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diagnosis hypercalcemia management associated differential elevated emergencies hemeonc hyperkalemia k malignancy nephrology oncologic potassium
Hypercalcemia Evaluation 1) Clinical clues - Is the patient symptomatic? - Family history? - Have you done
1) Clinical clues ... check the urine Ca ... differential #diagnosis #endocrinology ... #calcium #elevated ... #evaluation #workup
Treatment algorithm for malignancy-associated hypercalcemia. Hypercalcemia - Renal Failure → Dialysis with low Ca++ bath Aggressive IV hydration
Treatment algorithm ... Dialysis with low Ca ... Calcitonin Refractory Cases ... : Gallium nitrate ... #endocrinology
Summary of Oncologic Emergencies Neutropenic fever: - Fever + ANC < 500 → start cefepime ± vancomycin (if
full infectious work-up ... days → add fungal work-up ... high LDH, low Ca ... Treat underlying cause ... malignancy: - Calcium
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
/crush injury, ischemia ... reabsorption) Workup ... only if no clear cause ... : • Calcium 2- ... 3g IV Ca-gluconate
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