87789700 - patient in the hospital with saline intravenous and relatives patient hand holding a elderly patient hand
This case involves a woman with a history of aortic aneurysm who presented to the emergency room with foot pain. The patient was diagnosed with a skin infection, given an Amoxicillin prescription, and discharged. The patient returned to the emergency room several days later with worsening foot pain and the attending noted that both her feet and both her knees were red with a rash. The patient was diagnosed with vasculitis, prescribed clindamycin and discharged. Two weeks later, the patient returned to the hospital with an ulcer on her right foot. It was discovered that the patient had been throwing septic emboli from her infected aortic aneurysm stent. A vascular surgeon was consulted and a below-knee amputation was the only option. An expert emergency medicine physician was sought to review the records and opine on the standard of care for patients with bilateral foot pain under these circumstances.
