Lung Mass Evaluation Medical Note Template
The lung mass evaluation MedicalTemplate is suitable for any health care provider that evaluates patients with lung masses and potential lung cancer.
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Template
updated 2/7/2008 | Template Features
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Lung Masses
The discovery of a lung mass provokes great fear, because this discovery may be the first sign of lung cancer or other cancer. Because of the risk of cancer, a thorough and timely evaluation of a lung mass is imperative.The Centers for Disease Control and Prevention states, ”More people die from lung cancer than any other type of cancer. This is true for both men and women. In 2003 (the most recent year for which statistics are currently available), lung cancer accounted for more deaths than breast cancer, prostate cancer, and colon cancer combined.”
In 2003 nearly 200,000 people were diagnosed with lung cancer. In that same year, 160,000 died from lung cancer. The treatment for lung cancer is not very effective, unless detected and treated in the earliest, often asymptomatic, stages.
Not all lung masses are due to cancer. Lung masses can develop as a result of infection, primarily tuberculous and fungal infections. Other disease processes associated with lung masses include rheumatoid arthritis, sarcoidosis, silicosis, and arteriovenous malformations.
Questions relating to smoking history, drug abuse, and alcohol abuse are standard in MedicalTemplates. These questions have increased importance in the evaluation of patients with lung masses. Patients who smoke are at 10-20 times more likely to develop lung cancer, and many other cancers (i.e., gastric, pancreatic, cervical, larynx, esophagus and colon cancer) are also related to smoking.
E & M Documentation Template
The lung mass evaluation MedicalTemplate contains prompters and space for all the required elements for a E&M encounter.
- History
- Chief complaint
- History of present illness
- Past medical and surgical history
- Social history
- Family history
- Review of systems
- Examination
- Medical Decision Making
- Review of data (labs, tests, imaging, old records)
- Assessment and plan
- 1997
Documentation Guidelines for Evaluation and Management
Services
- 1995
Documentation Guidelines for Evaluation and Management
Services
Digital Health Record
The lung mass evaluation MedicalTemplate functions like all other PDF files, but they have editable text fields and working checkboxes. This allows information to be typed in or pasted from other applications to fill out the template.Filled lung mass evaluation MedicalTemplates can be printed and saved to a computer, USB drive, CD, DVD, or other storage device to create a digital health record for your patients.
To learn more about how MedicalTemplates can be used as a digital health record, click here.
Digital Signature Enabled
To learn more about Adobe PDF digital signatures, click here.
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MedicalTemplates are in the Adobe PDF format, which requires the free Adobe Reader. With Adobe Reader, these templates can be printed as many times as needed on paper meeting your specifications or the specifications of any clinic, hospital, or other health care facility.
