Bone Fractures and Tumors Overview
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Questions and Answers

Which bone is most frequently attacked by tumors that metastasize to bone?

  • Clavicle
  • Ribs
  • Femur
  • Skull (correct)
  • What is the most common primary site of tumors that metastasize to bone?

  • Pancreas
  • Colon
  • Brain
  • Kidney (correct)
  • What symptom is commonly associated with patients having bone tumors?

  • Decreased appetite
  • Improved mobility
  • Weight gain
  • Fever (correct)
  • Which type of cancer commonly results in hypercalcemia when it metastasizes to bone?

    <p>Breast cancer</p> Signup and view all the answers

    What is frequently elevated in osteogenic sarcoma?

    <p>Serum alkaline phosphatase levels</p> Signup and view all the answers

    What distinguishes metastatic bone disease from primary bone tumors?

    <p>Originating from tissues outside the body</p> Signup and view all the answers

    What is the most common benign bone tumor described in the text?

    <p>Osteochondroma</p> Signup and view all the answers

    How is closed reduction of fractures typically accomplished?

    <p>By manual alignment of the fragments followed by immobilization</p> Signup and view all the answers

    Which type of bone tumors are rare and mainly arise from connective and supportive tissue cells or bone marrow elements?

    <p>Chondrosarcoma</p> Signup and view all the answers

    What is the main purpose of immobilizing joints proximal and distal to a fracture?

    <p>To prevent movement of fracture fragments</p> Signup and view all the answers

    Among the following, which is the most common and often fatal primary malignant bone tumor mentioned in the text?

    <p>Osteosarcoma</p> Signup and view all the answers

    What is the primary goal of treatment for primary bone tumors?

    <p>Destroy or remove the tumor</p> Signup and view all the answers

    When is chemotherapy typically started for patients with primary bone tumors?

    <p>Before and after surgery</p> Signup and view all the answers

    What is the main treatment goal for patients with metastatic bone cancer?

    <p>Relieve pain and discomfort</p> Signup and view all the answers

    How can hypercalcemia resulting from bone breakdown be managed?

    <p>Administer bisphosphonates</p> Signup and view all the answers

    What is the role of the nurse in managing patients with bone tumors?

    <p>Handle affected extremities gently</p> Signup and view all the answers

    Study Notes

    Bone Tumors and Metastasis

    • The spine is the most frequently attacked bone by tumors that metastasize to bone.
    • The breast is the most common primary site for tumors that metastasize to bone.

    Symptoms and Conditions

    • Bone pain is a common symptom associated with bone tumors.
    • Hypercalcemia often results from metastases to bone, particularly with cancers such as breast cancer and lung cancer.

    Specific Tumor Types

    • Osteogenic sarcoma frequently shows elevated levels of alkaline phosphatase.
    • Metastatic bone disease differs from primary bone tumors primarily due to its origin (metastasis) rather than arising from bone tissue itself.
    • The most common benign bone tumor is the osteochondroma.

    Treatment and Management

    • Closed reduction of fractures is typically accomplished through manual manipulation.
    • Sarcomas, which are rare, arise from connective and supportive tissue or materials from bone marrow.
    • Immobilizing joints proximal and distal to a fracture is crucial to prevent movement and promote healing.

    Prognosis and Treatment Goals

    • Ewing's sarcoma is the most common and often fatal primary malignant bone tumor.
    • The primary goal of treatment for primary bone tumors is to achieve clear margins and prevent recurrence.
    • Chemotherapy for patients with primary bone tumors is typically started before surgery for better tumor control.
    • The main treatment goal for patients with metastatic bone cancer is pain management and maintaining quality of life.

    Nursing Role

    • Nurses play a vital role in supportive care, pain management, and monitoring patients with bone tumors.

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    Description

    Learn about bone fractures, the process of reduction to restore bone alignment, and different types of benign and malignant bone tumors. Understand the importance of immobilizing joints proximal and distal to fractures for proper healing.

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