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16 Cards in this Set
- Front
- Back
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pt with hx of lymphoma cancer px with symptoms of lower spinal compression. next step?
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epidural spinal cord compression
- lymphoma's are radiation sensitive -> high dose steroids and radiation |
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pt with small cell lung cancer px with sx of spinal compression. Tx?
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surgical resection as is resistant to radiation
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lobular carcinoma in situ (LCIS) of breast. tx? sentinel node biopsy? prognosis? post treatment?
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excisional biopsy
- sentinel node biopsy not needed as has no metastasis risk. - can progress to DCIS or invasive cancer - close monitoring |
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pt develops HIT on warfair and unfractionated heparin. Next step
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d/c both warfarin and heparin and start direct thrombin inhibitors (e.g. lepiruin or argatroban)
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difficulty cross matching blood in pt with multiple transfusions in past. why?
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alloantibodies
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pt with prostate cancer resistant to hormone therapy has bone mets. How do you relieve the pain?
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external beam radiation therapy
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what is the most common cause of hereditary thrombophilia
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factor V deficiency
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asymptomatic pt on tamoxifen. What are they at increased risk for? What screening do they need? What if they have abnormal bleeding or other sx?
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endometrial cancer
- pap - TVUS or endometrial biopsy |
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how much does a unit of platelets raise platelet count? When do you measure? What should you think if the rise is too low?
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5k
- 10-60minutes after transfusion - alloimunization |
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elderly with bone pain, hypercalcemia, and renal dysfunction. Think? work up
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multiple myeloma
1)- serum protein electrophoresis 2) skeletal survey with x-ray - NOT bone scan 3. bone marrow biopsy |
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** pt with multiple myeloma or Waldenstrom's macroglobulinemia px with headache, dizziness, vertigo, nystagmus, hearing loss, and visual impairment. Think?
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hyperviscosity syndrome 2/2 high protein content
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chronic methotrexate inducing macrocytic anemia. Tx?
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folinic acid (Leucovorin)
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pt has bcr/abl translocation. dx? chromosome? tx?
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chronic myeloid leukemia 9,22
- tyrosine kinase inhibitor regulation destroyed. |
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how do you prevent a febrile transfusion reaction
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wash cells of leukocytes
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squamous cell carcinoma of skin. 1st line tx, 2nd?
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surgery
radiation |
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multiple brain mets. what improves survival?
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whole brain radiation
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