In this case a patient presents septic, and too confused to provide a history. An appropriate exam, or a good collateral history elicited from his wife, who arrives later in the scenario, reveals his right knee as the obvious source. This case was written by Dr. Iain Arseneau, and is aimed at junior residents. Key learning points in this case include:
- The importance of a history and physical. This is often omitted or minimized in simulation when learners get focused on the acute resuscitation.
- Good communication with consultants.
- Appropriate initial work-up and management of a septic patient.
- Appropriate empiric antimicrobial coverage for a septic arthritis.