MB 2/3
BULLETS
Free CME
Join now
Please confirm topic selection

Are you sure you want to trigger topic in your Anconeus AI algorithm?

Please confirm action

You are done for today with this topic.

Would you like to start learning session with this topic items scheduled for future?

Review Question - QID 212757

Splenic Laceration / Rupture Differential Splenic abscess QID: 212757 (M2.OMB.19.4852)
In scope icon M 6 B
QID 212757 (Type "212757" in App Search)
A 25-year-old man presents to the emergency department for a fever and abdominal pain. The patient states that his pain has been worsening over the past week in the setting of a fever. He has a past medical history of IV drug abuse and multiple admissions for septic shock. His temperature is 102°F (38.9°C), blood pressure is 94/54 mmHg, pulse is 133/min, respirations are 22/min, and oxygen saturation is 100% on room air. Physical exam is notable for a murmur over the left upper sternal border. Abdominal exam reveals left upper quadrant tenderness. Laboratory values are ordered as seen below.

Hemoglobin: 15 g/dL
Hematocrit: 44%
Leukocyte count: 16,700/mm^3
Platelet count: 299,000/mm^3

Which of the following is the most likely diagnosis?
Type in at least one full word to see suggestions list