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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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