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The emDOCs Podcast covers EBM Updates in the adult patient with appendicitis, specifically history and exam, lab testing, and diagnostic scoring systems.

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A 27-year-old female with a history of insulin-dependent diabetes presents to the ED on a Friday evening somnolent and disoriented. Her coworkers report she started slurring her speech and became increasingly altered after they met at a bar after work. Exam reveals a diaphoretic, obtunded female not oriented to person,
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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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