Sepsis after cysto
Recently had a case where a healthy 40 something year old had a cysto and stent placed for obstructing stone and pyelonephritis. Hypotension in PACU, got about 3L between ED and OR, peeing a bunch, antibiotics in. MAPs now in high 50 to low 60s, systolic as low as 80. Patient looks fine, asking when she can go to work, mild Leukocytosis. I called hospitalist and told them she needs an ICU bed for overnight (no PACU coverage to board overnight).
what would you do?
1. Peripheral norepi...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - January 9, 2021 Category: Universities & Medical Training Authors: dipriMAN Tags: Anesthesiology Source Type: forums
Abx question
I've got an ID question, however it doesn't appear there is a specific ID subforum. So hopefully this forum is OK.
I treated a patient in the ED for a complicated UTI / early pyelonephritis. She ended up being stable, not septic, gave one dose of Rocephin IV and discharged her with antibiotics. cefadroxil 500 mg PO BID x7 days.
Her urine culture returned a few days later
100,000 cfu/ml Pseudomonas aeruginosa
with pan-sensitivity
Think the cefadroxil...
Abx question (Source: Student Doctor Network)
Source: Student Doctor Network - October 13, 2019 Category: Universities & Medical Training Authors: thegenius Tags: Internal Medicine and IM Subspecialties Source Type: forums
Poly-arteritis nodosa presenting as bilateral renal infarction
A 47yo woman presents to the GP with left sided abdominal pain that has been present for a week. No fever or other symptoms. No relevant history or medication
- Contrast-enhanced CT: left renal infarction
- Angiography: dissection of left renal artery
The day after discharge, she presents to the ER with right sided pain
- new CT: right renal infarction DD pyelonephritis
The consequent angiography shows this image. Is this poly-arteritis nodosa? And could you guys help me point out...
Poly-arteritis nodosa presenting as bilateral renal infarction (Source: Student Doctor Network)
Source: Student Doctor Network - April 2, 2018 Category: Universities & Medical Training Authors: NEPHROLOGY Source Type: forums
