Paediatric Oncology Flashcards
1
Q
Name some oncological emergancies
A
Sepsis/febrile convulsions Raised ICP Spinal cord compression Mediastinal mass Tumour lysis syndrome
2
Q
How does sepsis/febrile neutropenia present ?
A
Fever
Rigors
Drowsiness
Shock
3
Q
What are some of the early warning signs of raised ICP ?
A
Early morning headache/vomitting.
Tense fontanelle.
Increasing HC.
4
Q
What are some of the late signs of raised ICP ?
A
Constant headache Papiloedema Diplopia Loss of upgaze Neck stiffness Reduced GCS
5
Q
How do you manage raised ICP ?
A
Dexamethasnone - Reduces oedema and increases CSF flow.
Neurosurgery - Urgent CSF diversion i.e. Ventriculostomy
EVD
VP Shunt
6
Q
What signs and symptoms would be present in a spinal cord compression ?
A
Weakness
Pain
Sensory
Sphincter Disturbance
7
Q
How do you manage spinal cord compression ?
A
Urgent MRI
Start dexamethasone urgently.
Definitive treatment with chemotherapy
8
Q
How do those with SVC syndrome present ?
A
Oedema
Cyanosis
Distended veins
Reduced GCS
