Head & Neck MDT

Head & Neck MDT: Patient Details: - John Doe - 01/15/1970 - MRN: 123456 Clinical History: - Presenting Complaints: Persistent sore throat and difficulty swallowing - Past Medical History: Hypertension, Type 2 Diabetes - Previous Surgeries: Appendectomy in 2005 - Medications and Herbal Supplements: Metformin, Lisinopril - Allergies: Penicillin - Social History: Non-smoker, occasional alcohol use Examination Findings: - General Examination Findings: Alert and oriented, no acute distress - Head and Neck Examination Findings: Enlarged cervical lymph nodes, erythematous oropharynx Investigations: - Imaging Results: CT scan shows a mass in the oropharynx - Biopsy Results: Squamous cell carcinoma - Blood Test Results: Elevated white blood cell count Diagnosis: - Primary Diagnosis: Oropharyngeal squamous cell carcinoma - Secondary Diagnoses: None Management Plan: - Surgical Plan: Scheduled for partial pharyngectomy - Medical Treatment Plan: Start on high-dose antibiotics - Radiotherapy Plan: To be considered post-surgery - Follow-up Plan: Weekly follow-up with oncology Discussion Points: - Discussion Points from MDT Meeting: Need for nutritional support, potential complications of surgery Recommendations: - Recommendations from MDT: Pre-operative nutritional assessment, post-operative radiotherapy Next Steps: - Next Steps for Patient Management: Schedule surgery, arrange pre-operative assessments, plan for post-operative care