Elroy has had a persistent cough for almost two months with shortness of breath when walking up stairs. He has smoked for over 20 years. Last week, he made an appointment to see his physician. While waiting in the waiting room, he coughed up blood. His surgeon is concerned, obtains a sputum specimen, and orders a chest X-ray. The sputum specimen is positive for blood and negative for infection. Carcinogenic cells were seen. His chest X-ray shows a lung mass in the RLL. He calls Elroy and schedules him for a bronchoscopy, mediastinoscopy, and possible thoracotomy.
1. What is the medical term for coughing up blood? According to Elroy’s history and physical, he also complains of orthopnea along with dyspnea. Exactly what are his symptoms?
3. Why is the physician doing a bronchoscopy? What tests will be done? How will the ST assist with the procedure?
4. The frozen section from the lung biopsy is positive for small-cell carcinoma. Why is the surgeon completing a mediastinoscopy?
5. The mediastinoscopy biopsy is positive for oat cell (small-cell) carcinoma; why do you think the surgeon canceled the thoracotomy? Get Nursing Assignments Help Today
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