Clinical Problems in Oncology - A Practical Guide to Management

"Clinical Problems in Oncology: A Practical Guide to Management is an easy-to-use, compact reference guide packed with essential practical information on how to manage oncological emergencies as well as the side effects and complications of cancer and its treatment. The main objective is for the book to become a "go-to" reference guide for UK-based oncology registrars ("fellows" in the USA) and house officers seeking information on how to manage and deal with oncological problems at the point of care, on the wards as well as in outpatient clinics. However, the book is prepared in such a way that it will be of use to other medical professionals in the UK or Europe who encounter oncology patients in the course of their work. The book covers the most common scenarios encountered in the day-to-day management of both clinical and medical oncology patients and collates useful information that is currently scattered around in various different places. For example, if a patient was admitted neutropenic with abdominal pain, vomiting and diarrhoea then the doctor may wish to access the following resources: Guidelines on when to use GCSFPharmacy details regarding the toxicities associated with their chemotherapy (i.e. does their chemotherapy regime often cause diarrhoea?) Details on how to grade toxicity A review article on the management of chemotherapy-induced diarrhoea Pharmacy monographs on the correct prescribing of electrolyte replacement Palliative care guidance on how to switch oral opiates to IV opiatesor how to start a syringe driverIt is often difficult to find this kind of specific, practical information in a timely manner, even using the Internet! Clinical Problems in Oncology collates all of this information and puts it at the practitioner's fingertips, making heavy use of bullet points, tables and flowcharts in order to assist users in finding the information they need quickly. While not replacing local cancer treatment guidelines, this exciting new book provides a truly useful starting point for the management of oncology patients"--Provided by publisher....

List of contents

List of contributors, ix
 
Preface, xi
 
Acknowledgements xii
 
List of abbreviations xiii
 
1 Introduction to clinical problems in oncology 1
Sing Yu Moorcraft
 
General approach to the management of oncology patients 2
 
Performance status 6
 
Tumour markers 6
 
2 Oncological emergencies 13
Daniel L.Y. Lee
 
Anaphylaxis and hypersensitivity reactions 13
 
Bleeding 16
 
Central airway obstruction and stridor 19
 
Extravasation 23
 
Febrile neutropenia 28
 
Hypercalcaemia 30
 
Non-neutropenic sepsis 34
 
Raised intracranial pressure and seizures 36
 
Spinal cord compression 41
 
Superior vena cava obstruction 45
 
Transfusion reactions 48
 
Tumour lysis syndrome 50
 
3 Side effects and complications of cancer and its treatment 53
Alexandra Pender, Sing Yu Moorcraft and Daniel L.Y. Lee
 
Overview of toxicity management 54
 
Abnormal liver function tests 57
 
Alopecia 60
 
Anaemia 62
 
Anorexia and nutrition 66
 
Ascites 69
 
Bone metastases and osteoporosis 71
 
Bowel obstruction 75
 
Breathlessness 77
 
Chest pain and other cardiac complications 81
 
Confusion and decreased conscious level 86
 
Constipation 91
 
Dental disorders 93
 
Diarrhoea 95
 
Dysphagia 100
 
Fatigue 104
 
Fertility and pregnancy 106
 
Haematuria 113
 
Hearing loss 115
 
Hiccups 117
 
Hyperglycaemia and hypoglycaemia 119
 
Hypertension and hypotension 123
 
Lymphoedema 127
 
Mucositis 129
 
Nausea and vomiting 133
 
Neuropathy 138
 
Neutropenia 142
 
Proteinuria 145
 
Pruritus 146
 
Psychiatric disorders 149
 
Rash 154
 
Renal failure and hydronephrosis 163
 
Sexual dysfunction 166
 
Thrombocytopenia 170
 
Thromboembolism 173
 
Vaccinations and immunoglobulin 178
 
Visual symptoms 180
 
4 Introduction to radiotherapy 185
Emma Dugdale, Alexandra Gilbert and Robin Prestwich
 
Introduction to radiotherapy 185
 
Methods of delivery of radiotherapy 186
 
5 Radiotherapy side effects and their management 193
Alexandra Gilbert, Emma Dugdale and Robin Prestwich
 
Overview of radiotherapy toxicity 193
 
Overview of radical radiotherapy treatment and side effect management by anatomical treatment site 195
 
Brain 195
 
Head and neck 196
 
Breast 200
 
Thorax 200
 
Abdomen 204
 
Pelvis 205
 
Skin toxicities 211
 
Total body irradiation 214
 
6 Endocrine therapy, immunotherapy and targeted therapies 215
Samantha Turnbull
 
Endocrine therapy 215
 
Immunotherapy 218
 
Targeted therapies 220
 
7 Electrolyte abnormalities 225
Sing Yu Moorcraft
 
Hypocalcaemia 225
 
Hyperkalaemia and hypokalaemia 227
 
Hypermagnesaemia and hypomagnesaemia 231
 
Hypernatraemia and hyponatraemia 234
 
Hyperphosphataemia and hypophosphataemia 237
 
8 Palliative care and pain management 241
Karen Neoh
 
Pain management 241
 
Overview of pain management 241
 
Opioid prescribing in palliative care 245
 
Opioid toxicity 251
 
Syringe pumps 252
 
End-of-life care 253
 
9 Oncology procedures and their complications 257
Juanita Lopez
 
Ascitic drains (paracentesis) 257
 
Biliary d

About the author

Edited by
Sing Yu Moorcraft, MB BCh, MRCP, Clinical Research Fellow in Medical Oncology, The Royal Marsden NHS Foundation Trust, London, UK

Daniel L.Y. Lee, MB BCh, MRCP, Specialist Registrar in Medical Oncology, St James' Institute of Oncology, Leeds, UK

David Cunningham, MD, FRCP, FMedSci, Consultant Medical Oncologist, The Royal Marsden NHS Foundation Trust, London, UK

Summary

An easy-to-use, compact reference with essential, practical information on managing oncological emergencies, as well as the side effects and complications of cancer and its treatment. It is suitable for oncologists in training, oncologists in non-training positions, oncology registrars and general practitioners.

Report

"Clinical Problems in Oncology: A Practical Guide to Management is an easy-to-use, compact reference with essential, practical information on managing oncological emergencies, as well as the side effects and complications of cancer and its treatment." ( Kingbook73 s Medical Ebook and Video Collection , 7 October 2014)

Product details

• Authors: David Cunningham, David D Cunningham, David D. Cunningham, Danie Lee, Daniel Lee, Daniel L. y. Lee, Sing Y Moorcraft, Sing Yu Moorcraft, Sing Yu Lee Moorcraft, SY Moorcraft, Sing Yu Moorcraft
• Publisher: Wiley, John and Sons Ltd
• Languages: English
• Product format: Hardback
• Released: 13.06.2014
• EAN: 9781118673829
• ISBN: 978-1-118-67382-9
• No. of pages: 336
• Subjects: Natural sciences, medicine, IT, technology > Medicine > Clinical medicine; Medizin, Onkologie, KREBS (MEDIZIN), surgical oncology, Medical Science, Allgemeine u. Innere Medizin, General & Internal Medicine, Onkologie u. Strahlentherapie, Oncology & Radiotherapy, Chirurgie i. d. Onkologie