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Cases

Fever on day ten

A 59-year-old mid-chemotherapy phones the helpline about a temperature and is told to come in now.

59-year-old manED, resus-adjacent cubicleFictitious educational patient
Diffuse large B-cell lymphoma, cycle 2 day 10Port-a-cath in situType 2 diabetes

Day 0 · 20:45

Arrival

He looks well: walked in from the car, chatting, mildly flushed. Temperature 38.4 at home an hour ago, 38.2 at triage. Day 10 after his second cycle of chemotherapy. No cough, no dysuria, no diarrhea; the port site looks clean.

Vitals

HR98BP118/72RR18SpO297%T38.2

What single fact in this triage note sets the clock running?

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