4 results
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
, dyspnea, +/- CXR ... have fever - ACS ... organ damage • Treatment ... acid, Elevated Cr ... #diagnosis #management
Cardiac Standstill on POCUS during CPR

A 79yo male presents after being found unresponsive by his wife.
ACLS performed x ... activity p 30min ACLS ... , no pceff, no fine ... #Echoardiogram ... #ACLS #S4C #Intraarrest
Ventricular Fibrillation on POCUS Echocardiogram - Subcostal 4 Chamber

50's male witnessed arrest. Unknown hx. AED no
Prehosp ACLS-Asystole ... Note presence of fine ... Fine Vfib can be ... Fibrillation #VFib #S4C ... #ultrasound #Cardiology
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
fever: - Fever + ANC ... TLS (tumor-lysis ... decompression SVC ... interventional radiology ... (~20 %) and APL