AS is a 54 yo business man who has a family history of lung cancer.AS started smoking at 15; years later, he got what he thought was a very bad cold that lasted for a week, started experiencing pain in his tongue, and was given ibuprofen for pain.He then noticed white sores that were getting bigger in his oral cavity near the tongue.He started feeling generally lousy and was unable to eat due to severe pain, and lost 30 lbs in a month.AS went to the clinic, where they did a biopsy that revealed squamous cell cancer of the oral tongue.AS has undergone RT and surgery to remove the cancer and a restorative surgery was scheduled.Due to RT, AS has developed mucositis and xerostomia in his oral cavity.All his nodes that were sent to the laboratory tested negative for metastasis, and no further RT was needed.The surgeons felt confident that they had removed all the cancer.
HT: 5`9" UBW: 165 lbs WT: 135 lbs
Meds: Corticosteroids; antineoplastic (dexamethasone) to reduce inflammation, K depletion, Na retention; and morphine for pain.
-Given the above numbers, the registered dietitian might diagnose AS with what?

Question

AS is a 54 yo business man who has a family history of lung cancer.AS started smoking at 15; years later, he got what he thought was a very bad cold that lasted for a week, started experiencing pain in his tongue, and was given ibuprofen for pain.He then noticed white sores that were getting bigger in his oral cavity near the tongue.He started feeling generally lousy and was unable to eat due to severe pain, and lost 30 lbs in a month.AS went to the clinic, where they did a biopsy that revealed squamous cell cancer of the oral tongue.AS has undergone RT and surgery to remove the cancer and a restorative surgery was scheduled.Due to RT, AS has developed mucositis and xerostomia in his oral cavity.All his nodes that were sent to the laboratory tested negative for metastasis, and no further RT was needed.The surgeons felt confident that they had removed all the cancer.
HT: 5`9"       UBW: 165 lbs       WT: 135 lbs
Meds: Corticosteroids; antineoplastic (dexamethasone) to reduce inflammation, K depletion, Na retention; and morphine for pain.
-Given the above numbers, the registered dietitian might diagnose AS with what?

Quizplus · Accepted Answer

AS has lost 30 lbs in a month and is experiencing mucositis and xerostomia, which are common symptoms of cancer cachexia. Additionally, he is being treated with corticosteroids and antineoplastic medication, which can contribute to muscle wasting and weight loss. AS's weight and height also indicate that he is underweight, but the rapid weight loss and other symptoms suggest that cancer cachexia is the primary concern. AS's significant weight loss, severe pain and mucositis, and xerostomia are all indicative of cancer cachexia. This is a complex metabolic syndrome that is often seen in cancer patients, characterized by anorexia, weight loss, muscle wasting, and systemic inflammation. Despite AS's oral surgery and RT, he still experienced significant side effects that contributed to his poor nutritional status. It is important for the registered dietitian to work with AS to develop a nutrition plan that addresses his unique needs and helps to manage his symptoms.

AS Is a 54 Yo Business Man Who Has a Family