Case Presentation. Faysal Ghazzay Ahmed
|
|
|
- Joy Ellis
- 5 years ago
- Views:
Transcription
1
2
3 Faysal Ghazzay Ahmed Case Presentation He is 49 years old male living in Al-Qaem Town (Al-Anbar Gov.), Muslim, and was previously serving in the army, but now he is idle. He was admitted to Al-Jumhoory H. on 12 th of September 2011 complaining from Hoarseness of voice and progressive difficulty of swallowing for 6 months. Examined on 13 th of October 2011.
4 The patient is heavy smoker, smokes 3 Packs/day since His condition started 6 months ago, as lump in the middle of the neck after tooth extraction. This lump gradually increased in size, associated with throat discomfort & burning sensation followed by gradual change in voice. Within the following 4 months the voice progressively became hoarsy associated with difficulty of swallowing of both solids and liquids. The patient also reported pain of the left ear, the patient denies having stridor, anorexia or fever.
5 He sought medical help at Al-Ramadi H. and had A CT Scan of the neck which necessitated the advice of an ENT specialist. Then he consulted ENT department at Al-Jumhoori Teaching Hospital were an operation was arranged for him. Five days after admission he developed breathing difficulty which necessitated tracheostomy operation. Meanwhile direct laryngoscopy was done and biopsy was taken for histopathological examination. Although he denies to have previous medical illness, after admission he had high blood sugar that required insulin therapy.
6 Respiratory System: He has productive cough with yellowish to green sputum, sporadically at day or night time, with bad breath odor, difficulty in breathing with no cyanosis. Gastro intestinal System: He had weight loss of nearly kg since the illness started, good appetite despite difficulty of swallowing, constipation, and abdominal discomfort. Cardiovascular System: No history of note. Musculoskeletal: No history of note. Central Nervous System: No history of note.
7 Past Medical History: No History of chronic disease of note nor any same illness before. Drug History : Not on chronic drug use, no known drug allergy. Past Surgical History: No previous history of operation. Personal Habits: Heavy smoker 3 packs / Day for 30 years, not alcoholic, no recreational drug abuse Social & Family History : Fair socio-economic status, with no similar condition in a family member
8 Middle aged tracheostomized male patient sitting on bed looking tired, conscious, alert, pale but not dyspneic & not cyanosed, no back or leg edema. He is afebrile, with Pulse rate of 80 PpM, Respiratory Rate of 30 BpM, BP was 130 / 90 mmhg.
9 Examination of the neck Left anterior triangle neck lump, level 2, 4-5 cm in diameter. The lump was firm, nearly pear shaped, with irregular surface and poorly defined edges. It was not tender, not hot,not compressible or reducible, fluctuation and trans illumination negative The overlying skin was not tethered, of normal color and texture. Other regional lymph nodes were not palpable Oral Cavity Bad oral hygiene with missing teeth. The others stained with brownish color Fiber optic laryngoscopy : Showed left glottic, supra and sub glottic mass, 2-3cm in diameter, reddish in color. The left vocal cord was immobile.
10
11 CT Scan of the neck : To assess the nature and extent of the mass, and the surrounding soft tissue and lymph nodes involvement.
12 Revealed moderately differentiated squamous cell carcinoma
13 Treatment Gluck-Sorenson's incision made
14 Apron Flap elevated
15 Total Laryngectomy with Left hemi thyroidectomy and left radical neck dissection. Left Hemi-thyroid Larynx
16 Followed by reconstruction of the pharynx by 3 layers suturing
17 Lymph nodes of the neck is a barrier that prevent further spread of the disease. What are the levels of neck lymph nodes??
18
19
20
21
22
23 These can be radical or selective. Involves removal of all five levels of lymph nodes together with the accessory nerve, internal jugular vein, sternomastoid muscle. 1. Type 1 : (modified radical neck dissection) preserves the accessory nerve. 2. Type 2 : preserves the accessory nerve and internal jugular vein. 3. Type 3 : preserves the accessory nerve, internal jugular vein, and sternomastoid muscle.
24 Hayes Martin strongly urged that a lymph node biopsy should be the last investigation to be done and that a search for the primary tumor must be made, if as a last resort, the operation must be performed by a surgeon who is able and willing to treat the primary cancer if it is later found. 1. Local and possibly general spread of the disease. 2. Compromise of subsequent neck dissection and irradiation. 3. Additional scar tissue causing difficulty in accurate palpation. 4. A false sense of security for the patient.
