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26 Cards in this Set
- Front
- Back
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Hodgkins Disease is an abnormal growth of tissue that starts?
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lymph system
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The metastasis is predictable to go to what sites?
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non-nodal or extralymphatic sites- liver, spleen, bone marrow, lungs
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Primarily affects what age group?
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adoescents and young adults
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Most common clinical presentation is?
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asymptomatic enlarged cervical or supraclavicular lymphadenopathy
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When the 1st typically found sentinal node is enlarged, it is found?
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just over the bone on neck near the left clavicle
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The enlarged lymph node characteristics are? Seldom you will find?
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like small bebe's under the skin, freely moveable, NON-TENDER and UNI-LATERAL..
Seldom find axillary and inguinal nodes. |
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A persistent cough is found due to?
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an enlarged medial stinal mass on CXR looks like a large lung mass ON TOP of the lung and will quickly go away.
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Unexplained abdominal pain is explained by?
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retroperitoneal nodes usually found on ultrasound
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Systemic symptoms in the advanced stage include?
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unexplained temp for 3+ days of >100.4, drenching night sweats, unexplained weight loss.
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The "other" symptoms include?
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anorexia, nausea, itching, pain worsens after alcohol
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4 histologic types of Hodgkin disease are?
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lymphocytic predominance, nodular sclerosis, mixed cellularity, lymphocytic depletion
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Stage 1 means?
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only 1 node affected and/or only extralymphatic site (liver, lungs, kidney or intestines) (1E)
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Stage 2 means?
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2 nodes affected on same side of diaphragm and involvement of 1 extralymphatic site on same side of diaphragm (11E)
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Stage 3 means?
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2 above or 2 below plus one additional site -has crossed diaphragm & spread to one of the other areas (111E)(spleen(111S),or both (111SE)
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Stage 4 means?
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spread to multiple different sites -diffuse spread with or without lymph node involvement.
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If diagnosis is 1A, what does that mean?
Stage 1B means? |
Stage 1, asymptomatic
Stage 1-Symptomatic-1st set of symptoms unexplained fever >100.4 for 3+ days, unexpl weight loss, night sweats. |
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An excisional biopsy is positive for hodgkins if it has?
Characteristics of these are? |
Reed-Steinberg cells- biopsy is most definative dx.
Large multilobed nucleated w/cytoplasmand halolike clear zone around nucleolus "owl's eye's" |
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SE of chemo? Nsg interventions r/t side effects?
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Nausea, weight loss with anorexia secondary to loss of sense of taste, and immunosuppression.
Infection control, isolation, hand washing, post warnings outside door |
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What tends to be the biggest deal for pt's getting chemo- psychosocially?
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Body Image & hair loss
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Lab tests used for Hodgkin include?
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CBC, erythrocyte sed rate, serum ferritin & copper, liver function, UA's
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Testing used for diagnostics include?
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Chest CT w/contrast, Abdominal CT w/contrast, Bone marrow biopsy, excisional biopsy.
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What is the cornerstone of therapeutic management?
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multi-agent chemotherapy
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What can be used for supplementing the chemo?
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low dose involved field irradation
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What side effects does the irradation cause?
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Most common is fatigue, increased susceptibility to infections, destroys the good cells too, burns skin and increased risk for sterility and delayed puberty.
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With the irradation markers, what tends to be an issue?
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Not washing them off & don't use lotion
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The chemo & irradation tx is based on what factors?
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stage, age at diagnosis, presence or absence of B symptoms
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