A 4-year-old boy who has acute myelogenous leukemia is admitted for the treatment of fever and neutropenia. He has a Broviac catheter in place. His temperature on admission is 39.3 degrees C and absolute neutrophil count (ANC) is less than 100 cells/uL. No focus of infection is apparent on physical exam. After blood cultures are obtained, he is begun on treatment with piperacillin/tazobactam and gentamicin. Five days later, the cultures remain negative, ANC continues to be low and his daily maximum temperature continues to be greater than 39.3 degrees C. Of the following, the MOST appropriate management at this point is to:
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A 17 year old female presents to the ED with a 1-week histor…
A 17 year old female presents to the ED with a 1-week history of left leg pain and swelling. She reports she takes oral contraceptives. Evaluation with Doppler ultrasound reveals absence of flow in the left femoral and popliteal veins. The most important potential complication one should be cautious about with this patient is:
When reviewing the chemistry panel of a newly diagnosed pati…
When reviewing the chemistry panel of a newly diagnosed patient with AML who is lethargic, complaining of flank pain, and experiencing nausea and vomiting, you would expect to see which of the following?
The most common behavioral health problem in adults, adolesc…
The most common behavioral health problem in adults, adolescents and children is:
A family presents to the ED with their 3 year old daughter…
A family presents to the ED with their 3 year old daughter who reportedly has taken an uncertain quantity of her mother’s prenatal vitamins. As the PNP on call in the ED, you remember the best antidote would be:
A 2 year old female is brought to the ED after experiencing…
A 2 year old female is brought to the ED after experiencing her second febrile seizure. These isolated episodes were 4 months apart and described as generalized tightening of the body followed by jerking involving all four extremities and lasting 3 to 5 minutes each time. The child was noted to have a fever of > 38.8 C on both occasions. At this time, you recommendations would be:
Which of the following patients would be at greatest risk fo…
Which of the following patients would be at greatest risk for the development of venous thromboembolism?
4 year old with a history of myelomeningocele and ventriculo…
4 year old with a history of myelomeningocele and ventriculo-peritoneal shunt presents to the ED with headache, nausea, vomiting, and lethargy. The most probable diagnosis is:
You are getting sign out from the overnight team. You are to…
You are getting sign out from the overnight team. You are told that the patient is a 19 year old male who is complaining of cough, pleuritic chest pain, and nausea and vomiting. His body temp is 40 C (104 F), RR 28, and pulse ox is 92-95% on 2 L NC O2. A chest X-ray was obtained in the ED before being sent to the floor that showed bilateral diffuse infiltrates. All of the following information would be helpful for making the diagnosis of EVALI except:
Which of the following statements is true about Cannabinoid…
Which of the following statements is true about Cannabinoid Hyperemesis?