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Articles 1 - 30 of 173
Full-Text Articles in Medicine and Health Sciences
Intentional Self-Harm Overdoses Before And During The Covid-19 Pandemic In Adolescents Managed By A Medical Toxicology Consultation Service, Samantha L. Gaetani Md, Natalie E. Ebeling-Koning Do, Nicholas S. Imperato, Katelyn Mclain, Derek J. Fikse Do, Gillian A. Beauchamp Md, Marna R. Greenberg Do, Mph, Facep
Intentional Self-Harm Overdoses Before And During The Covid-19 Pandemic In Adolescents Managed By A Medical Toxicology Consultation Service, Samantha L. Gaetani Md, Natalie E. Ebeling-Koning Do, Nicholas S. Imperato, Katelyn Mclain, Derek J. Fikse Do, Gillian A. Beauchamp Md, Marna R. Greenberg Do, Mph, Facep
Department of Emergency Medicine
No abstract provided.
Intentional Self-Harm Overdoses Before And During The Covid-19 Pandemic In Adolescents Managed By A Medical Toxicology Consultation Service, Samantha L. Gaetani Md, Natalie E. Ebeling-Koning Do, Nicholas S. Imperato, Katelyn Mclain, Derek J. Fikse Do, Gillian A. Beauchamp Md, Marna R. Greenberg Do, Mph, Facep, Alexandra Amaducci
Intentional Self-Harm Overdoses Before And During The Covid-19 Pandemic In Adolescents Managed By A Medical Toxicology Consultation Service, Samantha L. Gaetani Md, Natalie E. Ebeling-Koning Do, Nicholas S. Imperato, Katelyn Mclain, Derek J. Fikse Do, Gillian A. Beauchamp Md, Marna R. Greenberg Do, Mph, Facep, Alexandra Amaducci
Toxicology Division
No abstract provided.
The Importance Of Emphasizing Addiction Medicine During Medical Toxicology Fellowship Training: A Case Study Of Tertiary Care Hospital System Toxicology Consultation Service, Nicholas S. Imperato, Chase Jones Do, Derek J. Fikse Do, Gillian A. Beauchamp Md, Marna R. Greenberg Do, Mph, Facep, Alexandra Amaducci, Katelyn Mclain
The Importance Of Emphasizing Addiction Medicine During Medical Toxicology Fellowship Training: A Case Study Of Tertiary Care Hospital System Toxicology Consultation Service, Nicholas S. Imperato, Chase Jones Do, Derek J. Fikse Do, Gillian A. Beauchamp Md, Marna R. Greenberg Do, Mph, Facep, Alexandra Amaducci, Katelyn Mclain
Toxicology Division
No abstract provided.
On Behalf Of The Toxicology Investigators Consortium (Toxic). A Five-Year Analysis Of The Toxicology Investigator’S Consortium (Toxic) Core Registry: Exposure Differences In Patients That Identified As Transgender Vs. Cisgender, K Magnusson, Derek J. Fikse Do, E Glidden, Gillian A. Beauchamp Md, K Aldy, D Mustaquim, Judith Sabino Mph, Cdp, Marna R. Greenberg Do, Mph, Facep, Alexandra Amaducci
On Behalf Of The Toxicology Investigators Consortium (Toxic). A Five-Year Analysis Of The Toxicology Investigator’S Consortium (Toxic) Core Registry: Exposure Differences In Patients That Identified As Transgender Vs. Cisgender, K Magnusson, Derek J. Fikse Do, E Glidden, Gillian A. Beauchamp Md, K Aldy, D Mustaquim, Judith Sabino Mph, Cdp, Marna R. Greenberg Do, Mph, Facep, Alexandra Amaducci
Toxicology Division
No abstract provided.
African Bush Viper Envenomation: A Case Report, Nicholas S. Imperato, Alexandra Amaducci, Benjamin N. Abo, Andrew L. Koons, Derek J. Fikse Do, Kenneth D. Katz Md
African Bush Viper Envenomation: A Case Report, Nicholas S. Imperato, Alexandra Amaducci, Benjamin N. Abo, Andrew L. Koons, Derek J. Fikse Do, Kenneth D. Katz Md
Toxicology Division
No abstract provided.
