#358 Oncologic Emergencies with Dr. Aditi Singh

Oncologic emergencies are explored in this podcast featuring medical oncologist Dr. Aditi Singh, who provides guidance on recognizing and managing critical situations. The discussion covers spinal cord compression, emphasizing the importance of immediate steroid administration and coordination with neurosurgery and radiation oncology. Superior vena cava syndrome is addressed, highlighting the need to differentiate between urgent and emergent presentations, along with diagnostic and treatment strategies. Intestinal obstruction is examined, stressing the significance of oncologic history in determining appropriate interventions. The podcast further delves into tumor lysis syndrome, offering insights into its pathophysiology, diagnosis, and management, including the avoidance of calcium replacement. Throughout, a multidisciplinary approach and prompt specialist involvement are underscored.

Outlines

Part 1: Introduction, Guest Background

Part 2: Structural Emergencies: Spine, SVC, and Bowel

Part 3: Metabolic and Hematologic Emergencies

Part 4: Summary, Key Takeaways

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The Curbsiders Internal Medicine Podcast

Part 1: Introduction, Guest Background

Introduction to Oncologic Emergencies and Dr. Aditi Singh's Expertise

Book Recommendations, Career Advice, and Phil Rosenthal's Cultural Exploration

Part 2: Structural Emergencies: Spine, SVC, and Bowel

Spinal Cord Compression: Steroid Administration and Multidisciplinary Team Involvement

Post-Surgery Steroid Management and the Importance of Multidisciplinary Approaches

Superior Vena Cava Syndrome: Diagnosis, Management, and Cancer Predispositions

Malignant Bowel Obstruction: History, Diagnosis, and Palliative Care

Venting G-Tubes, TPN Considerations, and Oncologic Hypercalcemia Pearls

Part 3: Metabolic and Hematologic Emergencies

Tumor Lysis Syndrome: Pathophysiology, Diagnosis, and Risk Assessment

TLS Management: Fluid Resuscitation, Uric Acid Reduction, and Calcium Considerations

Hyperleukocytosis and Leukostasis: Diagnosis, Management, and Complications

Part 4: Summary, Key Takeaways

Key Takeaways and Podcast Conclusion

#358 Oncologic Emergencies with Dr. Aditi Singh

The Curbsiders Internal Medicine Podcast

Part 1: Introduction, Guest Background

00:04Introduction to Oncologic Emergencies and Dr. Aditi Singh's Expertise

Introduction to Oncologic Emergencies and Dr. Aditi Singh's Expertise

02:55Book Recommendations, Career Advice, and Phil Rosenthal's Cultural Exploration

Book Recommendations, Career Advice, and Phil Rosenthal's Cultural Exploration

Part 2: Structural Emergencies: Spine, SVC, and Bowel

06:17Spinal Cord Compression: Steroid Administration and Multidisciplinary Team Involvement

Spinal Cord Compression: Steroid Administration and Multidisciplinary Team Involvement

16:41Post-Surgery Steroid Management and the Importance of Multidisciplinary Approaches

Post-Surgery Steroid Management and the Importance of Multidisciplinary Approaches

23:39Superior Vena Cava Syndrome: Diagnosis, Management, and Cancer Predispositions

Superior Vena Cava Syndrome: Diagnosis, Management, and Cancer Predispositions

33:51Malignant Bowel Obstruction: History, Diagnosis, and Palliative Care

Malignant Bowel Obstruction: History, Diagnosis, and Palliative Care

45:00Venting G-Tubes, TPN Considerations, and Oncologic Hypercalcemia Pearls

Venting G-Tubes, TPN Considerations, and Oncologic Hypercalcemia Pearls

Part 3: Metabolic and Hematologic Emergencies

52:02Tumor Lysis Syndrome: Pathophysiology, Diagnosis, and Risk Assessment

Tumor Lysis Syndrome: Pathophysiology, Diagnosis, and Risk Assessment

1:01:24TLS Management: Fluid Resuscitation, Uric Acid Reduction, and Calcium Considerations

TLS Management: Fluid Resuscitation, Uric Acid Reduction, and Calcium Considerations

1:11:16Hyperleukocytosis and Leukostasis: Diagnosis, Management, and Complications

Hyperleukocytosis and Leukostasis: Diagnosis, Management, and Complications

Part 4: Summary, Key Takeaways

1:21:23Key Takeaways and Podcast Conclusion

Key Takeaways and Podcast Conclusion