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Questions and Answers
What is the most common malignant renal and intra-abdominal tumor of childhood?
What is the most common malignant renal and intra-abdominal tumor of childhood?
- Neuroblastoma
- Wilm's Tumor (correct)
- Retinoblastoma
- Rhabdomyosarcoma
What is the term that means 'kidney' in Greek?
What is the term that means 'kidney' in Greek?
- Renal
- Nephro (correct)
- Uro
- Kidneo
What is the primary symptom of Wilm's Tumor?
What is the primary symptom of Wilm's Tumor?
- Swelling or mass in the abdomen (correct)
- Fever and chills
- Vomiting blood
- Pain in the abdomen
What is the name of the antihistamine that may be preferred for daytime pruritus relief?
What is the name of the antihistamine that may be preferred for daytime pruritus relief?
Why is controlling pruritus important in the management of Atopic Dermatitis?
Why is controlling pruritus important in the management of Atopic Dermatitis?
What is the term for a tumor in the kidney that may eventually become cancerous or malignant?
What is the term for a tumor in the kidney that may eventually become cancerous or malignant?
What is essential in the nursing care of a child with Atopic Dermatitis?
What is essential in the nursing care of a child with Atopic Dermatitis?
What is a common clinical manifestation of Wilm's Tumor?
What is a common clinical manifestation of Wilm's Tumor?
Why is exploration of the family's feelings important in the nursing care of a child with Atopic Dermatitis?
Why is exploration of the family's feelings important in the nursing care of a child with Atopic Dermatitis?
What is a complication of Wilm's Tumor?
What is a complication of Wilm's Tumor?
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Study Notes
Wilm's Tumor
- Wilm's tumor is the most common intra-abdominal and kidney tumor of childhood.
- It is also known as "Nephroblastoma" or "Nephro" meaning kidney tumor.
- It is a malignant tumor in the kidney that can eventually become cancerous.
Stages of Wilm's Tumor
- Stage 1: Tumor is resected without damaging the kidney.
- Stage 2: Tumor extends beyond the kidney but is still resected, with no lymph node involvement.
- Stage 3: Residual tumor is confined to the abdomen with lymph node involvement.
- Stage 4: Tumor metastasizes to lungs, liver, bones, or distant nodules.
- Stage 5: Tumor is present in both kidneys at diagnosis, with bilateral renal involvement.
Therapeutic Management
- Surgery: Nephrectomy
- Radiation Therapy
- Chemotherapy: Actinomycin D, Vincristine
Nursing Management
- Prevent/Avoid Palpation of the abdomen to avoid rupture of the tumor.
- Prepare the child and family for the operation.
- Post-op care: advise to avoid high-risk activities, prevent UTI, and report GU signs and symptoms.
Clinical Manifestations
- Swelling or mass within the abdomen (non-tender, firm, and confined).
- Secondary anemia
- Weight loss
- Hypertension
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