Term
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Definition
| qld highest rate in the world, 5 cause of cancer deaths, 5 % of skin cancers, morality stablising, 10yr survival 92% |
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Term
| risk factors for melanoma |
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Definition
| family history, fair skin, dysplasitic naevus, exposure to UV light, |
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Term
| evaluting a pigmented lesion |
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Definition
| change - assymetery, border, colour, diameter <6mm, Elevation. Seven point list - Major - change in size, shape, colour. Minor - size >6mm, itch, crusing, inflammation |
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Term
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Definition
| pigmented BCC, seborrheic keratosis, solar keratosis, dermatofibroma, lentigo, freckle, Non-pigmented lesions, heamangioma |
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Term
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Definition
| Breslows thickness, clarkes levels, ulceration, lymph node status, age, metastatis, low mitotic rate, infiltrating lymphocytes sex, |
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Term
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Definition
| T1 <1mm, T2 1-2mm, T3 2-4, T4>4 |
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Term
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Definition
| 1. melanoma in situ, 2. invasion of the papillary dermis, 3 tumour filling the papillary dermis, 4 tumour invasion of the reticular dermis, 5 tumor invading the SC fat |
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Term
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Definition
| Excision (2mm) punch or shave biopsy. Resection margins - insitu 0.5cm, Invasive 1-2cm. |
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Term
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Definition
| superficial spreading, Nodular, lentigo maligna, Acral lentiginous, amelanotic, desmoplastic |
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Term
| risk factors for non melanoma |
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Definition
| UV exposure, fair skin, radiation, HPV infection, Genetic, chronic inflammatory lesions, immunosuppression |
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Term
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Definition
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Term
| types of pigmented lesions |
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Definition
| freckle, lentigo, benign melanocytic naevus (junctional, compound, intradermal), spitz naevus, halo naevus, congenital naevus, |
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Term
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Definition
| variable colour, border, larger. no differentiation, atypical proliferation, difficult to distinguish from melanoma initu. may occr in familias yndromes. increased risk of melanoma |
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Term
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Definition
| atypical melanocyte hyperplasia, melanoma in situ, predominant radial phase (lymphatic responce), vertical phase into the reticular dermis and beyond, metastasis |
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Term
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Definition
| proliferation of keratonocytes, common in elderly, well demarcated raised plaque with stuck on appearance, confused with melanoma, benign |
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Term
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Definition
| premalignant dysplastic lesion, rough scaling, pooly demarcated plaques with parakerotic scale. related to excessive skin exposure |
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Term
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Definition
| most commonn skin cancer, tumor of basaloid cells, result from sun damage, appear as pearly noduel with telangiectasia and rolled border. locally agressive ulcerate and bleed, very rarely metastasise |
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Term
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Definition
| lens opacity causing gradual loss of vision cause - Age, congenital, DM, corticosteroids, uveitis, trauma. present with gradually deminishing vision, loss of red reflex |
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Term
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Definition
| slowly progressive optic neuropathy due to raised ocular pressure. unknown cause, usually asymptomatic. presentation at routine screeing or enlargement of the cup to disk ration of fundoscopy |
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Term
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Definition
| gradual bilateral loss of central vision. cause age |
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Term
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Definition
| affects most diabetics, causes proliferation of vessel and leads to blindness from vitreos haemorrage, retinal detachment and glaucoma |
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Term
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Definition
| pain, photophobia, poor vision, pus, pupil abnormality |
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Term
| patterns of visual field loss |
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Definition
| optic nerve - loss of vision in one eye, RAPD. Chiasm - Bitemporal hemianopia. Retrochiasma - homonymous heminaopia |
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Term
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Definition
| group of people born in the same are who faced same societal circumtances |
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Term
| psychosocial factors afecting the aging process |
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Definition
| prosonality traits, anxiety and depression, stress, social support |
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Term
| Dr role in assessing driving |
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Definition
| identification of at risk drivers, warings of affect of disease on driving, medical assessment of drivers. |
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Term
| High risk motor vechile groups |
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Definition
| epilepsy, alcohol abuse, dementia, psychiatric disorder, sleep apnoea, youth, |
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Term
| asessment of elderly drivers |
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Definition
| age 75, visual and medical tests every five years. consider physical and cognitive ability required to drive |
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Term
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Definition
| primary - prevent the occurance, secondary - early recognition of disease or risk factors, tertiary - reducing the complications of the disease |
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Term
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Definition
| adanvtages- cause and effect, avoids unaffected, good cost benefit. Disadvatage - limited to health care model, inability to predict high risk, small ability of change, doesnt target underlying problem |
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Term
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Definition
| advantage - large scale effect, addresses underlying social causes, Disadvantages - difficult to persuade entire population, expensive, not inline with political paradigms |
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Term
| population attributable risk |
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Definition
| measure of disease burden. the percentage reduction in disease if there was no exposure at all. combines relative risk with prevelance |
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Term
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Definition
| 1. right disease - severe, common, public health issue, good understanging of history, long lead time. 2 Right test - accurate, reliable, safe, accepable, simple, cheap. 3 Right program - effective, cheap, able to cope with increase in disease |
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Term
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Definition
| false positive, false negatives, inconsiquential diagnosis, labelling the diseased |
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Term
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Definition
| 1. sclera and cornea. 2. choroid, cilliary muscle, iris. 3. retina |
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Term
| extraocular muscles and nerves |
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Definition
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Term
| UV damage and skin cancer |
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Definition
| chronic UVA exposure creates reactive oxigen species and damage to chromophores as well as inducing immune supression by langerhans cell depletion. creation of pyrmidine dimers causing DNA mutation an dskin cancer |
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Term
| UV damage and skin cancer |
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Definition
| chronic UVA exposure creates reactive oxigen species and damage to chromophores as well as inducing immune supression by langerhans cell depletion. creation of pyrmidine dimers causing DNA mutation an dskin cancer |
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Term
| treatment options for SCC |
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Definition
| excision, cryosurgery, lymph node dissection, systemic chmotherapy |
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Term
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Definition
| electrodessication ad curettage, excision, cryosurger, radiation, fopical 5FU, aldara |
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Term
| classification of neoplasms |
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Definition
| type, histological grade - differentiation, mitosis, pleomorphiss, lymphocytic infiltration. Stage - TMN system |
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