[NPInfo] that PMR pt

Dena galdena at sbcglobal.net
Wed Oct 31 21:17:11 PDT 2007


I would have thought the compression fxs would have been a tip-off to do a
work up with his hx of prostate CA. What was the cause of the compression
fxs? Men don't get them the way women do-- or for the same reasons. In a
pathological fx in a man with hx of prostate Ca I would have followed up the
spine x-day with a bone scan and full mets work-up.
Dena Galler

-----Original Message-----
From: npinfo-bounces at nurse.net [mailto:npinfo-bounces at nurse.net] On Behalf
Of Paula Sumner
Sent: Wednesday, October 31, 2007 5:25 PM
To: NP Info
Subject: Re: [NPInfo] that PMR pt

he had prostate ca several years ago and surgey. what is weird i that he had
spine films and chest films-negative except his compression fracture last
spring. He was failing in his apt so we put him in asst living-had a lot of
muscle pain, was incontinent since prostate surgery, was bowel focused and
needed help stooling. The pred nisone we started last week pretty much
eliminated his pain, but his legs were weaker r>l, dev foot drop. that is
when we admitted him. CXR shows a cavitation in a lung, ct scan shows his
manubrium almost eat up (never c/o pain there), a mass in the kidney and
maybe liver, and in his spine! 
  paula

"Rogers, Barbara" <BB_Rogers at fccc.edu> wrote:
  Paula
Do you know what the primary cancer is?

Barb

-----Original Message-----
From: npinfo-bounces at nurse.net 
To: npinfo at nurse.net 
Sent: Wed Oct 31 17:47:42 2007
Subject: [NPInfo] that PMR pt

That pt I asked for info on PMR about (and got the only list reply: send to
rheumatology) -he dev foot drop so he was admitted to the hospital--has
mets! what a shock. we came to like this guy, and care about him-it is just
stunning news. 
Paula


Paula J. Sumner RN, MSN, HTP, CHt
Healing Touch, Hypnotherapy, Emotional Freedom Technique, Reiki-2
3500 Westgate Dr., Suite 504-G
Durham, NC 27707 
919-490-4656

http://paulajsumner.byregion.net Referral ID#10102918

http://www.justanswer.com/home.asp?r=HolisticNurse&bn=2

http://www.letstalkcounseling.com/sites/paulasumner
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Paula J. Sumner RN, MSN, HTP, CHt
Healing Touch, Hypnotherapy, Emotional Freedom Technique, Reiki-2
3500 Westgate Dr., Suite 504-G
Durham, NC 27707 
919-490-4656

http://paulajsumner.byregion.net  Referral ID#10102918

http://www.justanswer.com/home.asp?r=HolisticNurse&bn=2

http://www.letstalkcounseling.com/sites/paulasumner
 __________________________________________________
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