Sandbox:Roukoz: Difference between revisions

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{{familytree/start |summary= Algorithm for diagnosis of cancer of unknown primary origin}}
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{{familytree | | | | | | | | | | | A01 | | | | | | | | |A01='''Tumor of unknown primary origin'''}}
|- style="background: #4479BA; color: #FFFFFF; text-align: center;"
{{familytree | | | | | | | | | | | |!| | | | | | | | | |}}
! rowspan="4"  style="background: #4479BA; color: #FFFFFF; text-align: center;|Diseases
{{familytree | | | | | | | | | | |boxstyle=text-align: left; | B01 | | | | | | |B01= • Full medical history and physical exam<br> • Basic blood and biochemical analysis<br> • CT scan of chest, abdomen, and pelvis}}
| colspan="6" rowspan="1"  style="background: #4479BA; color: #FFFFFF; text-align: center;|'''Clinical manifestations'''
{{familytree | | | | | | | | | | | |!| | | | | | | | | }}
! colspan="7" rowspan="2"  style="background: #4479BA; color: #FFFFFF; text-align: center;|Para-clinical findings
{{familytree | | | | | | | | | | | C01 | | | | | | |C01=Histopathologic examination}}
| colspan="1" rowspan="4"  style="background: #4479BA; color: #FFFFFF; text-align: center;|'''Gold standard'''
{{familytree | | | | | |,|-|-|-|-|-|+|-|-|-|-|-|.| | | }}
! rowspan="4" style="background: #4479BA; color: #FFFFFF; text-align: center;|Additional findings
{{familytree | | | | |D01| | | | D02| | | | D03 |D01='''Squamous cell carcinoma'''|D02='''Neuroendocrine carcinoma'''|D03='''Adenocarcinoma and poorly differntiated carcinoma'''}}
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{{familytree | | | | | |!| | | | | |!| | | | | |!| | | | }}
| colspan="3" rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;|'''Symptoms'''
{{familytree | | | | | |!| | | | |boxstyle=text-align: left;|E01| | | | |!| |E01=• Octreoscan<br>• Plasma chromogranin A}}
! colspan="3" rowspan="2"  style="background: #4479BA; color: #FFFFFF; text-align: center;|Physical examination
{{familytree | | | | |F01| | | | | | | | | | F02 | |F01=Additional tests specific to location of metastasis|F02=Additional tests speciifc to gender}}
|-
{{familytree | | | | | |!| | | | | | | | | | | |!|| | }}
! colspan="3" style="background: #4479BA; color: #FFFFFF; text-align: center;|Lab Findings
{{familytree | | |,|-|-|+|-|-|-|.| | | | | |,|-|^|-|.| | | }}
! colspan="3" style="background: #4479BA; color: #FFFFFF; text-align: center;|Imaging
{{familytree | G01 | | G02 | | G03 | | | | G04 | | G05 | | | |G01=Cervical lymphadenopathy|G02=Inguinal lymphadenopathy|G03=Bone metastasis|G04=Men|G05=Women}}
! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;|Histopathology
{{familytree | |!| | | |!| | | |!| | | | | |!| | | |!| | | | | }}
|-
{{familytree |boxstyle=text-align: left;| H01 | | H02 | | H03 | | | | H04 | | H05 | | | |H01=• Panendoscopy<br>• CT scan of head and neck<br>• Diagnostic bilateral amygdalectomy|H02=• Complete clinical examination of external genital organs<br>• Pelvic CT scan or ultrasound|H03=• Anoscopy<br>• Colposcopy (if female)<br>• Complete clinical examination of head and neck<br>• Panendoscopy<br>• Bone scintigraphy<br>• Xrays of painful areas|H04=• PSA<br>• αFP<br>• βHCG|H05=• Mammography<br>• Pelvic ultrasound or CT scan}}
! style="background: #4479BA; color: #FFFFFF; text-align: center;|Symptom 1
{{familytree | | | | | | | | | | | | | | | |!| | | |!| | | | |}}
! colspan="1" rowspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;|Symptom 2
{{familytree | | | | | | | | | | | | | | | |`|-|v|-|'| | | | |}}
! style="background: #4479BA; color: #FFFFFF; text-align: center;|Symptom 3
{{familytree | | | | | | | | | | | | | | | | | I01 | | | | | | |I01=Additional tests specific to location of metastasis}}
