A 62-Year-Old Woman Undergoing Chemotherapy Through a Subcutaneous Port for Locally

question 721

Multiple Choice

A 62-year-old woman undergoing chemotherapy through a subcutaneous port for locally advanced breast cancer comes to the physician with fever and malaise.  She has no other symptoms.
There are no skin lesions on physical examination and cardiac examination is normal.  The patient's abdomen is soft and nontender to palpation.  She has a subcutaneous port in the left chest and there is no erythema, warmth, tenderness, or drainage at the catheter exit site.
Blood cultures grow yeast within 36 hours that is later identified as Candida albicans.  Antifungal therapy is initiated, her port is removed, and blood cultures 48 hours later are negative.
Which of the following must be included in the initial diagnostic workup?

• A)Colonoscopy
• B)Cystoscopy
• C)Liver biopsy
• D)Ophthalmologic examination
• E)Transthoracic echocardiogram

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Definitions:

Manual Workers

Individuals who perform physical work, often involving the use of hands and physical skill, in various industries such as construction, manufacturing, or agriculture.

Social Structures

The complex framework of societal institutions (such as the economy, politics, and family) and the social practices (norms, rules, and roles) that make up a society and organize and limit the actions of its members.

Robert Merton

Robert Merton was an American sociologist known for his theories on social structure and anomie.

Talcott Parsons

A prominent American sociologist known for his contributions to social action theory and for developing a framework for the study of society that emphasized the functional relationships between its parts.