Diagnosis Of Intrauterine Pregnancy Despite The Presence Of Etonogestrel Implant, Ryan J. Sawyers, Pratik M. Parikh Do, Jose Lazaro Md, Marna R. Greenberg Do, Mph, Facep
Diagnosis Of Intrauterine Pregnancy Despite The Presence Of Etonogestrel Implant, Ryan J. Sawyers, Pratik M. Parikh Do, Jose Lazaro Md, Marna R. Greenberg Do, Mph, Facep
Department of Emergency Medicine
No abstract provided.
Malignant Acute Disseminated Encephalomyelitis (Adem) Presenting As A Stroke Alert: A Case Report., Madeline J Hooper, Joshua A. Kalter Ms3, Nicholas S. Imperato, Marna R. Greenberg Do, Mph, Facep
Malignant Acute Disseminated Encephalomyelitis (Adem) Presenting As A Stroke Alert: A Case Report., Madeline J Hooper, Joshua A. Kalter Ms3, Nicholas S. Imperato, Marna R. Greenberg Do, Mph, Facep
Department of Emergency Medicine
Acute disseminated encephalomyelitis (ADEM) is a rare illness. Generally characterized by encephalopathy and non-specific, heterogeneous neurological deficits depending on the location of the demyelinated lesions, ADEM is considered a clinical diagnosis with radiological findings that may or may not have supportive features based on the temporal relationship of an inciting factor and symptom onset. Even rarer, hyperacute or malignant ADEM can be defined by rapid symptom onset followed by catastrophic brain edema and its sequelae. We present a case of a patient who presented with an acute stroke with activation of a rapid sequence care pathway (stroke alert protocol) to …
Agents Of Exposure Among Pediatric Transgender Patients: An Analysis Of The Toxicology Investigator’S Consortium (Toxic) Registry, William Nick Doyle Bs, Derek J. Fikse Do, Richard J. Mazzaccaro Md, Gillian A. Beauchamp Md, Marna R. Greenberg Do, Mph, Facep, Tasha Desai Do, Natalie E. Ebeling-Koning Do, Katelyn Mclain, Judith Sabino Mph, Cdp, Beth Careyva M.D., Alexandra Amaducci Do
Agents Of Exposure Among Pediatric Transgender Patients: An Analysis Of The Toxicology Investigator’S Consortium (Toxic) Registry, William Nick Doyle Bs, Derek J. Fikse Do, Richard J. Mazzaccaro Md, Gillian A. Beauchamp Md, Marna R. Greenberg Do, Mph, Facep, Tasha Desai Do, Natalie E. Ebeling-Koning Do, Katelyn Mclain, Judith Sabino Mph, Cdp, Beth Careyva M.D., Alexandra Amaducci Do
Toxicology Division
No abstract provided.
Emergency Medicine Resident Identification Of Medication Safety Issues, Natalie E. Ebeling-Koning Do, Charles A. Soares Md, Gillian A. Beauchamp Md, Gavin C. Barr Jr. Md, Terrence E. Goyke Do, Shawn M. Quinn Do, Kevin Weaver D.O.,Facoep, Dawn M. Yenser C-Tagme, Bryan G. Kane Md
Emergency Medicine Resident Identification Of Medication Safety Issues, Natalie E. Ebeling-Koning Do, Charles A. Soares Md, Gillian A. Beauchamp Md, Gavin C. Barr Jr. Md, Terrence E. Goyke Do, Shawn M. Quinn Do, Kevin Weaver D.O.,Facoep, Dawn M. Yenser C-Tagme, Bryan G. Kane Md
Department of Emergency Medicine
No abstract provided.
A Pilot Study Comparing Over And Under Triage Systems At A Center Pursuing Trauma Accreditation, Caitlyn N. Balsay Bs, Mr, Bree A. Harrison Bsn, Rn, Tcrn, Joseph J. Stirparo Md, Michael T. Crowley Md, Nicholas P. Johnson Do, Bryan G. Kane Md, Kathleen E. Kane Md
A Pilot Study Comparing Over And Under Triage Systems At A Center Pursuing Trauma Accreditation, Caitlyn N. Balsay Bs, Mr, Bree A. Harrison Bsn, Rn, Tcrn, Joseph J. Stirparo Md, Michael T. Crowley Md, Nicholas P. Johnson Do, Bryan G. Kane Md, Kathleen E. Kane Md
Department of Emergency Medicine
No abstract provided.
