Tag Archives: Tumour lysis syndrome

Case 38 – the beginning

Welcome to our new case! Get involved as we see it evolve over the next week with your help. A 32 year old gentleman presents to a&e with a 3 week history of being generally unwell, fever, sweats and abdominal … Continue reading

Posted in Lymphoma | Tagged , , | Leave a comment

Case 18 – summary

Case Summary – Burkitts lymphoma Our patients initially presented with abdominal pain, which may have had many underlying aetiologies.  With a fairly acute onset there were many diagnoses that needed to be considered.  The key learning points in this case … Continue reading

Posted in Lymphoma | Tagged , | Leave a comment

Case 18 – update 4

The patient is taken to HDU for supportive management.  The patient is commenced on treatment for hyperkaleamia.  His fluid balance is carefully monitored.  He is catherised, given analgesia for his abdominal pain.  He requires inotropic support.  An uss abdomen is … Continue reading

Posted in Lymphoma | Tagged , | Leave a comment

Case 18 – update 3

ITU registrar arrives to review your patient.  He agrees to HDU support and the patient is planned for transfer.  A few further investigations become available. LDH – 4150 ABG pH 7.24, pCO2 2.6, pO2 11.5, HCO3- 14, be -8 Retics … Continue reading

Posted in Lymphoma | Tagged , | Leave a comment

Case 5 – summary

We have established that our patient is profoundly septic and requires quick, effective resuscitation, which should include consultation with our ITU colleagues – a young patient who is decompensating is a particular worry as it is suggestive of how shocked … Continue reading

Posted in Acute leukaemia, Related to other specialities | Tagged , | Leave a comment

Case 5 – update 1

The differential diagnosis is broad with such little information (we reallyneed that white cell differential don’t we?). It would include: Acute sepsis with DIC causing thrombocytopenia (although v anaemic for this alone) Acute leukaemia (lymphoblastic or myeloid – we haven’t … Continue reading

Posted in Acute leukaemia, Related to other specialities | Tagged , | Leave a comment