25 History. Thorough general and ENT examination. FNAC. Imaging: CT, MRI, Barium swallow. Hematological investigations. Panendoscopy UGA: If no primary site is identified, blind biopsies from nasopharynx, tongue base, pyriform and unilateral tonsillectomy. Lymph node biopsy with RND
26
If You Have Head or Neck Cancer
EASY READING If You Have Head or Neck Cancer What is head and neck cancer? Cancer can start any place in the body. Cancer that starts in the head and neck can have many names. It depends on where the cancer
Case Scenario 1. Pathology: Specimen type: Incisional biopsy of the glottis Histology: Moderately differentiated squamous cell carcinoma
Case Scenario 1 History A 52 year old male with a 20 pack year smoking history presented with about a 6 month history of persistent hoarseness. The patient had a squamous cell carcinoma of the lip removed
Head and neck cancer - patient information guide
Head and neck cancer - patient information guide The development of reconstructive surgical techniques in the last 20 years has led to major advances in the treatment of patients with head and neck cancer.
BRONCHOGENIC CARCINOMA CHALLENGES IN EVALUATION
BRONCHOGENIC CARCINOMA CHALLENGES IN EVALUATION GRAND ROUND WARD 7C DATE: 25 TH MARCH 2015 PRESENTER: DR E. SAYO FACILITATOR: DR J MECHA DEMOGRAPHIC DATA NAME : CM AGE: 69 YEARS ADDRESS : KIAMBU OCCUPATION:
Case Scenario #1 Larynx
Case Scenario #1 Larynx 56 year old white female who presented with a 2 month history of hoarseness treated with antibiotics, but with no improvement. In the last 3 weeks, she has had a 15 lb weight loss,
Laryngoscopy Examinations
Laryngoscopy Examinations Laryngoscopy is a visual examination of the back of the throat where the voice box (larynx) and vocal cords are located. The procedure is done by using hand mirrors and a light
Faculty of Clinical Forensic Medicine Committee 1/2018
Guideline Subject: Clinical Forensic Assessment and Management of Non-Fatal Strangulation Approval Date: January 2018 Review Date: January 2021 Review By: Number: Faculty of Clinical Forensic Medicine
Case Scenario 1. Pathology report Specimen from mediastinoscopy Final Diagnosis : Metastatic small cell carcinoma with residual lymphatic tissue
Case Scenario 1 Oncology Consult: Patient is a 51-year-old male with history of T4N3 squamous cell carcinoma of tonsil status post concurrent chemoradiation finished in October two years ago. He was hospitalized
What is head and neck cancer? How is head and neck cancer diagnosed and evaluated? How is head and neck cancer treated?
Scan for mobile link. Head and Neck Cancer Head and neck cancer is a group of cancers that start in the oral cavity, larynx, pharynx, salivary glands, nasal cavity or paranasal sinuses. They usually begin
Head and Neck Cancer. What is head and neck cancer?
Scan for mobile link. Head and Neck Cancer Head and neck cancer is a group of cancers that usually originate in the squamous cells that line the mouth, nose and throat. Typical symptoms include a persistent
Dear Mercy Cancer Center Radiation Oncology Patient
Dear Mercy Cancer Center Radiation Oncology Patient Welcome to our Department. In order to complete our records, and enable our physicians to ensure that your questions are fully addressed, we appreciate
QUIZZES WITH ANSWERS FOR COLLECTING CANCER DATA: PHARYNX
QUIZZES WITH ANSWERS FOR COLLECTING CANCER DATA: PHARYNX MP/H Quiz 1. A patient presented with a prior history of squamous cell carcinoma of the base of the tongue. The malignancy was originally diagnosed
Patient Information Leaflet P2
Patient Information Leaflet P2 POTENTIAL CONSEQUENCES OF PARATHYROID SURGERY Parathyroid surgery is generally a safe procedure. The vast majority of patients undergoing an operation on the parathyroid
The Throat. Image source:
The Throat Anatomy Image source: http://anatomyforlayla.blogspot.co.za/2007/04/blog-post.html The Throat consists of three parts: 1. The Nasopharynx is the upper part of the throat and it is situated behind
safety margin, To leave a functioning i larynx i.e. respiration, phonation & swallowing.
