February 2017 critical care case of the month

Southwest Journal of Pulmonary and Critical Care

卷:14

Wong M¹  Villalobos N¹ 

[1] University of New Mexico, Albuquerque, NM USA;

关键词: sepsis;    shock;    septic shock;    disseminated intravascular coagulation;    DIC;    blood smear;    gangrene;    splenectomy;    treatment;   

DOI  :  10.13175/swjpcc146-16

来源: DOAJ

【 摘 要 】

No abstract available. Article truncated after 150 words. History of Present Illness: A 68-year-old man presented to the emergency department with a one-day history of lower back pain, arthralgias, and malaise. The patient had a previous splenectomy and was concerned about influenza. Past Medical History, Social History, and Family History: He has a history of osteoarthritis, seasonal allergies, and splenectomy. He is a nonsmoker. Family history is noncontributory. Physical Examination: Upon admission, the patient’s vital signs were notable for a temperature of 35.3 degrees Celsius, blood pressure of 74/44 mmHg, oxygen saturation of 85% on room air with a respiratory rate of 24 breaths per minute. Physical exam was prominent for non-pitting edema of the distal upper and lower extremities, as well as diffuse macular rash of the palms and soles. Laboratory:CBC: White blood cell count of 6.77 X103 cells/uL, Hemoglobin of 13.8 gm/dL, Hematocrit of 43.7%, Platelet count of 19 x 103 /uL. Chemistry: Creatinine of …

【 授权许可】

Unknown