Ascent

Multisystem Processes & Disorders


{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This 26 year old man initially presented with mild, flu like symptoms for 3 days. Following admission, he rapidly deteriorated within the span of a few hours, becoming dyspneic and diaphoretic.\n\nExamination reveals a blood pressure of 77\/52 mmHg indicating that he is in shock; further assessment demonstrates the presence of tachycardia, tachypnea, and a temperature \u003E 38 \u00b0C indicating the presence of systemic inflammatory distress syndrome (SIRS).\n\nDue to his critical condition, the initial focus should be on the acute management; diagnostic measures should follow only once the patient has been stabilized.\n\nThe cause of shock is still uncertain, although those most likely are either septic shock (in view of the fever), and hypovolemic shock"}]}

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