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  #1  
Old 03-27-2012
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Lungs Management of metastatic lung cancer

NOTE: this is a USMLE Consult-"inspired" question, so look away if you plan on using USMLE Consult as a measure of your progress.


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A 79-year-old man has been in a hospice facility for 4.5 months. He was diagnosed with metastatic small cell lung cancer 3 years ago. There are metastases to the brain, liver, and spinal column. His mood is positive, and he is grateful that his family and friends have been visiting him. He has no questions and is comfortable with his current place in life. Which of the following is the most appropriate management option?

A. consult with physicians for a brain biopsy
B. pursue lung transplantation
C. refer to a neurosurgeon
D. transfer to a hospital
E. provide palliative care
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Old 03-27-2012
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provide palliative care
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Old 03-27-2012
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provide palliative care
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Old 03-27-2012
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I would go with E) Provide palliative care.

At this point in patients care, he is probably in the Acceptance stage of Kubler Ross stages of grief... so he knows his diagnoses and probably wants to spend the rest of his short life in a positive mood!
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Old 03-27-2012
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Default answer = E.

the answer is E. provide palliative care.
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Old 03-27-2012
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Give the guy some LSD!!

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came across some bizarre book back in a day, where researchers tried LSD in terminally ill patients. Well, I guess that is the great place and time to try it, maybe Hunter S Thompson was right...
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Old 03-27-2012
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E
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