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Medical Conditions II > Oncology > Flashcards

Flashcards in Oncology Deck (58)
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31

Common Manifestations of Cancer

-NVR
-Anorexia and weight loss
-Pain
-Fever
-Cancer related fatigue

32

Primary Prevention

-decrease number of cases/prevalence of cancer
-risk reduction

33

Secondary Prevention

-prevent morbidity and mortality of cancer
-early detection

34

Tertiary Prevention

-managing symptoms, limiting complications, preventing disability disability
-palliative treatment

35

CAUTION: clinical manifestations of cancer

C-change in bowel/bladder
A-a sore that doesn't heal in 6 weeks
U-unusual bleeding/discharge
T-thickening or lump in breast or elsewhere
I-indigestion or difficulty swallowing
O-obvious changes in wart or mole
N-nagging cough/hoarsness

36

Diagnostics

-Biopsy, endoscopy (invasive)
-CT, MRI (radiologic/noninvasive)

37

Types of Treatment

-Surgery
-Radiation
-Chemotherapy
-Biotherapy
-Immunotherapy
-Hormonal therapy

38

Medical Management of Cancer Tx

-Medications other than chemo
-Alternative care
-Hospice

39

PT management of cancer treatment

-positioning
-relaxation techniques
-biofeedback
-manual therapy

40

Goals of Intervention

-cure the cancer
-control the cancer
-palliative care

41

Progression of Cancer

-complete remission/response
-partial response
-no response
-survival

42

Complete Remission/Response

-disappearance of clinically evident disease

43

Partial Response

-more than 50% reduction in tumor size

44

No Response

-no response to treatment

45

Survival=

time from diagnosis to death

46

Prognosis affected by:

-type, stage, grade of cancer
-type/effectiveness of therapy
-pt's general health status
-age

47

Winningham Precautions:
Platelets

<50,000/ml

48

Winningham Precautions:
Hb

<10g/ml

49

Winningham Precautions:
Absolute Granulocytes

<500/ml

50

Winningham Precautions

-precautions to aerobic exercise in chemotherapy patients

51

Winningham Precautions:
WBC

< 3,000/ml ; 10,000 with fever (no exercise)

52

Side effects of Chemo

fatigue,
GI,
anxiety/depression,
hepatotoxicity, hemorrhage,
bone marrow suppression,
anemia,
infection,
neutropenia,
thrombocytopenia,
muscle weakness,
decreased bone density,
rash,
neuropathies,
hair loss,
sterilization,
sexual dysfunction,
weight loss/gain

53

Side Effects of Radiation

fatigue,
radiation sickness,
immunosuppression,
decreased platelets/WBC,
infection,
fibrosis,
burns,
mucositis,
diarrhea,
edema,
hair loss,
ulceration,
CNS/PNS effects,
Malignancy

54

Symptoms of Metastasis: Lung

-cough, pleural pain, SOB

55

Symptoms of Metastasis: Liver

-abdominal pain, RUQ pain, malaise, fatigue, anorexia, weight loss, fever

56

Symptoms of Metastasis: Bone

-deep pain worsening with activity, pathologic fractures

57

Symptoms of Metastasis: Brain

-cognitive impairment, headache, reduced sensory/motor function

58

Symptoms of Metastasis: Lymphnodes

-lymphedema