Renal Cancer: Difference between revisions

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== Characteristics/Clinical Presentation  ==
== Characteristics/Clinical Presentation  ==


Common symptoms of kidney cancer include:  
Common symptoms of kidney cancer include:<ref name="2" />


*Blood in your urine (which may make urine look rusty or darker red)  
*Blood in your urine (which may make urine look rusty or darker red)  
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*Fever  
*Fever  
*Feeling very tired  
*Feeling very tired  
*Breastbone pain (renal cancer is the most common tumor to spread to the sternum)<ref name="2">Goodman CC, Fuller KS. Pathology: Implications for the Physical Therapist. 3rd ed. St. Louis, Missouri; Saunders Elsevier: 2009.</ref>
*Breastbone pain (renal cancer is the most common tumor to spread to the sternum)


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The classic triad of symptoms includes: blood in the urine, pain in the side, and a palpable mass in the abdomen.<span style="mso-spacerun: yes">&nbsp; </span>However, renal cancer typically goes undetected, especially in the early stages, although nonspecific symptoms like feeling fatigued or unexplained weight loss may be present.<ref name="2" />&nbsp; Thus, it is imperative that the physical therapist take a thorough history and ask follow-up questions should a patient present with any of these symptoms.<span style="mso-spacerun: yes">&nbsp; </span>It should be noted that although these are symptoms of renal cancer, they could also be symptoms of some other pathology such as an infection, bladder cancer, or a kidney cyst.<ref name="3">National Cancer Institute. What you need to know about kidney cancer. http://www.cancer.gov/cancertopics/wyntk/kidney/page5. (Accessed 30 Jan 2013).</ref><span style="mso-spacerun: yes">&nbsp; </span>If a patient is experiencing these symptoms, he or she should contact their primary care physician as soon as possible for a complete examination.  
The classic triad of symptoms includes: blood in the urine, pain in the side, and a palpable mass in the abdomen.<ref name="2" /><span style="mso-spacerun: yes">&nbsp; </span>However, renal cancer typically goes undetected, especially in the early stages, although nonspecific symptoms like feeling fatigued or unexplained weight loss may be present.<ref name="2" />&nbsp; Thus, it is imperative that the physical therapist take a thorough history and ask follow-up questions should a patient present with any of these symptoms.<span style="mso-spacerun: yes">&nbsp; </span>It should be noted that although these are symptoms of renal cancer, they could also be symptoms of some other pathology such as an infection, bladder cancer, or a kidney cyst.<ref name="3">National Cancer Institute. What you need to know about kidney cancer. http://www.cancer.gov/cancertopics/wyntk/kidney/page5. (Accessed 30 Jan 2013).</ref><span style="mso-spacerun: yes">&nbsp; </span>If a patient is experiencing these symptoms, he or she should contact their primary care physician as soon as possible for a complete examination.  


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About 25-30% of patients have metastatic disease at the time of diagnosis.<span style="mso-spacerun: yes">&nbsp; </span>Renal cancer most often spreads to the lungs (75%), regional lymph nodes (65%), bones (40%), and liver (40%).<span style="mso-spacerun: yes">&nbsp;&nbsp; </span>The patient may complain of a cough or bone pain secondary to metastasis to the lungs or bone, respectively.<span style="mso-spacerun: yes"><ref name="2" /></span>
About 25-30% of patients have metastatic disease at the time of diagnosis.<span style="mso-spacerun: yes"><ref name="2" />&nbsp; </span>Renal cancer most often spreads to the lungs (75%), regional lymph nodes (65%), bones (40%), and liver (40%).<span style="mso-spacerun: yes"><ref name="2" />&nbsp;&nbsp; </span>The patient may complain of a cough or bone pain secondary to metastasis to the lungs or bone, respectively.<span style="mso-spacerun: yes" />


== Associated Co-morbidities  ==
== Associated Co-morbidities  ==

Revision as of 03:32, 12 February 2013

Welcome to PT 635 Pathophysiology of Complex Patient Problems This is a wiki created by and for the students in the School of Physical Therapy at Bellarmine University in Louisville KY. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!

Original Editors -Jason Larimore & Olivia Tefera from Bellarmine University's Pathophysiology of Complex Patient Problems project.

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Definition/Description[edit | edit source]

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Prevalence[edit | edit source]

Characteristics/Clinical Presentation[edit | edit source]

Common symptoms of kidney cancer include:Cite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive title

  • Blood in your urine (which may make urine look rusty or darker red)
  • Pain during urination
  • Pain in the side that doesn’t go away
  • A lump or mass in the side or abdomen
  • Weight loss for no known reason
  • Fever
  • Feeling very tired
  • Breastbone pain (renal cancer is the most common tumor to spread to the sternum)

 

The classic triad of symptoms includes: blood in the urine, pain in the side, and a palpable mass in the abdomen.Cite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive title  However, renal cancer typically goes undetected, especially in the early stages, although nonspecific symptoms like feeling fatigued or unexplained weight loss may be present.Cite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive title  Thus, it is imperative that the physical therapist take a thorough history and ask follow-up questions should a patient present with any of these symptoms.  It should be noted that although these are symptoms of renal cancer, they could also be symptoms of some other pathology such as an infection, bladder cancer, or a kidney cyst.Cite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive title  If a patient is experiencing these symptoms, he or she should contact their primary care physician as soon as possible for a complete examination.

 

About 25-30% of patients have metastatic disease at the time of diagnosis.Cite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive title  Renal cancer most often spreads to the lungs (75%), regional lymph nodes (65%), bones (40%), and liver (40%).Cite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive title   The patient may complain of a cough or bone pain secondary to metastasis to the lungs or bone, respectively.

Associated Co-morbidities[edit | edit source]

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Medications[edit | edit source]

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Diagnostic Tests/Lab Tests/Lab Values[edit | edit source]

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Etiology/Causes[edit | edit source]

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Systemic Involvement[edit | edit source]

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Medical Management (current best evidence)[edit | edit source]

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Physical Therapy Management (current best evidence)[edit | edit source]

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Alternative/Holistic Management (current best evidence)[edit | edit source]

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Differential Diagnosis[edit | edit source]

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References[edit | edit source]

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