Oncology: Emergencies Flashcards
1
Q
Management spinal cord compression
A
High dose oral dexamethasone
Urgent assessment for radiotherapy or surgery
2
Q
Symptoms of spinal cord compression
A
Back pain (earliest and most common) Lower limb weakness Sensory changes Upper or lower motor neuron symptoms Tendon reflexes increased below lesion
3
Q
Symptoms of SVC obstruction
A
Dyspnoea Swelling of face, neck arms Headache Visual disturbance Jugular venous disturbance
4
Q
Management of SVC obstruction
A
Dexamethasone
Balloon venoplasty
Stenting
If small cell: chemo and radio
If non small cell: radio
5
Q
Symptoms of hypercalcaemia
A
Early: lethargy, anorexia, polyuria/dypsia, nausea, vomiting constipation
Late: confusion, drowsiness, fits, coma
6
Q
Management of hypercalcaemia
A
Fluids, bisphosphonates IV
