Monthly Archives: March 2012

Adrenal Incidentalomas

With increasing¬†computed tomography (CT) imaging in the ED there is an increase of incidental findings. The prevalence of adrenal incidentalomas found on CT is about 4% and increases with age. Approximately 5% will be malignant. The majority of adrenal masses … Continue reading

Posted in Endocrinology, Imaging, Oncology

Hyperviscosity Syndrome

Classic hyperviscosity syndrome (HVS) presents with the triad of bleeding (mucosal and skin), visual disturbance, and focal neurologic signs (blurred vision, headache, vertigo, dizziness, nystagmus, deafness, ataxia). Elevation of any blood cell line (erythrocytosis, leukocytosis, thrmbocytosis) may lead to clinical … Continue reading

Posted in Oncology

Hyperglycemic Hyperosmolar State Treatment

Hyperglycemic hyperosmolar state (HHS) is known by many other names, but the main principle is elevated blood glucose in a patient with diabetes (usually type 2) with dehydration and usually a lack of ketosis.¬† There is a significant amount of … Continue reading

Posted in Medical | Tagged ,

Tumor Lysis Syndrome

Tumor lysis syndrome (TLS) results from rapid cell breakdown resulting in release of large amounts of nucleic acids and electrolytes (phosphorous and potassium) into the circulation. TLS is most common in rapidly proliferative hematologic malignancies such as leukemias and lymphomas. … Continue reading

Posted in Endocrinology, Oncology