04-06-2006, 04:14 PM
What is the next appropriate step to manage a 3 yrs patient completing chemotherapy treatment for ALL (acute lymphoblastic leukemia) a week ago has had fever for 3 days, no malaise, rash, anorexia, nor known contact with sick preschool kids? Lab shows hemoglobin of 10; leukocyte count 2200: seg. Neut. 5%, bands 1%, lym 65%, mono. 18%, atypical lymp 11%; platelet count 35000. Exam: normal findings, temp. 38.6, BP 75/60, P 100. R 22.
1. Discharge pt with oral broad spec. antibiotics (BSA)
2. Admit pt to hos. for observation
3. Admit pt to hos. for iv BSA
4. Discharge without medication (DWM) and schedule a follow-up visit
5. Observe pt in the office for a few hours; DWM if exam remains unchanged
1. Discharge pt with oral broad spec. antibiotics (BSA)
2. Admit pt to hos. for observation
3. Admit pt to hos. for iv BSA
4. Discharge without medication (DWM) and schedule a follow-up visit
5. Observe pt in the office for a few hours; DWM if exam remains unchanged