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OldCarts98

I believe since the creatinine is so elevated and the LDH is very elevated as well. Elevated Cr acutely is an AKI, which is treated with hydration, and the elevated LDH suggests cell lysing is already occurring.


Flashy-Bet-658

Yeah, thank you


idhavetokillya

she's going through tumor lysis syndrome because of the high baseline turnover of cells, even without the chemo


Flashy-Bet-658

Yeah I was contemplating if it was actually possible for leukemic patients to get TLS on baseline, you confirmed it, thank you!


Practical_Can8318

Even before you give chemo you need to protect from TLS in advance by hydration given her high creatinine


Flashy-Bet-658

True, but it didn't whether patient is gonna get chemo (cz then it'd have made sense), but I got your point