20844628 case presentation endometrial cancer

7/17/2019 20844628 Case Presentation Endometrial Cancer

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Case Presentation:

Endometrial Cancer Group 2

Fhaye Kristine Kaye LorenzoDaphne Barillo

Christie Marie Barillo Joy Jamili

Alevi AguilarVenancio avarro

Faith !acure

Karen Dollopac

Area of Exposure: ASMGH-OB Gyne WardPM Sift



Bio!rapic "ata

ame" MJB

Age" #$yo%e&" Female

Civil %tatus" %ingle

A''ress" Bar(aza) Anti*ue

Birth place" Bar(aza) Anti*ue

Birth 'ate" July +) ,-..

/eligion" Aglipayan

ationality" Filipino

Date o0 A'mission" %eptem(er ,+)211-

Atten'ing !hysician" Dr Maria Ceilo %%ansolis

A'mitting Diagnosis" 3n'ometrial Cancer

4n0ormant" Client an' AJB

/elationship to the Client" %ister



5his is the case o0 MJB) a #$year6ol' 0emale) single an'a resi'ent o0 Bar(aza)

Anti*ue presently a'mitte'at Angel %alazar MemorialGeneral 7ospital 8ith the

a'mitting 'iagnosis o03n'ometrial Cancer



9vervie8What is Endometrial Cancer?

3n'ometrial carcinoma is a :in' o0 cancer that (egins inyour uterus 9nly 8omen have a uterus %o only 8omencan get this :in' o0 cancer Carcinoma re0ers to cancerthat (egins in tissues that 0orm linings throughout the

(o'y 5he en'ometrium is the lining o0 the insi'e o0 theuterus 3n'ometrial carcinoma is a cancer that 0orms0rom the inner lining o0 the uterus 5hroughout thissection) 8e re0er to it simply as en'ometrial cancer9ther :in's o0 cancer can 0orm in the uterus as 8ell

5hese are calle' uterine sarcomas 5hey are 'iscusse'in their o8n section 3n'ometrial cancer usually ta:esyears to 'evelop 4t most o0ten occurs in 8omen 8hohave alrea'y gone through menopause



What causes Endometrial/Uterine cancer?

5he main cause o0 most en'ometrial canceris too much o0 the hormone estrogen compare' tothe (o'y;s progesterone level 3strogen ma:esthe lining o0 the uterus <en'ometrium= gro8

thic:er !rogesterone >opposes> estrogen6yourprogesterone level goes up then 'rops at the en'o0 each menstrual cycle) ma:ing the thic:en'ometrium layer she' a8ay 5his is 8hat you

:no8 as menstrual (lee'ing Wen tere is toomuc estro!en in te #ody$ pro!esteronecan%t do its &o#' (e endometrium !etstic)er and tic)er' O*er time$ teendometrium cells can #ecome cancerous'



Cief Complaint"

A('ominal pain an' enlargemento0 the a('omen 2 8ee:s !5A



History of te

Present Healt Concern

58o 8ee:s !5A) the patient ha'

tolera(le a('ominal pain an' mil'cramps 8ith enlargement o0 thea('omen !atient 'i' not ta:e any

me'ications to relieve the pain!atient symptoms persiste') thussought consultation an' 8asa'vise' 0or a'mission



5he client 8as 0ully immunize' <,BCG)$D!5) $9!V) $ 7epa B an' ,measlevaccine= o :no8n allergies) <6= 0or

Bronchial Asthma) <6= 0or 7ypertension)an' <6= 0or Dia(etes Mellitus !atient isalso :no8n as an alcoholic 'rin:er)consumes 26$ (ottles o0 (eer a 8ee: Last

January 211+ the client) un'ergonesurgical operation) the removal o0 uterinemass

Past Healt

History



OB Gyne History

The client had her first

menstrual period (menarche) at theage of 15, with regular intervals

lasting for 3-5 days consuming

2pads a day. ravida-! and "arity-!.



Pysical Assessment

A. General Survey:

#eight$ 5%&'

espiratory ate$ 2 *reaths+min (tachypnea)- due to

venous o*struction rachial "ulse$ 1&5 *eats+min (tachycardia)- physical

signs of pain.

Temperature+ailla$ 3./ degrees 0elsius

lood "ressure$ 1&!+1!!mm#gevel of 0onsciousness$ lethargic (drowsy, response

to uestion then fall

asleep) with *lunted affect.



B. Skin, hair, and Nails Assessment

1. 4in$ tan, dry, and fairly hot to touch. 4in

fold returns to place after 2-3 seconds. he waspale and cachexic (s4in-*one results from the

increase meta*olic demand of the tumor). inimal

moles can *e seen on the face. 6o edema of the

face noted.2. #air$ *lac4, straight chin level and evenly

distri*uted hair. (-) for e*orrheic dermatitis and

"ediculusis capitis. 6o scalp lesions noted.

