4 results
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
AKI, acute limb ischemia ... leukapheresis - TLS ... values: Elevated K, ... with tetany or cardiac ... #TLS #diagnosis
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Antibiotics (Bactrim, PCN ... Acidosis, Cell Lysis (TLS ... /crush injury, ischemia ... tourniquet / IVF line draw ... line, stabilizes cardiac
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
antibiotics TLS ... changes: high K, ... low Ca - q8 h TLS ... interventional radiology ... #HemeOnc #Diagnosis
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Hypercoagulable (APLAS) Microbiology ... Cholesterol emboli syndrome ... Early embolic/ischemic ... hematuria, + RF Treatment ... #cardiology #infectiousdiseases