...Case Study April 6, 2010 Primary Diagnosis Lung CA with acute mental status change secondary to underlying pneumonic process. Abstract On April 3, 2010 a 61-year-old white female, suffering from a pancoast tumor, presented to the emergency room with altered levels of consciousness and confusion. The patient had gone through her fifth cycle of chemotherapy when she became very confused today. She was then brought to the emergency room where she was evaluated and had testing done. A CT scan of the patients head showed no signs of acute abnormalities. The chest x –ray re-demonstrated the pan coast tumor with possible underlying infection. Sinuitis also was noted on the CAT scan. The patient was admitted to the floor because of her shortness of breath and level of confusion. Antibiotics were administrated for the pneumonic process and Neupogen was given. The patient was put on oxygen therapy and aerosol treatments and later was transferred to the ICU because of respiratory failure. The patient was placed on a mechanical ventilator when sent to ICU with the new status of DNRCC-A and was extubated on 3/6/10 and died. Past Medical History The patient has a history of depression and acute mental status change. The patient has a surgical history of an A-port insertion. History of Present Illness The patient came into the emergency room complaining of confusion and weakness after her fifth cycle of chemotherapy was done earlier that day. Physical Exam on Admission Vital...
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...Lung cancer From Wikipedia, the free encyclopedia This article is about lung carcinomas. For other lung tumors, see Lung tumor. Lung cancer Classification and external resources LungCACXR.PNG A chest X-ray showing a tumor in the lung (marked by arrow) ICD-10 C33-C34 ICD-9 162 DiseasesDB 7616 MedlinePlus 007194 eMedicine med/1333 med/1336 emerg/335 radio/807 radio/405 radio/406 MeSH D002283 Lung cancer (also known as carcinoma of the lung) is a malignant lung tumor characterized by uncontrolled cell growth in tissues of the lung. If left untreated, this growth can spread beyond the lung by process of metastasis into nearby tissue or other parts of the body. Most cancers that start in the lung, known as primary lung cancers, are carcinomas that derive from epithelial cells. The main primary types are small-cell lung cancer (SCLC), also called oat cell cancer, and non-small-cell lung cancer (NSCLC). The most common symptoms are coughing (including coughing up blood), weight loss, shortness of breath, and chest pains.[1] The most common cause is long-term exposure to tobacco smoke,[2] which causes 80–90% of lung cancers.[1] Nonsmokers account for 10–15% of lung cancer cases,[3] and these cases are often attributed to a combination of genetic factors,[4] and exposure to; radon gas,[4] asbestos,[5] and air pollution[4] including second-hand smoke.[6][7] Lung cancer may be seen on chest radiographs and computed tomography (CT) scans. The diagnosis is confirmed by biopsy[8]...
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