The signs and symptoms of oncologic emergencies are often common problems experienced by individuals with cancer such as nausea, pain, headache, and fever. Metabolic and hematologic emergencies are mainly diagnosed on the basis of clinical and laboratory findings. How i treat hematologic emergencies in adults with acute. Choose from 500 different sets of chapter 17 hematologic emergencies flashcards on quizlet. Hematologic emergencies in the pediatric emergency room. The template with a background image of a doctor or medical staff in a hospitals emergency room, carefully examining a patients vital signs, is a professionallydesigned free template for presentations on medical emergencies and treatment, health and fitness. Some patients with hemostatic disorders will report little to no bleeding, while others with normal hemostasis will report an excessive tendency to bleed. Learn hematologic emergencies paramedic with free interactive flashcards. However, the management of hematologic emergencies is challenging and may be controversial. Jul 15, 2015 presentation on hematologic emergencies. This article deals with five of the most common emergencies encountered by haematologists. Oncologic hematologic emergencies marjan koch july 15, 2009 case 1 56 yo male with past medical history of pulmonary embolism in 1982 after he was in the hospital for. Jason mitchell michael szavakovats joe vipond may 17, 2012.
Most patients uncomfortable if hemoglobin concentration hematologic emergency and urgency. Oncologic emergencies can result from either the cancer or its treatment. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Hematologic emergencies powerpoint ppt presentation loading. Learn chapter 17 hematologic emergencies with free interactive flashcards. Ppt oncologic emergencies powerpoint presentation free. Hematologic emergencies presentation seed global health. View large image view hires image download powerpoint. The knowledge of most hematological emergencies is crucial in daily practice. Hematologic emergencies in the pediatric emergency room peter d. Learn hematologic emergencies with free interactive flashcards. There are obvious risks associated with transfusion in patients with aiha, but these must be carefully balanced against the gains.
Start studying emt chapter 19 endocrine and hematologic emergencies. Brief introduction to hematologic emergency and urgency. Most patients uncomfortable if hemoglobin concentration download. Blood is rightfully considered the vital fluid, because every organ system depends on the normal function of blood. Acute lifethreatening conditions in oncology patients may develop either because of underlying malignancy or as a complication from treatment. It is important to elicit what abnormal bleeding means to the patient, as there is wide variability in patient perceptions of bleeding.
Tumor lysis syndrome is a metabolic emergency that presents as severe electrolyte. This post is part of a series developed in preparation for participation in acep simwars. Hematology powerpoint template is a free medical template for powerpoint presentations with a blood icon image or blood illustration that you can download to decorate your blood donate presentations. Ppt hematologic emergencies powerpoint presentation free to. Haematological emergencies royal college of physicians. Sickle cell anemia incidence sickle cell gene survives by providing resistance to malaria two normal genes malaria death two sicklecell genes sickle cell anemia death one normal geneone sicklecell gene survival persons with sickle cell trait survive, pass gene to offspring. How i treat hematologic emergencies in adults with acute leukemia tsila zuckerman. Ob emergency considerations remember that you have twopatients history is important, dont forget to ask about prenatal care third trimester bleeding is not normal. Professor emeritus department of pediatrics university of nevada school of medicine. Hematologic emergencies 1 hematologic emergencies 2 sickle cell anemia. Cancer, its treatments, and its baseline comorbidities can independently or collectively lead to hematologic emergencies requiring quick recognition, prompt diagnosis, and swift delivery of therapeutic interventions by frontline clinicians. Free download click here for more powerpoint presentations.
Emergencies in hematology and oncology mayo clinic proceedings. Emergencies in pediatric hematology akshat jain md, mph15 division of pediatrics, pediatric hematology oncology and stem cell transplantation steven and alexandra cohen childrens medical center of new york 2. Hematologic emergencies 1 hematologic emergencies 2 sickle. Ppt hematologic emergencies powerpoint presentation, free. Severe anemia may be due to acute or chronic disorders. Hematologic emergencies are acute, lifethreatening events. Blood related biotech, blood, hepatitis, autoimune disease. A free powerpoint ppt presentation displayed as a flash slide show on id.
