12 Hours Of Fever, Chills, And Malaise | Fever and Hyperthermia (Management) — 56yo Woman | Hematology | MCCQE1 Q#13399
MCCQE1 Question #13399
Dimension of Care
Acute Care
Activity
Management
Objective
Fever and Hyperthermia
Section
Medicine / Family Medicine
Subject
Hematology
Last updated: February 2026
A 56-year-old woman with rheumatoid arthritis on methotrexate and recent rituximab presents with 12 hours of fever, chills, and malaise. Nine days ago, she completed chemotherapy for diffuse large B-cell lymphoma. She denies cough, dysuria, abdominal pain, or rash. On exam, she appears ill and pale, with dry oral mucosa and no focal source of infection. After drawing blood cultures in the emergency department, what is the most appropriate next step in management?
Full answer analysis and choices are available inside the practice session.
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