recalls first post for step 2 - recall

[ArchivalUser]

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

[ArchivalUser]

D. first, if recurrent do balloon angioplasty with intravascular stent. Surgery may be palliative in those with benign cause of superior vena caval syndrome.

[ArchivalUser]

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

[ArchivalUser]

welcome to step 2 forum recall.....!!