Oncological Emergencies

Question 1

Metastatic Spinal cord compressiopn typically spreads from?

Answer 1

Breast / Bronchus / Prostate

Question 2

MSCC typically affects what region of the spine?

Answer 2

Thoracic

Question 3

What red flag symptom in MSCC is found with sleeping in bed?

Answer 3

Constant pain at night and at rest

Question 4

what % of people can walk post MSCC

Answer 4

57%

Question 5

Management of MSCC

Answer 5

16mg Dexamethasone + surgery

Question 6

Superior vena cava obstruction description to the patient

Answer 6

So an extrinsic compression of one of the big vessels that go to your heart is obstructed typically from a tumour from the lung / lymphoma

Question 7

What are the symptoms you may find in a SVC obstruction

Answer 7

Facial swelling + prominent blood vessels in head / neck

Question 8

What sign is elicited in SVC obstruction?

What do we give?

Answer 8

Pemberton Sign

16mg dexamethasone

Question 9

Hypercalcaemia is typically seen in what 4 conditions (Cancer
)

Answer 9

Breast
NSCLC
Lung
Myeloma

Question 10

Management of Hypercalcaemia?

Answer 10

IV Pamidronate

Question 11

What red flag symptom in MSCC is found with sleeping in bed?

Answer 11

Constant pain at night and at rest

Question 12

If tazocin CI in penicilin Ax, what do we give? (2)

Answer 12

Teicoplanin + Aztreonam

Question 13

Treatment in tumour lysis syndrome (elevated urea / potassium, phosphate + low calcium

Answer 13

Allopurinol