What Can I Do?

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What Can I Do? by Mind Map: What Can I Do?

1. Third Session

1.1. Step (9): Review of Learning Objectives

1.2. Step (10): Management

1.2.1. Non-small cell Stage one & two: surgical Exceptions ( Refusal, affecting the bronchi and esophagus, co-morbidity ) Stage 3? Chemi + radio Stage 4: Surigcal intevention ( has to be have a solitary metastatic leison + confined to one area )

1.2.2. Small cell Chemotherapy Cisplatin or carboplatine + etoposide Surgical if the tumor is not Met Because by the time of the diagnosis the cancer has spread( Only done to get a biopsy ) Radiotherapy ( Rarely used )

1.2.3. For the prevention of the nausea and vomiting associated with chemo >> Ondasterone

1.2.4. If brain met is suggested > prophylactic radiation BUT if sure >> radiation and chemo

1.2.5. Prevention Cutting off smoking Awareness of the risk of smoking Asbestos as a risk

1.3. Step (11): Feedback & Resources

2. Second Session

2.1. Step (6): Review of Learning Objectives

2.1.1. Mass in the lung: Neoplasia Inflammatory Infectious Non-infectious Benign lesion Hamartoma Difference between malignant and benign lesions Malignant: can have corona radiata, irrigular ridge, Above 3 cm

2.1.2. Lung cancer Types Adenocarcinoma Small cell Squamous Large cell 10% of heavy smoker develop cancer ( But 80% of those who developed lung cancer used to be tobacco smokers ) Risks: smoking, age, asbestos, air pollution Sings and symptoms: Cough, wheezing, hemoptysis, Systemic: fever, weight loss Met: bone pain Para-neoplastic syndrome: SIADH( hyponatriemia + euvolmic ) .. ACTH production .. Lambert-eaton syndrome and other neurological syndromes Pancost tumor: Ptosis, miosis, anhydrosis, enophthalmos SVC obstruction Clubbing & PHOA Airways obstruction

2.2. Step (7): Gathering Information & Inquiry Plan

2.2.1. History

2.2.2. Physical Examination Vitals: BP: 110/65 pulse: 90 per min Wight : 50 Kg .. height: 150 cm Not jaundiced TEMP: 37.4 General appearance: emaciated

2.2.3. Investigation

2.3. Step (8): Diagnostic Decision

2.3.1. Mechanism

2.3.2. Presentation

2.3.3. Supporting Data


2.4.1. Management and prevention

3. First Session

3.1. Step (1): Identifying Difficult Words & Cues

3.1.1. Difficult Words Naturopath

3.1.2. Cues 50 M Worsening cough Shortness of breath Pain; left rib, pelvic pain, RUQ MASS IN THE RIGHT LUNG need for further investigation Pain worsening at night Worsen with bending

3.2. Step (2): Problem Formulation

3.2.1. 50 y old Male complaining of RUQ pain, and in the left rib & left pelvic region with shortness of breath and cough. 2 y ago X-ray showed right lung mass lesion.

3.3. Step (3): Hypotheses Generation

3.3.1. Lung cancer

3.3.2. what about the mass in the x-ray?

3.3.3. Liver cancer > Lung ( Met ) to the bone as well

3.3.4. TB

3.3.5. Pelvic trauma

3.3.6. Alcoholic pt; multiple rib fractures

3.4. Step (4): Hypotheses Organization

3.4.1. Neoplastic ( of the lung mass ) & Non-neoplastic

3.5. Step (5): Learning Objectives

3.5.1. 1- To list the DDx of mass in the lung upon X-ray

3.5.2. 2- Lung cancer definition, pathogenesis, risk factors, presentation, investigations and pattern of metastasis