A massive explosion have ripped Beirut on August 4, 2020, leaving behind more than 6000 casualties, 800 regular floor admissions, 130 intensive care unit admissions, and over 200 deaths. Buildings were destroyed, hospitals in Beirut were also destroyed, others became nonfunctional. A disaster code was initiated in all the hospitals. Victims were transported by the Lebanese Red Cross or by volunteers to the nearest hospital that was still functional. Hospitals were flooded in patients, the coordination between health care centers was missing. Each hospital was functioning to its maximum capacity. With the many challenges we had, a rapid response was initiated. An effective triage done outside the Emergency had the major role in saving lives. After the Beirut Explosion, an assessment of the disaster plan and a major evaluation of the hospitals’ coordination is needed.
Increased level of uric acid could be due to several etiologies, mainly non-balanced diet, and if uncontrolled can cause serious outcomes. Hyperuricemia's major adverse effects in an individual can include nephropathy, nephrolithiasis and uric acid depositions in joints. On the other hand, hyperuricemia can be the result of several underlying disorders, of which are the hematologic malignancies. A case presented to our institution with generalized fatigue found to have multiple electrolytes abnormalities. On further investigation, the patient was diagnosed with acute leukemia, hyperuricemia and kidney calculus and acute gouty arthritis concurrently, and treated with surgery, corticosteroid and uric acid lowering agents and pain management. Diagnosis and rapid management of acute leukemia associated with hyperuricemia is crucial to avoid the complication of uric acid accumulation in different body organs.
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