Case discussion

I want to open a discussion about a case I feel one of the challenging ones I've seen. 81 year old patient came 2 days ago to the ER with renal colic and a hydronephrosis on the right side and urosepsis was diagnosed. Pre-existing ilnesses: chr. renal failure stage 4, chr. heart failure NYHA 2, multiple heart valve insufficiency. Antibiotics (Cefuroxim) was started after taking blood cultures which showed presence of E.coli. Yesterday morning noradrenaline per pump with a rate of 0.5... Case discussion
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