Examination of the child with a tumor
Oncology / / May 19, 2016
should pay attention to a number of factors in the child's examination of the tumor.The general development sometimes lags behind peers;but sometimes, on the contrary, children with tumors of bone, for example, a very high growth in comparison with their peers.Very often the child's weight decreased.
nurse should measure the growth of the child.In children older than 2 years, this measurement is carried out by means of the height meter, on the vertical rack is plotted centimeter division.When measuring the growth of the child gets back to the desk and moving the planchette easily falls down, and thus set the child's growth.In young children, who can not stand, height measurement is carried out with a tape.
research can be carried out and with a special children's height meter, which is a length of 80 cm, and a board width of 40 cm. There are mobile and fixed slats on this board.The child is placed on the head board to the fixed board and a movable pressed against the soles of his feet, and thus is det
measurement of the child's body weight is necessary not only to monitor his condition at the time of treatment and the efficacy of the latter, but also in order to precisely determine the dosage of drugs.As a rule, the weight of the child with cancer has been reduced, but there may be other effects: a child emaciated appearance, and its mass is reduced and corresponds to the age - in some cases it is due to the mass of the tumor, which can reach high values.
commonly used pan scales, with separate figure out a lot of diapers, sliders and other baby clothes for a child weighing up to 2 years.Older children are weighed on conventional scales.
weight ratio and growth of the child is very important in pediatric oncology.This is due to the fact that a number of drugs administered anticancer drugs based on body surface area.body surface can be calculated from the nomogram based on the body weight and the growth of the child.
Most malignant tumors in children is accompanied by fever.It can be low grade, variably elevated, but can reach high numbers.In oncology practice in the children's department often have to measure the temperature not only as usual - 2 times a day (morning and evening), but more often, sometimes every hour.The temperature can be measured in children in the axillary or inguinal regions, rectum;thus it is necessary to remember that a healthy child's temperature in the rectum over nearly +1 ° C than in the underarm area.In young children, the body temperature may be above the normal adult to +0,4 ° C.
On examination, the child should pay attention in the first place, the increase in the lymph nodes.Many malignant tumors and especially malignant lymphomas and leukemias accompanied by an increase of certain groups of lymph nodes.
On examination, the child's body should be noted the slightest deformation of the chest and abdomen - they often indicate the presence of tumors.On examination of the abdomen in a number of cases there is an increase in his uniform, which may be indicative of rickets in the young child, but can also be caused by a tumor.Sometimes there is a bulging belly side, depending on the location of the tumor (which may be cancer of the liver and kidneys).
I must say that usually the reason for seeking medical attention is the detection of tumors.Tumor accidentally finds his mother while dressing or bathing the baby, and at the time of discovery, it has already reached a considerable size.