Solve this exciting clinical case, specific to your field of interest via Docplexus Clinical Case Challenge. Join your fellow doctors to discuss and answer today’s challenge. Case presentation Presenting complaints: A 64-year-old female admitted for low-speed motor vehicle accident complained of generalized abdominal tenderness on the 21st day of her admission. Medical History: History was significant for Child's C Liver Cirrhosis, chronic liver failure (alcohol abuse), hypertension, and depression with a recent ascetic tap performed.
Physical Examination: The patient was hemodynamically stable and had a Glasgow Coma Scale (GCS) of 13. The pain was localized suprapubically and revealed marked suprapubic tenderness. Laboratory Examination: Elevated white cell count of 13.5 × 109/L with neutrophils at 10.56 × 109/L, and an elevated CRP of 14 mg/L was observed. Urinalysis: Leucocytes: 390…
