Clinical Case Database / Category: Clinical Care
Management of severe sepsis and septic shock
Publication details
Dr Alison Bowden, Dr Ben Chadwick
Foundation Years Journal, volume 4, issue 5, p.31 (123Doc Education, London, May 2010)
Abstract
Mrs B was an 82-year-old woman who was referred to hospital by her GP, after collapsing at home. She normally lived alone with twice daily visits from carers due to mild cognitive impairment. The care assistant who visited in the morning had noticed that Mrs B had been more confused than normal and had alerted her daughter; she had visited later to find Mrs B collapsed on the floor, incontinent of urine and confused. Mrs B had a past medical history of hypertension, for which she took amlodipine and ramipril, and diet controlled type 2 diabetes mellitus. She had no other significant co-morbidities and no allergies. A similar episode 1 year earlier had resulted in a hospital admission and had been attributed to a urinary tract infection. On that occasion she had responded to treatment with antibiotics and had been discharged from hospital after 1 week with her current care package.
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Authors
Dr Alison Bowden
Foundation Year 1 Doctor
Southampton University Hospitals NHS Trust
Tremona Road
Southampton
SO16 6YD
Dr Ben Chadwick
Consultant in Acute Medicine
Southampton University Hospitals NHS Trust
References
2. Surviving Sepsis Campaign website, http://www.survivingsepsis.org/Pages/default.aspx
4. Roseveare C (2009) Acute medicine; clinical cases uncovered. John Wiley and Sons, p. 240.
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About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
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