Emergencies

Question 1

SC Compression Protocol

Answer 1

Immediate surg for dx and management

Question 2

5 Causes SVC Syndrome

Answer 2

Lung cancer, Lymphoma (usually non-H), Thymoma, Germ Cell Tumors, Catheter-related thrombosis

Question 3

SVC Syndrome Tx

Answer 3

Avoid empiric radiation and tx underlying cause (usually chemo)

Question 4

Tumor Lysis Syndrome (when it happens and what happens)

Answer 4

Dumping of IC contents from tumor lysis, usually 12-72 hrs after chemo
Elevates like everything except calcemia

Question 5

Tumor Lysis Syndrome Management

Answer 5

Treat with hydration and rasburicase, try to prevent with hydration and allopurinol

Question 6

Hypercalcemia Treatment

Answer 6

Try to treat with fluids and bisphosphonates. Denosemab? RANKLi?

Question 7

Hypercalcemia Symptoms

Answer 7

Poluria/dehydration/V depletion
Mental status maybe
CONSTIPATION

Question 8

Leukostasis Dx and Tx

Answer 8

WBC>100k, respiratory distress, CXR infiltrates, confusion/blurred vision, CNS bleeding
Tx with emergent leukaphoresis