system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 34-year-old woman comes to the physician with fever and malaise. For the past 2 days, she has felt fatigued and weak and has had chills. Last night, she had a temperature of 40.8°C (104.2°F). She has also had difficulty swallowing since this morning. The patient was recently diagnosed with Graves disease and started on methimazole. She appears uncomfortable. Her temperature is 38.3°C (100.9°F), pulse is 95/min, and blood pressure is 134/74 mm Hg. The oropharynx is erythematous without exudate. The lungs are clear to auscultation. Laboratory studies show:
Hematocrit 42%
Hemoglobin 13.4 g/dL
Leukocyte count 3,200/mm3
Segmented neutrophils 9%
Basophils < 1%
Eosinophils < 1%
Lymphocytes 79%
Monocytes 11%
Platelet count 230,000/mm3
Which of the following is the most appropriate next step in management?"
assistant
Discontinue methimazole