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The EM@3AM series returns with amyloidosis.

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A 62-year-old male presents to the ED with bilateral lower extremity weakness. He states that for the last few months, he has had an increasingly difficult time climbing stairs. He notes progressively worsening neck pain and stiffness for the past year. This morning, his wife urged him to come in
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Anatomic urinary obstruction in septic shock

Occurs in 10% of those with septic shock due to urinary source

 

Associated with 27% mortality

 

Administer antibiotics, resuscitate, consult urology for source control

 

PMID: 26905806

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