Professional Documents
Culture Documents
Sataion 5
BY DR SADEK AL-ROKH
SENARIO:
Social history:
Patient job? -- How much the symptoms do impaction on his job
& usual daily activity? If do say: I am sorry I will refer u to a
social worker to solve this problem for you (very important)
With whom Patient is living with, Married or not, any
relationship outside marriage? (Risk of HIV)?
Financial support?
Smoking & alcohol history.
Concern
EXAMINATION
N.B: if the scenario is Neck Lump , you have to take hyper and hypothyroidism hx.
Concerns
What it could be doctor ( lymphoma )?
Most probably you have nasty growth in your lymph node, we have to admit
you and do further blood test and imaging to confirm our diagnosis and
stating of the disease, we may need a snip from one of your lymph node under
anathesia and aseptic measures to confirm our diagnosis too , and we will
arrange another meeting to discuss the results with you , if diagnosis is
confirmed we will refer you to a blood doctor to give you the plan of
management .
Is it curable doctor ?
Treatment is available in the form of chemotherapy , to suppress the disease
activity , response for treatment is variable from one patient to another.