Q:

A 33 year old lady with Hodgkin’s lymphoma presents with temperature 40C, left sided abdominal pain and lymphadenitis. Blood was taken for test. What will you do next?

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A 33 year old lady with Hodgkin’s lymphoma presents with temperature 40C, left sided abdominal pain and lymphadenitis. Blood was taken for test. What will you do next?


  1. Wait for blood test
  2. Start broad spectrum IV antibiotics
  3. Oral antibiotics
  4. CBC
  5. Monitor pyrexia

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The key is B. Start broad spectrum IV antibiotics. [The patient is immunocompromized with high fever (40C) suggestive of infection. Broad spectrum IV antibiotic should be started empirically while waiting for blood reports].

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