Wilms Tumor Signs & Symptoms By System

Hematologic System Endocrine System

Anemia Uremia

Muscle weakness

Fever Cannot stimulate kidney for the production of erythropoetin

Nervous System Lethargy Decrease level of consciousness

Lymphatic System Decrease production of RBC in the bone marrow

Digestive System Loss of appetite Constipation Nausea and vomiting

Respiratory System

SIGNS & SYMPTOMS of WILMS TUMOR

Pulmonary edema Dsypnea

Cardiovascular System High blood pressure

Urinary System Hematuria Ischemia GU defects

Integumentary System

Reproductive System GU defects

Muscular System

Skeletal System Pain at the joint

Itching Pallor Edema Pruritus

BODY SYSTEM Endocrine System

Lymphatic System

SIGNS & SYMPTOMS > fever > cannot stimulate the kidney for the production of erythropoietin > decrease production of RBC in the bone marrow > ascites

Digestive System

> loss of appetite

> constipation

> nausea and vomiting Urinary System

> hematuria (blood in the urine) > ischemia > GU defects (in terms of excretory)

Reproductive System

> GU defects (in terms of genital)

Skeletal System

> pain at the joint

Integumentary System

> itching > pallor > edema >pruritus

Cardiovascular

> high Blood Pressure

RATIONALE > unknown reason > due to the kidney cannot perform its function well > due to the decrease or absence of erythropoietin hormone which helps the bone marrow in the production of RBC > accumulation of fluid in the peritoneal cavity due to excessive fluid in the body > because any fever may cause temporary loss of appetite and all the nutrient that suppose to be for the body is being eaten by the tumor cells > due to infants who are still exclusively breastfed may go 7 days without a stool (for infant patients) and also due to the fluid imbalance in the digestive system > due to uremia the body compensate by excreting the toxins through vomiting > indicates that blood has passed through the tubule > due to its increasing tumor cells, compressing the surrounding tissue > due to blockage of tumor cells in the urine way the urine output decreases > the genital decreases the urine output due to the CREA which is suppose to be excreted is reabsorb again and goes into the circulation. > occur only when metabolic process is affected > due to the CREA that is not excreted, can expel out by perspiration which is very irritating > due to urochrome retention >due to Na and water retention from reduced glomerular filtration rate > may be associated with hyperphosphatemia that results from renal failure > due to Na and water retention from

System Respiratory System Nervous System Muscular System Hematologic System

> pulmonary edema > dyspnea > decrease level of consciousness > lethargy > muscle weakness > anemia > Uremia

reduced glomerular filtration rate > results from excessive fluid in the body that reaches in the lungs > that results from pulmonary edema > due to electrolyte imbalance > mental and physical sluggishness > due to electrolyte imbalance, atrophy and collection of uremic toxins > due to erythropoietin are not produce which helps bone marrow to make RBC > presence of abnormal levels of urea and other nitrogenous products in the blood due to the kidney cannot excrete it