Febrile neutropenia Quiz: Ace Your Exams
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A 72-year-old man presents to the emergency department for evaluation of fever for two days. The patient reports fatigue, cough, anorexia, severe headache, sore throat and chills. The patient has also had abdominal cramping and several episodes of hematochezia. The patient is currently being treated for diffuse large B-cell lymphoma and last received chemotherapy three days ago. Temperature is 39.0 °C (102.2 °F), pulse is 108/min, respiratory rate is 16/min, blood pressure is 105/65 mmHg, and oxygen saturation is 98% on room air. Physical examination demonstrates dry mucous membranes, generalized abdominal tenderness, and a port over the right chest wall. The posterior pharynx appears erythematous. The patient has a stage 2 sacral pressure wound without overlying erythematous changes or exudate. Laboratory studies show an absolute neutrophil count of 300 cells/µL. Which of the following tests or examinations is contraindicated based on this patient's presentation?
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