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Clinical Medicine > DPD Cancer > Flashcards

DPD Cancer Flashcards

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

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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
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3
Q

PSA? Increases also with?

A

prostate

increases with BPH, prostatitis, ejaculation, catheterisation, trauma

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4
Q

Ca 125? Increases with?

A

ovarian cancer

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5
Q

Ca 19-9 marker?

A

pancreatic

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6
Q

BHcG?

A

testicular

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7
Q

Ca 15-3?

A

breast cancer

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8
Q

CEA? also rises with?

A

bowel cancer

rises with infection, pancreatitis, COPD, IBD

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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.
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10
Q

4 domains to focus when treating cancer

A

psychological
physical
spiritual
palliative

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11
Q

Stages of thought change

A 
pre-contemplation
contemplation 
determination
maintenance
relapse
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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
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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)
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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
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15
Q

Symptoms of cord compression?

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

Clinical Medicine (6 decks)

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