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Febrile Neutropenia by Christopher J. Coyne; Rahul V. Nene is a book available to read on EtoBox.
What is Febrile Neutropenia about?
A 54-year-old female with a history of breast cancer presents to the ED with a low-grade fever (38.3 °C) and myalgias. She denies cough, shortness of breath, chest pain, abdominal pain, dysuria, sore throat, or mouth sores. Her physical exam is non-focal and does not reveal a potential source of infection. The patient has a past medical history of essential hypertension, though is otherwise healthy and exercises every day. Her labs are significant for an absolute neutrophil count of 300 cells/mm 3 and an absolute monocyte count of 600 cells/mm 3 . All additional labs including a complete metabolic panel, lactate, and urinalysis are within normal limits. She receives a chest x-ray that is read as negative for acute cardiopulmonary disease. Blood cultures, a urine culture, and a respiratory viral panel are sent and pending.Given the reassuring clinical picture, the emergency physician applies the Clinical Index of Stable Febrile Neutropenia (CISNE) score to assist with risk stratification. The patient is found to have a CISNE score of zero and is therefore considered low risk of developing severe disease. She is placed in observation status and receives an initial dose of amoxicilli
- Author
- Christopher J. Coyne; Rahul V. Nene
- Publisher
- Springer International Publishing : Imprint: Springer
- Published
- 2021
- Language
- EN
- ISBN
- 9783030671228
- Subjects
- Medical, Medicine
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