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OPP III Final > heme/lymph DSA > Flashcards

heme/lymph DSA Flashcards

1
Q

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

A

tissue congestion

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2
Q

effect of lymphatic Tx on fever

A

may increase it transiently

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3
Q

What is a compensated pattern

A

OA CT TL LS junctions in alternating direction

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4
Q

OMT is contraindicated where on cancer patient

A

direct vicinity of cancer

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5
Q

patient has vertebral spread cancer, cannot treat where?

A

anywhere on spine- Batson plexus

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6
Q

HVLA is contraindicated when

A

joints associated with bones that have known or possible cancer

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7
Q

Sx of primary or metastatic vertebral cancer

A

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

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8
Q

what techniques are approved for joints with SD from cancer

A

muscle energy and indirect techniques

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9
Q

how has soft tissue massage proven to help in cancer

A

increase number of NK cells

reduce pain and anxiety too

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10
Q

what type of lymphatic Tx is approved in cancer patients

A

passive not active

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11
Q

primary indication for OMT in patient with known cancer

A

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

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12
Q

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

A

myofascial and counterstrain

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13
Q

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

A

thoracolumbar soft tissue and rib raising Tx

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14
Q

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

A

effleurage to the involved extremity or lymph pump

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15
Q

why is there a metastatic pattern to vertebral bone

A

the Batson plexus of vessels without valves

pressure related to posture and abdominal pressure

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16
Q

what is a classic first indication of metastatic disease

A

bone pain

17
Q

common cancer in elderly men that metastasizes to vertebral column

A

prostate

18
Q

signs of backpain due to malignancy

A

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

19
Q

what is presentation of MSK pain of malignancy in children

A

atypical pattern of arthritis

20
Q

common Sx in childnren is occult malignancy

A

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

21
Q

metabolic complication associated with malignancy

A

hypercalcemia

22
Q

what are the clinical effects hypercalcemia

A

nausea, emesis, anorexia and constipation

23
Q

what can happen after metastasis to the vertebral column

A

vertebral collpase and compression of nerves

24
Q

red flags for leukemia or lymphoma

A

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

25
Q

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

A

tumors in CNS

26
Q

red flags for abdominal soft tissue, and bone tumors

A

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

27
Q

red flag for retinoblastoma

A

leukokoria

28
Q

what children are at hihger risk of childhood cancer

A

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

29
Q

PE if child presenting with questionable malignancy signs

A

focused PE and funduscopic exam

30
Q

red flag for malignancy in children

A

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

31
Q

what are “B Sx” in children (hodgkin)

A

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

32
Q

what are signs that tumor cells have infiltrated bone marrow

A

petechiae, ecchymoses, recurrent epistaxis and bleeding gums

33
Q

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

A

supraclavicular and epitrochlear

34
Q

what are the neuro Sx of children with malignancy

A

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

35
Q

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

A

neuroblastoma and nephroblastoma

36
Q

7yr old girl has intussusception

what must be ruled out on Ddx?

A

abdominal lymphoma

37
Q

labs to order in child with back pain

A

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

38
Q

conflict of lymphatic pump in cancer patients

A

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”

OPP III Final (11 decks)

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