Page 117 - 2021 IDMT Digital
P. 117
SQUAMOUS CELL CARCINOMA
Introduction:
• 1RQ KHDOLQJ XOFHU RU ZDUW\ QRGXOH XVXDOO\ RI IDLU VNLQQHG LQGLYLGXDOV RQ VXQ H[SRVHG
VNLQ
• 0D\ DULVH IURP DFWLQLF NHUDWRVLV
• 5DWH RI PHWDVWDVLV
Subjective:
• 6LJQV DQG 6\PSWRPV
o 1RQ KHDOLQJ XOFHU RU ZDUW\ QRGXOH XVXDOO\ RI IDLU VNLQQHG LQGLYLGXDOV RQ
VXQ H[SRVHG VNLQ
• )RFXVHG +LVWRU\
o )DPLO\ RU SHUVRQDO KLVWRU\ RI VNLQ FDQFHU
o 3HUVRQDO KLVWRU\ RI LQWHQVH SHHOLQJ VXQEXUQV
o 6XQVFUHHQ XVH
o &KDQJHV WR WKH OHVLRQ V $%&'( UXOH
Objective:
• 3K\VLFDO ([DP
o )XOO VNLQ H[DP
o $SSHDUDQFH VPDOO UHG FRQLFDO KDUG QRGXOHV WKDW RFFDVLRQDOO\ XOFHUDWH LQ VXQ
H[SRVHG DUHDV
Assessment:
• 'LIIHUHQWLDO
o 0HODQRF\WLF QHYL QRUPDO PROHV VPDOO OHVLRQV ZLWK D ZHOO GHILQHG ERUGHU DQG
VLQJOH VKDGH RI SLJPHQW
o 6HERUUKHLF NHUDWRVLV EHQLJQ SODTXHV ZLWK D YHOYHW\ RU ZDUW\ VXUIDFH DSSHDU WR
EH VWXFN RQWR WKH VNLQ
o $FWLQLF NHUDWRVLV PDFXOHV DQG SDSXOHV RQ VXQ H[SRVHG DUHDV IHHOV OLNH
VDQGSDSHU
o %DVDO FHOO FDUFLQRPD ZD[\ SHDUO\ WUDQVOXFHQW SDSXOH
o 0DOLJQDQW PHODQRPD $%&'( LUUHJXODULWLHV
Plan:
• 7UHDWPHQW UHIHUUDO IRU H[FLVLRQ
Patient Education:
• $OZD\V XVH VXQVFUHHQ DQG VXQ SURWHFWLYH PHDVXUHV
• )ROORZ XS $FWLRQV
o 5HIHUUDO IRU H[FLVLRQ DQG HQFRXUDJH FRPSOLDQFH ZLWK VSHFLDOW\ UHFRPPHQGDWLRQV
o 5HWXUQ IRU IXUWKHU HYDOXDWLRQ IRU DQ\ QHZ VXVSLFLRXV OHVLRQV
Preceptor Directive:
• Blue Directive: Contact Preceptor Immediately
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