! style="background: #4479BA; color: #FFFFFF; text-align: center;|Physical exam 1
{{familytree | |,|-|-|-|v|-|-|-|v|-|-|-|v|-|-|-|+|-|-|-|v|-|-|-|v|-|-|-|v|-|-|-|.|}}
! colspan="1" rowspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;|Physical exam 2
{{familytree | J01 | | J02 | | J03 | | J04 | | J05 | | J06 | | J07 | | J08 | | J09 |J01=Midline and/or mediastinal lymphadenopathy|J02=Cervical and/or supraclavicular lymphadenopathy|J03=Axillary lymphadenopathy|J04=Liver metastasis|J05=Lung metastasis|J06=Bone metastasis|J07=Single metastasis|J08=Pleural effusion|J09=Periotneal effusion}}
! style="background: #4479BA; color: #FFFFFF; text-align: center;|Physical exam 3
{{familytree | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | | |!| |}}
! style="background: #4479BA; color: #FFFFFF; text-align: center;|Lab 1
{{familytree |boxstyle=text-align: left;| K01 | | K02 | | K03 | | K04 | | K05 | | K06 | | K07 | | K08 | | K09 |K01=• Testicular ultrasound<br>• Chest and abdominal CT scan|K02=• Testicular ultrasound<br>• Head and neck CT scan<br>• Panendoscopy<br>• EBV testing (to rule out undifferentiated nasopharyngeal carcinoma)|K03=Women:<br>• Breast ultrasound<br>• Breast MRI|K04=Women:<br>• αFP assay (if undifferntiated carcinoma)<br>• Colposcopy|K05=Women:<br>• βHCG<br>Men:<br>• Testicular ultrasound<br>• Chest and abdominal CT scan|K06=• Bone scintigraphy<br>• Xrays of painful areas|K07=• Full body CT scan<br>• Bone scintigraphy|K08=• Chest CT scan|K09=Women:<br>• Abdominal and pelvic CT scan}}
! style="background: #4479BA; color: #FFFFFF; text-align: center;|Lab 2
{{familytree/end}}
! style="background: #4479BA; color: #FFFFFF; text-align: center;|Lab 3
! style="background: #4479BA; color: #FFFFFF; text-align: center;|Imaging 1
! style="background: #4479BA; color: #FFFFFF; text-align: center;|Imaging 2
! style="background: #4479BA; color: #FFFFFF; text-align: center;|Imaging 3
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| style="background: #DCDCDC; padding: 5px; text-align: center;" |Differential Diagnosis 1
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| style="background: #DCDCDC; padding: 5px; text-align: center;" |Differential Diagnosis 2
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| style="background: #DCDCDC; padding: 5px; text-align: center;" |Differential Diagnosis 3
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!Diseases
!Symptom 1
! colspan="1" rowspan="1" |Symptom 2
!Symptom 3
!Physical exam 1
! colspan="1" rowspan="1" |Physical exam 2
!Physical exam 3
!Lab 1
!Lab 2
!Lab 3
!Imaging 1
!Imaging 2
!Imaging 3
!Histopathology
|'''Gold standard'''
!Additional findings
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| style="background: #DCDCDC; padding: 5px; text-align: center;" |Differential Diagnosis 4
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| style="background: #DCDCDC; padding: 5px; text-align: center;" |Differential Diagnosis 5
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| style="background: #DCDCDC; padding: 5px; text-align: center;" |Differential Diagnosis 6
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Revision as of 20:54, 28 January 2019

Diseases Clinical manifestations Para-clinical findings Gold standard Additional findings
Symptoms Physical examination
Lab Findings Imaging Histopathology
Symptom 1 Symptom 2 Symptom 3 Physical exam 1 Physical exam 2 Physical exam 3 Lab 1 Lab 2 Lab 3 Imaging 1 Imaging 2 Imaging 3
Differential Diagnosis 1
Differential Diagnosis 2
Differential Diagnosis 3
Diseases Symptom 1 Symptom 2 Symptom 3 Physical exam 1 Physical exam 2 Physical exam 3 Lab 1 Lab 2 Lab 3 Imaging 1 Imaging 2 Imaging 3 Histopathology Gold standard Additional findings
Differential Diagnosis 4
Differential Diagnosis 5
Differential Diagnosis 6
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