Dr. Ashutosh Chandan Dubey (Internal Medicine) needs a second opinion on this medical case.
Urosepsis (E.coli), HTN, Hypothyroidism, post op Spinal Ependymoma.
A 55 yr old female has come with fever and chills , headache for past 3 days.
No associated chest pain, palpitation, Cough, SOB, vomiting, loose stool, dysuria, pain abdomen, loc etc.
K/C/O HTN, Hypothyroidism, Spinal Ependymoma- operated.
Pallor +, Icterus - , edema -
Pt was in shock with BP of 80/50 mm hg.
Blood Ix showed Raised TLC, low Hb, Deranged RFT. Urine RE showed multiple pus cells indicative of UTI.
Urine C/S was done showing Positive for E. Coli .
Conservative Mx was done, pt recovered well and being discharged in stable condition.