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SALIENT POINTS

64 years old, male


Smoker for 10 pack years
Post-pulmonary Tuberculosis treatment
Incidental finding on CT scan: lung mass
Cachexia, clubbing of nails

WORKING IMPRESSION: Pulmonary Newgrowth

DIFFERENTIAL DIAGNOSIS
DIFFERENTIALS POINTS FOR: POINTS AGAINST:

COURSE IN THE WARDS

Problem No.1:

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.

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