Correct!
5. All of the above
Correct!
5. All of the above
Insulin and fluids along with monitoring of electrolytes and renal function are established for treatment and monitoring of DKA (1). Infection often plays a role in inducing DKA and in this patient's case, an infected foot seems to be likely playing a role. Furthermore, there was a question of possible lower lobe consolidation on the chest x-ray. Blood and wound cultures were obtained and he was begun on piperacillin/tazobactam for possible pneumonia and his daptomycin was continued for his gangrene.
However, after 3 days he had minimally improved. He developed a cough with clear, thick mucus; had a temperature to 38.1ยบ C overnight, and levofloxacin was empirically added. His blood cultures were negative. His chest x-ray was repeated (Figure 2).
Figure 2. Repeat portable AP of chest.
A thoracic CT scan was performed (Figure 3).
Figure 3. Representative images in lung windows from the thoracic CT scan.
Which of the following should be performed next? (Click on the correct answer to proceed to the third of four panels)