Tuesday, 3 November 2015

Stomach cancer

Condition  Stomach cancer 
Demographics M: F 3:1
Risk factors: increase age, blood group A, smoking, atrophic gastritis 
Murtagh Triad Malaise + anorexia + dyspepsia + weight loss = stomach cancer
Triple loss of appetite + weight + colour = stomach cancer 
History features Weight loss
New symptoms > 40 years old 
dyspepsia unresponsive to treatment 
anorexia, nausea+/- vomiting 
Dysphagia - late sign 
Onset of anaemia 
Examination  Epigastric mass
Hepatomegaly - hard and irregular 
Anaemia 
Enlarged supraclavicular lymph node 
Investigations Gastroscopy 
Management  Surgical excision 
Chemotherapy 
Usually poor prognosis 

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