Deteriorated condition after Chemotherapy

Chief complaint A 72 y/o female has h/o breast cancer and was on chemotherapy for the same. After 1 cycle of chemo she complains of dizziness, fever (101.2 deg F & headache for 5 days. Symptoms are not relieving with medication and her headache is getting severe. Vitals BP: 145/90 mmhg, HR-72 bpm, Respiratory rate-18 breaths/min, Temp-101.2 degree F Investigations Lumbar puncture & CSF normal. Hb 8.2 g/dl. Treatment What do you advise?

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Postchemo pt goes anaemic and catches viral infection bcz of immunosuppression Treat as viral fever Keep hydration and electrolyte balance Monitor vitals

Thanx dr Kute Ankush
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Febrile with headache... ruleout Malaria, Post -chemo reaction, Dengue and encephalitis is another possibility... treat with paracetamol. And supportive care. MRI is also useful for further DD.

Chemotherapy can cause fatigue, loss of appetite, nausea, bowel issues such as constipation or diarrhoea, hair loss, mouth sores, skin and nail problems. You may have trouble concentrating or remembering things. There can also be nerve and muscle effects and hearing changes. You will be at increased risk of infections.

? POST CHEMOTHERAPY.. ASSOCIATED COMPLICATIONS.. NEED'S.. SYMPTOMATIC T/T WITH CLINICAL CORELATION..

Thanx a lot Dr Kute Ankush sir
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Most side effects of post chemotherapy are treated as per symptoms and clinical correlation and constant monitoring and regular evaluation.

Thanks Dr Shivraj Agarwal
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Side effects of chemotherapy Tab Zenobid Tab Gravol sos Tab Zerodoll P tds

What is the ANC? Could be neutropenic fever which is a medical emergency. Start broad spectrum antibiotics, send cultures, get an ANC. Narrow antibiotics based on culture and G-CSF based on ANC of the patient

Post chemo induced, or viral etiology causing fever and headache.

Opinion of oncologist Reaction with chemotherapy Try surgery or radiotherapy Or hormone therapy

POSSIBLY IMMUNOSUPPRESSED

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