JUMP 1: CLARIFICATION OF TERMS

1. s/p MRM
2. invasive ductal carcinoma
3. Tramadol
4. Erythematous rashes
5. EAC
6. Hyperemic
7. Intact TM AD
8. Post nasal drip
9. Epistaxis
10.Lymphadenopathy
11.Claudication
12.Hematokes
13.Nocturia
14.Easy bruisability
15.Core needle biopsy
16.Thyroid ds
17.Mixed diet
18.Slightly icteric sclera

19.Intact EEM
20.2-3 mm ERTL
21.Matted eyelashes
22.Alar flaring
23.Heaves, lifts, thrills
24.Rigidity
25.Tight sphicteric tone
26.Empty rectal vault
27.Smooth rectal mucosa
28.CVA tenderness
29.Anosmia
30.DTR
31.Nuchal rigidity
32.Brudzinskis sign
33.Kernigs sign
34.CXR (AP-LAT)
35.LS x-ray

36.
37.

JUMP 2: IDENTIFICATION OF PROBLEM

1. What is the cause of IDC?

2. Why does the pain spread to the left hand?
3. Why does she experienced low back pain?
4. What are the risk factors of IDC?
5. What does HPN have to do with IDC?
6. Why the physician did ordered MRM?
7. What are the signs and symptoms of IDC?
8. What are the possible diagnostic procedures of IDC?
9. Why does the physician ordered a core needle biopsy?
10.What are the plans of care?
11.Why did the patient experienced pain?
12.Why does the patient experience rashes?
13.Why did the patient experienced pain and rash only?
14.Why does she experienced fever?
15.Why did the physician ordered those two therapies? (chemotherapy and
radiation therapy)
16.Why does the pain resolve when patient is resting?
17.Why does the patient experience upper body signs and symptoms only?
18.What is the PATHOPHYSIOLOGY of IDC?
19.TRAMADOL DRUG ANA
20.PARACETAMOL DRUG ANA
21.IS IDC a complication of a previous illness the patient experienced?
22.Why did the ears get affected?
23.Why did she experienced perforation of TM?
24.Why did she experienced musculoskeletal swelling?
25.Why is the musculoskeletal system and the ears get affected?
26.What are the other body systems that can be affected when a person has
IDC?
27.What are the possible complications of MRM?
28.Can IDC be a genetic disorder? / Is IDC an inherited disease? (Bec. mother
nya (+) for CA)
29.Is IDC related to the thyroid ds her grandparents have?
30.Why does the physician allowed mixed diet? **sabi ni maam eto nalang
sagutin: kung yung pagkain na kinakain nya ba ay nakakaaffect sa
pagkakaroon ng IDC)
31.Why does it sting?
32.Why is her sclerae slightly isteric?
33.Why is the breast symmetrical eventhough she underwent mastectomy?
34.Why is there pain and swelling at the ROS but none at her physical exam?
35.Why is there tenderness at the RUQ?
36.Why ++DTR?
37.Why ordered I and O monitoring?
38.Why order CBC with platelet?
39.Why order a urinalysis?
40.Why refer to the Infectious Disease?
38.
39.

JUMP 3:

40.

Cause

1, 4, 5, 28,
29, 30

Complicati
ons
21, 26

Labs & Dx
8, 9, 37, 38,
39

IDC

Surgeries
(Tx)
6, 10, 15

18

Complicati
ons: 27

41.

Signs &
Symptoms
2, 3, 7, 11, 12,
13, 14, 16, 17,
22, 23, 24, 25,
31, 32, 34, 35,
36

Treatment
:
10, 19, 20,
30, 37, 40