She is conscious and alert, and tells you that her symptoms began yesterday and suddenly worsened today. How i treat hematologic emergencies in adults with acute leukemia. The hematology laboratory reports the machines keep clogging up. Download hematology oncology emergencies ppt for free. Case studies are boardstyle questions with explanations and links to related articles featured in traineenews, an enewsletter that is sent to hematology trainees on a quarterly basis case study. Choose from 500 different sets of hematologic emergencies flashcards on quizlet. As wbc count increases, the viscosity of blood is increased, which can lead to aggregation of leukocytes and obstruction of blood vessels. Sep 28, 2011 brief introduction to hematologic emergency and urgency. Obstetrical emergencies these could be the best calls that you will ever go on or the absolute worst nightmares you could ever imagine.
Daisy winner july 15, 2015 presentation, resource library. Chapter 24 hematologic emergencies at lenoir community. Although these conditions are not seen commonly in day to day clinical practice, recognition of the underlying pathological processes is important in. An abdominal series is remarkable for osteopenia of the pelvis. Hematologic emergencies scientific research publishing. Most commonly occurs in patients with tumors with high cell turnover acute leukemia, burkitts lymphoma with initiation of therapy, but can occur in any malignancy, even without chemotherapy. Sep 06, 2012 how i treat hematologic emergencies in adults with acute leukemia. Hematologic principles goldfranks toxicologic emergencies. Blood delivers oxygen and other essential substances throughout the body, removes waste products of metabolism, transports hormones from their origin to site of action, signals and defends against threatened infection, promotes healing via the inflammatory response, and maintains. We present clinical vignettes describing 10 emergencies encountered in practice and the questions such emergencies generate. The immediate aim is to improve vital signs by the use of colloid solutions until the most compatible red cells are available for transfusion. The child with acute blood loss leading to anemia may present with signs of hypovolemic shock, including tachycardia, delayed capillary refill, cool extremities, mental status changes, respiratory distress, and in advanced cases, hypotension. Image courtesy of dr jose pulido, department of ophthalmology, mayo clinic.
Successful treatment of these conditions depends on the emergency veterinarian having a thorough understanding of the possible etiologies of these conditions, and a systematic approach to diagnosis and therapy. Lack of circulating red blood cells in the body causes tachycardia, pallor, and fatiguemay be caused by the parvovirus b19, which affects the production of new red blood cells, nearly stopping it for 23 days. The site of bleeding may provide an indication of the hemostatic abnormality. A 23yearold woman with sickle cell disease presents with severe joint pain and a fever of 102. By creating an account i agree to poweredtemplates terms and conditions. In addition, emergencies resulting from comorbid conditions also occur in cancer patients. Ppt hematologic emergencies powerpoint presentation free to view id. Emt chapter 19 endocrine and hematologic emergencies. Hematologic emergencies emergency medical education. The most common lifecthreatening hematologic emergencies include hemorrhage and severe anemia. Hematologic and oncologic emergencies emergency medicine. Hematologic and oncologic emergencies will present on a daily basis to emergency. These oncological emergencies can occur as an initial presentation or in a patient with an established diagnosis and are encountered in all medical care settings.
Tintinalli je, stapczynski j, ma o, yealy dm, meckler gd, cline dm. Hematologic emergencies may be defined as sudden or unexpected lifethreatening events in clinical hematology and oncology which require immediate action predominantly based on clinical judgements and supported only by investigations that can be expected to produce results rapidly. Find powerpoint presentations and slides using the power of, find free presentations research about diabetes emergencies ppt. Hematological emergencies are defined as acute lifethreatening. Oncologic emergencies can be categorized as metabolic, hematologic, and structural conditions. Cancer patients often have immunologic, metabolic, and hematologic defects, which can lead to complex emergency conditions when they present to an emergency center. Most oncologic emergencies can be classified as metabolic, hematologic, structural, or treatment related.
