Myeloproliferative Disorders and the Hyperviscosity Syndrome

Mar 1, 2017 by in HEMATOLOGY Comments Off on Myeloproliferative Disorders and the Hyperviscosity Syndrome

Myeloproliferative disorders and the serum hyperviscosity syndrome can rapidly manifest with emergent presentations. Hyperviscosity occurs from pathologic elevations of either the cellular or acellular (protein) fractions of the circulating blood….

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Renal Complications in Oncologic Patients

Mar 1, 2017 by in HEMATOLOGY Comments Off on Renal Complications in Oncologic Patients

Acute renal failure (ARF) can be one of the many complications associated with malignancy and, unfortunately, often harbors a worse prognosis for the afflicted patient. Insult to the kidneys can…

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Neutropenic Enterocolitis

Mar 1, 2017 by in HEMATOLOGY Comments Off on Neutropenic Enterocolitis

Neutropenic enterocolitis, also known as typhlitis or ileocecal syndrome, is a rare, but important, complication of neutropenia associated with malignancy. It occurs as a result of chemotherapeutic damage to the…

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Electrolyte Complications of Malignancy

Mar 1, 2017 by in HEMATOLOGY Comments Off on Electrolyte Complications of Malignancy

A thorough working knowledge of the diagnosis and treatment of life-threatening electrolyte abnormalities in cancer patients, especially hyponatremia, hypoglycemia, and hypercalcemia, is essential to the successful practice of emergency medicine….

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Agents for the Treatment of Heparin-Induced Thrombocytopenia

Mar 1, 2017 by in HEMATOLOGY Comments Off on Agents for the Treatment of Heparin-Induced Thrombocytopenia

Heparin-induced thrombocytopenia (HIT) is an immune-mediated adverse drug effect characterized by platelet activation, hypercoagulability, and increased risk of thrombosis, both venous and arterial. A diagnosis of HIT usually signifies that heparin…

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Cerebral Edema, Altered Mental Status, Seizures, Acute Stroke, Leptomeningeal Metastases, and Paraneoplastic Syndrome

Mar 1, 2017 by in HEMATOLOGY Comments Off on Cerebral Edema, Altered Mental Status, Seizures, Acute Stroke, Leptomeningeal Metastases, and Paraneoplastic Syndrome

Neurologic symptoms commonly occur in oncology patients, and in some cases they may be the presenting symptom of malignancy. Cancer-related neurologic syndromes are rarely pathognomonic and must be differentiated from…

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Superior Vena Cava Syndrome

Mar 1, 2017 by in HEMATOLOGY Comments Off on Superior Vena Cava Syndrome

Superior vena cava syndrome is a common complication of malignancy. The epidemiology, presentation, and diagnostic evaluation of patients presenting with the syndrome are reviewed. Management options including chemotherapy and radiation…

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Venous Thrombotic Emergencies

Mar 1, 2017 by in HEMATOLOGY Comments Off on Venous Thrombotic Emergencies

Thrombosis is a common complication of cancer, occurring in up to 15% of patients. This article reviews the diagnosis and management of the most common cancer-related thrombotic problems; deep venous…

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