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256
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clinical
physicalexam
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causes
of Tumor Lysis
Syndrome
... Uric acid ≥ 8.0
mg
... Phosphorus ≥ 4.6
mg
... ≤ 7.0
mg
/
dL
Clinical ... #TumorLysis #
Syndrome
- calcium > 11
mg
... /
dL
/ >1
mg
/
dL
the ... disease - Cr >2
mg
... /
dL
or CC < 40 ml ... plasmacytoma, POEMs
syndrome
Scoring System CRP (
mg
... /
dL
), WBC (per ... , Creatinine (
mg
... /
dL
), Glucose ... (
mg
/
dL
), Score
Glucose > 200
mg
... /
dl
- LDH > 350 ... - BUN rise > 5
mg
... /
dl
- Calcium ... < 8
mg
/
dl
-
Tumor Lysis
Syndrome
... Uric acid ≥ 8
mg
... /
dL
• Potassium ... ≤ 7
mg
/
dL
• OR ... #Tumor #Lysis #
Syndrome
Increase in SCr ≥ 0.3
mg
... /
dL
or increase ... /
dL
with an acute ... increase of ≥ 0.5
mg
... /
dL
; or on RRT
Proteinuria (300
mg
... ) • Cr > 1.1
mg
... /
dL
or 2x • Thrombocytopenia ... Seizure HELLP
Syndrome
Bilirubin: <5
mg
... /
dL
• Hepatic ... necrosis HELLP
Syndrome
... Bilirubin: <5
mg
... /
dL
unless massive
total protein >1 g/
dL
... - glucose <50
mg
... /
dL
- and lactate
Serum
Mg
0.1
mg
/ ...
dl
. ... hypomagnesemia #clinical #
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