Early Diagnosis of Cancer in General Practice: A Manual by Knut Holtedahl PDF

By Knut Holtedahl

Delay within the analysis of melanoma ordinarily perform could cause misery to each general practitioner. this helpful handbook goals to help the final practitioner in a well timed prognosis. Written utilizing the author's long-time event from consultations and examine often perform, it's a well-organized and very important reference. Emphasis is laid upon the early clues of melanoma (Red Flags), organ platforms (Thinking Anatomy), and frequency tables (Thinking Probabilities). for each expert who wish to positioned extra wisdom and figuring out into his consultations, thereby potentially prolonging or saving lives, this is often a useful handbook.

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Around the age of 50-60 years diabetes is less common and may justify ultrasound or other examination of the pancreas Supplementary Tests and Examinations Ultrasound is the primary examination method when pancreatic cancer is suspected The sedimentation rate is often high - possibly due to advanced disease at diagnosis? 44 Digestive Organs FoUow-up By Referral to Specialist The sensitivity of ultrasound varies from 60%-100% in different studies. Many supplementary specialist investigations are available, and symptoms may justify referral even when ultrasound gives negative results Respiratory System Nasal Cavities and Accessory Sinuses Common Symptoms Persistent unilateral purulent rhinitis Repeated unilateral nose bleeding Nasal stenosis Pain Symptoms arising from pressure on adjacent structures: teeth, lacrimal duct, orbit Diagnostic elues Clinicat Examination Anterior rhinoscopy: Sore/polyp with a rugged surface Inspectionjpalpation of palate Transparency of accessory sinuses may be evaluated with a speciallamp Follow-up By Re/errat to Specialist Polyp, recurrent sinusitis or persistent unilateral no se symptoms: otorhinolaryngologist Respiratory System 46 Larynx Common Symptoms Hoarseness > 1 week A sensation of lump in the throat Blood-tinged expectorate Diagnostic Clnes Epidemiology Increased risk: Smoking High intake of a1cohol Clinical Examination There are wide indications for inspection of the larynx.

Ag), especially with simultaneous hepatitis Be antibody - Cirrhosis Medical History/Clinical Examination Increasing abdominal circumference? Supplementary Tests and Examinations Alkaline phosphatase almost always increased Anatomopathology Adults: Hepatocellular carcinomas dominate Children: Mostly hepatoblastomas Follow-up By the General Practitioner Always after ultrasound of liver/gallbladder if no other referral Digestive Organs 41 By Referral to Specialist If hepatomegaly or jaundice: surgeon or specialist in internal medicine as soon as possible HBsAg carriers should be followed up by a specialist in internal medicine Digestive Organs 42 GallbIadder and Extrahepatic Bile Ducts Common Symptoms Jaundice (but usually this is preceded by other symptoms) Persistent pain in the right hypochondrium or more uncharacteristic abdominal pain Weight loss Diagnostic Clnes Epidemioloy Increased risk: Gallstones (present in more than half of patients with cancer in gallbladder or bile ducts) Present or previous cholecystitis Medical History Imitates benign gallbladder disease, but sometimes perhaps more constant and persistent symptoms.

Many of these apudomas are malignant. Their secretions rather than their size dominate the clinical picture. edical HistoryjClinical Examination Vague but persistent and progressing abdominal symptoms plus weight loss should suggest the possibility of pancreatic cancer Rarely, a new case of diabetes may signal pancreatic cancer. Around the age of 50-60 years diabetes is less common and may justify ultrasound or other examination of the pancreas Supplementary Tests and Examinations Ultrasound is the primary examination method when pancreatic cancer is suspected The sedimentation rate is often high - possibly due to advanced disease at diagnosis?

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