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    A patient who previously suffered from breast cancer is admitted to hospital. Their symptoms are constipation, abdominal pain, weakness & breathlessness.

    COuld you argue that doctors initially thought that the cause was diverticulitis?

    Then after further investigation, ie. pleural tap (which was initially ordered for therapeutic reasons), they found cancer cells in her pleural fluid. So they realised that the constipation was caused by her old age, but the pain was due to the fact that she was weak as a result of the secondary breast cancer in the lungs.

    Is this a plausible diagnosis?
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    (Original post by Nbear)
    A patient who previously suffered from breast cancer is admitted to hospital. Their symptoms are constipation, abdominal pain, weakness & breathlessness.

    COuld you argue that doctors initially thought that the cause was diverticulitis?

    Then after further investigation, ie. pleural tap (which was initially ordered for therapeutic reasons), they found cancer cells in her pleural fluid. So they realised that the constipation was caused by her old age, but the pain was due to the fact that she was weak as a result of the secondary breast cancer in the lungs.

    Is this a plausible diagnosis?
    Quite simply - no.
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    Plan: Home, Ref GP for 2/52 Ref.
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    Why are you asking? If this is for the care of a relative/friend, we really shouldn't be answering clinical questions for you.
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      (Original post by Nbear)
      A patient who previously suffered from breast cancer is admitted to hospital. Their symptoms are constipation, abdominal pain, weakness & breathlessness.

      COuld you argue that doctors initially thought that the cause was diverticulitis?

      Then after further investigation, ie. pleural tap (which was initially ordered for therapeutic reasons), they found cancer cells in her pleural fluid. So they realised that the constipation was caused by her old age, but the pain was due to the fact that she was weak as a result of the secondary breast cancer in the lungs.

      Is this a plausible diagnosis?
      I think most sensible people would say not.

      But if you havent seen the patient yourself and had a full history then its always hard to say for 100%.
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      (Original post by Nbear)
      A patient who previously suffered from breast cancer is admitted to hospital. Their symptoms are constipation, abdominal pain, weakness & breathlessness.

      COuld you argue that doctors initially thought that the cause was diverticulitis?

      Then after further investigation, ie. pleural tap (which was initially ordered for therapeutic reasons), they found cancer cells in her pleural fluid. So they realised that the constipation was caused by her old age, but the pain was due to the fact that she was weak as a result of the secondary breast cancer in the lungs.

      Is this a plausible diagnosis?
      You paint a pretty narrow picture there though in giving us the history of previous breast Ca followed by a multisystem pathology. That, in my mind, immediately suggests metastases. However, the doctors dealing with the patient in question may have viewed this from a different perspective. One way of looking at it would be, "A mid-to-elderly woman (I'm assuming) presenting with LIF pain, constipation and lethargy", which sounds like it could be diverticulitis.

      However, I'm not condoning what the doctors decided on, and this is my disclaimer!
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      I wouldnt ever rule out metastatic cancer, but breast spreading to colon is rare.
     
     
     
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