The aim of the horizontal supra-glottic laryngectomy is: To remove the tumour with good safety margin, To leave a functioning i larynx i.e. respiration, phonation & swallowing. Disadvantages of classical
QUIZZES WITH ANSWERS FOR COLLECTING CANCER DATA: PHARYNX
QUIZZES WITH ANSWERS FOR COLLECTING CANCER DATA: PHARYNX MP/H Quiz 1. A patient presented with a prior history of squamous cell carcinoma of the base of the tongue. The malignancy was originally diagnosed
Carcinoma of the larynx L 4. Carcinoma of the larynx is the most common head & neck cancer, this has a high cure rate which may reach 90%.
L 4 Carcinoma of the larynx Carcinoma of the larynx is the most common head & neck cancer, this has a high cure rate which may reach 90%. Incidence: It is more common in males than females in ratio 5:1.
Principles of Management of Head & Neck Cancer. Jinka Sathya Associate professor of Oncology
Principles of Management of Head & Neck Cancer Jinka Sathya Associate professor of Oncology Oral cavity Oro-pharynx Larynx Hypopharynx Nasophaynx Major sites of Mucosal H&N Cancers Head & Neck Cancer Oral
Cervical Lymphadenopathy. Diagnosis and Management
Cervical Lymphadenopathy Diagnosis and Management Case 1 Case 1: 6/12 hx of enlarging left level 2 neck mass no dysphonia, dysphagia, weight loss, stridor Ex smoker x 28 years 6-8 units of Ethanol weekly
Information and support
13 11 20 Information and support Surgery for head and neck cancer Last reviewed June 2012 Contents Types of surgeries Surgery for oral cancer Surgery for salivary gland cancer Surgery for pharyngeal cancer
Clinical Radiological Pathological Conference
Clinical Radiological Pathological Conference CASE 1: A 59-year-old female Housekeeper Live in Phuket, Thailand Progressive dyspnea for 1 year Present illness 1 year PTA : She developed dyspnea on exertion
Case Presentation Topic: Difficult to Ventilate Difficult to Intubate
Case Presentation Topic: Difficult to Ventilate Difficult to Intubate Dr. K. Shruthi Jeevan 1 st Year Post Graduate Department of Anaesthesiology CASE SCENARIO : 1 A 65 years old female patient, resident
No. 2 - Persistent Pain or Discomfort in Any Body Area
See Your Doctor When Symptoms Occur, and Get Regular Checkups. Experts say that men could benefit greatly by being alert to certain cancer symptoms that indicate a trip to the doctor's office sooner rather
Head and Neck Case 1 PATIENT HISTORY
Head and Neck Case 1 PATIENT HISTORY Patient History May 7, 2007 Otolaryngology Head & Neck Subjective: Patient was recently seen by a dentist, who noted a roughness in his lower alveolus, and wanted to
Management guideline for patients with differentiated thyroid cancer. Teeraporn Ratanaanekchai ENT, KKU 17 October 2007
Management guideline for patients with differentiated thyroid Teeraporn Ratanaanekchai ENT, KKU 17 October 2007 Incidence (Srinagarind Hospital, 2005, both sex) Site (all) cases % 1. Liver 1178 27 2. Lung
Total Thyroidectomy. Post-Surgery Instructions for: WHAT YOU SHOULD KNOW:
Post-Surgery Instructions for: Orlando Health Surgical Group 14 West Gore Street Orlando, FL 32806 321-843-5001 Total Thyroidectomy Michael Kahky, MD, F.A.C.S Marc Demers, MD, F.A.C.S Jeffrey R. Smith,
Esophageal Cancer. Source: National Cancer Institute
Esophageal Cancer Esophageal cancer forms in the tissues that line the esophagus, or the long, hollow tube that connects the mouth and stomach. Food and drink pass through the esophagus to be digested.
