06/10/14 – Heme/Onc Module. Not Bored Review…Board Review!!!!

Brought to you by Andrew Grock and Sally Bogoch

85 yo F with Leukemia on chemotherapy presents with fever of 102F at home. Denies all other complaints.

HR 102, RR 15, BP 120/80, Oral Temp 100.8, O2 Sat 100% on RA.

Lactate 0.3

WBC 8, H/H 10/30 (at baseline), plt 240

Diff neutro 4%, bands 1%

CMP/cxr/ekg/Ua unremarkable. blood/urine cx’s sent.

The patient lives by herself and has trouble keeping track of her medications and appointments.

1. What is her diagnosis?

2. Please define her diagnosis?

3.What is your treatment and dispo for this patient?

Please scroll down for hints

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hint 1: chapter 123 of Rosen’s.

 

 

 

 

 

 

 

Hint 2: she has neutropenic fever

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andygrock

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