Scenario
A 50-year-old female presents to the primary care clinic with a three-month history of fatigue, unexplained weight loss, night sweats, and a persistent cough. She has a 20-pack-year smoking history and is concerned about her symptoms.
Question
- Differential Diagnosis:
- List at least three possible diagnoses for this patient based on her symptoms and history.
- For each diagnosis, provide a brief explanation of why it is a consideration and the key distinguishing features.
- Initial Diagnostic Workup:
- Outline the initial diagnostic tests and procedures you would order to evaluate this patient’s condition.
- Explain the rationale for each test and what specific information you hope to obtain.
- Management Plan:
- Based on the potential diagnoses, describe the initial management plan for this patient, including any immediate treatments or interventions.
- Discuss how you would address her smoking history in the context of her current health concerns.
- Patient Education and Follow-up:
- Identify key points for patient education regarding her symptoms, potential diagnoses, and the importance of follow-up care.
- Describe the follow-up plan, including any referrals to specialists and additional tests or monitoring that may be necessary.
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