Oncologic Emergencies
Brain metastases | |
Red flag | Increased frequency of headaches |
New or qualitatively different headache | |
Localized headache brought on by a specific motion of the head | |
Action | Check MRI to rule out brain metastases |
Visceral pain emergencies | |
Red flag | Anuria/oliguria |
Action | Sonogram to rule out obstruction |
Red flag | Continuous/colicky abdominal pain may indicate intestinal obstruction |
Action | Digital rectal exam to rule out fecal impaction (caution if friable mucosa) |
Dexamethasone for partial obstruction in advanced disease | |
Spinal cord compression | |
Red flag | Progressive central or radicular back pain, increased with movement, weight-bearing, |
OR | |
Bilateral lower extremity weakness or sensory deficit | |
Action | Magnetic resonance imaging, radiation oncology and neurology consults |