Physical Findings

Stop & Think

Lab and X-Ray

Differential Diagnosis

The Disease

Treatment

Conclusions

Quiz & Evaluation

• His blood cultures were indeed positive. 
• In the end, he had an overwhelming septicemia with the Staph aureus.
• Although vancomycin had been started, his condtion was too advanced. He died in septic shock.
• The autopsy revealed
• small cell carcinoma of the right lung
• metastatic small cell carcinoma to liver
• acute lobar pneumonia of the right lung
• marked bilateral adrenal cortical hyperplasia
• islet cell hyperplasia of the pancreas
• profound edema of the retroperitoneal fat
• focal acute vasculitis
• early changes of ARDS

The take home message .                                               Back