History A 68-year-old man who is an inpatient on the stroke unit has recently started a second course of intravenous antibiotics for pneumonia. Initially, he improved, and then he complained of abdominal pain and the temperature spike. His nurse reports that he passed a large volume of greenish, liquid stool eight times in a short period. Examination The abdomen appears distended and is tender with hyperactive bowel sounds.
He is febrile with 38.0°C temperature, tachycardic with 110 beats/min, and hypotensive with the blood pressure of 88/44 mmHg. *This case is from Docplexus Editorial Team for educative purposes only. Source: 100 Cases in Acute Medicine Answers are posted in the comment section. Click here!
