Pumonary Mass
Age: years old
Gender:
HISTORY:
Presents for a
Chest : mm nodule on the , characteristics:
Current symptoms:
, of phlegm
,
, , , ,
, over ,
, up to °, over
Contributing factors:
no history of: , ,
no use of: , ,
smoking: pack-years
no family history of:
EXAM:
General appearance: ,
Vital signs: , BP , HR , RR , SpO2 %, Temp °
Neck: , , , c-spine
Heart: , ,
Lungs: , ,
Extremities: , , cap refill sec, pulses , ,
ASSESSMENT:
DDx: benign lung nodule, primary lung cancer, metastatic cancer, infectious granuloma (e.g., tuberculosis, histoplasmosis), hamartoma, bronchogenic cyst, rheumatoid nodule, sarcoidosis, lymphoma, pulmonary infarct, arteriovenous malformation, pneumonia, lung abscess, fungal infection, parasitic infection, vascular lesions, pulmonary fibrosis, pulmonary contusion, foreign body, pulmonary arteriovenous malformation, pulmonary hematoma, mucoid impaction
PLAN:
Investigations:
- Chest X-ray
- CT scan of the chest
- PET scan
- Bronchoscopy
- Percutaneous needle biopsy
- Blood work: , , , , , , , ,
Treatments:
-
-
-
-
- Smoking cessation counseling
Further care:
- Repeat CT scan in (based on Fleischner guidelines)
- Referral to pulmonologist
- Referral to thoracic surgeon
- Referral to oncologist
- Referral to radiation oncologist
- Follow-up in
- Return if symptoms worsen or if new symptoms develop such as shortness of breath, chest pain, or weight loss
HISTORY: EXAM: ASSESSMENT: PLAN: