A 68-year-old male with a history of acute myeloid leukemia…
A 68-year-old male with a history of acute myeloid leukemia is admitted to the ICU with complaints of shortness of breath and acute hypoxic respiratory failure requiring continuous BiPAP. His vital signs show a temperature of 101.6, a HR of 104, a RR of 29, A BP of 134/78 mmHg, and an O2 saturation of 86% on 2L NC for which he was changed to BiPAP. CXR shows evidence of diffuse alveolar infiltrates bilaterally. His CBC reveals a WBC count of 103000/mcL. Shortly after being admitted to the ICU on continuous BiPAP the pt develops altered mental status and has to be restrained for trying to remove his BiPAP mask. A diagnosis of leukostasis is empirically made. Which of the following would NOT be an appropriate therapy for this patient?
Read DetailsA 35-year-old female with a history of multiple early miscar…
A 35-year-old female with a history of multiple early miscarriages and vasomotor symptoms presents to the ED with complaints of right lower extremity pain and swelling that started 2 days ago. An ultrasound of the right lower extremity reveals a deep vein thrombosis (DVT) in the right common femoral vein. Labs are also completed which show a WBC count of 1300/mcL, a Hgb of 13.5 g/dL, a Hct of 40.2%, and a platelet count of 2516250/mcL. Which underlying disease state should be at the top of the differential and is the likely trigger of the DVT?
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