vulvar carcinoma - ketty

[ArchivalUser]

pe
--------------
pap smear
cbc
bmp
u/a
urine culture
esr
HPV DNA
-------------------move clock forward

consult gyne
informed consent
vulvar biopsy
--------------------
send home
call when result are avail
---------------
interval f/up
to ward
ambulate at will
regular diet
vitals
cbc
bmp
ct san abd
ct scan pelvis
sigmoidoscopy
cystoscopy

consult gynec
pt/ptt
blood tye and cross match

what else,....clueless...

should we order vulvectomy....ccs has the option???

[ArchivalUser]

good job!

[ArchivalUser]

this was good,Ketty.I am getting blanked ,feel like can't remember anything

Patient education
no smoking
no alcohol
safe sex
regular exercise
no illegal drug use

usual stuff.Keep going !Whats your next case MVA WITH HEART BLOCK LETS DO THAT

[ArchivalUser]

oncology consult

May be we can add age-appropriate screening--if case is still not ending

mammography

Lastly if she is > 50 yrs
Influenza vaccine
pneumococcal vaccine
reassurance
pt education
support group.