A 32-year-old woman presents to the physician for a 24-hour history of pain in her oral cavity. She has been undergoing chemotherapy for three weeks for metastatic breast cancer. Physical examination shows an ulceration on the right buccal mucosa. Her vitals are: temperature 100.9F, HR 72, RR 15, BP 122/80. Which of the following is the next best step in management?
0.9% normal saline
Bolus of corticosteroids
Broad-spectrum antibiotics
Granulocyte-macrophage colony-stimulating factor (GM-CSF)
Reassurance about side-effects of chemotherapy
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Cut-to-the-chase Answer (0:58):
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HY USMLE Answer (8:23):
