Clinical Case StudyPresentation

Sarah Maxwell

Situation 66 yr old male CC:

generalized weakness leg pain orbital eye pain

Patient brought to ER by wife. Admitting Dx:

Anemia Prostate Cancer

Background Pt goes to Riverside for cancer treatment No known allergies Hx: Hyperlipidemia, 2010 prostate biopsy

negative (although dx with metastatic prostate cancer sometime b/w 2010-2012.) 2012 biopsy of bone lesion showing metastatic adenocarcinoma.

Previous surgery: vasectomy, left shoulder surgery, wrist surgery, colonoscopy.

Nursing Assessment urinary system. Pt on CBI- 3000 ml every

hour. Pt still “clots off.” Urine “watermelon colored”

Wife asks for palliative care consult as doesn’t think her husband can take much more.

Rest of Physical exam un-noteworthy

Diagnostic Assessment

Barrett’s Esophagus Esophageal ulcers 6mm-2.5cm in size from

26-35 cm Liver Lesions Sigmoid diverticula Bladder mass 4.9X 3.8 cm

Recommendation Speak to the doctor about determining level

of metastasis Consulting Palliative Care Calling patient’s urologist to discuss bladder

urinary clotting situation. Calling Riverside Hospital (Patient’s

urologist) to discuss possible transfer Pain Management!!!!