Organ preservation in laryngeal cancer
Organ preservation in laryngeal cancer Wojciech Golusiński Department of Head and Neck Surgery The Great Poland Cancer Centre, Poznan, Poland Poznan University of Medical Sciences, Poznan, Poland Silver
Amarillo Surgical Group Doctor: Date:
Office Visit Information (General Surgery) Amarillo Surgical Group Doctor: Date: Patient s Information Name: Last First Middle Social Security #: Date of Birth: Age Gender: [ Male / Female ] Marital Status:
ORAL, HEAD & NECK CANCER AWARENESS WEEK April 20 th 26 th, 2014
ORAL, HEAD & NECK CANCER AWARENESS WEEK April 20 th 26 th, 2014 What is Head and Neck Cancer? Any tumor that grows in the mouth, throat, voice box, thyroid, ear, nose, or neck These tumors can cause problems
Case Scenario 1. The patient agreed to a CT guided biopsy of the left upper lobe mass. This was performed and confirmed non-small cell carcinoma.
Case Scenario 1 An 89 year old male patient presented with a progressive cough for approximately six weeks for which he received approximately three rounds of antibiotic therapy without response. A chest
*OC4501* OC-4567 NORTHWEST CLINIC FOR VOICE AND SWALLOWING NEW PATIENT INTAKE. Patient Name: Primary Care Provider: Provider Specialty:
OC4501 Oregon Health & Science University *OC4501* Page 1 of 6 Patient Name: Primary Care Provider: Address: Other Provider: Address: Provider Specialty: Preferred Pharmacy: Please briefly describe the
Clinical Discussion. Dr Pankaj Chaturvedi. Professor and Surgeon Tata Memorial Hospital
Clinical Discussion Dr Pankaj Chaturvedi Professor and Surgeon Tata Memorial Hospital chaturvedi.pankaj@gmail.com 47/M/smoker Hopkins : Transglottic lesion No cartilage infiltration but sclerosis Left
Compliance Department ELEMENTS OF EAR, NOSE AND THROAT EXAMINATION 11/2010
Compliance Department ELEMENTS OF EAR, NOSE AND THROAT EXAMINATION 11/2010 System/ Body Area Constitutional Measurement of any three of the following seven vital signs: 1) sitting or standing blood pressure,
Carcinoma of Unknown Primary site (CUP) in HEAD & NECK SURGERY
Carcinoma of Unknown Primary site (CUP) in HEAD & NECK SURGERY SEARCHING FOR THE PRIMARY? P r o f J P P r e t o r i u s H e a d : C l i n i c a l U n i t C r i t i c a l C a r e U n i v e r s i t y O f
Cancer is the single name assigned to more than 100 diseases that can occur in any part of body
Cancer is the single name assigned to more than 100 diseases that can occur in any part of body It s actually the result of abnormal cells that multiply and spread out of control, damaging healthy cells
THE CONNECTIVE TISSUE AND EPITHELIUM
THE CONNECTIVE TISSUE AND EPITHELIUM The focus of this week s lab will be pathology of connective tissue and epithelium. The lab will introduce you to the four basic tissue types: epithelium, connective
Headache Follow-up Visit Form
!1 Headache Follow-up Visit Form We will be unable to see you unless this form is completely filled out. We appreciate your thoroughness. Name DOB Age Today s Date Referring doctor: Primary doctor: Neurologist:
FINE NEEDLE ASPIRATION OF ENLARGED LYMPH NODE: Metastatic squamous cell carcinoma
Case Scenario 1 HNP: A 70 year old white male presents with dysphagia. The patient is a current smoker, current user of alcohol and is HPV positive. A CT of the Neck showed mass in the left pyriform sinus.
NEW PATIENT QUESTIONNAIRE For Dr Benoy Benny. Section 1: Today s Date: Date of Birth: Age:
Baylor Physical Medicine and Rehabilitation NEW PATIENT QUESTIONNAIRE For Dr Benoy Benny Dear Patient: Please complete this questionnaire before you come for your appointment. Be sure to call us as soon
PATIENT INFORMATION Last Name: First Name: Middle: Date of Birth: EMERGENCY CONTACT INFORMATION PRIMARY INSURANCE INFORMATION
PATIENT INFORMATION Last Name: First Name: Middle: Date of Birth: Gender: SSN: Race: Marital Status: Address Line: City: State: Zip Code: Home Phone: Work Phone: Email Address: Cell Phone: Primary Care
HISTORY OF PRESENT ILLNESS A. TELL US ABOUT YOUR PAIN PROBLEM
1 UT Health Austin Comprehensive Pain Management New Patient Questionnaire Thank you for scheduling a visit with the Comprehensive Pain Management Care Team. The responses you provide to these questions
CASE HISTORY. Address: City: State: Zip: Date of Birth: Age: address: Occupation: Employer: Spouse's Employer: Referred by:
CASE HISTORY Account #: Please complete this form using your keyboard, then print it using the print function of your browser. You can then sign the form and bring it with you to your first appointment.
