Thanks to everyone’s advice our patient didn’t develop differentiation syndrome following administration of dexamethasone prophylaxis. She also received hydroxyurea in addition to ongoing ATRA / arsenic to reduce the WCC. Her DIC is also improving. She has had issues with nausea/vomiting which is predominantly controlled on antiemetics and a infection for which she is on oral antibiotics.
However she is currently week 4 of induction and informs the staff that for the last few days she has been experiencing intermittent marked dizziness. She is currently asymptomatic and her observations are stable. There is no evidence of sepsis.
- How would you want to investigate the dizziness? What is your likely differential?
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