00:00Dr. Heller briefed me on Chloe's case
00:02Given its complexity and the lack of clear source from micro fluid and tissue were all normal afraid. So
00:09Figured fresh eyes couldn't hurt. Thank you, sir. We need all the eyes we could get you in that glow. She's here. You're in good hands
00:20How long has she been breathing like that about an hour fever crossed 104 this morning
00:25Which is why we placed a Foley catheter to start cold fluid infusion. Try and get her temp down
00:30What is it Chloe?
00:32Does she seem like she's sitting differently today?
00:38Would you say that the range of motion of your neck feels restricted, yeah, okay
00:45Can you open your eyes just a little for me
00:49Sensitivity to light does that mean could be meningitis or it could just be a migraine
00:53She can't feel possibly caused by sepsis. No early-stage infection of the nervous system is hard to detect
01:00Even with a patient who can feel pain pets can't could have missed it
01:03We need a brain CT spinal MRI and a lumbar puncture to confirm it. Let's get her down to radiology now
01:13Her temperature drop wasn't a response to medication it was a sign of sepsis her body's shutting down
01:19Rising creatinine levels suggest kidney failure is next. It could be a matter of hours. Yeah, we still have absolutely no clue
01:24What's going on doesn't make sense. We've imaged everything blood work
01:29Biopsies, there is nothing to see here
01:34Maybe it isn't about what we can see
01:39But what we can't
01:44Her appendix or where it should be
01:47Yeah, that's normal an abdominal CT can miss the appendix on someone with this little body fat as well
01:52If you can't see the appendix, you can't see appendicitis
01:56Appendicitis takes days. She's had this for weeks. Well, it's rare, but I mean it's possible
02:02Think about it that two most pronounced symptoms are lower right quadric pain and peri-umbilical pain Chloe wouldn't have either
02:11Fever vomiting light sensitivity stiffness. It wasn't her spine. It was her abdomen. She just couldn't tell but if she's already in sepsis
02:20It's already burst
02:23You're right we need an ultrasound now
02:30There's a station page doctor void and clear no are right away
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