Practice of Medicine
claims lesson
Could Antibiotics Upon Presentation Have Prevented Asplenic Patient's Death?
The Case
The patient presented to the hospital emergency department (ED) with fever, body ache, headache, nausea and vomiting. She had a history of Idiopathic Thrombocytopenic Purpura (ITP) and splenectomy. Her vital signs at triage were T 101.6, P 166, R 66, B/P 114/62. Her acuity level was considered emergent/urgent. According to the nursing staff, the patient appeared to be very ill. Two …
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