heme/lymph DSA

Question 1

palpable tension, tenderness, ticklishness, full boggy tissure in lymph drainage site

Answer 1

tissue congestion

Question 2

effect of lymphatic Tx on fever

Answer 2

may increase it transiently

Question 3

What is a compensated pattern

Answer 3

OA CT TL LS junctions in alternating direction

Question 4

OMT is contraindicated where on cancer patient

Answer 4

direct vicinity of cancer

Question 5

patient has vertebral spread cancer, cannot treat where?

Answer 5

anywhere on spine- Batson plexus

Question 6

HVLA is contraindicated when

Answer 6

joints associated with bones that have known or possible cancer

Question 7

Sx of primary or metastatic vertebral cancer

Answer 7

acute back pain, fever, chills, night sweats, fatigue, weight loss

Question 8

what techniques are approved for joints with SD from cancer

Answer 8

muscle energy and indirect techniques

Question 9

how has soft tissue massage proven to help in cancer

Answer 9

increase number of NK cells

reduce pain and anxiety too

Question 10

what type of lymphatic Tx is approved in cancer patients

Answer 10

passive not active

Question 11

primary indication for OMT in patient with known cancer

Answer 11

MSK pain associated with SD but not directly related to the tumor

Question 12

what techniques are better for cancer patients with severe conditions or advanced age

Answer 12

myofascial and counterstrain

Question 13

what can be done to prevent constipation and atelectasis in bedridden patients

Answer 13

thoracolumbar soft tissue and rib raising Tx

Question 14

If cancer is cured or riks of lymph spread is insignificant, what Tx can be done

Answer 14

effleurage to the involved extremity or lymph pump

Question 15

why is there a metastatic pattern to vertebral bone

Answer 15

the Batson plexus of vessels without valves

pressure related to posture and abdominal pressure

Question 16

what is a classic first indication of metastatic disease

Answer 16

bone pain

Question 17

common cancer in elderly men that metastasizes to vertebral column

Answer 17

prostate

Question 18

signs of backpain due to malignancy

Answer 18

weight loss, pain unrelated to motion or palpation, pain unresponsive to analgesic medications

Question 19

what is presentation of MSK pain of malignancy in children

Answer 19

atypical pattern of arthritis

Question 20

common Sx in childnren is occult malignancy

Answer 20

MSK pain, fever, fatigue, weight loss, back pain, bone pain, severe constitutional symptoms

Question 21

metabolic complication associated with malignancy

Answer 21

hypercalcemia

Question 22

what are the clinical effects hypercalcemia

Answer 22

nausea, emesis, anorexia and constipation

Question 23

what can happen after metastasis to the vertebral column

Answer 23

vertebral collpase and compression of nerves

Question 24

red flags for leukemia or lymphoma

Answer 24

pallor, malaise, fever, anorexia, weith loss, lymphadenopathy hemorrhagic diathesis, heptosplenomegaly

Question 25

new onset morning headaches assoc with neuro, vomiting, or back pain post likley

Answer 25

tumors in CNS

Question 26

red flags for abdominal soft tissue, and bone tumors

Answer 26

palpable masses in the abdomen or soft tissues and persistnat bone pain that awaken the child from sleep

Question 27

red flag for retinoblastoma

Answer 27

leukokoria

Question 28

what children are at hihger risk of childhood cancer

Answer 28

those with immundeficiencies, previous malignancies, familial syndromes likeDown, Li-Fraumeni syndrome, hemihypertrophy, neurofibromatosis, and retinoblastoma

Question 29

PE if child presenting with questionable malignancy signs

Answer 29

focused PE and funduscopic exam

Question 30

red flag for malignancy in children

Answer 30

fever, lymphadenopathy, vomiting, pallor, with combination of another finding in Hx and PE

Question 31

what are "B Sx" in children (hodgkin)

Answer 31

drenching night sweats, fever, and significant weight loss with lymphadenitis

Question 32

what are signs that tumor cells have infiltrated bone marrow

Answer 32

petechiae, ecchymoses, recurrent epistaxis and bleeding gums

Question 33

what nodes when inflammed are an indication for higher risk of maliganncy

Answer 33

supraclavicular and epitrochlear

Question 34

what are the neuro Sx of children with malignancy

Answer 34

unexplained irritability, lethargy, developmental delay or regression and increasing head circumference

Question 35

most common malignant cause of abdominal mass in child younger than 5

Answer 35

neuroblastoma and nephroblastoma

Question 36

7yr old girl has intussusception | what must be ruled out on Ddx?

Answer 36

abdominal lymphoma

Question 37

labs to order in child with back pain

Answer 37

CBC, blood smear, CRP, 2 view radiogrpahy of spine if younger than 4 y.o

Question 38

conflict of lymphatic pump in cancer patients

Answer 38

1 side says "no, don't do you dummy, you will spread the cancer" other side: "actually lymphatic flow helps in cancer, like when you walk. Lymphatic pump techniques move lymph less than when you walk"