3. 6ails$ thic4, hard, well-trimmed nails. Thecondition of the nail *ed is smooth and firm. (-) for

0lu**ing or eau%s lines.



C. Head and Neck Assessment

#ead$ symmetric, round and inmidline. 6o visi*le lesions noted.

6ec4$ symmetric without

masses, scars, pulsation, lymphnodes non-palpa*le. Trachea in

midline. Thyroid gland non-palpa*le

with strong *ounding (7&) carotid

pulse.



D. Eyes: protruded eyes without lesion or edema.

clera is white without lesions noted. 8ye*rowssparse with eual distri*ution. "upil 8ual,

ound, eactive to ight and 9ccommodation

("89) .

E. Ears: esion noted at the right auricle.

(papule)

F. Nse and Sinuses: eternal structure without

deformity. ymmetrical and patent nares with noinflammation noted. 6asal septum midline without

*leeding perforation or deviation. :rontal and

maillary sinuses non-tender.



G. !uth and "harynx: pale and dry lips. 0heilosis noted.

H. Cardiac Assessment: no vi*rations or pulsations noted.#. Breast Assessment: 6o discharges from the nipples.

6on-tender and no dimpling or retraction noted.

J. Abdominal Assessment: hard, tender abdomen.

Abdominal girth of 85 cm and fundal height of 33 cm

with palpable mass on the pelvic floor upon Internal

Eamination !IE". #isible veins noted due to abdominal

distention.

$. Geniturinary%re&rductive Assessment: with

palpa*le mass on the pelvic floor upon ;nternal 8amination(;8). <ith minimal vaginal *leeding. :oley 0atheter attached

to uro*ag draining to a yellowish urine.



c !lanning ursing4ntervention

/ationale

Very severea('ominal pain r?t'irect tumor

involvement

%u(@ective Cues"Ga(ali:6(ali:sa:it :ang a:on(usong

9(@ective Cues"Facial grimacing!ain scale?,1<very severe pain=// 2 cpm!/ ,#E (pm

B! ,#1?,11mm7g

/e0erence" ursing Care!lans Documentation #th 3'ition Lin'a Moyet<pE+-=

General"A0ter 'ays o0

hospital

conHnement) thepatientpsychologicalattitu'e an'physical status 8ill(e a(le to cope8ith the situation

%peciHc" A0ter 7 o0nursingintervention)patient 8ill (e a(le

to", 5olerate painan' 8ill have apain scale o0 #2 7ave a vitalsigns 8ithin normalrange

4n'epen'ent",!er0orm painassessment each

time pain occursote speciHclocation an'intensity <16,1scale=2Monitor vitalsigns

Depen'ent", A'ministerme'ication asor'ere' an'in'icate'

especially 0or thepersistence o0pain <5rama'ol2Emg=

5o rule out8orsening o0un'erlyingcon'ition

5o relieve pain0elt (y the

patient



,ursin!"ia!nosis

Plannin! ,ursin!nter*ention

.ationale

3nlargement o0 thea('omen r?t Flui'accumulation in

the peritonealcavity occurs 'ueto the 'irectpressure (y thetumor or venouso(struction

Su#&ecti*e Cue:Ga(ahol a:on(usong :ag 8ararn a:o :amus6onhalin :ang sarangsemana

O#&ecti*e cues:,3nlargement o0the a('omen 8ithFun'al 7eight" $$cmA('ominal Girth"

Ecm

General: A0ter 'ays o0hospital

conHnement) thepatientpsychologicalattitu'e an'physical status 8ill(e a(le to cope8ith the situation

Speci/c: A0ter 7 o0nursinginterventions)patient 8ill (e a(le

to"

,/eport 'ecreasein a('ominal sizean' 0un'al height

2 De0ecate

ndependent:,Monitor F7 an'A('ominal girth

'aily

2 Maintain (e'rest

$ Monitor 4nta:ean' 9utput <M49=

# Monitorrespiratory) (o8elan' (la''er0unction

"ependent:

E A'ministerme'ication asor'ere'

, 5hesemeasurements

help 'etect Iui'retention an'ascites2 4mmo(ilityre'uce' the ris: o0in@ury

$ Monitor lossescalculation

# Level cor'compressioninIuences

respiratory<cervical=) (o8el<lum(ar=) an'(la''er <lum(ar=0unctioning

E Ai's in theelimination o0 stool



tan) you0

20844628 case presentation endometrial cancer

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