1、流水帳
Page 1 – Admitted with chest pain likely myocardial infarction, treated with dual anti-platelet agents. Plan: troponin and in-patient angiogram.
Page 2 – New pyrexia, troponin negative, chest X-ray shows consolidation. Plan: antibiotics and consider CT scan.
Page 3 – CT scan shows evidence of cavitation likely TB. Plan: Bronchoscopy and triple therapy.
Page 4: Bronchoscopy shows malignant cells, likely lung cancer. Plan: Surgical referral.
2、最新整理過的的資訊
Chest pain due to cavitating lung cancer according to CT and bronchoscopy. No evidence of myocardial infarction or infection.
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