NEO 111 Melanie Jorgenson, RN, BSN
NEO 111 Melanie Jorgenson, RN, BSN Inspection: performing deliberate, purposeful observations in a systematic manner Palpation: using the sense of touch Percussion: striking one object against another
DOB: / / Please list the names and telephone numbers of the other physicians involved in your care: Name Specialty Phone Address Receive Report (Y/N)
Medical History: Patient: DOB: / / Please list the names and telephone numbers of the other physicians involved in your care: Name Specialty Phone Address Receive Report (Y/N) List the names of prescription
Questionnaire for Lipedema Patients
Questionnaire for Lipedema Patients Name Date of diagnosis Date Name of physician making diagnosis Do you also have lymphedema? What areas of the body are affected? Outside of thighs Inner thighs Knees
Colon Cancer Surgery
Colon Cancer Surgery Introduction Colon cancer is a life-threatening condition that affects thousands of people. Doctors usually recommend surgery for the removal of colon cancer. If your doctor recommends
DEEP BRAIN STIMULATION SURGICAL CANDIDACY EVALUATION FORM
Name: MR#: Date: DEEP BRAIN STIMULATION SURGICAL CANDIDACY EVALUATION FORM Referring Physician s Name: Primary Care Provider s Name: 1. What was/were your first movement disorder symptoms? What did you
Laryngeal Cancer. Understanding your diagnosis cancer.ca
Laryngeal Cancer Understanding your diagnosis 1 888 939-3333 cancer.ca Laryngeal Cancer Understanding your diagnosis When you first hear that you have cancer, you may feel alone and afraid. You may be
+ Color Change - + Hearing Loss - + Apnea - + Enuresis (urine - + Tremors - + Rash -
Review of Systems: 0-1 year old Constitution neg Eyes neg GI neg Neurological neg + Activity Change - + Eye Discharge - + Reflux - + Facial Asymmetry - + Appetite Change - + Eye Redness - + Vomiting -
LARYNGEAL CANCER AT THE KORLE BU TEACHING HOSPITAL ACCRA GHANA
LARYNGEAL CANCER AT THE KORLE BU TEACHING HOSPITAL ACCRA GHANA * E.D. KITCHER, J. YARNEY 1, R.K. GYASI 2 AND C. CHEYUO Departments of Surgery and 2 Pathology, University of Ghana Medical School, P O Box
Cardiovascular and Respiratory Disorders
Cardiovascular and Respiratory Disorders Blood Pressure Normal blood pressure is 120/80 mmhg (millimeters of mercury) Hypertension is when the resting blood pressure is too high Systolic BP is 140 mmhg
Patient Intake Form for Allegany Ear, Nose, & Throat
Patient Intake Form for Allegany Ear, se, & Throat Patient Name: What brings you to the office today? Who is your primary care doctor? Please list your current medications: Are you allergic to any medications?
B. Cystic Teratoma: Refer to virtual microscope slide p_223 ovary, teratoma and compare to normal virtual microscope slide 086 ovary.
