Case 40 Part 1

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Tip: You’re not trying to guess a reasonable diagnosis or pick what could be true. You’re practicing evidence-based decision-making.

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External exam





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Discussion Questions

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1. Summarize the history.
 
 
2. How many different cancers did the patient have? Where were they?
 
 
3. Why did the patient have so many cancers?
 
 
4. How many different procedures did the patient have? What were they? Which were diagnostic? Which were for cancer resection? Which were to restore body function? Which were for post-operative complications?
 
 
5. Do you think the initial lung cancer and the later lung mass are related? If so, how?
 
 
6. What is the likelihood of a new metastasis years after an initial lung cancer is resected? What is the likelihood of a second, new lung cancer after a first?
 
 
7. What are common ways patients with lung cancer die? Which are gradual? Which are catastrophic events? What is the anatomic basis of each?
 
 
8. How would you incorporate end-of-life discussions into your care of cancer patients? At what point in the care would you have this discussion?
 
 
9. What unique discussions might you have with a patient with a central vs. peripheral tumor?
 
 
10. What are the risks of tumor biopsy?
 
 
11. How does the risk of cancer change after cessation of smoking?
 
 
12. What are the risks of a tracheostomy procedure?
 
 
13. How is an intestinal autotransplant performed?
 
 
14. Inventory all the physical findings.
 
 
15. Correlate each finding with the history.
 
 
16. Are there any physical findings that aren’t explained in the history? How do you account for that?
 
 
17. Are there any parts of the history that don’t have a physical finding you might expect?





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Canvas Paint – Example 5


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Canvas Paint – Example 5






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If I click this…
 
I’ll see a video on the left.
 
On the right I’ll see a list of key terms or an activity.
If I click this…
 
I’ll see the same video on the left.
 
On the right I’ll see a list of discussion questions about the video.
If I click this…*
 
I’ll see the same video but with interactive anatomy pins.
 
On the right I’ll see the list of pins.
 
*Only on some cases.
If I click this…
 
I’ll see the same video but I can draw on it and add numbers to label what I’ve drawn.
 
It’s interactive.
If I click this…
 
I’ll have a sketch pad to draw on.
 
There’s a male body diagram, a female body diagram and also a blank canvas.
This space is saved for the future.