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Increase BP

Obesity

Age (68 years old)

Stress Immunosupressed Increase suceptible for infection

History of Myoma

Increase risk for Cancer

Older than 50 years old, has an increase risk for cancer

Increase risk for developing second primary disease

Fat cells secrete substance that inhibits apoptosis

Metastasis surrounding the bladder and urethra Obstruction of urethra Back flow of urine

Tumor spread locally into neighboring organs Spread through lymphatic/ circulatory system Tumor growth in the lumen of the bowels. Obstructs the intestines

uncontrolled & abnormal cell division

Tumor development

Hydronephrosis decrease renal perfusion Renal hypoxia Activation of RAAM Increase in BP Bp 160/90 Damage of Nephron decrease in GFR Increase in fluid retention Oliguria BiPedal Edema creatinine 1.4 mg/dL

No BM Doculax Metoclopromaide 10 mg

Legend Red- Manifestation Blue- Medications

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