26: Why Is This Menstruating Patient So Sick?

<p></p> <h2>Session 26</h2> <p>A 20-year-old menstruating adult is tachycardic, somnolent, and hypotensive with GI symptoms and macular rash. What sort of organism do you suspect?</p> <p>As always, we're joined by Dr. Karen Shackelford from <a href= "https://www.boardvitals.com/">BoardVitals</a>.</p> <p><strong>Listen to this podcast episode with the player above,</strong> or keep reading for the highlights and takeaway points.</p> <h2>[01:35] Question of the Week</h2> <p>A 20-year-old female patient presents 5th day of her menstrual period complaining about abdominal pain, vomiting, watery diarrhea, and myalgia for 12 hours. On exam, her temperature is 103.13 F. Her blood pressure is 80/60 mm/Hg. And her heart rate is 135 beats per minute.</p> <p>She is ill-appearing, somewhat somnolent, has hyperemic 02:04 and a generalized erythematous macular rash that involves her palms and soles. Which of the following best describes the cause of her illness?</p> <p>(A) Gram-negative diplococci</...