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Differential Diagnoses

Differential Diagnoses. Differential Diagnoses. Differential Diagnoses. Differential Diagnoses. Diagnostics. Laboratory Work-Up. hematology. Laboratory Work-Up. BLOOD CHEMISTRY. Laboratory Work-Up. URINALYSIS. Differential Diagnoses. Imaging Studies. Chest x-ray. Imaging Studies.

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Differential Diagnoses

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  1. Differential Diagnoses

  2. Differential Diagnoses

  3. Differential Diagnoses

  4. Differential Diagnoses

  5. Diagnostics

  6. Laboratory Work-Up hematology

  7. Laboratory Work-Up BLOOD CHEMISTRY

  8. Laboratory Work-Up URINALYSIS

  9. Differential Diagnoses

  10. Imaging Studies Chest x-ray

  11. Imaging Studies multiple contiguous axial CT scan of the chest with Iv contrast

  12. Imaging Results • Well defined lobulated pulmonary mass with irregular margin with eccentric calcifications at the superior basal segment of the left lower lobe • <1cm pulmonary nodule at the posterior basal segment of the right lower lobe • With either linear fibrosis or subsegmentalatelectasis at the anterobasal segment of the left lower lobe • Pleural thickening, left lung • Thoracic spondylosis • No liver metastasis

  13. Tissue Diagnosis Surgical pathology

  14. April 26, 2010 Malignant columnar cells forming a papilloid pattern, with large nuclei and scanty cytoplasm, suggestive of metastatic poorly undifferentiated adenocarcinoma

  15. SCLC vs. NSCLC

  16. Culture Afb sputum

  17. June 26, 2010 • Day 1: (-) AFB • Day 2: (-) AFB • Day 3: (-) AFB

  18. Diagnosis

  19. Working Diagnosis Lung cancer, non-small cell (adenocarcinoma), stage 4, currently undergoing cobalt radiotherapy with possible malnutrition and pulmonary TB. To consider kidney and liver damage.

  20. http://www.hrpca.org/Bookletch19.htm • http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1626451/ • http://www.hrpca.org/Bookletch19.htm • http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1626451/ • http://www.chemocare.com/managing/hypoalbuminemia-low-albumin.asp • http://www.medicinenet.com/esophageal_cancer/page3.htm#4whatare • http://www.cancer.gov/cancertopics/factsheet/sites-types/head-and-neck#5 • http://www.medicinenet.com/lung_cancer/page4.htm#toce • http://www.emedicinehealth.com/pancoast_tumor/page3_em.htm#Pancoast Tumor Symptoms • http://emedicine.medscape.com/article/760301-overview • http://www.medicinenet.com/superior_vena_cava_syndrome/page2.htm#tocd • http://emedicine.medscape.com/article/177354-overview • HPIM 17th edition

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