Hematology/Oncology Consultations Archive

Should fatty liver be considered in spontaneous bleeding?

Should fatty liver be considered in spontaneous bleeding?

A who takes acetaminophen for chronic neck and back pain awakens to a bloody nose and blood-soaked pillow. Could liver disease be to blame?

When to advise palliative care

When to advise palliative care

When do patients benefit most from palliative care consults?

What's causing elevated creatine levels?

What's causing elevated creatine levels?

A patient has elevated creatine and fasciculations. Could an electrolyte imbalance be the cause?

Contraception choices and breast cancer

Are certain oral contraceptive pills better for women with a family history of breast cancer?

Next step for endometrial hyperplasia

How would you proceed with a 64-year-old woman who has complex endometrial hyperplasia and secretory changes?

Which radiologic test to use for abdominal pain

How do I know which radiologic tests to choose when evaluating abdominal pain?

What to do after a positive FOBT

Should a man with a positive fecal occult blood test and a normal colonscopy without GI symptoms be referred to a gastroenterologist?

When is it appropriate to repeat a Pap smear?

When is it appropriate to repeat a Pap smear?

When reviewing Pap smear results with absent endocervical cells, what is the recommended next step?

New-onset alopecia in women

What is the appropriate workup in an otherwise healthy woman aged 75 years with new-onset hair loss?

Refusal of care during periods of acute confusion

Clinician seeks advice regarding a patient that refuses chemotherapy for multiple myeloma because of concerns that her hair will fall out.

GI referral in a woman with iron-deficiency anemia

When should a menstruating woman with iron-deficiency anemia be referred for GI workup?

Hyponatremia on the rise

I seem to be seeing a lot more hyponatremia. Some of these patients are taking diuretics, while others have psychogenic polydipsia or syndrome of inappropriate antidiuretic hormone secretion (SIADH). Others have no known cause. Is there an explanation for this increase?

Elevated hematocrit concerns

What are the clinical concerns for a 55-year-old, postmenopausal, Caucasian nonsmoker with a hematocrit of 52% and hemoglobin of 17 g/dL?

Breast cancer survivor care

Which lab and imaging studies are recommended for the routine comprehensive care of a woman with a history of breast cancer who underwent lumpectomy 10-15 years earlier?

Is chemotherapy working?

A 67-year-old man with stage 3 non-small cell lung cancer has had two sessions of...

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