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A 45-year old African American woman presents with progressive fatigue over the past week and has experienced intermittent episodes of severe hand pain that typically self-resolve. She has also noted a worsening headache over the last day. Her blood pressure is 197/105 mm Hg and heart rate is 90 bpm. The physical exam is notable for smooth and taut skin on the patient’s face and hands. Laboratory values show a creatinine of 3.1 mg/dL. What is the likely diagnosis?

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Sepsis Sources: LUCCAASSB

Lung* (pneumonia, effusion, abscess)
Urine* (UTI, pyelonephritis)
Cardiac (endocarditis)
CNS (meningitis, encephalitis, abscess)
Abdomen (intra-abdominal)
Arthritis (septic)
Skin (cellulitis, abscess, NSTI)
Spine (osteomyelitis, SEA, discitis)
Bacteremia

 

*most common sources

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