Case 38 Introduction

History of Present Illness (HPI)

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A 47 year-old woman with a history of hypertension and a recent diagnosis of acute myeloid leukemia (AML) presents with fatigue, fevers, nausea, vomiting, and diffuse body aches. She started chemotherapy for her AML with high-dose cytarabine 3 weeks ago. She does not have cough, shortness of breath, chest pain, or diarrhea. Her appetite has been poor. She has also noted a decrease in her urine output but does not have dysuria, urgency, frequency, or hematuria.

In addition to her chemotherapy, she takes lisinopril 20mg daily. She also has been taking Ibuprofen 400mg twice a day for the past two days for her fevers and myalgias. She has no known family history of kidney disease and her serum creatinine 1 month ago was 0.8 mg/dL.

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