Patient Encounter Part 2 Medical History Physical Examination and Diagnosis

PMH: Significant for COPD (poorly controlled), GERD (controlled with PPIs), and moderate hypertension

FH: Father died of MI, mother living

Meds: Lisinopril 20 mg daily; Lansoprazole 30 mg daily; Albuterol/ipratropium MDI two puffs twice a day

ROS: (+) light chest pain, shortness of breath, hemoptysis; (-) recent weight loss PE:

VS: BP 135/69, RR 26, P 80, T 37.2°C (99°F) CV: RRR

Labs: Slightly elevated ionized calcium and LFTs; all others WNL. CXR reveals a solitary nodule in right lower lobe. Fine-needle aspiration confirms adenocarcinoma. Further evaluation with CT and PET scans reveal a T2N0M0 tumor. What clinical stage is this patient's disease?

What is the estimated survival time for this stage of NSCLC?

Does this patient have any factors that may negatively or positively influence survival?

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