A 17-year-old girl comes to the office because she has had f…
A 17-year-old girl comes to the office because she has had fever, chills, fatigue, and loss of appetite for the past two weeks. The patient also says that she has some lumps on the side of her neck. She is concerned she might have infectious mononucleosis. Temperature is 38.6°C (101.4°F), pulse rate is 82/min, and respirations are 18/min. Physical examination shows firm, nontender adenopathy along the left anterior cervical chain. There is no tonsillar enlargement or exudate. Cardiovascular, pulmonary, and abdominal examinations show no abnormalities. Which of the following is the most appropriate next step?
Read DetailsYou are caring for a young child undergoing intensive chemot…
You are caring for a young child undergoing intensive chemotherapy for AML. She has expected chemotherapy-related myelosuppression, her Hgb is 6.5 g/dL and she is symptomatic with her anemia. You decide to give her a transfusion of pRBCs. You choose to irradiate the blood before transfusing it knowing it helps prevent this transfusion complication:
Read DetailsYou are caring for a patient presenting with concerns for ba…
You are caring for a patient presenting with concerns for bacteremia. The patients nurse informs you that she only got enough blood from their blood draw to send one test. Which of the following tests do you tell her to obtain as it is the most important?
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