Heme-Onc Flashcards
What is the Schilling test?
Determines cause of B12 deficiency if dietary or due to poor consumption. Looks at radioactive cobalamin movement from digestive tract to urine.
Tumor marker for Seminoma
PLAP
Tumor marker for Embryonal carcinoma
AFP and beta-hCG
Tumor marker for choriocarcinoma
beta-hCG
What to do for patient with suspected esophageal cancer
Barium swallow followed by endoscopy
What can you find in Familial Adenomatous Polyposis or HNPCC (hereditary nonpolyposis colorectal cancer)
Associated brain tumors: Turcot’s syndrome
Fibrocystic dz management
Fine needle aspiration leads to clear fluid, follow for 4-6 weeks
When to get cytology on liquid breast cyst
Bloody or foul smelling
What to do if you find a testicular tumor that is hard and seen on U/s
Radical orchiectomy
Smoker with Horner’s syndrome
Lung cancer!
How to treat hypercalcemic crisis?
First IV NSS, then IV lasix, then hemodialysis, can also include a bisphosphonate
First step in cord compression concern
IV dexamethasone
Anemia of lymphoproliferative diseases is caused by…
Infiltration
Most common form of drug induced thrombocytopenia
Heparin Induced Thrombocytopenia
HIT signs and sxs
5-10 days after started IV unfractionated heparin (but can even happen with subQ hep and lovenox). Very thrombogenic state, treat with anticoagulant. Arterial and Venous clots.
