Oncology in class Flashcards
Imaging test for Virchows node
Right supraclavicular adenopathy suggests
imaging for this
Scrofula may be caused by, look for
Ab CT
chest dz, esophagus
chest Xray
Tb, exposure hx
Pagets dz of breast must be differentiated from
Dx by
Malignant leukemia less likely to cause generalized lymphadenopathy
Other causes of generalized lymphademopathy
K S A H C
eczema of nipple, direct spread of breast cancer to skin
imprint cytology/biopsy
AML
Kawasaki, Sarcoid, amyloid, hyperT, Castlemens dz
Unexplained Fe-deficiency in man/post menopausal woman strongly suggests
Lab finding possible
Best test to diangose Fe def
Assc tumors w the Sign of lesar trelot (adeno) located in
chronic GI blood loss
thrombocytosis
bone marrow exam
gastric, colon, breast, panc, liver, kidney, lung
Cervical adenopathy exam features indicating malignancy
HL can also involve
SCC of head/neck spreads to
does not metastasize to
branchial cyst is not
hard, fixed
other Reticuloendo system, spleen
regional LN
groin/spleen
hard/fixed
NF1 pt are at risk for ___ in 2/3 decade
Actinomycosis presents w, can spread to
type of ca more likely to metastasize to the adrenals
malignant nere sheath tumor
lung abscess, chest wall
Lung
AML w leukostasis presents w
Myeloblasts can be identified by
Prevent death by, reducing
any febrile indiv, esp leukemic, should suggest
Endocarditis presnt w altered sensorium via ___ and cerebral emobolization of vegetation w
confusion, very high WBC
Auer rod
leukopheresis, reducing wbc
bacterial infection
septic shock (reduced CNS perfusion), stroke/mycotic aneurysm
Rapid onset of tender LN/fever suggests
Bubonic plague caused by
Ab of choice
alternatives
area of US at risk
Mono virus, timing is
infection
Yersinia pestis
Aminoglycosides, doxy
4 corners of west
slower
Kaposi Sarcoma tumor can involve
Left scrotal varicocele w bain pack suggests
Renal cancer can invade Renal vein producing
Lab finding of germ cell teste tumors/hepatoma
Mumps virus can result in
PSA is elevated in
any organ/blood
renal cancer
thrombosis, varicocele
alpha fetoprotein
orchiitis
prostate ca
Good screening test has high
negative result ___ dz
Tumor lysis syndrome lab values
Serum bicarb
Serum chloride
Serum Na
high sensitivity
excludes
low
normal
normal
CT w pleural effusion tracking up the chest wall suggests
post menopausal women suspicious for breast cancer may have
very common cause of malignant effusion
Pleural effusion can be a common finding in
should be ___ and ___
Right homonyous hemaniopsia suggests ___, potentially
Inflam/infect/neoplastic
bloody nipple discharge
breast ca
Left sided HF (S3)
bilateral, freely tracking
stroke, metastatic cancer
Lung metastases pathognomic
GPA involves ___ organs
presents w
Blasto is most likely fungal dz to mimic ____, usually with
cannonball
ENT, lung, kidney
ill/fever/RD
cancer, 1 mass lesion
Possible mono sx
Adenopathy in pt <30 is much more likely
above 50
Epitrochlear adenopathy ddx
Cat scratch dz presentation
fatigue, LAD, Spleno, pharyngitis, HA, elevated LFTs
benign
malignant
mono, syphilis, lymphoma, sarcoid, tularemia
lymphangitis, focal adenopathy
SIADH can be casued by
findings
lab findings Serum osmolarity is Urine osmolarity vs serum Urine Na is BUN is
SCC lung cancer w HyperCa can cause
leads to problems with, leading to (Na)
SCLC
euvolemic hypoNa (normal pulse, BP, JVP)
reduced
greater
> 10
normal
RT damage
urine concentration, elevation
Highest likelihood of internal malignancy indicated by
Exam findings of bronchial ca
trachea shifts toward
Pleural effusion is not assc w
SqCCA is assc w
produces ___ masses that may ____
Tripe hand
dec TF, percussion, breath sounds
involved side
volume loss
smoking
central masses, cavitate
Glucagonoma presentation
area of pancreas involved
do not experience ___ bc ___ sec maintained
glucose intolerance, rash
distal
DKA, insulin
