Hospital Medicine

Radiation Oncology

Questions discussed in this category

Do you refer all patients with new findings of CNS or epidural mets/tumor to ED for evaluation or are there some that can be managed completely outpatient?

E.g., patients with small CNS mets without vasogenic edema or symptoms. Epidural disease without epidural spinal cord compression or asymptomatic low-...

5 Answers available

How do you approach anti-seizure medication management when it was started by another team for a seizure-naive patient before/after craniotomy for a tumor?

1 Answer available

For bone metastases requiring surgical stabilization, what time interval from the date of surgery do you use for post-op radiation?

What is the maximum time that can be used (given the complexities with patient being in the hospital or needing rehab)?

2 Answers available

How do you manage postoperative head and neck cancer patients who have difficulty completing simulation due to copious secretions?

Aside from suctioning, what are other measures could be helpful?

4 Answers available

What are some alternatives to dexamethasone for brain edema in patients who are allergic, have an intolerance, or refuse the medication?

5 Answers available

Would you give pentoxiphylline and vitamin E during HBO for vaginal necrosis?

1 Answer available

Is there any role for palliative radiation in patients who are intubated due to malignant airway obstruction?

Given the substantial risks associated with transporting an intubated and ventilated patient to Radiation Oncology, is there any evidence to support t...

5 Answers available

How do you manage grade 3 enterocolitis from 5FU mitomycin and pelvic radiotherapy?

C diff infection ruled out and CT abdomen pelvis shows diffuse enterocolitis extending far beyond the bowel-sparing IMRT radiotherapy field.

2 Answers available

What protocols or safeguards do you implement if bed bugs are found on a patient or their belongings while on the treatment table or near equipment?

What precautions can be taken to limit infestation of the department? Do you implement a treatment delay and if so how do you decide when...

2 Answers available

What criteria does your institution use to indicate patient is ready for PEG tube removal?

3 Answers available

How do you manage rectal or bowel perforation from interstitial brachytherapy needles?

2 Answers available

Can the tracheostomy be reversed after completion of chemoradiation for laryngeal cancers?

At what disease free interval is the safest to consider this?

1 Answer available

How do you approach management of newly diagnosed locally advanced NSCLC in patients who are intubated for respiratory failure due to their disease burden?

E.g. disease burden causing airway or vascular compression.

3 Answers available

How should a patient with perforated H. pylori negative gastric MALT be managed?

Should systemic therapy or ISRT be utilized? Is there a risk for intrabdominal spread with perforation? If the ulcer is repaired by simple...

1 Answer available

What is your approach for a symptomatic inpatient with locally advanced NSCLC who cannot have a PET?

Would you consider treating the full mediastinum or any mildly enlarged nodes, even contralateral? Do you have a strategy that transitions from a pall...

2 Answers available

How would you manage newly diagnosed spinal cord compression presenting with paraplegia without tissue confirmation?

0 Answers available

How do you manage a hemorrhage from a cavernous malformation following SRS?

1 Answer available

Are you covering the tracheostomy site with a surgical mask due to COVID-19 to protect the therapist?

Please see this article for referrence https://www.sciencedirect.com/science/article/pii/S0167814020301638

1 Answer available

How should you manage a pediatric oncology patient who has an ANC > 500 and a normal chest x-ray but is confirmed to be infected with COVID-19 and is immunosuppressed from chemotherapy?

Should the patient be admitted for observation which will risk exposing other immunocompromised patients to COVID-19, or should the patient be quarant...

1 Answer available

How long after a tracheostomy would you wait before initiating RT?

1 Answer available

How would you manage palliation in a patient with postobstructive pneumonia caused by a mediastinal mass?

Would you treat if there is active infection? How much improvement would you expect?

1 Answer available

What is your protocol for conscious sedation during T&O insertion?

What are your specific protocols for monitoring and for dosing narcotics and sedatives?

2 Answers available

What techniques do you use to treat patients who weigh more than the treatment table limit?

Place the patient partially on the table? Treat them on a hospital bed? Simply deny treatment until weight is reduced?

2 Answers available