he is evaluated by Interventional Radiology. I informed the patient that if TACE is an option to the patient, he will need ongoing surveillance post haste to see if there is any development of new lesions or growth of his current lesion. The patient voiced understanding of the above

Patient History: my patient is a 79 y/o female. She weighs 71.7 kg and is 165.1 cm tall. She has a history of colon carcinoma and hypertension. She has had a previous cholecystectomy, appendectomy, and removal of a uterine polyp. She has no history of bleeding disorders. She was a smoker, but quit 30 years ago. She smoked a half pack per day for 10 years; rare alcohol use. She is status post right-hemicolectomy. She is allergic to penicillin.

Our current patient is Mr. William Blake. Mr. Blake is 68 years old, married for 40 years. Father and Grandfather too many children. He is a retired school teacher and Sunday school teacher. Mr. Blake has terminal lung cancer, and does not wish to die at the end of a long and drawn out battle with his disease. Mr. Blake has been healthy most of his life, except for his habit of smoking which has caused him

History of Present Illness: Ms. Dall is a very pleasant woman who has a very extensive smoking history. She has obtained an initial CT scan, which showed a right upper lobe pulmonary nodule. She has subsequent PET scan and she is here today for followup of those results as well as pulmonary function testing. She continues to smoke about a pack a day and is not willing to quit at this point.

A review of the medical records indicates that he has adenocarcinoma of the lung. He is on chemotherapy- oral Gilotrif. He is followed by Dr. Wertheim for oncology, which he saw last week. He is schedule to have a PET scan next week.

On 10/13/16 I met Mr. Westover at the office of Dr. Raymond. Mr. Westover ambulates with a cane. He reports when he is at home he doesn’t use it. Physical therapy continues to work with strength and balance goals. Mr. Westover feels he would benefit with another month of therapy. He has completed speech therapy. The peg tube site on Mr. Westover’s abdomen still has a scab and scant drainage at times. Dr. Raymond would like his to keep putting Neosporin on it. If it doesn’t fully close doctor would like him to follow up with gastrologist who put the tube in. Mr. Westover examination shows weakness still on the left leg, and right arm.

A 60 year old male presented in the ED with a history of chronic alcoholism, diabetes mellitis type 2, aortic valve stenosis and shortness of breath. He states that he cannot catch his breath and has constant burning chest discomfort for one week without substernal chest pressure. He reports coughing with production of sputum and denies having these symptoms before. He does drink alcohol (including today) and admitted to drug use (marijuana). He developed worsening respiratory distress in the ED and was placed on a Bipap, but his oxygenation worsened and he was intubated. He was hypotensive and started on a norepinephrine drip after central line placed in right IJ. A chest x ray showed evidence of fluid overload. He shows signs of CHF,

All members of a medical team need to know the different types of laws not only for their benefit, but for the safety of their patient. If someone acts out of line and does a procedure beyond their ability, it is risking a life! And that is a scary thought no matter what the situation. I only want someone who is working within their own abilities on me. It makes for a safer environment and prevents lawsuits from happening if something was to go wrong.

○ Locally advanced unresectable: cancer has spread to blood vessels and other organs; cannot be treated by surgery

Rationale: The patient has a history of head and neck cancer that has been managed for the last one year and has had chemotherapy and radiotherapy for 6 weeks. There is a report of cancer metastasizing indicating that it has not been treated yet. Being a male, the risk for this cancer, considered he smoked until when diagnosed with the disorder, is high.

The patient I am presenting has a history of breast cancer and lymphoma. The patient was complaining of palpitations which brought her into the hospital. The patient also complained of an abnormal lump in her neck. The severity of the patients pain prior to the procedure she undertook were moderate. Following the procedure the patients pain severity increased. For treatment the patient has been seen by her primary

This study represents one year follow-up of two prospective groups of patients. Group A (potentially septic wounds-peritonitis) included 80 patients, 64(80%) males and 16 (20%) females. Group B (Aseptic wounds-IPHge) included 80 patients, 60(75%) males and 20 (25%) females. All patients (160) of group A and B underwent urgent midline laparotomy. As regard to socio-demographic data which are shown in table(1). There was insignificant difference between the two studied groups regarding gender [as shown in fig.(2)], residence and country. Both studied cohorts included more men than women. The mean age of group A was 39.14 years(15-77) versus 29.83 years(15-75) in group B (P=<0.0001)[as shown in fig.(1)]. 54(67.5) patients were

A heavy smoker – he may ask you stop for a certain period or quit permanently for the procedure to work.