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Clinical Medicine > DPD Cancer > Flashcards

Flashcards in DPD Cancer Deck (17)
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1
Q

first thing to do in a suspicious CT head (brain tumour)?

A

start dexamethasone + organise MRI head and CT CA

Then –> neurosurgeons, and then –> clinical oncology

2
Q

Management of compression?

A
  1. dexamethasone
  2. urgent MRI within 24hours
  3. CT with spinal reconstruction
  4. Put him supine
  5. Talk with Neurosurgery & Clinical Oncology
3
Q

PSA? Increases also with?

A

prostate

increases with BPH, prostatitis, ejaculation, catheterisation, trauma

4
Q

Ca 125? Increases with?

A

ovarian cancer

5
Q

Ca 19-9 marker?

A

pancreatic

6
Q

BHcG?

A

testicular

7
Q

Ca 15-3?

A

breast cancer

8
Q

CEA? also rises with?

A

bowel cancer

rises with infection, pancreatitis, COPD, IBD

9
Q

4 causes behind cancer causing symptoms?

A
  1. primary tumor
  2. metastases
  3. bodys response to 1+2
  4. drugs to treat any of the above.
10
Q

4 domains to focus when treating cancer

A

psychological
physical
spiritual
palliative

11
Q

Stages of thought change

A
pre-contemplation
contemplation 
determination
maintenance
relapse
12
Q

Management of confusion in the context of suspected cancer? (5)

A
  1. anti-epileptics (if they had fits)
  2. steroids
  3. MRI head
  4. Surgery or Radiotherapy
  5. CT Pelvis to look for metastasis
13
Q

Presentation of a patient with SOB. Investigations? (4)

A
  1. CXR
  2. Bloods
  3. ABG
  4. ECG to look for tachycardia/bradycardia and pericardial effusion (low voltage)
14
Q

Cord compression due to cancer is commonest when the metastasis comes from which cancers? (5)

A
  1. Breast
  2. Kidney
  3. Lungs
  4. Prostate
  5. Thyroid
15
Q

Symptoms of cord compression?

A
  1. weakness
  2. numbness
  3. feacal dysfunction
  4. urine dysfunction
  5. sexual dysfunction
  6. back pain
16
Q

Symptoms of lymphoma (5)

A
  1. Enlarged LNs (usually painless)
  2. Sweating
  3. Unintentional WL
  4. Off-legs
  5. Fever
17
Q

Symptoms of testicular cancer (4)?

A
  1. Lump on testis (pain or painless)
  2. Feeling of heaviness on testis
  3. breast enlargement from hormonal effects of b-HcG
  4. lower back pain if metastasis