Feasibility Of Implementing A Street Medicine Program To Deliver Naloxone Kits And Associated Education, Gillian A. Beauchamp Md, Lexis Laubach Bs, Hoonani M. Cuadrado Mspas, Pa-C, Seth A. Campbell Pa-C, Lauren Grantz Pharmd, Csp, Paige Roth Lsw, Jennifer E. Macfarlan Mph, Chase Jones Do, Aaron Fedor Do, Marna R. Greenberg Do, Mph, Facep
Feasibility Of Implementing A Street Medicine Program To Deliver Naloxone Kits And Associated Education, Gillian A. Beauchamp Md, Lexis Laubach Bs, Hoonani M. Cuadrado Mspas, Pa-C, Seth A. Campbell Pa-C, Lauren Grantz Pharmd, Csp, Paige Roth Lsw, Jennifer E. Macfarlan Mph, Chase Jones Do, Aaron Fedor Do, Marna R. Greenberg Do, Mph, Facep
Department of Emergency Medicine
No abstract provided.
A Pilot Study Comparing Over And Under Triage Systems At A Center Pursuing Trauma Accreditation, Caitlyn N. Balsay Bs, Mr, Bree A. Harrison Bsn, Rn, Tcrn, Joseph J. Stirparo Md, Michael T. Crowley Md, Nicholas P. Johnson Do, Bryan G. Kane Md, Kathleen E. Kane Md
A Pilot Study Comparing Over And Under Triage Systems At A Center Pursuing Trauma Accreditation, Caitlyn N. Balsay Bs, Mr, Bree A. Harrison Bsn, Rn, Tcrn, Joseph J. Stirparo Md, Michael T. Crowley Md, Nicholas P. Johnson Do, Bryan G. Kane Md, Kathleen E. Kane Md
USF-LVHN SELECT
No abstract provided.
Analysis Of Falls Efficacy Scale And Vulnerable Elders Survey As Predictors Of Falls., Marna R. Greenberg Do, Mph, Facep, Jeanne L. Jacoby Md, Robert D. Barraco Md, Mph, Ali Yazdanyar Do, Phd, Mmm, Ryan M Surmaitis Do, Alexander Youngdahl Do, Richard Chow Do, Sofia Murillo, Allen Zeng, Bryan G. Kane Md
Analysis Of Falls Efficacy Scale And Vulnerable Elders Survey As Predictors Of Falls., Marna R. Greenberg Do, Mph, Facep, Jeanne L. Jacoby Md, Robert D. Barraco Md, Mph, Ali Yazdanyar Do, Phd, Mmm, Ryan M Surmaitis Do, Alexander Youngdahl Do, Richard Chow Do, Sofia Murillo, Allen Zeng, Bryan G. Kane Md
Department of Emergency Medicine
Introduction Falls are the leading cause of injury-related death among older adults according to the Centers for Disease Control and Prevention (CDC). The Falls Efficacy Scale (FES) and Vulnerable Elder Survey (VES-13) are validated screening tools used to assess concern of falling, health deterioration and functional decline. We set out to determine if the FES or VES-13 could serve as a predictor of falls among older adults in the Emergency Department (ED) setting. Methods This prospective pilot cohort study was conducted at a Level 1 Trauma Center. ED patients aged ≥65 were eligible for the study if they had a …
Antifreeze Ingestion Causing Methemoglobinemia: A Case Report, Alexandra Amaducci Do, Derek J. Fikse Do, Kenneth D. Katz Md, Timothy Kolosionek Ms-Iv
Antifreeze Ingestion Causing Methemoglobinemia: A Case Report, Alexandra Amaducci Do, Derek J. Fikse Do, Kenneth D. Katz Md, Timothy Kolosionek Ms-Iv
Department of Emergency Medicine
No abstract provided.
Escape This Emergency Room: Simulation Education During A Pandemic, Michael C. Nguyen Md, Nicole Elliott Do, Julie A. Fritzges Do, Louis Morolla Do, Steven A Johnson Md
Escape This Emergency Room: Simulation Education During A Pandemic, Michael C. Nguyen Md, Nicole Elliott Do, Julie A. Fritzges Do, Louis Morolla Do, Steven A Johnson Md
Department of Emergency Medicine
No abstract provided.
