Discover and read the best of Twitter Threads about #FebrileNeutropenia

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1/ 34 y/o F with new AML dx on chemo (7+3) ANC 200. Counts are expected to continue to drop & not get better for at least another ~10d. Has been febrile 🌑️πŸ”₯ & on cefepime 2g q8 for the past 5 daysπŸ’ŠπŸ’‰. What do you do next?

#MedTwitter #OncTwitter #IDTwitter
2/ Former chief resident & leukemia doc @andrewbrunner from @MGHCancerCenter spoke about acute leukemias & #FebrileNeutropenia (F+N) ! Here are some #ConferenceTwearls

Definition:

Febrile: β‰₯ T 100.4 🌑️

βž•

Neutropenia: ANC ≀ 500 or an expected πŸ“‰ to an ANC of ≀ 500 in 48h
3/ It's πŸ”‘to look for a source of possible infection. BCx for all comers! Additional w/u depends on the clinical context.

πŸ“ΈLow threshold to image/scope these pts since they may not present classically---> e.g. pt w perforated abdomen can present w soft abdomen on PE.
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