dr confused
Forum Senior
Topics: 66
Posts: 107
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B?
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| Justice
Forum Fanatic
Topics: 100
Posts: 1,870
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I would go with A
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| dermatology
Forum Elite
Topics: 30
Posts: 293
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wat bug ??????
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| radonc
Forum Senior
Topics: 6
Posts: 174
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Petechiae in antecubital fossa? I think the pt is injecting drugs.
So, my answer is C. vancomycin.
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| SkiKidd
Forum Newbie
Topics: 0
Posts: 21
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I put vancomycin as well but for completely different reasons.
First petechiae in antecubital fossa....IV drugs?? petechiae are not track marks! Besides this is USMLE if he was an IV drug user they would tell us. Petechiae are either due to his thrombocytopenia from the AML or from a staph infection causing the petechiae. Being as he's immunocompromised and was previously hospitalized I'm thinking maybe a MRSA sepsis..??
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| fovea
Forum Newbie
Topics: 1
Posts: 3
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febrile neutropenia..... ticarcillin and tobramycin .. Petichia here i would say is due to thrombocytopenia and not any specific infection.
vancomycin can be added if there is any mucosistis.
amphotericin can be added after 3-5 days if the fever doesnt come down
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| docfor99
Forum Senior
Topics: 8
Posts: 97
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ticarcillin n tobra
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| tamerbashir
Forum Elite
Topics: 20
Posts: 284
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A
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| guangyu
Forum Elite
Topics: 29
Posts: 308
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A
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| guangyu
Forum Elite
Topics: 29
Posts: 308
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He has been in hospital for 2 weeks, so have to cover hospital aquired bugs like psuedo
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| Doc750
transfer:step 3 prison
Topics: 52
Posts: 636
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I say A b/c it gives you a broader coverage.
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| usmle12
Forum Senior
Topics: 19
Posts: 194
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not a cz it doesnot cover psudomonas
b bcz the doc for febrile neytropenia is cefipime /ceftazidime or antipsudomonal penicillin plus gramnegative drug
so b is the answer
petechia again are due to thrombocytopenia
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| tamerbashir
Forum Elite
Topics: 20
Posts: 284
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neutropenic fever
B
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| radonc
Forum Senior
Topics: 6
Posts: 174
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I changed my answer. I think it's B too! Need broad-spectrum, and definitely need to cover Pseudomonas.
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| neuroblastoma
Forum Guru
Topics: 98
Posts: 1,001
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BBBB NEUTROPENIA by peudomonal infection
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