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Difference between revisions of "Pathology requisitions"
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→Lung mass - clinical history checklist
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*Source of specimen. | *Source of specimen. | ||
*Submitting physican. | *Submitting physican. | ||
* | *Submitting clinic/operating room. | ||
*[[Clinical_history#Clinical_history_and_pathology|Clinical history]] - | *[[Clinical_history#Clinical_history_and_pathology|Clinical history]] - considered a necessity and may be a legal requirement.<ref name=pmid10388918>{{Cite journal | last1 = Nakhleh | first1 = RE. | last2 = Gephardt | first2 = G. | last3 = Zarbo | first3 = RJ. | title = Necessity of clinical information in surgical pathology. | journal = Arch Pathol Lab Med | volume = 123 | issue = 7 | pages = 615-9 | month = Jul | year = 1999 | doi = 10.1043/0003-9985(1999)123<0615:NOCIIS>2.0.CO;2 | PMID = 10388918 }}</ref><ref name=reg965>R.R.O. 1990, Reg. 965, s. 31 (1). URL: [http://www.ontario.ca/laws/regulation/900965#BK23 http://www.ontario.ca/laws/regulation/900965#BK23]. Accessed on: 18 December 2015.</ref> | ||
==Standardization of requisitions== | ==Standardization of requisitions== | ||
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*Likely facilitates a higher standard of care, based on the significant body of research on checklist use inside and outside of medicine.<ref name=pmid19158173>{{cite journal |author=Soar J, Peyton J, Leonard M, Pullyblank AM |title=Surgical safety checklists |journal=BMJ |volume=338 |issue= |pages=b220 |year=2009 |pmid=19158173 |doi= |url=http://bmj.com/cgi/pmidlookup?view=long&pmid=19158173}}</ref><ref name=gawande>Gawande A. The checklist manifesto: How to get things right. Metropolitan Books. 2009. URL: [http://www.amazon.com/dp/0805091742 http://www.amazon.com/dp/0805091742]. ISBN-13 978-0805091748.</ref> | *Likely facilitates a higher standard of care, based on the significant body of research on checklist use inside and outside of medicine.<ref name=pmid19158173>{{cite journal |author=Soar J, Peyton J, Leonard M, Pullyblank AM |title=Surgical safety checklists |journal=BMJ |volume=338 |issue= |pages=b220 |year=2009 |pmid=19158173 |doi= |url=http://bmj.com/cgi/pmidlookup?view=long&pmid=19158173}}</ref><ref name=gawande>Gawande A. The checklist manifesto: How to get things right. Metropolitan Books. 2009. URL: [http://www.amazon.com/dp/0805091742 http://www.amazon.com/dp/0805091742]. ISBN-13 978-0805091748.</ref> | ||
===Prostate biopsies=== | ===Prostate biopsies - clinical history checklist=== | ||
*PSA ____. | *PSA ____ ng/ml. | ||
*Clinical T stage/DRE examination: ___. | *Clinical T stage/DRE examination: ___. | ||
*5-Alpha inhibitor use: Yes/No. | *5-Alpha inhibitor use: Yes/No. | ||
*Previous biopsy: Yes/No. | *Previous biopsy: Yes/No. | ||
*Prior radiation therapy: Yes/No. | *Prior radiation therapy: Yes/No. | ||
*Prostate measurements: SAG ___, AP ___, TRANS ___. | *Prostate measurements: SAG ___ cm, AP ___ cm, TRANS ___ cm. | ||
**Prostate volume: ___. | **Prostate volume: ___ cm<sup>3</sup>. | ||
*[[PSA density]] ___. | *[[PSA density]] ___ ng/ml<sup>2</sup>. | ||
*Additional clinical information: ___. | *Additional clinical information: ___. | ||
===Urinary bladder biopsies/TURBTs - clinical history checklist=== | |||
*History of bladder tumour: No/Yes. | |||
*BCG treatment: Yes/No. | |||
*Erythema: Yes/No. | |||
*Definite tumour: Yes/No. | |||
**Location of tumour: ___. | |||
**Clinical stage: ___. | |||
*Other clinical information: ___. | |||
===Lung mass - clinical history checklist=== | |||
*Previous lung biopsy: No/Yes. | |||
*History of cancer: No/Yes - primary site _______. | |||
*Suspected cancer: No/Yes | |||
**If ''Yes'': primary lung/metastasis, clinical stage _______. | |||
*Exposure history, e.g. smoking: _______. | |||
*Other relevant information: _______. | |||
===Colonoscopy=== | ===Colonoscopy=== | ||