Dr O Quiz 3 - ch 31 Flashcards
Where do secondary tumors spread to?
Lungs or breast
Where do primary tumors develop? (3)
Brain, spinal cord, or surrounding structures
Paraneoplastic syndrome occurs due to what?
Remote or direct effect on the CNS from else where in the body
The clinical manifestations of brain tumors depend on what?
The compression or infiltration of specific cerebral tissue
What are the 3 most common signs of brain tumor, 2 common but not always there signs
Edema, intracranial pressure, and headache
Nausea and vomiting
What are the 3 main signs of a PRIMARY tumor?
Mental (clouding, lethargy, alterations in consciousness and cognition, syncope, and fatigue easily) and behavioral signs (irritability, flat affect, emotional lability, and lack of initiative and spontaneity) as well as seizures
What is the most common primary tumor?
How does it present itself?
What also may occur? (4)
Glioma
Unilateral headache followed by generalized headache
Lethargy memory loss, motor weakness and personality change
What is the difference between an oligodeneroma and medulloblastoma?
Oligodeneromas are slow growing in the cerebral hemisphere while medulloblastomas are rapidly growing and aggressive in younger children
Meningiomas are usually malignant or begnine?
What age does it occur during?
More frequent in men or women?
Begnine
40-70
Women
What are the 2 clinical manifestations of pituitary adenomas?
Excessive hormones (Galactorrhea, hemorrhage, gigantism, and acromegaly) Insufficient hormones (regression of secondary sexual characteristics and hypothyroidism)
What symptoms arise from neurinomas and neuromas?
Hearing loss, tinnitus, vertigo and unsteadiness
What are 2 signs of a spinal tumor?
Sensory changes and syringomyelia (loss of pain and temp)
Definition of paraneoplastic syndromes
Effects on the body not directly related to the primary tumor mass or metastasis
Incidence of pediatric tumors
Peaks from 0-6
Drops at 7-10
Stays steady until 18 then drops
3 clinical manifestations of pediatric tumors
3 other signs of pediatric tumors
Seizures, ataxia, and symptoms of increased ICP
Headache, nausea, and cranial nerve palsy