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Viloria
Hematologic Malignancies
What are the most common pain syndrome?
Neuropathic pain
Bone pain related to bone marrow expansion
Headache related to CNS involvement
What is lymphomas?
What are the types of lymphomas?
a.) Hodgskins
b. Non-hodgskins : CNS lymphoma such as in HIV
Immunoproliferative disease
Multiple myeloma
Waldenstrom macroglobulinemia
What are the most common sites?
Skull
Vertebrae
Ribs
Pelvis
Proximal long bone
Leukemia
Rehabilitation :
Active exercise: walking
Precaution : risk of bleeding in thrombocytopenia
For patients taking higher dose of steroids:
Proximal muscle strength such as back extension and
upper extremity extension
Lung cancer
Produce fatigue and deconditioning
Apical lung tumor :
Pancoast tumor :
Invade lower cervical nerve roots by direct extension
producing referred pain in the shoulder
Rehabilitation
Pain management
Education on pulmonary hygiene
Breathing techniques
With surgical resection :
Coughing techniques
Pursed lip
Diaphragmatic breathing
Post op : cough may be best tolerated with knee flexed
G.I. malignancies
2nd leading cause of cancer
4th most prevalent carcinoma
Surgery : only curative tx with adjuvant chemotherapy
Brain tumor
Differentiate malignant and benign tumor
Benign :
Pituitary adenomas
Acoustic neuroma :
Symptoms :
Facial palsy, facial numbness, hydrocephalus
Malignant:
Astrocytoma
Anaplastic astrocytoma
Glioblastoma multiforme
Prognosis: Poor