Failure To Diagnose

Failure to Diagnose Phillosophy 200, Healthc atomic number 18 moral philosophy and the Law February 3, 2011 Presenting Ethical Dilemma A medical student Assistant requests an Ethics Committee to help decide if a patient of should be told that his terminal lung pubic louse was observe cardinal long time ago, but not followed up for treatment. Medical Indications A 30 year old humanity was diagnosed with terminal lung cancer. He is married with four children and was just told of his vista last week. The patient is competent and is able to make strong decisions. Two years prior, a routine x-ray shows that on that point was an 8mm spot (Stage 1) where the authentic tumor is warmly. The patients chart shows that there was perplexity for follow-up treatment, but no run was taken. This was noted by the Physician Assistant and is in examine with the Ethics Committee. A failure to diagnose may have occurred. He is now at stage 4 Adenocarcinoma. Should immediat e follow-up have occurred, surgery might have stop the tumor. It has now metastasized to the pectoral structures and is inoperable. This type of tumor is seen as contour line of non-small cell lung cancer and usually begins in the outer fibers of the lung. It is oftentimes inaugural suspected when abnormalities atomic number 18 seen in an x-ray, (as in this case). Further valuation should have been recommended.

This would have include Chest CT, Sputum Cytology, Bronchoscopy or a PET Scan. He was told that he could possibly conserve his life for 6 to 9 months if he were to undergo chemotherapy and radioth erapy treatments. Chemotherapy is the standa! rd treatment for these disseminated tumors. reaction rates for particular drugs are in the 20-25%, with rates little higher than multi-drug regimens. There are periodic reports of patients with 3 and 5 year survivals after chemotherapy, and clinical trials occasionally report acquit responses. Many patients do not respond to chemotherapy and others develop guard after response. Thus countenance line treatment after initial response is part of...If you want to get a full essay, order it on our website: OrderCustomPaper.com

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