4.9 • 929 Ratings
🗓️ 27 November 2023
⏱️ 33 minutes
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0:00.0 | Welcome, this is Devine. Welcome to episode 491 of the Devine Intervention Podcast. |
0:07.0 | In today's podcast, we're going to be discussing the US |
0:12.8 | US Assembly Step 2, CK, Step 3, Rapid Review. |
0:14.0 | This is going to be Series 106. |
0:18.0 | Series 106. |
0:21.0 | Let's get right to it. |
0:22.0 | So what if they give you a question about a 19 year old female and you're |
0:28.8 | told that she's being treated for Hodgkin's lymphoma. Then you're giving a bunch of labs. You know you're |
0:37.5 | told that she has not been feeling well for the last 24 hours and giving a |
0:41.2 | bunch of labs you notice the potassium is six which is high you |
0:46.0 | notice that a phosphate is extremely high you notice a creatin is like 3.5 or |
0:52.2 | something crazy like that? |
0:53.4 | If you see something like this, what should you be thinking about? |
0:57.6 | I really hope you're saying, oh divine, this sounds an awful lot like |
1:02.3 | tumorlysis syndrome. This sounds an awful lot like like tumorlysis syndrome. |
1:04.0 | This sounds an awful lot like |
1:05.0 | tumorlysis syndrome. |
1:06.0 | So how do people get this problem? |
1:09.0 | How do we get these labs? |
1:11.0 | Well, the thing is usually we're going to see this in the context in a classic |
1:16.5 | context of a person having a malignancy, usually some kind of hematologic malignancy because those things are usually pretty sensitive to the therapies that we give. |
1:27.3 | Not all of them but many of them and as those cells die stuff is going to spill out into the circulation, right? |
... |
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