Chapter 077 Approach to the Patient with Cancer (Part 1) potx
Chapter 077. Approach to the Patient with Cancer (Part 1) potx
... 22,430 Chapter 077. Approach to the Patient with Cancer (Part 1) Harrison's Internal Medicine > Chapter 77. Approach to the Patient with Cancer Approach to the Patient with Cancer: ... Nevertheless, patients experience the diagnosis of cancer as one of the most traumatic and revolutionary events that has ever happened to them. Independent of prognosis, the diagnosis brings with ... diseases occur because the specialized cells fail to perform their assigned task. Cancer takes this malfunction one step further. Not only is there a failure of the cancer cell to maintain its specialized...
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Chapter 077. Approach to the Patient with Cancer (Part 8) potx
... Chapter 077. Approach to the Patient with Cancer (Part 8) Pain Pain occurs with variable frequency in the cancer patient: 25–50% of patients present with pain at diagnosis, ... Emesis in the cancer patient is usually caused by chemotherapy (Chap. 81). Its severity can be predicted from the drugs used to treat the cancer. Three forms of emesis are recognized on the basis ... related to bowel inflammation from the therapy and can be controlled with oral dexamethasone and oral metoclopramide, a dopamine receptor antagonist that also blocks serotonin receptors at...
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Chapter 077. Approach to the Patient with Cancer (Part 3) pptx
... Chapter 077. Approach to the Patient with Cancer (Part 3) Cancer Around the World In 2002, 11 million new cancer cases and 7 million cancer deaths were estimated ... every portion of the routine history and physical examination. The duration of symptoms may reveal the chronicity of disease. The past medical history may alert the physician to the presence of ... influence the course of disease and its treatment. The family history may suggest an underlying familial cancer predisposition and point out the need to begin surveillance or other preventive therapy...
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Chapter 077. Approach to the Patient with Cancer (Part 4) pps
... of the patient. Patients who are bedridden before developing cancer are likely to fare worse, stage for stage, than fully active patients. Physiologic reserve is a determinant of how a patient ... histologic grade G) are then broken into stages, usually designated by the roman numerals I through IV. Tumor burden increases and curability decreases with increasing stage. Other anatomic staging systems ... the tumor on the basis of the size of the primary tumor lesion (T1–4, where a higher number indicates a tumor of larger size), the presence of nodal involvement (usually N0 and N1 for the...
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Chapter 077. Approach to the Patient with Cancer (Part 5) doc
... to cure the patient and the pressure of a busy schedule greatly limit the time a physician spends with a patient who is receiving only palliative care. Resist these forces. In addition to the ... using CancerFax by dialing 301-402-5874. Patient information is also provided by the National Cancer Institute in at least three formats: on the Internet via CancerNet at http://www .cancer. gov /cancer_ information/, ... Because cancer therapies are toxic (Chap. 81), patient management involves addressing complications of both the disease and its treatment as well as the complex psychosocial problems associated with...
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Chapter 077. Approach to the Patient with Cancer (Part 6) pdf
... cell — Chapter 077. Approach to the Patient with Cancer (Part 6) Tumor markers may be useful in patient management in certain tumors. Response to therapy may be difficult to gauge with certainty. ... in themselves specific enough to permit a diagnosis of malignancy to be made, but once a malignancy has been diagnosed and shown to be associated with elevated levels of a tumor marker, the ... produce or elicit the production of markers that can be measured in the serum or urine and, in a particular patient, rising and falling levels of the marker are usually associated with increasing...
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Chapter 077. Approach to the Patient with Cancer (Part 7) ppt
... Chapter 077. Approach to the Patient with Cancer (Part 7) The recognition and treatment of depression are important components of management. The incidence of depression in cancer patients ... inability to concentrate, and suicidal ideation. Patients with these symptoms should receive therapy. Medical therapy with a serotonin reuptake inhibitor such as fluoxetine (10–20 mg/d), sertraline ... cannot help the patient but may be harmful. Physicians should strive to keep communications open and nonjudgmental, so that patients are more likely to discuss with the physician what they are...
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Chapter 077. Approach to the Patient with Cancer (Part 11) pot
... testing. However, a Chapter 077. Approach to the Patient with Cancer (Part 11) Effusions Fluid may accumulate abnormally in the pleural cavity, pericardium, or peritoneum. Asymptomatic malignant ... adversely affect the course of treatment. Cancer survivors have other sets of difficulties. Patients may have fears associated with the termination of a treatment they associate with their continued ... may provide more tools in the future as cytokine-mediated mechanisms are further elucidated. Psychosocial Support The psychosocial needs of patients vary with their situation. Patients undergoing...
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Chapter 077. Approach to the Patient with Cancer (Part 12) pot
... of Cancer Pain. U.S. Department of Health and Human Services, Agency for Health Care Policy and Research publication no. 94-0592, 1994 Chapter 077. Approach to the Patient with Cancer (Part ... between the diagnosis of cancer and the occurrence of these complications, and during this period the patient is severely affected by the possibility of death. The path of unsuccessful cancer ... assumed to be justified. However, if the reversibility of the condition is in doubt, the patient& apos;s wishes determine the level of medical care. These wishes should be elicited before the terminal...
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Chapter 052. Approach to the Patient with a Skin Disorder (Part 1) ppt
... 52-1 Chapter 052. Approach to the Patient with a Skin Disorder (Part 1) Harrison's Internal Medicine > Chapter 52. Approach to the Patient with a Skin Disorder APPROACH TO THE PATIENT ... that the erosion is the primary lesion and the redness and scale are secondary, while the correct interpretation would be that the patient has a pruritic eczematous dermatitis with erosions caused ... Fig. 52-3) and to formulate a differential diagnosis (Table 52-4). For instance, the finding of scaling papules (present in patients with psoriasis or atopic dermatitis) places the patient in...
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