HISTORY:
Presents for a
Chest : mm nodule on the , characteristics:
Current symptoms:
,
,
, ,
, over ,
, up to °, over
Other elements:
Smoking: pack-years
EXAM:
General appearance:
Vital signs: , BP , HR , RR , SpO2 %, Temp °
Neck:
Heart: ,
Lungs: ,
Extremities: , , cap refill , pulses ,
ASSESSMENT:
DDx:
PLAN:
- Chest X-ray
- CT scan of the chest
- PET scan
- Bronchoscopy
- Percutaneous needle biopsy
- Blood work: , , , , , , , ,
-
-
-
-
- Smoking cessation counseling
- Repeat CT scan in (based on Fleischner guidelines)
- Referral to pulmonologist
- Referral to thoracic surgeon
- Referral to oncologist
- Referral to radiation oncologist
- Follow-up in
- Return if symptoms worsen or if new symptoms develop such as shortness of breath, chest pain, or weight loss