Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
6 Cards in this Set
- Front
- Back
|
A 3 year old child has a mass on the left hand side, but no other symptoms. You suspect Wilms tumour. What is it? What investigation would confirm the diagnosis? What is the treatment
|
Wilms tumour arises fromt he renal cells at 3 years causing an asymptomatic renal mass, or pain, haematuria or HTN. Ct scan shows an intrinsic mass. Treat with Surgery and Chemo with 80% chance of cure. |
|
|
An 8 year old boy presents with a hard swelling on his right arm above the elbow. It has been painful for 3 months. What investigation would suggest cancer? What is the commonest type? What is the investigation? What is treatment?
|
XRay shows a 'sunburst' explosion from the bone as the tumour breaks through the cortex. Osteogenic sarcoma is the commonest Treat with surgery and chemo, but survival is near 50%.
|
|
|
How does Non-hodgkins lymphoma present? What is the treatment? What are possible complications?
|
Rapid and progressive thoracic mass. Chemo is treatment SVC obstruction and Tumour lysis syndrome. |
|
|
What is ITP? How does it present? What is the treatment? |
ITP is rare autoimmune destruction of the platelets causing bleeding and purpura. Patients present with epistaxis, menorrhagia or petechiae. Platelets are usually very low. Diagnosis is by excluding other causes like infection or autoimmune. Do not treat based on platelet count Steroids may be useful if there is bleeding.
|
|
|
How does Aplastic Anaemia present? What is the management? |
Nocturnal haemoglobinuria, hepatitis, drug exposure, NSAIDs. Recurrent infections, fatigue, pallor, easy bruising, tachycardia, dyspnoea. Treat with monitoring and immunosuppression and antibiotics. Severe cases need a stem cell transplant |
|
|
What is neuroblastoma? what are the outcomes? |
Rare cancer of the neural crest affection the adrenal glands usually. Prognosis is good depending on the risk. Low risk tumour are watched, while high risk tumours can need chemo and stem cell transplant. |
