TLS

Tumor lysocendrum or the tumor cells all break down we get this influx of potassium phosphorus uric acid and then dropping their calcium. We can use this chirobish ship criteria in order to determine if they have the two criteria to meet lab diagnosis of TLS. It seems like the mainstays for treatment really are going to be fluid lots and lots of fluids don't be shy about them. The other key point or pearl that you like provided all of us is to not treat their low calcium  and then start checking those i-calsYou know how it goes yes well i think we're ready for our next case mr. Chang he's 62 and