Clerkship Student Perceived Educational Effectiveness Of Virtual Simulation, Claire L. Paulson Do, Jamie Allen Do, Jessica Davis Do, Julie A. Fritzges Do, Deepak A. Jayant Do, Michael C. Nguyen Md, Colleen Urban Do, Charles C. Worrilow Md, Dawn M. Yenser C-Tagme, Bryan G. Kane Md
Clerkship Student Perceived Educational Effectiveness Of Virtual Simulation, Claire L. Paulson Do, Jamie Allen Do, Jessica Davis Do, Julie A. Fritzges Do, Deepak A. Jayant Do, Michael C. Nguyen Md, Colleen Urban Do, Charles C. Worrilow Md, Dawn M. Yenser C-Tagme, Bryan G. Kane Md
Department of Emergency Medicine
No abstract provided.
Influence Of Pennsylvania Liquor Store Closures During The Covid-19 Pandemic On Features Of Alcohol Withdrawal Syndrome Consultations, Alexandra Amaducci Do, Ali Yazdanyar Do, Derek J. Fikse Do, Jasdip Kaur Bs, Andrew L. Koons Do, Gillian A. Beauchamp Md, Robert D. Cannon Do, Ryan M Surmaitis Do, Matthew D. Cook Do, Kenneth D. Katz Md
Influence Of Pennsylvania Liquor Store Closures During The Covid-19 Pandemic On Features Of Alcohol Withdrawal Syndrome Consultations, Alexandra Amaducci Do, Ali Yazdanyar Do, Derek J. Fikse Do, Jasdip Kaur Bs, Andrew L. Koons Do, Gillian A. Beauchamp Md, Robert D. Cannon Do, Ryan M Surmaitis Do, Matthew D. Cook Do, Kenneth D. Katz Md
Department of Emergency Medicine
No abstract provided.
Evali During The Covid-19 Pandemic: A Needle In The Ground Glass, Derek J. Fikse Do, Matthew Nimmo Do, Alexandra Amaducci Do, Kenneth D. Katz Md
Evali During The Covid-19 Pandemic: A Needle In The Ground Glass, Derek J. Fikse Do, Matthew Nimmo Do, Alexandra Amaducci Do, Kenneth D. Katz Md
Department of Emergency Medicine
No abstract provided.
Interventions To Reduce Emergency Department Demand During A Pandemic, Cynthia Wang Bs, Bryan G. Kane Md, Jason L. Forgeon Md, Justin Giordano Do, Armando Orta Md, Richard S. Mackenzie Md
Interventions To Reduce Emergency Department Demand During A Pandemic, Cynthia Wang Bs, Bryan G. Kane Md, Jason L. Forgeon Md, Justin Giordano Do, Armando Orta Md, Richard S. Mackenzie Md
Department of Emergency Medicine
No abstract provided.
Substance Use Behaviors And Associated Psychosocial Characteristics Of Homeless Youth, Nina Liu Bs, Jeffrey Downen Bs, Ms, Brittany Gaudet Bs, Msph, Taylor Jarvill Ba, Cecilia E. Zemanek Bs, Amy B. Smith Phd, Hoonani M. Cuadrado Mspas, Pa-C, Marna R. Greenberg Do, Mph, Facep
Substance Use Behaviors And Associated Psychosocial Characteristics Of Homeless Youth, Nina Liu Bs, Jeffrey Downen Bs, Ms, Brittany Gaudet Bs, Msph, Taylor Jarvill Ba, Cecilia E. Zemanek Bs, Amy B. Smith Phd, Hoonani M. Cuadrado Mspas, Pa-C, Marna R. Greenberg Do, Mph, Facep
USF-LVHN SELECT
No abstract provided.
Duloxetine Poisoning: A Unique Case Of Cardiotoxicity, Derek J. Fikse Do, Alexandra Amaducci Do, Margaret A. Vido Do, Robert D. Cannon Do, Kenneth D. Katz Md
Duloxetine Poisoning: A Unique Case Of Cardiotoxicity, Derek J. Fikse Do, Alexandra Amaducci Do, Margaret A. Vido Do, Robert D. Cannon Do, Kenneth D. Katz Md
Department of Emergency Medicine
No abstract provided.
Abem Content Areas Of Em Resident On Shift Evidence-Based Medicine Questions, Shreyas Kudrimoti Ba, Estelle Cervantes Ba, Kashyap Kaul Do, Phillip Sgobba Bs, Mbs, William Spinosi Do, Dawn M. Yenser C-Tagme, Joseph B. Zackary Md, Bryan G. Kane Md
Abem Content Areas Of Em Resident On Shift Evidence-Based Medicine Questions, Shreyas Kudrimoti Ba, Estelle Cervantes Ba, Kashyap Kaul Do, Phillip Sgobba Bs, Mbs, William Spinosi Do, Dawn M. Yenser C-Tagme, Joseph B. Zackary Md, Bryan G. Kane Md
USF-LVHN SELECT
No abstract provided.
