Approach To Patient With Cancer Flashcards
What s the most significant risk factor for all cancer?
Age
At what percent does man has risk for developing cancer
44%
What percent does woman has risk for cancer
38%
It is the second leading cause of death next to heart disease
Cancer
At what age does cancer overtake heart disease as one of the leading cause f death?
<85 y.o
What is the most common cancer and the most common cause of death?
Lung cancer
Second most common cancer
Breast cancer
What are the top 8 common cancer
- Lung
- Breast
- Prostate
- Colorectal
- Liver
- Cervical
- Esophageal
- Stomach
Cancer common in more developed countries
Lung, breast, prostate, and colorectal CA
Cancer common in less developed countries?
LEC
Live, Cervical and esophageal CA
More common in asia than north America or Africa
Stomach CA
Common ON africa
LIVER, CERVICAL AND BREAST CA
What diagnosis of CA relies most heavily on?
Invasive biopsy
MOST COMMON SE of chemotherapy
Nausea with or without vomiting
Most common side effects of treatment a
Nausea and vomiting
Febrile neutropenia
Myelosuppression
Appearance of all evidence of dx
Complete response
> 50% reduction in the sum of the products or the perpendicular diameters of all measurable leasions
Partial response
Appearance of new lesions or inc number >25% of the sum of products of perpendicular diameters of all measurable lesions
Progressive disease
Tumor shrinkage or growth that does not meet any of these criteria
Stable disease
What are the recommended follow up of px with cancer
Every month in 6-12 mon Every other month for a year Every 3 months for a yr Every 4 months for a yr Every 6 mo for a yr Annually
What is the major determinant of life
Supportive care
What is the major cause of pain in cancer
Invasion of tumor in bone, nerves, BV
20% of pain is due to what
Chemoradiation injury, surgical or invasive injury
What type of emesis that occurs Within 24 h of tx
Acute emesis
Emesis that occur 1-7 days after tx
Delayed emesis
What emesis that occurs before the chemotherapy
Anticipatory emesis
What is the tx for delayed emesis
Dexamethasone and meticlopramide
Mikd and moderate ematogenic agents
Prochlorperazine 5-10 mg po
What type of cancer has the side effect of pleural effusin
Lung, breast and lymphoma
What is the tx for pleural effusion if symptomatic
Thoracocentesis
Tx when the effusion recur for 2 weeks
Chest tube drainage
Drug of choice in effusion
Doxycycline
Target of the chest tube drainage
<100 ml in 24 hr
Major complications of pericardial effusion
Fol
Fluid overload
Occlusion
Leakage
What drug that improve nutritional status
Megestrol acetate
Most common causes of death in patients with cancer
Infection
Respiratory failure
Hepatic and renal failure
Treatment for symptomatic pericardial effusion
Creating a pericardial window or by stripping the pericardium
