intern_doc
Forum Guru
Topics: 98
Posts: 433
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62 y/o woman w/ovarian CA come ER b/c of fever for 2 days. 10 days ago, she received chemo w/paclitaxel and carboplatin. she feels tired but nas not had n/v. temp 103.1, bp 100/60,pul 115, lung is clear to auscu. exam show soft, nontender abd. hematoccrit 32%, leukocyte count 800, platelet 105,000. next step in management ?
a. plasmapheresis
b. additional chemo
c. iv antibiotic therapy
d. iv corticosteroid
e. transfusion of 2 unit of leukocytes
f. transfusion of 2 unit of pack RBC
I pick c, thinking this is neutropenic fever...
can someone shed some light on this Q
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| mani
Forum Guru
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Posts: 1,403
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yea i agree to ur comment intern_doc
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| bobby
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typical case of netropenic fever. (netropenic nadir 7-8days after chemio).
treatment; admit + IV antibio
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