Diagnostic Snapshot: Acute Edema in the Oncology Patient

© 2018 HarborsideTM J Adv Pract Oncol 2018;9(6):677–679 HISTORY A 54-year-old African American male with a recent diagnosis of acute myeloid leukemia status post chemotherapy 2 days presented to the emergency room with dull substernal chest pain, dyspnea, bilateral blurred vision, a nonproductive cough, and a headache described as a full-pressure sensation with a pain score of 8 out of 10. He was admitted to the intensive care unit (ICU) with the diagnosis of hypertensive crisis with angina. Cardiovascular risk factors included smoking for 20 years, hypertension, hyperlipidemia, and end-stage renal disease. His chemotherapy regimen consisted of anthracycline and cytarabine. Home medications included amlodipine, atorvastatin, calcitriol, voriconazole, ferrous sulfate, hydrocodone, megestrol acetate, metoprolol tartrate, ascorbic acid, ondansetron orally disintegrating tablets, trimethoprim-sulfamethoxazole, and daily filgrastim injection for chemotherapy-induced neutropenia. He received one unit of packed red blood cells and one unit of apheresis platelets 2 days prior to admission.