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33 Cards in this Set

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What are the two oral pre-cancerous lesions called?
1.leukoplakia
2.erythroplakia/erythroplasia
What are the two predisposing factors of oral cancer that have the highest association with oral cancer.
1. alcohol
2. tobacco
Can leukoplakia be scraped off?
No
6 manifestations of oral cancer?
1. cancer of lips - indurated, painless lesion
2. cancer of tongue - ulcerated, thickened area
3. asymptomatic neck mass
4. chronic ear pain/unilateral
6. enlarged cervical nodes
7. dysphagia; oral discomfort/burning
5.
List 4 side effects of radiation therapy for oral cancer.
1. mucositis
2. stomatitis
3. tooth decay
4. xerostomia
What are the two predisposing factors of esophageal cancer that have the highest association with esophageal cancer?
1. tobacco use
2. alcohol use
FACT:
Predisposing factor of oral cancer is chronic irritation.
3 esophageal pre-malignancies?
1. achalasia
2. Barrett's esophagus
3. diverticula
How is esophageal cancer commonly diagnosed/screened?
barium swallow
Most common manifestation of esophageal cancer?
dysphagia
Manifestations of esophageal cancer?
dysphagia
odynophagia
weight loss
anorexia
vomiting
regurgitation
heartburn
sore throat
hoarse
choking
Expect to see blood-tinged drainage for ____ days post op after esophageal surgery.
1-2
Can you irrigate or reposition an N/G tube post op after esophageal surgery without a doctor's order?
No
How long will a patient be NPO post op after esophageal surgery?
4-5 days
The predisposing factor with the highest association of gastric cancer is ____.
helicobacter pylori (bacteria)
The most common diagnosis/screening procedure for gastric cancer is ____.
fiberoptic endoscopy with biopsy
Manifestations of gastric cancer?
Asymptomatic in early stages
Anemia: pallor, fatigue, hematemesis, occult blood, weight loss
constipation/diarrhea
epigastric pain
indigestion
Predisposing factors of gastric cancer?
Diet - nitrite and nitrates
Benign gastric polyps
Pernicious anemia
Achlorhydria athropic gastritis
Genetic -familiar, blood group A
What surgery is performed for a gastroduodenostomy?
Billroth I
What surgery is performed for a gastrojejunostomy?
Billroth II
In what surgical procedure is there a total gastric resection?
esophajejunostomy
What are two signs that may indicate that the NG tube is not patent?
1. no drainage
2. abdominal distention
A person who has had a total gastrectomy will have a ____ and ____.
1. chest tube
2. NG tube
FACT:
Fecal odor to NG drainage is not uncommon after gastric surgery.
You may see N/G drainage with blood ____ hours post-op after gastric surgery.
6-12
When is the N/G tube removed after gastric surgery?
When peristalsis returns
Colorectal cancer usually develops from ____.
polyps
Predisposing factors of colorectal cancer?
Polyposis leading to adenomas

Dietary: high calorie, high protein, high fat, low fiber

Smoking

Ulcerative colitis

Chron's

IBD

granulomas

obesity, sedentary lifestyle

anal intercourse
Danger signs of colorectal cancer?
Change in bowel habit: Constipation or diarrhea

Rectal bleed

Tenesmus

Iron deficiency anemia
In a hemicolectomy, will the patient have a temporary or permanent colostomy?
temporary
In a abdominal-perineal resection, will the patient have a temporary or permanent colostomy?
permanent
A dusky blue stoma indicates ____.
ischemia
A brown/black stoma indicates ____.
necrosis