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Flashcards in Week 8/Research Article Overview Deck (6)
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1

4 major clinical S/S of cancer

1. failure to respond to conservative treatment within 1 month
2. weight loss greater than 4.5kg (10lb) in 6 months (unintentional)
3. Age greater than 50
4. PMH cancer

2

Other S/S to raise flags

-inisidious onset
-pain out of proportion with injury
-pain disturbing sleep
-pain that should be in the chronic phase, but is presenting acutely
-hx of smoking
-bowel/bladder changes

3

1 question to ALWAYS ask

Are you having any other problems anywhere else?/Is there anything else you need to tell me?

4

Abdominal pain cluster questions (1st cluster)

1. Coughing/sneezing/taking a deep breath change your pain? (if yes, then think MS)
2. Any movements make your pain worse? (if yes, then think MS)
3. Any changes in bowel/bladder habits? (if no, think MS)

5

Abdominal pain cluster questions (2nd cluster)

1. Does eating make your pain better or worse? (If no, then think MS)
2. Any unexplained weight loss? (if no, then think MS)

6

True or false: fluctuating is normal

Fluctuating is NEVER NORMAL! The patient should not get better, get worse, get better, get worse, etc.