Rejected at 8:35 p.m. Oct, 31, 2023 ] by Alex
Author: jonathanrhill
Related Note: 1480564186735
Rationale for change

Ppx is needed to reduce mets to CNS and testes, not to the scrotum or CSF

Rejection reason

no source, see previous suggestion rejections too, cannot change this unless there is a source

Text Text
Extra
- Chemotherapy doesn't pass the blood-brain or blood-testis barrier
- Can lead to male infertility
- For B-ALL, protect the Brain and B-ALLs
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#AK_Step1_v12::#SketchyPath::10_Myeloid_&_Lymphoid::02_Lymphoid_&_Plasma_Cell_Disorders::01_Acute_Lymphoblastic_Leukemia_(ALL),_Chronic_Lymphocytic_Leukemia_(CLL),_Hairy_Cell_Leukemia_&_Adult_T-cell_Leukemia #AK_Step1_v12::#SketchyPath::10_Myeloid_&_Lymphoid::02_Lymphoid_&_Plasma_Cell_Disorders::01_Acute_Lymphoblastic_Leukemia_(ALL),_Chronic_Lymphocytic_Leukemia_(CLL),_Hairy_Cell_Leukemia_&_Adult_T-cell_L
#AK_Step1_v12::^Systems::HemeOnc::WBC #AK_Step1_v12::#B&B::11_Hematology::03_WBC::01_Acute_Leukemia #AK_Original_Decks::Step_1::Zanki_Step_Decks::Zanki_Hematology_&_Oncology::Pathoma_WBC #AK_Step2_v12::!Shelf::IM::no_dupes #AK_Step1_v12::#FirstAid::10_Hematology_Oncology::04_Pathology::28_Leukemia::Acute_Leukemia::Acute_Lymphoblastic_Leukemia::B-ALL #AK_Step2_v12::#SketchyIM::08_Hematology_&_Oncology::03_Oncology::01_Acute_Leukemias_SOAP #AK_Step1_v12::#Pixorize::02_Immunology::07_Leukemias_&_Lymphomas::03_Acute_Lymphocytic_Leukemia_(ALL) #AK_Step2_v12::Original_decks::Dorian::im::ome::heme/onc::leukemia !AK_UpdateTags::Step1decks::Zanki-Step-Decks::Zanki-Hematology-&-Oncology::Pathoma-WBC #AK_Step2_v12::#B&B::07_Hematology_&_Oncology::03_White_Cells::03_Acute_Leukemias #AK_Step1_v12::#Bootcamp::Hematology_and_Oncology::09_Leukemias_and_Lymphomas::03_Acute_Lymphoid_Leukemia #AK_Step1_v12::^Other::^HighYield::2-RelativelyHighYield #AK_Step1_v12::#Physeo::11_Pathology::10_HemeOnc_Pathology::12_Acute_Leukemia #AK_Step2_v12::#OME::01_Medicine::05_Hematology_Oncology::05_Leukemia #AK_Step1_v12::#Pathoma::06_WBC::02_Acute_Leukemia #AK_Step2_v12::#Resources_by_rotation::IM::ome::heme/onc::leukemia #AK_Step1_v12::#OME::Clinical::Internal_Medicine::Hematology-Oncology::Leukemia