A 60-year-old woman on chemotherapy presents to a Perth ED, triage category 2, with fever 38.7 C and rigors. BP 102/64, HR 116. Neutrophils are 0.2 x

Question

A 60-year-old woman on chemotherapy presents to a Perth ED, triage category 2, with fever 38.7 C and rigors. BP 102/64, HR 116. Neutrophils are 0.2 x 10^9/L and CXR is clear. She has a central venous access device. What is the most appropriate investigation?

Accepted Answer

Blood cultures including central line cultures

Answer

Outpatient sputum cytology

Answer

Plain abdominal radiograph

Answer

Routine bone density scan

Answer

Delayed viral serology after discharge

Febrile neutropenia — ACEM Fellowship MCQ

A 60-year-old woman on chemotherapy presents to a Perth ED, triage category 2, with fever 38.7 C and rigors. BP 102/64, HR 116. Neutrophils are 0.2 x 10^9/L and CXR is clear. She has a central venous access device. What is the most appropriate investigation?