Oncologic emergencies

A 54-year-old woman receiving adjuvant docetaxel and cyclophosphamide for breast cancer presents nine days after her second cycle with a temperature of 38.4 °C,…

Pre-internship · common

A 67-year-old man with prostate cancer on androgen deprivation therapy presents with two weeks of mid-back pain that is worse lying flat and wakes him at night.…

Pre-internship · common

A 7-year-old boy receiving chemotherapy for acute lymphoblastic leukaemia develops a temperature of 38.6°C at home. In hospital he is alert, has normal perfusio…

Clinical rotations · middle twist

A 63-year-old woman with acute myeloid leukaemia has had febrile neutropenia for 96 hours despite piperacillin-tazobactam. She remains haemodynamically stable,…

Pre-internship · middle twist

A 58-year-old man receiving induction chemotherapy for acute myeloid leukaemia presents with a temperature of 39.1°C. His absolute neutrophil count is 0.05 × 10…

Clinical rotations · common

A 69-year-old man presents with 2 months of progressive low back pain that is worse at night and is not relieved by rest. He has lost 6 kg unintentionally and h…

Clinical rotations · common

A 59-year-old male presents to the emergency room after he develops a fever of 38.5°C (101.3°F). He was recently diagnosed with leukemia and started chemotherap…

Pre-internship · middle twist