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IS ORAL CANCER CURABLE?
IF DISCOVERED EARLY
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WHAT ARE THE MOST COMMON SITES OF ORAL CANCER?
- LIPS
- LATERAL ASPECTS OF THE TONGUE
- FLOOR OF MOUTH
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EARLY SIGNS OF ORAL CANCER?
FEW OR NONE
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LATER SIGNS OF ORAL CANCER?
A PAINLESS SORE OR MASS THAT WILL NOT HEAL
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SYMPTOMS OF PROGRESSIVE ORAL CANCER?
- TENDERNESS
- DIFFICULTY CHEWING, SWALLOWING OR SPEAKING
- COUGHING OF BLOOD-TINGED SPUTUM
- ENLARGED CERVICAL LYMPH NODES
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RISK FACTORS FOR ORAL CANCER?
- SMOKING
- ALCOHOL
- --WHEN USED TOGETHER THEY HAVE A SYNERGISTIC CARCINOGENIC EFFECT
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HIGH RISK AREAS FOR ORAL CANCER?
- SNUFF-CIGARS-PIPES=
- BUCCAL MUCOSA
- GINGIVA
- ALCOHOL-CIGARETTES=
- FLOOR OF MOUTH
- TONGUE
- SOFT PALATE
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OFTEN CANCER OF THE ORAL CAVITY HAS METASIZED TO THE________
LYMPH NODES
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WHAT IS THE MAIN PROBLEM WITH A RADICAL NECK DISECTION?
COMMUNICATION
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WHAT IS THE MOST IMPORTANT NURSING DIAGNOSIS WITH ORAL CANCER?
IMPAIRED ORAL AIRWAY
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DEFINITION OF ESOPHAGUS?
MUCOUS-LINED MUSCULAR TUBE FROM THE MOUTH TO THE STOMACH
USUALLY SMOOTH, PINK AND WIDE OPENING
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WHAT ARE THE TWO SPHINCTERS OF THE ESOPHAGUS?
- HYPOPARYNGEAL-UES (UPPER)
- GASTROESOPHAGEAL-LES (LOWER)
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DEFINITION OF DYSPHAGIA?
DIFFICULTY SWALLOWING
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HOW DO YOU DIAGNOSIS ACHALASIA?
X-RAY WILL SHOW A BIRDS BEAK LIKE APPEARANCE WITH SWALLOWING.
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PATHOPHYSIOLOGY OF ACHALASIA?
ABSENT OF INEFFECTIVE PERISTALSIS OF THE DISTAL ESOPHAGUS, WITH FAILURE OF THE ESOPHAGEAL SPHINCTER TO RELAX IN RESPONSE TO SWALLOWING
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Definition of Diverticulum?
An outpouching of mucosa that protrudes through a weak portion of the musculature.
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What is the test for Diverticulum?
Barium Swallow
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What is the medical management for Diverticulum?
Removal of the diverticulum.
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What are the Nursing Interventions for POst-Op
Diverticulectomy?
- Educate on diet
- Pain
- Infection
- Mx Sx incision
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Definition of GERD?
Back-flow of gastric or duodenal contents into the esophagus.
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GERD increases with _________?
Age.
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Diet for GERD?
- low-fat
- no caffeine, tobacco, beer, milk
- no peppermint, spearmint
- no carbonated beverages
- no eating or drinking 2 hours before bedtime
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Interventions for GERD?
- Maintain normal body weight
- Avoid tight-fitting clothes
- Elevate HOB 6-8 inches or elevate upper body on pillows.
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Surgical Management for GERD?
Nissen Fundoplication
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Definition of Hiatal Hernia?
Opening in the diaphram through which the esophagus presses becomes enlatged, and a part of the upper stomach tends to move up into the lower portion of the thorax.
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Signs of Barrett's Esophagus?
HEARTBURN-FREQUENTLY
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