usmle6789
Forum Senior
Topics: 33
Posts: 49
|
62 yr old woman with ovarian cancer comes to ER because of fever for 2 days. 10 days ago she received chemotherapy with paclitaxel and carboplatin. She feels tired and has not had nausea or vomiting. 39.5c [103.1], 100/60, 115. Lungs clear to auscultation. Examination shows a soft nontender abdomen. Hematocrit 32%, WBC 800, plt 105,000. Serum electrolyte levels are normal. Most appropriate next step in management?
1] Plasmapheresis
2] Additional chemotherapy
3] Iv antibiotic therapy
4] Iv corticosteroid therapy
5] Transfusion of 2 units of leucocytes
6] Transfusion of 2 units of packed RBC.
My answer is 3.
|
| mikyro
Forum Junior
Topics: 0
Posts: 81
|
the pt. seems to have all cell blood levels low. So, you are right, 3 is the best answer, since the WBCs are the lowest.
___________________
the same miky - always ready to help my patients and friends as well
|
| ELM
Forum Guru
Topics: 28
Posts: 936
|
I wish there was G-CSF or GM-CSF in the choices ...so since they are not there i'll go with IV-AB as well. She is got chemo induced BM suppresion.
___________________
ELM
|
|
| |
| | | |
