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A 71-Year-Old Man Is Brought to the Emergency Department Because

question 118

Multiple Choice

A 71-year-old man is brought to the emergency department because of a 2-day history of excruciating left thigh pain, weakness, and nausea. His medical problems include type 2 diabetes mellitus, hypertension, and benign prostatic hyperplasia. He is a lifetime non-smoker.
His blood pressure is 85/40 mm Hg and pulse is 114/min and regular. Mucous membranes are dry. Examination reveals magenta-bronze discoloration, crepitus, tenderness, and significant swelling over the left thigh.
Laboratory results are as follows:

A Foley catheter was placed and 200 mL of concentrated urine was drained. Intravenous antibiotics, analgesics, and bolus fluids were administered. CT scan of the thigh showed gas gangrene. He was emergently taken to the operating room for debridement. Four days later, the patient feels better. The Foley catheter is removed and he urinates without difficulty. Two sets of blood cultures sent on admission grow Clostridium septicum.
Which of the following additional studies would be indicated in this patient?

Definitions:

Government-Subsidized

Financial or other support provided by the government to assist sectors, individuals, businesses, or services considered beneficial to the public interest.

Senior Housing

Residential communities designed for older adults, often providing amenities and services suited to their needs and preferences.

Care Coordinator

A healthcare professional responsible for organizing patient care and resources across the healthcare system to meet individual patient's health needs.

Direct Care Provider

Healthcare professionals who provide hands-on care and treatment to patients, such as nurses and caregivers.