A 42 year-old male with history of insulin dependent diabetes has an appendectomy secondary to appendicitis....

A 42 year-old male with history of insulin dependent diabetes has an appendectomy secondary to appendicitis. Upon his arrival home, he noted increasing abdominal distention, fever, heavy breathing, shortness of breath and palpitations. He presented to the emergency department with pronounced abdominal distention, hypotension and altered mental status. His labs reveal a leukocytosis, bandemia, anion gap, positive blood cultures x2, creatinine elevation and hyperglycemia.

1. What is the primary diagnosis for this patient? Support your answer using the pathophysiology of the disease.

2. What is the most likely cause for this presentation?

3. What do you anticipate his treatment plan to include?

Expert Solution

1. The primary diagnosis for this patient is SEPTICEMIA.

PATHOPHYSIOLOGY :

For detailed answer, please refer to the notes below -----

Thank you.

Nightingale answered 2 years ago

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