Pediatrics
Fig. 14.1 Computed tomography scan of a 13-year-old patient presenting with persistent malaise, fever, and weakness. Decreased sensorium developed in the child while awaiting evaluation in an EC. His white…
ONCOLOGY
Psychiatric Emergencies
• Talk to the patient in a nonthreatening tone • Allow the patient to express fears and concerns • Isolate the patient from other patients and visitors • Remove dangerous…
Palliative Care in the Emergency Center
Opioid (route) Conversion from oral opioid to oral morphine Conversion from parenteral opioid to same oral opioid Initial rescue dose in an opioid-naïve adult Morphine (PO, IV) 1 1.0:2.5 PO…
Hematologic Emergencies
Adverse outcome predictor Outcome point score Age in years 1 per year Male sex +10 Cancer +30 Heart failure +10 Chronic lung disease +10 Heart rate ≥110 bpm +20 Systolic…
Cancer Care Ethics in the Emergency Center
1. The patient’s self-report of pain is a critical component of a comprehensive pain assessment. 2. Optimal pain treatment may be enhanced by acknowledging cultural differences in the expression of…
Gastrointestinal Emergencies in the Oncology Patient
© Springer Science+Business Media New York 2016Ellen F. Manzullo, Carmen Esther Gonzalez, Carmen P. Escalante and Sai-Ching J. Yeung (eds.)Oncologic EmergenciesMD Anderson Cancer Care Series10.1007/978-1-4939-3188-0_5 5. Gastrointestinal Emergencies in the Oncology Patient Maria-Claudia Campagna1 , Marina George2, Josiah Halm1 and Asifa Malik3…
Nephro-Urologic Emergencies in Patients with Cancer
Prerenal azotemia Volume depletion Nausea, vomiting, diarrhea Decreased oral intake owing to mucositis (5-fluorouracil, methotrexate, taxanes) Polyuria caused by hyperglycemia (steroids) or diabetes insipidus (pituitary tumor) “Third spacing” (hypoalbuminemia, liver…
Rheumatologic/Orthopedic Emergencies
© Springer Science+Business Media New York 2016Ellen F. Manzullo, Carmen Esther Gonzalez, Carmen P. Escalante and Sai-Ching J. Yeung (eds.)Oncologic EmergenciesMD Anderson Cancer Care Series10.1007/978-1-4939-3188-0_7 7. Rheumatologic/Orthopedic Emergencies Huifang Lu1 and Maria E. Suarez-Almazor1 (1) Department of General Internal Medicine,…
Soft Tissue Tumors
Fig. 13.1 Adult-type fibrosarcoma. Fibrosarcoma has evolved from among the most common diagnoses among soft tissue sarcomas to a diagnosis of rigorous exclusion. The morphology depicted, that of a “herringbone”…
Molecular Oncologic Testing of Skin and Adnexa Tumors
Genetic mutation Mutation type Melanoma subtypes affected Melanocytic nevus subtypes affected Type of test KIT Point mutation, amplification Acral (~15 %), Mucosal (~15 %), CSD skin (~10–15 %) Uncommon/rare IHC…
