November 2015 pulmonary case of the month

• Main Authors: Choi K, Wesselius LJ
• Format: Article
• Language: English
• Published: Arizona Thoracic Society 2015-11-01
• Series: Southwest Journal of Pulmonary and Critical Care
• Subjects: brain; metastasis; treatment; CT scan; lung cancer; bronchoscopy; endobronchial ultrasound; EBUS; epidermal growth factor receptor; 4-anaplastic lymphoma kinase; EGFR; ALK
• Online Access: http://www.swjpcc.com/pulmonary/2015/11/1/november-2015-pulmonary-case-of-the-month.html

No abstract available. Article truncated after 150 words. History of Present Illness: A 66 year-old woman was admitted to neurology with acute-onset dysarthria, right facial droop, and right-sided hemiparesis as a stroke alert. She also had a nonproductive cough and intermittent dyspnea for 4 months. Past Medical History, Social History and Family History: She has a history of hypertension and hyperlipidemia. She smoked 1-2 packs/day for 15 years but quit 35 years ago. She drinks two glasses of wine per day. There is a family history of bowel and breast cancer. Physical Examination: Vital signs: T 36.8, HR 81, BP 129/75, RR 18, O2 sat 93% RA. General: No acute distress. Awake and alert. Heart, abdomen, and lungs: No significant abnormalities. Neurological: Mild right-sided nasolabial fold flattening. Evidence of ptosis o the right eyelid. Hemiparesis on the right, the arm greater than leg. Sensation intact. Dysmetria on the right upper and lower extremities. Laboratory Evaluation: CBC: Hemoglobin 11.9 ...