High-dose cyclophosphamide as well as abdominal radiation

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Reference no: EM133816739

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You are the nurse taking care of Kathryn, a 19-year-old with rhabdomyosarcoma has been treated with vincristine, dactinomycin, and high-dose cyclophosphamide as well as abdominal radiation. She is currently admitted for neutropenic fever. Her morning exam is notable for abdominal distention and exquisite tenderness in the upper right quadrant. Her weight has increased by more than 3 kgs since admission and labs are remarkable for elevated AST, ALT, and bilirubin. Based on this clinical picture, you are most concerned about: Appendicitis Sinusoidal obstructive syndrome (SOS) Pancreatitis Typhlitis.

Reference no: EM133816739

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