A transit passenger with unilateral leg pain

Upon examination, he exhibited severe tenderness, warmth, and fluctuation in the left posterior thigh with minimal swelling. Blood investigations Patient's values Normal range White blood cell (× 103/µL) 22.7 4.0–10.0 C-reactive protein (mg/L) 340 0.0–5.0 d-Dimer (mg/L FEU) 0.33 0.00–0.49 Creat...

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Bibliographic Details
Published in:	Journal of the American College of Emergency Physicians Open Vol. 5; no. 5; pp. e13221 - n/a
Main Authors:	Faheem, Ghazala, Rehman, Muhammad Abd Ur, Iqbal, Muhammad Junaid, Shahzad, Tahir
Format:	Journal Article
Language:	English
Published:	United States John Wiley & Sons, Inc 01-10-2024 John Wiley and Sons Inc Wiley
Subjects:	Abscesses Antibiotics Blood Creatinine Emergency medical care Point of care testing Sepsis Ultrasonic imaging Videos in Emergency Medicine
Online Access:	Get full text
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Summary:	Upon examination, he exhibited severe tenderness, warmth, and fluctuation in the left posterior thigh with minimal swelling. Blood investigations Patient's values Normal range White blood cell (× 103/µL) 22.7 4.0–10.0 C-reactive protein (mg/L) 340 0.0–5.0 d-Dimer (mg/L FEU) 0.33 0.00–0.49 Creatinine (µmol/L) 151 62–106 Lactic acid (mmol/L) 5.5 0.5–2.2 pH 7.11 7.35–7.45 PCO2 (mmHg) 38 21–69 PO2 (mmHg) 27 25–40 HCO3 (mmol/L) 20 23–29 [IMAGE OMITTED. SEE PDF] DIAGNOSIS Pyomyositis with sepsis Based on laboratory investigations and bedside ultrasound findings, a diagnosis of pyomyositis with sepsis was made.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	2688-1152 2688-1152
DOI:	10.1002/emp2.13221