Question

Mike 29 years old was admitted to community hospital 3 days ago with weakness and hypotension after sustaining a spider bite while hiking in the woods. Mike has a large hematoma on his left arm where he was bite.He has no prior medical history. No drug allergies, does not take medication. Mike started to experience moderate respiratory distress, and started oozing blood from his IV sites,nose, and catheter. He is mildly jaundiced and his skin is cool. His vital signs include a heart rate 110 beats per min and regular BP of 92/44 slightly elevated respiratory rate of 22 BPM. oxygen of 91%. what is your initial diagnosis?

Answer 1

The patient above is exhibiting signs of multiorgan allergic reaction due to spider venom.
This is known as anaphylactic reaction due to spider bite.
The spider bite has released the venom into patient's body which has elicited an extensive allergic reaction by activationof basophils and mast cells. This has caused allergic reaction from cardiovascular, dermatological, respiratory system which has caused the above symptoms in the patient.
So the initial diagnosis is anaphylactic reaction from spider bite.