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
The views expressed on this blog are the author's own and do not reflect the views of their employer. Please read our full disclaimer here. Any references to clinical cases refer to patients treated at a virtual hospital, Janus General Hospital.
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andygrock
- Resident Editor In Chief of blog.clinicalmonster.com.
- Co-Founder and Co-Director of the ALiEM AIR Executive Board - Check it out here: http://www.aliem.com/aliem-approved-instructional-resources-air-series/
- Resident at Kings County Hospital
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