LAB 2: THE CONNECTIVE TISSUE AND EPITHELIUM The focus of this week s lab will be pathology of connective tissue and epithelium. The lab will introduce you to the four basic tissue types: epithelium, connective
Evaluation of Neck Mass. Disclosure. Learning Objectives 3/24/2014. Karen T. Pitman MD, FACS Banner MDACC, Gilbert AZ. Nothing to disclose
Evaluation of Neck Mass Karen T. Pitman MD, FACS Banner MDACC, Gilbert AZ Nothing to disclose Disclosure Learning Objectives 1. Describe a systematic method to evaluate a patient with a neck mass 2. Select
CERVICAL LYMPH NODES
CERVICAL LYMPH NODES (ANATOMY & EXAMINATION) Hemant (DTCD 1 st YEAR) 1. Lymphatic Tissues: A Type of connective tissue that contains large numbers of lymphocytes. 2. Lymphatic Vessels: Are Tubes that assist
Medical Questionnaire
MEDICIS Health Testing Center Avenue de Tervueren 236 115 Bruxelles Tel : 2/762.5.44 Medical Questionnaire Name :. Maiden name : First name :. Sex :. Address :...... Phone (private) : Office :. Date of
Chapter 13: Mass in the Neck. Raymond P. Wood II:
Chapter 13: Mass in the Neck Raymond P. Wood II: In approaching the problem of a mass in the neck, one immediately encounters the fact that there are normally palpable masses in the neck (eg, almost all
NICE guideline Published: 10 February 2016 nice.org.uk/guidance/ng36
Cancer of the upper aerodigestive e tract: assessment and management in people aged 16 and over NICE guideline Published: 10 February 2016 nice.org.uk/guidance/ng36 NICE 2018. All rights reserved. Subject
City State Zip Code. Ethnic Background: Caucasian African-American Asian Hispanic Native American. Previous. Hobbies/Leisure activities:,,,
History # UPIN # (Please leave blank) Name: First M.I. Last Address: Street (Apt #) City State Zip Code Phone number: ( ) ( ) Home Business Birth Date: / / Day-Month-Year Gender: M F Marital status: (Maiden
Emotional Relationships Social Life Sexually Recreation
Name Date Address City State Zip Married Single Partner Divorced Widowed Date of Birth SS# Email Work Phone Home Phone Cell Phone Occupation Referred by Emergency Contact Family Physician Contact May we
Patient Name: Date: Address: Primary Care Physician: Online Website On TV In print On the radio
927 W. Myrtle St. Boise, ID 83702 (208) 947-0100 NEW PATIENT INTAKE Patient Name: Date: Email Address: Primary Care Physician: How did you hear about AVT? (Please mark all that apply) Online Website On
NEW PATIENT QUESTIONNAIRE Spine pt acct #
NEW PATIENT QUESTIONNAIRE Spine pt acct # Name: Date of Visit: Male Female (please fill in the circles) Date of Birth: Height: Weight: Age Today: What studies have been done on your spine? Where/When?
Caspian Acupuncture -- Health History Form Anita Tayyebi EAMP, LAc. 652 SW 150 th St Burien WA 98166
Frist Name Last: Date Phone (H) (C) (W) E-mail Address City State Zip Age DOB Place of Birth _ Marital/Partnership Status Preferred Gender Pronoun _ Profession Family Physician Telephone # Referred By
CARCINOMA OF ESOPHAGUS PERFORATING THE AORTA*
CARCINOMA OF ESOPHAGUS PERFORATING THE AORTA* HERBERT J. SCHATTENBERG AND JOSEPH ZISKIND From the Department of Pathology, Graduate School, Tulane University, and the Charity Hospital, New Orleans Perforation
Case Scenario. 7/13/12 Anterior floor of mouth biopsy: Infiltrating squamous cell carcinoma, not completely excised.
Case Scenario 7/5/12 History A 51 year old white female presents with a sore area on the floor of her mouth. She claims the area has been sore for several months. She is a current smoker and user of alcohol.
