1.

- Good morning girls, today we have a discussion about the Patient´s Case
from the Gastrointestinal Unit, this is the clinical case of the patient, we have
the information from his history, I guess you have already read it. Does
everyone have a copy of the patient's case?

2.- Of course. I have a copy here. According to this case, the patient has a
history of cirrhosis of the liver.

3.- what is the etiology of the patient to present hepatocellular carcinoma?

4.- the etiology following this report is liver cirrhosis

5.- in what stage is carcinoma according to this clinical case?

6.- this patient is in the t2n0m0 cancer cluster stage.

7.-  How old is the patient the medical history talks about?

8.- We patient is sixty-three years old, that belongs to the sector of the third
age, specifically to the group of Sick Elderly.

9.- Why hospitalize the patient?

10.- The patient is admitted due to pneumonia complicated with (C/W)

hypoxic respiratory failure

11.- What is the diagnosis given to the patient in the ER (emergency room)?

12.- According to this case, the patient has a history of liver cirrhosis.

13.- Does the patient have any significant history that led to liver cirrhosis?

14.- Yes, this patient has these symptoms related to the hepatitis B virus.

15.- What treatment is he receiving?

16.- The patient received treatment four times with transcatheter arterial
chemoembolization
17.- Does the patient have other symptoms?

18.- Yes, according to this clinical history, he has hypertension and also
pneumonia.

19.- For pneumonia, what methods did you follow in the patient's recovery
process?

20.- This patient received an endotracheal insertion and mechanical

application,

21.- Does the patient have any relatives?

22.- Yes, he only has a son who takes care of him,  

23.- What happened on February 23?

24.- the patient's son found him at home disoriented

25.- What is the son's account of the patient?

26.- This history informs us that your son found you drowsy, sleeping weakly
and disoriented in time and place, for this reason he is again in the
emergency room

27.- What did the patient present after being hospitalized again?

28.- the patient has hyponatremia and high ammonia levels.

29.- What ailments did our patient not manifest according to his son?

30.- your son reports no fever, no symptoms of focal neurological injury,

constipation, diarrhea, or dyspnea

31.- Does the patient have a cough?

32.- Yes, the patient was found to have a mild cough with whitish sputum in
the ER

33.- Well, colleagues, let's continue investigating the clinical case and see you
at the next meeting.

33.- OK, see you soon

34.- see you later

35.- Bye