<prompt> Tumor lysis syndrome is associated with all ofhe following laboratory feature except -HyperkalemiaHypercalcemiaHyperuricemiaHyperphosphatemia  <response>: Tumour Lysis Syndrome More common with NHL, Myeloma and acute leukaemia management Rapid tumour cell death releases intracellular contents resulting in hyperkalaemia, hyperphosphataemia, hyperuricaemia and renal failure. Prevention is with adequate hydration and Allopurinol 300-600 mg QID PO Sodium bicarbonate 50 mEqL IV fluid, Alkalinize the urine above pH 7 to prevent uric acid nephropathy. Indications for dialysis. S. K 6 mEqL S. Uric acid 10 mgdl S. Creatinine 10 mgdl S. Phosphate 10 mgdl Increasing symptomatic hypocalcaemia. R ALAGAPPAN MANUAL OF PRACTICAL MEDICINE 4TH EDITION PAGE NO-757 