A Scoring Tool And Predictive Model To Detect Risk Of Hospitalization From Covid-19, Nicholas Russo Bs, Zhe Chen Md, Matthew M. Miller Do, Robert X. Murphy Jr, Md, Ms, David B. Burmeister Do, Facep, Cpe
A Scoring Tool And Predictive Model To Detect Risk Of Hospitalization From Covid-19, Nicholas Russo Bs, Zhe Chen Md, Matthew M. Miller Do, Robert X. Murphy Jr, Md, Ms, David B. Burmeister Do, Facep, Cpe
Department of Medicine
No abstract provided.
Assessing Resident Communication With Faculty From Multiple Specialties During High-Fidelity Simulation Designed To Provide Multi-Source Feedback, Michael C. Nguyen Md, Rebecca Dudley Do, Nicole Elliott Do, Bryan G. Kane Md, Katie Best Rn, Matthew Nimmo Do, Matthew D. Cook Do, Jennifer E. Macfarlan Mph, Lisa Lindauer Md
Assessing Resident Communication With Faculty From Multiple Specialties During High-Fidelity Simulation Designed To Provide Multi-Source Feedback, Michael C. Nguyen Md, Rebecca Dudley Do, Nicole Elliott Do, Bryan G. Kane Md, Katie Best Rn, Matthew Nimmo Do, Matthew D. Cook Do, Jennifer E. Macfarlan Mph, Lisa Lindauer Md
Department of Emergency Medicine
No abstract provided.
Relationship Between Vaccination Status And Biopsychosocial Characteristics In Sheltered Adolescents., Cecilia E. Zemanek Bs, Nina Liu Bs, Ceyda H. Sablak Bs, Brittany Gaudet Bs, Msph, Taylor Jarvill Ba, Allison N. Kayne Bs, Jeffrey Downen Bs, Ms, Hope Kincaid Mph, Cph, Amy B. Smith Phd, Robert D. Barraco Md, Mph, Hoonani M. Cuadrado Mspas, Pa-C, Marna R. Greenberg Do, Mph, Facep
Relationship Between Vaccination Status And Biopsychosocial Characteristics In Sheltered Adolescents., Cecilia E. Zemanek Bs, Nina Liu Bs, Ceyda H. Sablak Bs, Brittany Gaudet Bs, Msph, Taylor Jarvill Ba, Allison N. Kayne Bs, Jeffrey Downen Bs, Ms, Hope Kincaid Mph, Cph, Amy B. Smith Phd, Robert D. Barraco Md, Mph, Hoonani M. Cuadrado Mspas, Pa-C, Marna R. Greenberg Do, Mph, Facep
Department of Emergency Medicine
Introduction Homeless youth are a vulnerable population. A volunteer clinic supported by medical students in northeastern Pennsylvania provides shelter and healthcare to adolescents seeking refuge. We set out to determine the immunization status of youth in the shelter and evaluate for associations of immunization deficiency with demographics or biopsychosocial factors. Methods After IRB approval, a retrospective cohort study was performed from existing clinical records at the shelter 2/2015-9/2019. Chart abstraction included variables such as demographics (including age, sex, and race/ethnicity), biopsychosocial factors (including childhood trauma/abuse history, substance abuse history, and sexual activity), and immunization history. Results A total of 440 …
Old And Cold: A Novel Case Of Combined Secobarbital And Pentobarbital Poisoning In An Elderly Woman., Kenneth D. Katz Md, Andrew L. Koons, Gregory A. Makar Do, Amy Wier Do
Old And Cold: A Novel Case Of Combined Secobarbital And Pentobarbital Poisoning In An Elderly Woman., Kenneth D. Katz Md, Andrew L. Koons, Gregory A. Makar Do, Amy Wier Do
Department of Emergency Medicine
A 94-year-old woman was found unresponsive in her room at an independent living facility. Upon paramedic arrival, the patient had a Glasgow Coma Scale of 3, and she was transported to the emergency department (ED). In the ED, she was unresponsive but spontaneously breathing, bradycardia, and hypothermia. Serum concentrations of both secobarbital (3.3µg/mL; therapeutic 1.0-2.0µg/mL) and pentobarbital (9.5µg/mL; therapeutic < 5.0µg/mL) were detected and elevated. This type of poisoning is quite rare and should be considered in patients presenting with hypothermia and coma, even in patients showing brain death signs. The use of hemodialysis for refractory pentobarbital poisoning may be helpful.
