21 results
Tumor Lysis Syndrome - Workup and Management

Initial workup: BMP, Serum uric acid, LDH, Urine output, Consider
Tumor Lysis Syndrome ... - Workup and Management ... Clinical TLS: • IV ... #Lysis #Syndrome ... #diagnosis #management
Takotsubo Cardiomyopathy on POCUS Echocardiogram

Patient is in shock. POCUS RUSH exam shows the shock is cardiogenic.
Takotsubo Cardiomyopathy ... on POCUS Echocardiogram ... POCUS RUSH exam ... #BrokenHeart #Syndrome ... #Echocardiogram
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
Lysis Syndrome ... hyperviscosity syndrome ... Lysis Syndrome: ... #Lysis #Syndrome ... TLS #diagnosis #management
Hypermagnesemia - Etiologies by Mechanism
Renal Failure 
Excessive Mg Administration 
 - Massive PO intake
- Excessive IV ... Mechanisms - Tumor ... lysis syndrome ... Table #Causes #Management
Another Takotsubo.

68F actually presented after some very joyous news in contrast to the usual 'broken heart
'broken heart syndrome ... #Clinical #POCUS ... #Echocardiogram ... A4c #Takotsubo #Cardiomyopathy ... #BrokenHeart #Syndrome
Takotsubo Cardiomyopathy - Right Ventricular Involvement 

In up to 1/4 of cases of stress cardiomyopathy (takotsubo),
Takotsubo Cardiomyopathy ... cases of stress cardiomyopathy ... #BrokenHeart #Syndrome ... #Echocardiogram ... A4C #Clinical #POCUS
Tumor Lysis Syndrome
An acute, life-threatening condition that appears within 7 days of starting cytotoxic therapies in
Tumor Lysis Syndrome ... Treatments: • IV ... wandering_er #Tumor ... #Lysis #Syndrome ... TLS #oncology #management
A 70 year old was presented to the urgent care center with severe retrosternal chest pain
and a cardiac POCUS ... showed a classic syndrome ... 3/ #Clinical #POCUS ... #Echocardiogram ... A4c #Takotsubo #Cardiomyopathy
Classification of Tumor Lysis Syndrome (TLS) and Treatment of Metabolic Abnormalities of TLS
Laboratory TLS:
 • Uric
Classification of Tumor ... Lysis Syndrome ... #TumorLysis #Syndrome ... TLS #diagnosis #management
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Inhibitors • Recent IV ... release due to cell lysis ... Transfusion reaction - Tumor ... lysis syndrome ... • SLE • Type IV