ScenarioA 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.
QuestionDifferential 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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