Sex Differences In Substance Use And Misuse, Mikayla B. Hurwitz Bs, Marna R. Greenberg Do, Mph, Facep, Gillian A. Beauchamp Md, Jennifer Carey Md, Briana Tully Do, Matthew D. Cook Do, Robert D. Cannon Do, Kenneth D. Katz Md, Andrew L. Koons Do, Hope Kincaid Mph, Cph
Sex Differences In Substance Use And Misuse, Mikayla B. Hurwitz Bs, Marna R. Greenberg Do, Mph, Facep, Gillian A. Beauchamp Md, Jennifer Carey Md, Briana Tully Do, Matthew D. Cook Do, Robert D. Cannon Do, Kenneth D. Katz Md, Andrew L. Koons Do, Hope Kincaid Mph, Cph
USF-LVHN SELECT
No abstract provided.
Effects Of Physician-Directed Smoking Cessation Intervention In The Emergency Department, Faiza Arif Ba, Marna R. Greenberg Do, Mph, Facep, Natalie M. Greco Md, Timothy Batchelor Md, Andrew H F Miller Do, Theodore Doherty Do, Ali S. Aziz Bs, Stephanie Z. Yee Bs, Lauren Crowley Ba, Edward Casey, Robert Kruklitis Md
Effects Of Physician-Directed Smoking Cessation Intervention In The Emergency Department, Faiza Arif Ba, Marna R. Greenberg Do, Mph, Facep, Natalie M. Greco Md, Timothy Batchelor Md, Andrew H F Miller Do, Theodore Doherty Do, Ali S. Aziz Bs, Stephanie Z. Yee Bs, Lauren Crowley Ba, Edward Casey, Robert Kruklitis Md
USF-LVHN SELECT
No abstract provided.
Physician Directed Smoking Cessation In The Ed: Do Patients Opt-Out?, Marna R. Greenberg Do, Mph, Facep, Ali S. Aziz Bs, Natalie M. Greco Md, Timothy Batchelor Md, Andrew H F Miller Do, Theodore Doherty Do, Robert Kruklitis Md, Lauren Crowley Ba, Edward W. Casey Rph, Mba, Elizabeth Maclean Pharmd, Joann B. Trainer Pharmd
Physician Directed Smoking Cessation In The Ed: Do Patients Opt-Out?, Marna R. Greenberg Do, Mph, Facep, Ali S. Aziz Bs, Natalie M. Greco Md, Timothy Batchelor Md, Andrew H F Miller Do, Theodore Doherty Do, Robert Kruklitis Md, Lauren Crowley Ba, Edward W. Casey Rph, Mba, Elizabeth Maclean Pharmd, Joann B. Trainer Pharmd
USF-LVHN SELECT
No abstract provided.
Spontaneous Tumor Lysis Syndrome In An Adenocarcinoma Of Unknown Origin., Joshua A. Kalter Ms3, Jamie Allen Do, Yuchen Yang Do, Tyler Willing Do, Elizabeth M. Evans Do
Spontaneous Tumor Lysis Syndrome In An Adenocarcinoma Of Unknown Origin., Joshua A. Kalter Ms3, Jamie Allen Do, Yuchen Yang Do, Tyler Willing Do, Elizabeth M. Evans Do
Department of Emergency Medicine
Spontaneous tumor lysis syndrome (STLS) is a rare oncologic emergency caused by massive cancer cell lysis or necrosis without a precipitating factor. Although tumor lysis syndrome (TLS) is most commonly associated with hematologic malignancies, a small number of cases in solid tumor malignancies have been reported. We present a case of spontaneous tumor lysis syndrome in a 77-year-old female with a widely metastatic, poorly differentiated adenocarcinoma of unknown origin. She presented in distributive shock, and laboratory testing at admission revealed acute renal failure, high anion gap metabolic acidosis, hyperuricemia, hyperkalemia, hyperphosphatemia, and hypocalcemia. Rasburicase and continuous renal replacement therapy were …