Failure To Diagnose

Failure to Diagnose Phillosophy 200, Healthc atomic number 18 morals 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 sight cardinal long time ago, but not followed up for treatment. Medical Indications A 30 year old piece was diagnosed with terminal lung cancer. He is married with four children and was just told of his forecast last week. The patient is competent and is able to make proceed decisions. Two years prior, a routine x-ray shows that at that place was an 8mm spot (Stage 1) where the authentic tumor is conterminously. The patients graph shows that there was perplexity for follow-up treatment, but no process was taken. This was noted by the Physician Assistant and is in reappraisal with the Ethics Committee. A failure to diagnose may amplify occurred. He is now at stage 4 Adenocarcinoma. Should i mmediate follow-up have occurred, surgery might have halt the tumor. It has now metastasized to the pectoral structures and is inoperable. This type of tumor is seen as mixture of non-small cell lung cancer and usually begins in the outer fibers of the lung. It is practically 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 rad iotherapy treatments. Chemotherapy is the st! andard treatment for these disseminated tumors.  repartee rates for particular drugs are in the 20-25%, with rates smaller higher than multi-drug regimens. There are periodic reports of patients with 3 and 5 year survivals by and by chemotherapy, and clinical trials occasionally report screw responses. Many patients do not respond to chemotherapy and others develop unsusceptibility 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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