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* recalls first post for step 2
 #178770  
  recall - 04/15/07 01:41
 
  A 52-year-old white male who has untreated bronchogenic carcinoma comes to your office with a 1-week history of dyspnea, facial edema, and marked neck vein distention which has been progressive over the last 2 days. A chest roentgenogram confirms a mass in the right hilum with a small pleural effusion in the right hemithorax.

Immediate management should consist of

a.pericardicentesis
b.mediastinoscopy
c.exploratory thoracotomy
d.radiation therapy
 
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* Re:recalls first post for step 2
#740630
  docblue - 04/15/07 02:02
 
  D. first, if recurrent do balloon angioplasty with intravascular stent. Surgery may be palliative in those with benign cause of superior vena caval syndrome.  
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* Re:recalls first post for step 2
#740691
  darkhorse - 04/15/07 05:03
 
  i think it should be mediastinoscopy...as u have to get a tissue diagnosis first...to find out if its radio or chemo sensitive before u start therapy...so should be bbbbbbbbbbb  
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* Re:recalls first post for step 2
#740693
  darkhorse - 04/15/07 05:04
 
  welcome to step 2 forum recall.....!!  
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