Category Archives: Oncology

Netropenic Fever

Neutropenia is common with chemotherapy, nadirs at 7-14 days, and is defined as an absolute neutrophil count (ANC) < 500 cells/μL or < 1,000 cells/μL with a predicted nadir of < 500 cells/μL. Fever in a neutropenic patient is defined as a … Continue reading

Posted in Infectious Disease, Oncology | Leave a comment

Superior Vena Cava Syndrome

Superior Vena Cava Syndrome (SVCS) is caused by lung cancer, especially small cell, and lymphoma in approximately 90% of cases. A minority of cases are caused by fibrosing mediastinitis and thrombosis of indwelling central venous devices. Syphilitic aortic aneurysm and … Continue reading

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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