tag:blogger.com,1999:blog-11288840.post114780950788414648..comments2024-02-08T05:17:29.432-05:00Comments on Kidney Notes: Nephrology Cases #10: Cancer and Kidney FailureTesthttp://www.blogger.com/profile/17979185526814569632noreply@blogger.comBlogger7125tag:blogger.com,1999:blog-11288840.post-1148359986866402292006-05-23T00:53:00.000-04:002006-05-23T00:53:00.000-04:00Joel,Radiographically, the presentation seemed mor...Joel,<BR/><BR/>Radiographically, the presentation seemed more consistent with lymphoma/leukemia than myeloma, as plasmacytomas tend to be more solitary, but anything is possible...Testhttps://www.blogger.com/profile/17979185526814569632noreply@blogger.comtag:blogger.com,1999:blog-11288840.post-1148331919806579622006-05-22T17:05:00.000-04:002006-05-22T17:05:00.000-04:00Since the negative proteinuria is determined by U/...Since the negative proteinuria is determined by U/A, not quantitative protein assessment why no cast nephropathy from myeloma? Patient was elderly.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-11288840.post-1147865977152291292006-05-17T07:39:00.000-04:002006-05-17T07:39:00.000-04:00That's very fair. I'll add that there wasn't any h...That's very fair. I'll add that there wasn't any hematuria or proteinuria, which reduces the likelihood of other causes, like bilateral renal vein thrombosis and minimal change disease with acute renal failure. Thanks.Testhttps://www.blogger.com/profile/17979185526814569632noreply@blogger.comtag:blogger.com,1999:blog-11288840.post-1147838433623308682006-05-17T00:00:00.000-04:002006-05-17T00:00:00.000-04:00OK, I'll take your word for it. The cases of tumo...OK, I'll take your word for it. The cases of tumor lysis syndrome I've seen have occurred in leukemias and lymphomas <EM>after</EM> chemo was started. <BR/><BR/>I just thought that <EM>spontaneous</EM> TLS was rare.<BR/><BR/>JohnThe Medicine Manhttps://www.blogger.com/profile/15083169360549914400noreply@blogger.comtag:blogger.com,1999:blog-11288840.post-1147829767019878742006-05-16T21:36:00.000-04:002006-05-16T21:36:00.000-04:00I think so, particularly because this case actuall...I think so, particularly because this case actually turned out to be spontaneous tumor lysis syndrome. His uric acid was 20, and he responded well to rasburicase.<BR/><BR/>(I'm open to other suggestions for the top four.)Testhttps://www.blogger.com/profile/17979185526814569632noreply@blogger.comtag:blogger.com,1999:blog-11288840.post-1147827527069210832006-05-16T20:58:00.000-04:002006-05-16T20:58:00.000-04:00Does spontaneous tumor lysis syndrome really belon...Does spontaneous tumor lysis syndrome really belong in the top four?<BR/><BR/>JohnThe Medicine Manhttps://www.blogger.com/profile/15083169360549914400noreply@blogger.comtag:blogger.com,1999:blog-11288840.post-1147809678727747852006-05-16T16:01:00.000-04:002006-05-16T16:01:00.000-04:001. Acute tubular necrosis due to decreased intake....1. Acute tubular necrosis due to decreased intake.<BR/>2. Urinary tract obstruction due to retroperitoneal lymphadenopathy.<BR/>3. Lymphomatous infiltration of the kidneys.<BR/>4. Spontaneous tumor lysis syndrome and uric acid nephropathy.Testhttps://www.blogger.com/profile/17979185526814569632noreply@blogger.com