mash
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A 56-year-old woman complains of a 10-lb weight loss over a 2-month period. She has generalized malaise and anorexia. She does not smoke cigarettes or drink alcohol. She has no past medical history and takes no medications. Three years ago, her colonoscopy, mammogram, and Papanicolaou smear were negative. Physical examination reveals a temperature of 100.4°F. Heart, lung, and abdominal examinations are normal. A 2-cm fixed hard nontender node is palpable in the right supraclavicular area. Which of the following is the most appropriate next step?
A. Chest radiograph
B. Colonoscopy
C. Mammography
D. CT scan of the chest
E. Papanicolaou smear
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I hear and I forget. I see and I remember. I do and I understand.
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| dev
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c-mammography
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| mash
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why?
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I hear and I forget. I see and I remember. I do and I understand.
--Confucius
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| dev
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i think
chest xray,ct ct chest-pt is not a smoker.and lung cancer would nt spread to supraclavicluar without symptoms.
colonoscopy-any colon cancers,viscera-more left clavicular node involvement.
CA cervix by the time it reaches supraclavicular,pt will be dead by renal complications.
what do u think?
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| bose
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is it A - CXR?
Mash, what's the answer and why?
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| mash
Forum Fanatic
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ans is mammography but i dont understand why
adenocarcinoma of lung occurs in nonsmokers
and lung ca spreads to rt supraclavicular l nodes...i wud rather pick chest Xray
can anyone explain it..
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I hear and I forget. I see and I remember. I do and I understand.
--Confucius
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| drshabs
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probability of postmenopausal woman having breast cancer is much higher compared to adenocarcinoma of lung.
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| Hamidi
Forum Guru
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I wud also pick Xray chest.Is there any explaination for mamogaraphy.Probability of breast ca is higher in post menopause woman but isn't lung ca still # 1 in women. :icon_scratch:
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| drshabs
Forum Elite
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no one cause of cancer is breast cancer in women
lung cancer is no one killer cancer in women :roll:
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