Oncologic Emergencies

Question 1

• Malaise, n/v, abd pain, fatigue, anorexia
• Increased mobilization from bone and increased renal tubular reabsorption
• HYDRATE, Bisphosphonates, tx underlying disease

Answer 1

Hypercalcemia

Question 1

• White count super low
• Fever, signs can be muted though with inflammatory cells knocked out
• Broad spectrum abc until source ID’ed

Answer 1

Neutropenic Fever

Question 2

• Calf pain, SOB, Chest pain
• Due to hyper coagulability associated with malignancies

Answer 2

PE/DVT

Question 4

• Back Pain with possible neuro deficits
• Compression of spinal cord by extradural mass
• Tx with steroids, then image

Answer 4

Spinal Cord Compression

Question 5

• Serum electrolyte abnormalities resulting from rapid breakdown of tumor cell.
• Seen with rapidly proliferating tumors
• Prevention best: those at risk should be well hydrated and on diuretic.
• Tx: Address serum abnormalities, possible dialysis

Answer 5

Hyperuricemia/tumor lysissyndrome

Question 6

-Face/neck swelling, periorbital edema, dyspnea, JVD -Severe reduction in venous return from head, neck and upper extremities.

Answer 6

Superior Vena Cava Syndrome