Question of the Week # 108

108) A 34 year old man with history of schizophrenia and hypertension presents to your office with complaints of sore throat and low grade fever. He has mild cough. He denies any sick contacts. On examination, the patient has a temperature of 100F. Throat examination reveals mild erythema with no exudate. There is no cervical lymphadenopathy. His medications include Metoprolol and Clozapine. The most important step in managing this patient :

A) Influenza Rapid Antigen Test

B) Throat Lozenges

C) Obtain Complete Blood Count

D) Oral Azithromycin

E) Discontinue Clozapine

 

9 Thoughts on “Question of the Week # 108

  1. C-suspect Agranulocytosis-Complete Blood Count

  2. svr on May 4, 2011 at 3:54 am said:

    E. clozapine causes agranulocytosis

  3. harry on June 3, 2011 at 11:52 am said:

    C
    cbc if low then discontinue the clozapin

  4. raju on June 14, 2011 at 7:47 pm said:

    ccccc

  5. N.isidore on July 9, 2011 at 2:08 am said:

    CBC check agranulocytosis

  6. Syed on March 2, 2012 at 4:43 pm said:

    C ………

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