Table 2.

Oncologic Emergencies

Brain metastases
    Red flagIncreased frequency of headaches
New or qualitatively different headache
Localized headache brought on by a specific motion of the head
        ActionCheck MRI to rule out brain metastases
Visceral pain emergencies
    Red flagAnuria/oliguria
        ActionSonogram to rule out obstruction
    Red flagContinuous/colicky abdominal pain may indicate intestinal obstruction
        ActionDigital rectal exam to rule out fecal impaction (caution if friable mucosa)
Dexamethasone for partial obstruction in advanced disease
Spinal cord compression
    Red flagProgressive central or radicular back pain, increased with movement, weight-bearing,
OR
Bilateral lower extremity weakness or sensory deficit
        ActionMagnetic resonance imaging, radiation oncology and neurology consults