By Katrin Scheinemann (auth.), Katrin Scheinemann, Allison E. Boyce (eds.)
Pediatric oncology is a significantly complicated self-discipline requiring widespread desire for reference fabric. Emergencies in Pediatric Oncology meets this aim through serving as aconcise, sensible source for the moved quickly medical professional. Replete with diagrams and written in a transparent, succinct type, this identify deals an easy-to-read advisor specifically necessary for citizens, fellows, and nurses. delivering an summary of the epidemiology of adolescence melanoma and the historical past of its therapy, this identify additionally addresses quite a number key difficulties within the pediatric oncologic atmosphere, masking the most typical emergencies and delivering brief, useful guidance on tips on how to deal with them. Written by means of professionals from an array of disciplines, this useful source presents solutions and urban suggestions and is a priceless contribution to the literature in pediatric oncology.
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Extra resources for Emergencies in Pediatric Oncology
The descending aorta, the azygos and hemiazygos vein, the vagus nerve, esophagus, thoracic duct, and some lymph nodes comprise the posterior mediastinum (Fig. 1). Depending on the anatomical structure, certain tumors are characteristic for each compartment. K. ca K. E. 1007/978-1-4614-1174-1_4, © Springer Science+Business Media, LLC 2012 25 26 K. Scheinemann Fig. 1 Schematic overview of the mediastinum Anterior Mediastinum The most common tumors in the anterior mediastinum can be remembered as the 4 T’s: T-cell lymphoma/leukemia Teratoma Thymus Thyroid malignancy Patients with masses in the anterior mediastinum are at high risk for respiratory collapse .
On examination, there was abdominal distension and tenderness over right upper quadrant, epigastric, and left upper quadrant areas consistent with ascites. CT showed evidence of extensive lymphadenopathy with ascites and bilateral pleural effusion. The boy was admitted for further investigation with clinical picture suggestive of possible lymphoma. A bone marrow aspiration and biopsy were performed that confirmed the diagnosis of Burkitt’s lymphoma. Initial blood work consisted of CBC with differential and chemistry.
Urinary output/bowel movements (stool to be tested for occult blood) 4. Chest X-ray two views 5. Bloodwork: BGA, electrolytes, liver and renal function testing, coagulation screen 6. Echocardiogram All of the above-mentioned tools can be done at bedside, so patient does not need to be moved. The management includes regular monitoring and optimizing systemic perfusion and organ function, but whenever feasible, decompression should be achieved. Medical treatment could include: 1. 2. 3. 4. Body positioning (head elevation) Drainage via NG tube Fluid resuscitation to maintain hemodynamics Diuretics and continuous renal replacement therapy 5 Abdominal Masses 33 Acute decompression is sometimes necessary if the medical treatment is not sufficient enough and the patient is developing multiorgan failure.
Emergencies in Pediatric Oncology by Katrin Scheinemann (auth.), Katrin Scheinemann, Allison E. Boyce (eds.)