View large image view hires image download powerpoint slide. Ppt hematologic emergencies powerpoint presentation. Choose from 500 different sets of hematologic emergencies paramedic flashcards on quizlet. Kluckman m, stern e, reeves l kluckman, matthew, et al hematologic emergencies. Dec 01, 2006 most oncologic emergencies can be classified as metabolic, hematologic, structural, or side effects from chemotherapy agents. View and download powerpoint presentations on diabetes emergencies ppt. Hyperleukocytosis is defined as a white blood cell wbc count 100,000. A comprehensive study guide, 9e tintinalli je, ma o, yealy dm, meckler gd, stapczynski j, cline dm, thomas sh. Patients with both malignant and nonmalignant haematological disease may present with dramatic and often life threatening complications of their diseases. You are dispatched to a residence for a 29yearold woman with difficulty breathing. Hematologyoncology emergencies emergency medicine clinics. Oncologic emergencies may be categorized by their system of origin, as metabolic, or as hematologic. In the true spirit of emergency medicine our content is available to anyone, anywhere, anytime.
At presentation, his white blood cell count wbc is 160 000. Oncologic emergencies noel rowan, md, facp comprehensive cancer center las vegas, nevada oncologic emergencies cardiovascular pericardial tamponade. Hematologic emergencies in infants and children tintinalli. Sadowitz, md, siraj amanullah, md, and abdulkader souid, md, phd children with various hematologic problems frequently present to the emergency department ed and require a careful physical examination, appropriate diagnostic testing, and prompt initiation of therapy. Ppt hematology emergencies powerpoint presentation, free. Thrombotic thrombocytopenic purpura ttp is a hematologic emergency fatal without prompt treatment. Treatment of oncologic emergencies american family physician. Hematologic emergencies powerpoint ppt presentation. Toxicologydermatologic emergenciesacidbase disturbancesthyroid emergenciesadrenalpituitary emergenciesoncologic. Hematologic emergencies n hyperviscosity due to dysproteinemia n hyperleukocytosis and leukostasis.
Core em is dedicated to bringing emergency providers all things core content emergency medicine. And yet, every step toward greater knowledge, every new treatment option will be of little. Flashcards chapter 17 endocrine and hematologic emergencies. Acute myeloid leukemia and acute lymphoblastic leukemia remain devastating diseases. Potentially lifethreatening clinical syndrome that results in electrolyte derangements secondary to significant tumor cell death and impairment in the kidneys ability to maintain homeostasis.
Tumor lysis syndrome is a metabolic emergency that presents as severe. Oncologichematologic emergencies marjan koch july 15, 2009 case 1 56 yo male with past medical history of pulmonary embolism in 1982 after he was in the hospital for. Displaying powerpoint presentation on hematology oncology emergencies available to view or download. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising.
Dec 25, 2016 simwars this post is part of a series developed in preparation for participation in acep simwars. The results confirm that hematologic emergencies can be caused by hematologic malignancies. Mucocutaneous bleeding, including petechiae, ecchymoses, epistaxis, or gastrointestinal, genitourinary, or heavy menstrual bleeding, is characteristic of qualitative or quantitative platelet disorders. Mar 01, 2017 hematologic and renal emergencies solo medicine. L, most commonly seen in children with acute lymphocytic leukemia all. Unless otherwise cited, content is based on hippoem videos.
Most oncologic emergencies can be classified as metabolic, hematologic, structural, or side effects from chemotherapy agents. Although these conditions are not seen commonly in day to day clinical practice, recognition of the underlying pathological processes is. Hematologic and oncologic emergencies the picu handbook. Ppt hematologic and oncologic emergencies powerpoint. Most patients uncomfortable if hemoglobin concentration hematologic emergencies, and these patients will be seen by various specialists. Microsoft powerpoint oncologic emergencies ucsf ho 2014.
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