The Curbsiders Internal Medicine Podcast #358 Oncologic Emergencies with Dr. Aditi Singh
6 snips
Oct 3, 2022 AI Snips
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Episode notes
Give Steroids First For Cord Compression
- Order IV dexamethasone immediately for suspected spinal cord compression (10 mg then 4 mg q6h).
- Call neurosurgery and radiation oncology urgently after steroids to decide definitive treatment.
Tell The Cancer Story To Consultants
- When consulting about cord compression, tell consultants the cancer type and overall oncologic status.
- Expect neurosurgery to use the NOMS (neurologic, oncologic, mechanical, systemic) framework to decide surgery vs radiation.
Image And Stabilize SVC Syndrome
- Get a contrast CT neck/chest to confirm SVC syndrome and look for thrombus.
- If airway or hemodynamics are threatened, stabilize and involve interventional radiology for possible stent placement.