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A patient recently began treatment with methimazole and presents with fever and a sore throat, what would be your next step?

Explanation:

If a patient recently began treatment with methimazole/propylthiouracil and presents with fever and a sore throat, the next best step would be to obtain a CBC because that is a common presentation of agranulocytosis.

Common causes of agranulocytosis:

1.hyperthyroidism medications (methimazole, propylthiouracil)

2. clozapine (antipsychotic medication)

3. carbamazepine (anti-epileptic drug)

 

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