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A 45-year-old woman is scheduled to see you in your office for her yearly routine visit. You have been her primary care physician for several years. When reviewing her chart, you notice a radiology report showing a possible abnormality in her lung. What should be the next step in managing this patient?"

A) Refer the patient to a pulmonologist
B) Order additional diagnostic tests
C) Discuss the radiology report with the patient
D) Prescribe antibiotics

1 Answer

4 votes

Final answer:

The primary action upon finding an abnormality in a patient's lung radiology report should be to discuss the findings with the patient. This facilitates shared decision-making regarding further diagnostic tests or referrals needed to clarify the nature of the abnormality and determine subsequent treatment.

Step-by-step explanation:

The correct option is C:

The next step in managing this patient after noticing a possible abnormality on her lung radiology report should be to discuss the radiology report with the patient (C). It is essential to communicate any findings and concerns with the patient before deciding on the appropriate course of action, which may include further diagnostic tests or referrals. After the discussion, depending on the specific findings and the patient's clinical history, symptoms, and risk factors, additional diagnostic tests might be warranted to gather more information about the abnormality. Examples of such tests could include CT scans, PET scans, or tissue biopsies. These are critical for confirming the nature of the abnormality and for guiding treatment decisions. If the patient has symptoms of an infection, like cough or greenish sputum, and the imaging suggests pneumonia, then the initial treatment may include prescribing antibiotics. However, antibiotic treatment is not universally applicable just based on imaging findings and should be guided by clinical judgment and additional diagnostic information.

Ordering additional tests is important to gather more information about the abnormality and make an accurate diagnosis. This will help guide the appropriate treatment plan for the patient. Once the results of the additional tests are available, the physician can then discuss the findings with the patient and make appropriate referrals if necessary.

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