Nu 236 Exam 5-Cancer Of Uterus/endometrium

Front 1

CAUSE OF UTERINE CANCER

Back 1

-MOST COMMON REPRODUCTIVE CANCER
-PROLONGED ESTROGEN STIMULATION
-OBESITY DUE TO STORAGE OF ESTROGEN
-AGE 60-70
-NULLIPARIOUS (NEVER BEEN PREGNANT)

Front 2

DX TEST FOR UTERINE CANCER

Back 2

ENDOMETRIAL BIOPSY
OR ASPIRATION

Front 3

S/S OF UTERINE CANCER

Back 3

-METRORRHAGIA=BLEEDING BET PERIODS
-ABDOMINAL UTERINE BLEEDING
-POST MENOPAUSAL BLEEDING W/ CLOTS AND CRAMPING

Front 4

MED/SURG TXT FOR UTERINE CANCER

Back 4

-TAHBSO
-RADICAL HYSTERECTOMY IF NODAL INVOLVEMENT
-PRE-OP RADIATION
-POST OP CAN BE INTERNAL OR EXTERNAL CHEMO
-PROGESTIN THERAPY-ANTINEOPLASTIC

Front 5

CAUSE OF CERVICAL CANCER

Back 5

-3RD MOST COMMON REPRODUCTIVE CANCER
-WOMEN AGE 20-30
RISKS:
-EARLY INTERCOURSE
-MULTIPLE SEX PARTNERS
-NULLIPARITY
-HISTORY OF HERPES OR STD
-AFRICAN AMERICAN,NATIVE AM,MEXICAN
-HIV +
-SMOKING
-NEVER BEEN SCREENED
-LONG TERM USE OF ORAL CONTRACEPTIVE

Front 6

DX TEST FOR CERVICAL CANCER

Back 6

-DX BASED ON BIOPSY
-PAP SMEAR:EVERY 6 MONTHS IF SEVERE,WOMEN AGE 18-20 OR SEXUALLY ACTIVE EVERY YR
-COLPOSCOPY:VISUALIZES CERVIX
-SCHILLER TEST:IODINE APPLIED TO CERVIX AND VAGINA
HEALTHY TISSUE=DEEP MAHOGANY
CANCER CELLS=LIGHT AND GLISTENS
-CERVICAL BIOPSY:DONE 1 WEEK AFTER MENSTRUATION

Front 7

S/S OF CERVICAL CANCER

Back 7

-THIN,WATERY,BLD TINGED,VAGINAL DISCHARGE
-INTERMITTENT PAINLESS BLEEDING
-METRORRHAGIA
-BLEEDING AFTER INTERCOURSE
-BLEEDING BECOMES INCREASED IN AMT AND DURATION AS DISEASE PROGRESSES:MAY INDICATE LYMPHATIC INVOLVEMENT
-LATE S/S:DARK,FOUL DISCHARGE,PAIN IN PELVIS,DYSURIA,HEMATURIA,EDEMA

Front 8

MED/SURG TXT FOR CERVICAL CANCER

Back 8

-LEEP:USED FOR CANCER IN SITU,DONE AS OUT PATIENT UNDER LOCAL ANESTHESIA,ELECTRICITY PASSES THROUGH TISSUE
-CONIZATION:WHEN NORMAL TISSUE SURROUNDS CANCER
-CRYOTHERAPY/LAZER
-PELVIC EXONERATION:REMOVES ALL PELVIC ORGANS,PT NEEDS COUNSELING,COLOSTY AND ILEAL CONDUIT
-HYSTERECTOMY W/PELVIC NODE DISSECTION
-IF 3MM OR LESS=HYSTERECTOMY
-IF 3MM OR MORE=RADICAL