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    Working Impression: Urosepsis: Rule in Rule Out

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    Niv
    The patient presented with loss of appetite, generalized weakness, and a urine culture positive for E. coli and Acinetobacter baumanii, consistent with urosepsis. Symptoms of loose stool, abdominal discomfort and pain, hypotension, and leukocytosis align with a diagnosis of gastroenteritis or lactic acidosis from metformin use and CKD. Elevated BUN and creatinine with acidosis could indicate nephrotoxin ingestion. Signs of fever, leukocytosis, hyperglycemia, hypotension, tachycardia, tachypnea, thrombocytopenia and cold extremities support a diagnosis of septic shock. Hypotension, tachycardia, and t

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    Working Impression: Urosepsis: Rule in Rule Out

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    Niv
    7 views7 pages
    The patient presented with loss of appetite, generalized weakness, and a urine culture positive for E. coli and Acinetobacter baumanii, consistent with urosepsis. Symptoms of loose stool, abdominal discomfort and pain, hypotension, and leukocytosis align with a diagnosis of gastroenteritis or lactic acidosis from metformin use and CKD. Elevated BUN and creatinine with acidosis could indicate nephrotoxin ingestion. Signs of fever, leukocytosis, hyperglycemia, hypotension, tachycardia, tachypnea, thrombocytopenia and cold extremities support a diagnosis of septic shock. Hypotension, tachycardia, and t

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    acute kidney injury

    Original Title

    Aki

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    The patient presented with loss of appetite, generalized weakness, and a urine culture positive for E. coli and Acinetobacter baumanii, consistent with urosepsis. Symptoms of loose stool, abdominal discomfort and pain, hypotension, and leukocytosis align with a diagnosis of gastroenteritis or lactic acidosis from metformin use and CKD. Elevated BUN and creatinine with acidosis could indicate nephrotoxin ingestion. Signs of fever, leukocytosis, hyperglycemia, hypotension, tachycardia, tachypnea, thrombocytopenia and cold extremities support a diagnosis of septic shock. Hypotension, tachycardia, and t

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    7 views7 pages

    Working Impression: Urosepsis: Rule in Rule Out

    Uploaded by

    Niv
    The patient presented with loss of appetite, generalized weakness, and a urine culture positive for E. coli and Acinetobacter baumanii, consistent with urosepsis. Symptoms of loose stool, abdominal discomfort and pain, hypotension, and leukocytosis align with a diagnosis of gastroenteritis or lactic acidosis from metformin use and CKD. Elevated BUN and creatinine with acidosis could indicate nephrotoxin ingestion. Signs of fever, leukocytosis, hyperglycemia, hypotension, tachycardia, tachypnea, thrombocytopenia and cold extremities support a diagnosis of septic shock. Hypotension, tachycardia, and t

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 7

    Working Impression: Urosepsis

    RULE IN RULE OUT


    Loss of appetite (-) tenderness on the suprapubic
    Generalized body weakness area
    Urine culture: Colonies of (-) flank pain/costovertebral angle
    Escherichia coli and Acinetobacter tenderness
    baumanii (-) urinary symptoms
    Leukocytosis, neutrophilia,
    lymphopenia
    D/dx: Gastroenteritis
    RULE IN RULE OUT
    Loose watery stool (3- Stool culture: No enteric
    4x/day) pathogen
    Vague abdominal (-) nausea, vomiting
    discomfort (at admission) Nontender abdomen
    Colicky abdominal pain
    (Day 7)
    Hypotension
    Leukocytosis,
    neutrophilia,
    lymphopenia
    D/dx: LACTIC ACIDOSIS
    RULE IN RULE OUT
    Metformin use No changes in sensorium
    CKD
    Loose watery stool (3-
    4x/day)
    Hypotension
    Shortness of breath
    Metabolic acidosis
    Generalized body weakness
    D/dx: Nephrotoxin Ingestion
    RULE IN RULE OUT

    Acute presentation Persistently elevated WBC


    Elevated BUN, creatinine
    Acidosis
    Working Impression: Septic Shock
    RULE IN
    Febrile
    Leukocytosis
    Hyperglycemia
    Hypotension
    Tachycardia
    Tachypnea
    Thrombocytopenia
    Cold clammy extremities
    Urine Culture of Acinetobacer baumanii and E. coli
    D/Dx: Cardiogenic Shock
    RULE IN RULE OUT
    Hypotension Unremarkable
    Tachycardia Cardiovascular PE and
    Tachypnea ECG findings
    D/Dx: Hypovolemic Shock
    RULE IN RULE OUT
    Hypotension No source of volume
    Tachycardia loss (cessation of GI
    Tachypnea bleeding and diarrhea)
    Cool, clammy extremities

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