I put together these medical challenges. The cases are hypothetical and do not necessarily represent actual or typical presentations of medical diseases. Disclaimer is at the bottom of this page.
Thursday, April 9, 2015
A patient with systemic lupus erythematosus and systemic vasculitis is being counseled about taking the drug shown above. Within days to weeks of treatment, she will need her blood count closely followed because she may have decreased granulocytes, followed by thrombocytopenia, followed by anemia. Obviously, this increases her risk of infection. She is also counseled that this drug may cause premature ovarian failure, ovarian fibrosis, and permanent infertility. A pregnancy test is checked because the drug is highly teratogenic. Long-term, she needs to watch for lymphoma and other malignancies as well as cystitis and bladder cancer resulting from a toxic metabolite excreted in the urine.
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