An 85-year-old woman presents with new-onset confusion and 3 days of fever. Her past medical history is significant for hypertension, diabetes mellitus and hyperlipidemia. Her medications include lisinopril, hydrochlorothiazide, metformin, atorvastatin and aspirin. The patient is diagnosed with a urinary tract infeciton, and appropriate antibiotic therapy is initiated. She continues to have a fever 4 days after antibiotic therapy. Abdominal/pelvic CT demonstrates an abscess around the left kidney. What is the most common causative organism in the described abscess?
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A 48-year-old man is evaluated for a 3-day history of increa…
A 48-year-old man is evaluated for a 3-day history of increasing confusion and lethargy. His wife urged him to seek treatment after having decreased urine output and abdominal pain for the past month. Two months ago, he was hospitalized for pyelonephritis and treated with ceftriaxone. Medical history includes: Chronic hepatitis C Medications: None taken Vitals include: Temp 98.6*F, pulse 90/min and blood pressure 98/60 Physical exam: Appears pale and irritable. Oriented to person but not to time or place. There is scleral icterus and jaundice. 2+ pitting edema of the lower extremities. The abdomen is distended with a positive fluid wave. Laboratory studies: Urinalysis shows no abnormalities. Fractional excretion of sodium (FENa) is < 1% Ultrasound of the kidneys is unremarkable. Intravenous fluids are administered for 36 hours but do not improve urine output. Which of the following is the most likely cause of kidney dysfunction in this patient?
The current research on spanking indicates:
The current research on spanking indicates:
The goal of hospice care emphasized ______, which involves r…
The goal of hospice care emphasized ______, which involves reducing pain and suffering and helping people die with dignity
Erin isn’t great at paying attention to detail and doesn’t s…
Erin isn’t great at paying attention to detail and doesn’t stick to her goals. Which of the Big Five personality traits would she score low in?
Which theory of development explains that development is foc…
Which theory of development explains that development is focused on resolving 8 crises that occur throughout the lifespan?
Which of the following can decrease an infant’s risk of SIDS…
Which of the following can decrease an infant’s risk of SIDS?
Which theory of development explains that your behavior is s…
Which theory of development explains that your behavior is shaped by rewards and punishments (i.e., operant conditioning)?
What is a progressive, irreversible brain disorder that is c…
What is a progressive, irreversible brain disorder that is characterized by a gradual deterioration of memory, reasoning, language, physical function?
Which debate asks, “is your development primarily influenced…
Which debate asks, “is your development primarily influenced by your biology or your environment?”