Oncologic Emergencies

13.1 Introduction 142

13.2 Spontaneous Perinephric Hemorrhage 142

13.2.1 Background 143

13.2.2 Evaluation 144

13.2.3 Treatment 144

13.3 Hypercalcemia of Malignancy 144

13.3.1 Pathophysiology 144

13.3.2 Presentation 145

13.3.3 Evaluation 145

13.3.4 Treatment 145

13.4 Complications of Bacille Calmette-Guerin Therapy 146

13.4.1 BCG-Related Fever 147

13.4.2 BCG Sepsis 147

13.4.3 BCG-osis 148

13.5 Malignant Spinal Cord Compression 148

13.5.1 Presentation 148

13.5.2 Evaluation 149

13.5.3 Treatment 149

13.6 Neutropenia 151

13.6.1 Febrile Neutropenia 152

13.6.1.1 Evaluation 152

13.6.1.2 Treatment 152

13.7 Intractable Bladder Hemorrhage 154

13.7.1 Transitional Cell Carcinoma 154

13.7.2 Hemorrhagic Cystitis 154

13.7.3 Radiation Cystitis 155

13.7.4 Treatment of Intractable Bladder Hemorrhage 157

13.8 Ureteral Obstruction 159

13.8.1 Presentation 160

13.8.2 Evaluation 160

13.8.3 Treatment 160

13.9 Bladder Outlet Obstruction 162

13.9.1 Evaluation 163

13.9.2 Treatment 163

13.9.3 Urinary Retention After Prostatectomy 164

13.9.4 Urinary Retention After Brachytherapy 164

13.10 Respiratory Complications 165

13.10.1 Pulmonary Emboli 165

13.10.2 Bleomycin Toxicity 165

13.10.3 Pulmonary Metastases 166

References 166

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