SAQ 915 – Infectious Diseases – necrotising fasciitis and septic shock

Marked out of 15.00

A 72-year-old man is brought to ED by family after 24 hours of pain and swelling in his left calf. He has myelodysplasia, denies trauma, and the calf is swollen and tender.

In ED he remains in severe pain despite opioid analgesia. The leg is increasingly swollen, erythematous and crepitant.

Observation Value
GCS 15
Temperature 37.8 deg C
HR 120/min
BP 66/40 mmHg
SpO2 96% room air

List four possible causes of his calf pain.

(Marked out of 4.0)


/ 4

List your immediate management priorities, including drugs, doses and end points where appropriate.

(Marked out of 5.0)


/ 5

List three risk factors for this condition.

(Marked out of 3.0)


/ 3

His hypotension remains refractory to fluid. Give one suitable vasoactive medication, including typical dosing or concentration and treatment endpoints.

(Marked out of 3.0)


/ 3

Total Score: 0 / 15

Percentage: 0%