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Question 1 • Oncological emergencies
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A 68-year-old male currently undergoing chemotherapy for colon cancer presents to the ED with a fever. His last cycle of chemotherapy was 10 days ago.


His observations at triage are:

Temperature: 38.4°C

Blood Pressure: 118/75

Heart Rate: 92

Respiratory Rate: 16

SpO2: 97% on room air


You are currently managing a trauma call and will not be available for review for at least 60 minutes. The triage nurse asks for your management plan.


What is the most appropriate next step?

A

Wait for laboratory results before initiating treatment

B

Prescribe intravenous antibiotics and await review

C

Commence intravenous fluids and antipyretics

D

Defer management until senior review is available

E

Request urgent haematology consultation before starting treatment

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