Oncology Flashcards
What is the treatment for nausea & vomiting caused by tumours that ↑ICP?
Ex.: Glioblastoma.
First line:
- Cyclizine
Second line:
- Dexamethasone
What is the treatment for nausea & vomiting caused by Radiotheraphy?
1st line:
- Ondanserton
2nd line:
- Haloperidol
What is the treatment for nausea & vomiting caused by Chemotherapy?
1st line:
- Ondanserton
2nd line:
- Metoclopramide
What are the symptoms of neutropenic sepsis?
Complication of chemotherapy.
- Fever
- Neutrophils ⩽ 0.5 x 10⁹/L
What is the management of neutropenic sepsis?
Do not wait for WBC results!- Empirical antibiotics.
➔ Tazobactam
➔ Piperacillin
Describe the pain ladder meds.
1. First step:➜ Simple analgesia
- Paracetamol
- NSAID
2. Second step:➜ Weak opiates
- Codeine
- Dihydrocodeine
- Tramadol
3. Third step:➜ Strong opiates
- Morphine
- Fentanyl
- Oxycodone
- Diamorphine
4. Fourth step:
- Epidural nerve block
➜ In pain caused by vertebral metastasis, ` all 3 steps at the same time
➜ Open surgery: Start with morphine and weane it off.
Malignant brain tumour
When to choose between the following antiemetics:
- Cyclizine
- Dexamethasone
Dexamethasone
- Nausea;
- Headache;
- Other neurological symptom;
Cyclizine
- Just nausea.
What is the Rx management in SVC obstruction?
Associated with lung cancer.
Immediate Rx:
- Dexamethasone
- O₂
Most appropriate:
- Endovascular stenting (of obstructed SVC).
What is the labs analysis that must be requested on a thyroid cancer patient post thyroidectomy?
Thyroglobulin.
Should be undetectable.
What is the medication used to treat several types of cancers with a side effect of severe diarrhoea?
Capecitabine.
What type of cancers presents with thrombocytosis (⬆︎ PLT)?
- Lung
- Endometrial
- Gastric
- Oesophageal
- Colorectal
Oncology
What are the investigations done in a case of Submandibular mass?
1st line: Ultrasound
2nd line: FNAC
When suspecting spinal compression 2nd to metastasis how to perform the:
- Diagnose
- Rx
Diagnosis: Full spine MRI
Rx: High doses of corticosteroids (dexa).
