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Oncology + Palliative > Misc > Flashcards

Flashcards in Misc Deck (16):
1

Describe what happens in tumour lysis syndrome, the blood test results + when its most likely to occur

High uric acid, hyperkalaemia, hyperphosphatemia, hypocalcaemia
Causes painful joints, kidney stones, AKI, arrhythmias, confusion.
More common in leukaemias, lymphomas etc.
Seen 2-3 days after chemo

2

MRCP vs ERCP - what are they?

MRCP = MRI of liver, gallbladder, pancreas
ERCP = endoscopy, injection of dye into pancreatic ducts, X rays taken

3

What is lymphangitis carcinomatosis?

Inflammation of lymph vessels due to malignancy. Breast, lung, stomach, pancreas + prostate common. Can cause kerley B lines on CXR

4

What can cause mediastinal lymphadenopathy?

TB, sarcoidosis, lung cancer, lymphangitis carcinomatosis, CF

5

What are the causes of leg pain in oncology patients?

Bone mets, neuropathic pain, peripheral neuropathy, fracture, co-existing disease

6

What are the characteristics of bone mets (S+S)?

dull ache over large area or well localized tenderness over bone. Worse on weight bearing + movement

7

What meds to consider stopping in EOL care?

steroids, hpyoglycaemics, anticonvulsants

8

What meds to stop in EOL care?

anti-HTN, anti-depressants, laxatives, anti ulcer drugs, anticoags, iron, vitamins, diuretics, arrhythmics

9

What are the 4 anticipatory meds?

diamorphine injection, midazolam, hyoscine butylbromide + haloperidol

10

What is a DS1500 form?

Used for the terminally ill to get more funding

11

What are the causes of confusion in oncology pts?

Hypercalcaemia, infection, opiate OD, cerebral mets

12

What does a CXR of SVCO reveal?

Mediastinal mass

13

When to use RT vs surgery for spinal cord compression

Radiotherapy for:
Comorbidities
Non- collapse of vertebrae
Metastasis
2 or more levels with compression
Palliative

Surgery for:
Young
Healthy
One level disease

14

What are the key principles of external beam RT?

Immobilisation
Imaging
Target definition (margins) Dose delivery
Verification
image guidance

15

How does hypercalcaemia cause problems?

Calcium acts like an osmotic diuretic causing:
Polyuria
Dehydration
D+ V
Leads to AKI

16

What would prompt a referral to the coroner?

Cause of death unknown
Death occurred within 24hrs of admission
Death due to industrial disease/ employment
Occurred during an operation or before recovery from anaesthetic
Suicide
Occurred while pt was on a DoLs of MHA detention