Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with progressive dyspnea, non-pleuritic chest pain, and unintentional weight loss. History significant for occupational asbestos exposure. Symptoms are insidious in onset, characterized by persistent dry cough and reduced exercise tolerance. No history of fever or night sweats.
Clinical Examination Findings
General: Patient appears cachectic, in mild respiratory distress. Chest: Decreased tactile fremitus, dullness to percussion, and diminished breath sounds over the affected hemithorax. Heart: Regular rate and rhythm, no murmurs. Extremities: No peripheral edema or clubbing.
Treatment Protocol
Multidisciplinary approach initiated. Plan includes surgical evaluation for pleurectomy/decortication or extrapleural pneumonectomy, pending staging. Chemotherapy regimen (Pemetrexed/Cisplatin) scheduled. Palliative care consultation for pain management and symptom control.