Correct!
2. Gastroenterology consult
She has no indication for either bronchoscopy or transfusion. There is nothing to suggest pneumonia or an endobronchial lesion. Platelet transfusions are usually only performed if counts are <10,000 cells/mcL or with active bleeding. RBC is usually not performed until the hemoglobin level is < 7 g/dL in the absence of active bleeding. Her complaints are suggestive of esophagitis and gastroenterology consultation is indicated.
The gastroenterologist suggest esophagogastroduodenoscopy (EGD). The EGD showed multiple whitish plaques (Figure 1).
Figure 1. Multiple whitish plaques found on EGD
Biopsy and culture of the plaques were consistent with Candida.
What medication(s) should be given to treat the Candida? (Click on the correct answer to proceed to the fourth of six pages)