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Warning-sign checks

Extragonadal germ cell tumors: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Call emergency services for severe breathing difficulty, fainting, a first seizure, a seizure lasting several minutes, or difficulty waking.

    Follow the treatment team’s emergency instructions and contact the cancer service immediately rather than waiting for a routine appointment.

    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Seek urgent medical help for:

    • New facial, neck, or arm swelling with chest symptoms
    • A severe or rapidly worsening headache with vomiting
    • New double vision, weakness, confusion, or marked drowsiness
    • Difficulty passing urine or sudden loss of bowel or bladder control
  3. 3

    Does any of this apply?

    Book an appointment

    Arrange a medical appointment for a persistent lump, unexplained chest or abdominal pressure, recurring headaches, ongoing vomiting, unusual thirst and urination, or symptoms that continue to worsen.

The article also says

During chemotherapy, fever can indicate a serious infection when white blood cell levels are low.

Every sign above is quoted from the sofidex article on Extragonadal germ cell tumors. If you are not sure, err upward — it is always reasonable to be checked.