Causes of febrile neutropenia
Drugs Transfusion Inflammation Infection- most common cause Tumour necrosis
Febrile neutropenia
Temp >38
<1 ❌ 10 power 9
History of FN
Fever for no.of days Rigors Headaches Fits GI symptoms Chest Underlying diagnosis Use of paracetamol at home
Examination in FN
General condition Lymphadenopathy Ears Focus in infection Organomegaly
Investigations for FN
FBC Clotting screen U&Es LFTs CRP Calcium, Mg, Phosphate
Sickle emergencies
Bony pain crisis Aplastic crisis Haemolytic crisis Splenic & hepatic sequestration Acute chest syndrome ❗️ CVA ❗️
Symptoms of spinal cord compression
Back pain Weakness Tingling Spasticity Positive babinski Bowel/ bladder involvement