SANTA MONICA BREAST CENTER INTAKE FORM
SANTA MONICA BREAST CENTER Who referred you to see us today? Who is your primary care physician? Are there any other MDs who you would like to receive today s visit information? No Yes MD contact info
SIGNS, SYMPTOMS AND SCREENING GUIDELINES
SIGNS, SYMPTOMS AND SCREENING GUIDELINES SIGNS AND SYMPTOMS You may think it s normal, but it could be a sign or symptom of an illness or cancer-related disease. If you are experiencing any of these signs
Small Cell Lung Cancer
Small Cell Lung Cancer Small cell lung cancer (SCLC) affects 15% of all lung cancer patients. SCLC is the most aggressive type of lung cancer. It may be treated with chemotherapy and radiation. SCLC has
HD CLINIC MEDICAL HISTORY FORM
HD CLINIC MEDICAL HISTORY FORM Welcome to the HDSA Center of Excellence HD Clinic. Please take a few moments to answer the questions below as best as you can. If you need assistance, a caregiver/companion
Mercy MS Center New Patient Information
Mercy MS Center New Patient Information Last Name: First Name: DOB: MULTIPLE SCLEROSIS HISTORY Reason for clinic visit: I have been diagnosed with MS or NMO (Date diagnosed ) I have not been diagnosed
New Patient History. Name: DOB: Sex: Date: If yes, give the name of the physician who did your evaluation or ordered your tests:
New Patient History Name: DOB: Sex: Date: Chief Complaint: 1. Give a brief description of the problem you are seeking treatment for today: 2. Have you been evaluated for this problem or had any tests for
To the Patient and Family This booklet has been written for people who have received a diagnosis of thyroid cancer or who are being tested for this illness. If you have questions that are not answered
Survey of Laryngeal Cancer at SBUH comparing 108 cases seen here from to the NCDB of 9,256 cases diagnosed nationwide in 2000
Survey of Laryngeal Cancer at comparing 108 cases seen here from 1998 2002 to the of 9,256 cases diagnosed nationwide in 2000 Stony Brook University Hospital Cancer Program Annual Report 2002-2003 Gender
BROADWAY SPORTS & INTERNAL MEDICINE, P.S TH AVE NE SUITE 202 BELLEVUE, WA P: F:
BROADWAY SPORTS & INTERNAL MEDICINE, P.S. 1600 116 TH AVE NE SUITE 202 BELLEVUE, WA 98004 P: 206 215-2288 F:206 215-2289 MEDICAL HISTORY QUESTIONNAIRE Date Name Date of Birth HT WT Current Medical Complaints
What is Thyroid Cancer?
Thyroid Cancer What is Thyroid Cancer? The thyroid is a gland at the base of the throat near the trachea (windpipe). It is shaped like a butterfly, with a right lobe and a left lobe. The isthmus, a thin
Anterior cervical discectomy and replacement / fusion
Anterior cervical discectomy and replacement / fusion Advice sheet for patients by Mr Alexander Montgomery, Consultant Spinal Surgeon This advice sheet is intended specifically for patients of Mr Alexander
Please mark the severity of your pain on the following line: On your worst days with a W On your average days with an A On your best days with a B
Today s Date: NEUROSURGERY Name: (Last) (First) (MI) Age: Birth Date: Female Male Dominant hand: Right Left Pharmacy- Name: Phone: Location: What are you being seen for today? Location of pain (indicate
Case Presentation. Dr.N.Bhanu teja Final year postgraduate Department of pulmonology
Case Presentation Dr.N.Bhanu teja Final year postgraduate Department of pulmonology A 60 year old male patient resident of miryalguda referred to pulmonary medicine outpatient department with complaints
CHIEF COMPLAINT(S) Please mark area(s) of injury or discomfort on the diagrams below.
CHIEF COMPLAINT(S) Please mark area(s) of injury or discomfort on the diagrams below. Please describe your current primary complaint? Difficulty in: Standing, Sitting, Bending, Walking, Reaching Cannot
Case Scenario 1. 7/13/12 Anterior floor of mouth biopsy: Infiltrating squamous cell carcinoma, not completely excised.
Case Scenario 1 7/5/12 History A 51 year old white female presents with a sore area on the floor of her mouth. She claims the area has been sore for several months. She is a current smoker and user of
Parathyroidectomy. Surgery for Parathyroid Problems
Parathyroidectomy Surgery for Parathyroid Problems Why You Need Parathyroid Surgery Has your doctor just recommended that you have parathyroid surgery? If so, you likely have many questions. What are the
Please describe, in detail, when the symptoms began:
161 East Mallard Drive, Suite 130, Boise, ID 83706 (208) 947-0100 New Patient Intake Patient Name: Primary Care Physician: Date: Email address: How did you hear about AVT (mark all that apply) Online On
Swelling. Size: measure exact size in cm using a tape measure (measure longitudinal and transverse axis and if possible the depth)
