2The patient 45 year old male 170 lbs 5’11” Complaining of a cough that hasn’t gone away for 4 months
3Good What should we do first? Dr. Chase says he’s a good surgeon, and he can operate to find the cause.Dr. Taub says it’s probably just allergies, and to prescribe some allergy medicine.Dr. Foreman says we should ask the patient questions about his medical history, and listen to his chest.Good
4Pick some questions to ask: Any other allergy symptoms? Runny nose, sneezingAny other chest pains?History of smoking?Fever?
5New information No sneezing or runny nose No fever No sore throat Has been a regular smoker for over 20 yearsAbnormal sound in right lung
6What now? Dr. Chase says he thinks it might be pneumonia Dr. Wilson says he thinks it might be lung cancerDr. Adams says she thinks it might be a virus
10X-ray of our patientDr. Wilson says this is a good sign that it’s lung cancer.
11What else can we do to check if it’s cancer? Dr. Chase says we should do a biopsy on it now to see what it is.Dr. Wilson says we should do a PET scan first to find out if it has spread to other parts of the bodyDr. Taub says we should do an echocardiogram to see if there is anything wrong with his heartGood
13Patient PET scanBrain lights upBladder lights up
14What now?Dr. Chase says now we need to do the biopsy to try to remove the tumor and find out more about the type of cancerDr. Foreman says we should start the patient on chemotherapyDr. Adams says we should use radiation to treat the cancerGood
16What do we know now? Patient has lung cancer, but it hasn’t spread It seems to be a slow growing non-small cell cancerSurgery and radiation are both good when the cancer is all in one spot
17Questions to answerWhat was the most significant thing that contributed to his risk for lung cancer?What can an x-ray tell us about lungs?What can a PET scan tell us about cancer?Why is a biopsy of the cancer important even after the patient has been diagnosed?