Discover and read the best of Twitter Threads about #Haematological

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Offering #dialysis to patients with a new diagnosis of #malignancy is always an emotive and complex affair if they present with an #AKI or #renaldysfunction
Sometimes it’s pretty clear - like in the 30 something who presents with a cervical cancer , bilateral hydronephrosis and K of 7- one will usually explain to The patient what’s the issue and buy them time for intervention which buys time for an oncology consult and further mx
Sometimes it’s not -70 plus with metastatic lung cancer and #AKI will likely need dialysis but is that the right thing - often it’s easy saying make the shared decision with the patient - but shock and the acuteness of the situation doesn’t help and true #SDM is seldom easy
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