Persistent cough and fever

Cheif Complaint A 68 y/o female presents with the h/o persistent cough and fever for 1 month. Vitals BP:125/75mmhg, HR:77 bpm, Breathing: 18 bpm, Temp: 98.2 degree F History She had been a chronic smoker for 30 years and left smoking 4 years back. She had been treated for cervical cancer with no sign of relapse on followup. Examination Physical examination shows no abnormality. Investigations Chest x-ray shows 1 pulmonary nodule in the left upper lobe & other in the right upper lobe. CT chest showed a 30 × 20 × 20 mm lesion in the left upper lobe & 10 × 20 × 11 mm in right lobe. CT-guided biopsy of the right lung showed a poorly differentiated squamous cell carcinoma. Treatment Need your valuable opinion on the case.

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* AGE 68 YEARS OLD.. * CT CHEST.. LESIONS .. IN..LEFT UL .. & .. RT.. LOBE.. * CT-GUIDED..BIOPSY RT..LUNG.. .. SCC.. NEED'S.. CHEMOTHERAPY.. WITH .. ONCOLOGISTS OPINION FOR FURTHER MANAGEMENT..

Tnx Dr Ashok Leel sir
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S C C lung b/l Chemoradiotherapy With relevant cough suppressants Broadspectrum antibiotics Short term steroids Monitoring

Thanx dr Afzal Baig
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Adv PET scan. Oncologist's opinion for further management.

CT guided biopsy report to be done Further treatment as per opinion of Oncologist

Thanks Dr. Sandeep Ghodeker, Dr. Kute Ankush, Dr. Dinesh Gupta
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CT GUIDED BIOPSY REPORT RT LUNG LUNG SCC UPPER LOBE. NEEDS FURTHER EVALUATION AND CHEMOTHERAPY. REASSURANCE AND COUNCILING REQUIRED.

Explain the prognosis to the patient and relatives. Oncologist opinion

POSSIBLY METASTASES SECONDARY. TO ..CERVICAL. CANCER..

Metastatic cervical cancer Adv Plan chemotherapy

CONSULT WITH MEDICAL ONCOLOGY AND SURGICAL ONCOLOGY DEPARTMENT for the better treatment and management of this patient.

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