Lung Metastasis Case 002
A young patient with a history of malignant melanoma presents with shortness of breath.
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Reveal Answer
- Ultrasound of the chest shows innumerable, bilateral, small rounded, pleurally based solid nodules.
- These are typical of multiple pulmonary metastases and in this case would be clinically consistent.
- The list of likely differential diagnoses in an oncology patient prior to ultrasound would include pulmonary embolism, pneumonia, pleural effusion, and metastases.
- Assessment of the lung and heart at the bedside will rapidly differentiate these conditions and enable initiation of appropriate management early.
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BA MA (Oxon) MBChB (Edin) FACEM FFSEM. Emergency physician, Sir Charles Gairdner Hospital. Passion for rugby; medical history; medical education; and asynchronous learning #FOAMed evangelist. Co-founder and CTO of Life in the Fast lane | On Call: Principles and Protocol 4e| Eponyms | Books |