Oral Cancer
Tobacco use, including smokeless tobacco, alcohol, HPV
What are risk factors for developing oral and pharyngeal cancer?
has a high mortality rate due to infection, respiratory complications and anastomotic leaks
What is prognosis with esophageal cancer surgery?
6 small meals, low carbohydrates, fluids between meals
What is best diet to avoid dumping for gastrectomy?
performed to diagnose esophageal narrowing
What is a barium swallow?
airway, breathing, circulation
What are priority assessment elements?
cells in mucous membranes that mutate due to toxin exposure
What is squamous cell carcinoma?
NG to low suction for 5 days postop
What is the postop treatment following esophageal surgery?
Low fowler's position 20-30 mins after eating
What position decreases chance of dumping after gastrectomy?
Cytologic washings
What is diagnostic test for gastric cancer?
history assessment for radical neck dissection patient
What is pre-existing conditions, co-morbidities, nutritional status, and labs for radical neck surgery candidate?
painless mass/sore
What is the hallmark symptom of oral cancer?
c/o getting food stuck
What is a symptom of esophageal cancer?
encourage verbalization
What is best way to assess anxiety with cancer patients?
Removes stomach, duodenum, lower esophagus, mesentery, lymph nodes
What is a total gastrectomy?
Three surgical resections that can potentially cause facial nerve damage?
What is hemiglossectomy, total glossectomy, and radical neck dissection?
tenderness, difficulty chewing, hemoptysis
What are the late symptoms of oral cancer?
perforation into mediastinum
What is a late symptom of esophageal cancer?
fatty stool from gastric surgery
What is steatorrhea?
What is acarbose and sandostatin?
200 mL of serosanguinous drainage from JP postop radical neck
What is too much drainage following radical neck and needs to be reported?
rinse with viscous lidocaine before and after eating
What are instructions to give oral cancer patients?
total resection/removal of the tumor site
What is the standard surgery for esophageal cancer?
feelings of hunger, sweating, confusion
What are late dumping symptoms?
treatment for steatorrhea
What is imodium?
radical neck postop exercises critical to implement
What is postop radical neck shoulder exercise?