CM, a 64 y/o, male, previous smoker for 10 pack years, who
completed PTB treatment, was admitted last February 6, 2016. Patient presented with a lung mass, occasional productive cough with no other associated symptoms. He was previously admitted for dyspnea and chest pain 2 months prior to admission. Vital signs were taken with T of 36.4C, BP of 120/80mmHg PR of 84bpm, RR of 24cpm. Cachexia and clubbing were noted on physical examination. Labs were ordered: CBC with platelet, Creatinine, BUN, Na, K, Ca, SGPT, SGOT, Alkaline phosphatase, Total bilirubin, Blood GS/CS, 12-lead ECG, HGT, CXR-PAL, CT scan with contrast, CT scan guided biopsy of lung mass, sputum AFB 2X, and sputum GS/CS. He was admitted with the impression of Pulmonary Newgrowth, Status post-pulmonary Tuberculosis Treatment. Venoclysis was started with PNSS 1L at 30gtts/min. No medications were given. Vital signs were monitored every 4 hours and I and O every shift. He was referred to pulmonary subspecialty.