Oncology Medical Management

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Oncological Emergencies[edit | edit source]

Physical Therapists need to be aware that certain oncologic emergencies may develop over time and it is important to know the primary systems affected or causes as well as signs and symptoms for referral[1]. The study suggests using a multidisciplinary treatment system for early diagnosis (MRI) and referral to orthopedists for treatment and prevention of Malignant spinal cord compression (MSCC) in patients with bone metastases[2].

I. Metabolic[edit | edit source]

  1. Tumor Lysis Syndrome
  2. Hypercalcemia of Malignancy
  3. Syndrome of Inappropriate Antidiuretic Hormone (SIADH)

II. Hematologic[edit | edit source]

  1. Febrile neutropenia
  2. Hyperviscosity syndrome

III. Structural[edit | edit source]

  1. Epidural Spinal Cord Compression
  2. Malignant Pericardial Effusion
  3. Superior Vena Cava Syndrome

IV. Side Effects from Chemotherapy[edit | edit source]

  1. Diarrhea
  2. Extravasations
  3. Obstipation

References[edit | edit source]

  1. Higdon M et. al. Treatment of Oncologic Emergencies. Am Fam Physician 2006; 74: 1873-80
  2. Nakata E, Sugihara S, Sugawara Y, Nakahara R, Furumatsu T, Tetsunaga T, Kunisada T, Nakanishi K, Akezaki Y, Ozaki T. Multidisciplinary treatment system for bone metastases for early diagnosis, treatment and prevention of malignant spinal cord compression. Oncology letters. 2020 Apr 1;19(4):3137-44.