Talk- Signs And Symptoms - Doc Mae

Signs and Symptoms of Childhood Cancer Lecture for Barangay Health Workers Apokon, Tagum in behalf of Cancer Warriors Foundation,

Mae Concepcion J. Dolendo, MD Medical Director St Jude Partner Site, Philippines

Childhood Cancer is Curable

KANSER Sa BATA • K – Kanunay nga impeksyon • A- Ang padayon nga dili masabtan pagkahugno sa lawas • N – Naay puti diha sa likod sa mata • S – Sakit sa ulo, kanunay’ng pagsuka, matag gabii o sayo sa buntag • E – Epekto sa kanser ang kanunay’ng pagkakapoy o klaro nga pagpangluspad • R – Regular nga paghanap o pag-usab sa panan-aw o nahimong permanente Ref: Cancer Warrior Foundation IEC

KANSER Sa BATA • Sa – Samad-samad, pagdugo o pagkatol-katol

• • B – Balik-balik sa hilanat sa wala mahibal-an nga hinungdan • A – Adunay pagbukol diha banda sa tiyan, liog , dughan, singit ug ilok • T – tiil, kabukugan , kasukasuhan, likod – adunay paghubag o pagsakit • A – Ang pagkalipong o pagsuka bisan wala nalipong Ref: Cancer Warrior Foundation IEC

K – Kanunay nga impeksyon • Children with cancer are immunecompromised • They are prone to repeated infections • Note for other symptoms associated with infections; anemia/pallor, thrombocytopenia or low platelet count

A- Ang padayon nga dili masabtan pagkahugno sa lawas • Cachexia is often associated with disseminated disease but can occasionally be found during early tumor growth • Cachectin/ Tumor necrosis factors are cytokines often associated with cancer •

JPEN J Parenter Enter Nutrition. 1988 May-Jun ; 12 (3) :286-298

N – Naay puti diha sa likod sa mata

• Whitish discoloration of the pupils • “cat’s eye” • Disappearance of the red-orange reflex

S – Sakit sa ulo, kanunay’ng pagsuka, matag gabii o sayo sa buntag • Associated with brain tumors • Caused by blockage of the flow of cerebrospinal fluid • Increased intracranial pressure

E – Epekto sa kanser ang kanunay’ng pagkakapoy o klaro nga pagpangluspad

R – Regular nga paghanap o pag-usab sa panan-aw o nahimong permanente • May be associated with tumors at the back of the eyes such in retinoblastoma • Can be a sign of increased intracranial pressure

Sa – Samad-samad, pagdugo o pagkatol-katol

B – Balik-balik sa hilanat sa wala mahibal-an nga hinungdan • Fever that does not resolve despite treatment • “malignant fever” • Commonly seen in leukemias • Can be due to cancer, or infections due to immunocomprom ised state

A – Adunay pagbukol diha banda sa tiyan, liog , dughan, singit ug ilok • Masses palpated in the abdomen, neck, chest, inguinal area or armpits • Masses may be enlarged lymph nodes or tumors growing form underlying sites • Can be abdominal malignancies such as wilms’ tumor, hepatoblastoma, germ cell tumors, neuroblastoma • Enlarged lymph nodes can be lymphomas or metastatic sites of

T – tiil, kabukugan , kasukasuhan, likod – adunay paghubag o pagsakit

A – Ang pagkalipong o pagsuka bisan wala nalipong

CHILD CANCER • C –Continued, unexplained weight loss • H – Headaches, often with vomiting, at night or early morning • I – increased swelling or persistent pains in bones, joints, or back or legs • L – lump specifically in the abdomen, neck, chest, pelvis or armpits • D - Development excessive Ref: of Cancer Warrior Foundation IEC bruising, bleeding or rash

CHILD CANCER • C- Constant infections • A – A whitish color behind the pupil • N - Nausea which persists or vomiting without nausea • C - Constant tiredness or noticeable paleness • E - Eye or vision changes which occur suddenly and persist • R - Recurrent fever of Warrior unknown Ref: Cancer Foundationorigin IEC

WHAT TO DO WHEN YOU SEE SIMILAR CASES • Advise the patient and families of the necessity to consult a doctor early • Bring patient and families to : – Davao Regional Hospital, Apokon, Tagum • Pediatric Resident on Duty • Dr Alan Tiongko • Dr Lily Yu

– Davao Medical Center • • • •

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OPD Clinic Tuesday 2 pm Pediatric Resident on Duty Dr Marichelle Dizon Dr Mae Dolendo, Dr Jeannie Ong, Dr Grace Pecson

First Satellite Network Facility:

The doctors, nurses and support staff (Multidisciplinary team)

St Jude Partner Site