Swelling Inspection Site: exact anatomic position Number: single or multiple Shape: spherical, oval, kidney-shaped or irregular Size: measure exact size in cm using a tape measure (measure longitudinal
Surgery in Head and neck cancers.principles. Dr Diptendra K Sarkar MS,DNB,FRCS Consultant surgeon,ipgmer
Surgery in Head and neck cancers.principles Dr Diptendra K Sarkar MS,DNB,FRCS Consultant surgeon,ipgmer Email:diptendrasarkar@yahoo.co.in HNC : common inclusives Challenges Anatomical preservation R0 Surgical
Cancer of the oropharynx
Cancer of the oropharynx Patient information What is cancer? The human body is made up of billions of cells. In healthy people, cells grow, divide and die. New cells constantly replace old ones in an orderly
Form.NewPatientHstory_PrecisionEndoRev Page 1 of 5
Patient s Name (First, Middle, Last): Address: City: State: Zip Code: Email: Main Contact#: Alternate#: Work#: Date of Birth: / / Sex: Male Female SS# (optional): Marital Status : Single Married Divorced
NICE guideline Published: 10 February 2016 nice.org.uk/guidance/ng36
Cancer of the upper aerodigestive e tract: assessment and management in people aged 16 and over NICE guideline Published: 10 February 2016 nice.org.uk/guidance/ng36 NICE 2018. All rights reserved. Subject
New Patient Specialty Intake Form Department of Surgery
This form contains questions specific to the Department of Surgery. If you are new to Baylor College of Medicine and have not been seen in any of our offices, please be sure to complete our New Patient
MEDICAL ASSESSMENT PART 1 - SOCIAL HISTORY
Smoking history Alcohol history Never Quit Never Quit PART 2 - MEDICAL HISTORY Date of last colonoscopy? Date of last mammogram? Date of last pap smear? Date of last flu vaccine? Date of last pneumonia
Long Term Toxicities of Head & Neck Cancer Therapies. Faith Mutale Abramson Cancer Center University of Pennsylvania
Long Term Toxicities of Head & Neck Cancer Therapies Faith Mutale Abramson Cancer Center University of Pennsylvania Head & Neck Cancer 2-3% of all cancers 1-2% of all cancer deaths Incidence includes:
Sound View Acupuncture and Chinese Herbs 5410 California Ave SW, #202, Seattle, WA
Sound View Acupuncture and Chinese Herbs 5410 California Ave SW, #202, Seattle, WA 98136 206.200.3595 Today s date Name Legal name (if different) Phone (primary) (secondary) Address City State Zip Email
Where is your pain located? Please use the diagram below to indicate where most of your pain is located.
Name: Address: Social Security Number: Email Address: Emergency Contact: Primary Care Physician: Name: Address: Phone Number: Date of Birth: Today's date: Cell Phone Number: Phone #: Referring Physician:
Name: Date: Referring Provider: What is the nature of your current gynecologic or urologic medical problem (use the other side if necessary).
Name: Date: Referring Provider: Age: D.O.B. Race/ ethnicity: What is the nature of your current gynecologic or urologic medical problem (use the other side if necessary). We are interested in learning
Section 4.1 Paediatric Tracheostomy Introduction
Bite- sized training from the GTC Section 4.1 Paediatric Tracheostomy Introduction This is one of a series of bite- sized chunks of educational material developed by the Global Tracheostomy Collaborative.
Patient Intake Form. Name: Date of Birth: Social Security No.: Address: City: State: Zip:
Patient Intake Form Name: Date of Birth: Social Security No.: Address: City: State: Zip: Phone (circle 1) home / cell / work: Marital Status: Single / Married / Divorced / Widowed Work Status: Employed
X-Plain Breast Cancer Surgery Reference Summary
X-Plain Breast Cancer Surgery Reference Summary Introduction Breast lumps are a common condition that affects millions of women every year. Breast lumps may be cancerous. Breast cancer occurs in approximately
Essential Wellness Of Illinois, LLC Health History Questionnaire Christine A. Renz L.Ac., Dipl OM, MSTOM
Name Date Address City State Zip Home Phone Cell Fax Email Emergency Contact Emergency Number Date of Birth Age Sex Height Weight Lbs Marital Status Occupation Who referred you to this office? Name of
SECTION OF NEUROSURGERY PATIENT INFORMATION SHEET
SECTION OF NEUROSURGERY PATIENT INFORMATION SHEET EC#: (for office use only) Patient s Name: Today s Date: Age: Date of Birth: Height: Weight: Physician you are seeing today: Marital Status: Married Work
Thyroid Gland. Patient Information
Thyroid Gland Patient Information Contact details for Endocrine and Thyroid Clinics Hawke s Bay Fallen Soldiers Memorial Hospital Villa 16 Phone: 06 8788109 ext 5891 Text: 0274 102 559 Email: endoclinic@hbdhb.govt.nz