Renal cell carcinoma, Mr. X is an 88-year-old Caucasian

Renal cell carcinoma

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Question

Mr. X is an 88-year-old Caucasian male with history of stage 4 renal cell carcinoma s/p right nephrectomy, CKD stage 2, nephrolithiasis s/p left ureteral stent insertion developed fever, chills, tachycardia, and tachypnea. EMS was called to the patient's home by his son after Mr. X started feeling faint and disoriented. Upon their arrival at the ER, Mr. X's temperature has reached 39.2ºC. He was flushed and ill-appearing, with a pulse of 121 and a blood pressure of 90/55 mm Hg. Physical inspection revealed a lethargic, flushed, slightly confused elderly man. He was admitted to the hospital for urosepsis complicated by septic shock.

Reference no: EM133622969

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