| If an individual fails to recover within the expected maximum duration period, the reader may wish to consider the following questions to better understand the specifics of an individual's medical case. Regarding diagnosis:
- Did individual have fever and chills? Dyspnea? Tachycardia? A feeling of apprehension, confusion, or disorientation?
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Has individual recently had surgery?
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Has individual been taking immunosuppressant drug, chemotherapy, antibiotic therapy, or corticosteroids for an extended time?
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Does individual have a chronic illness or debilitating disease such as cancer, AIDS, or cirrhosis?
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Has individual recently had pneumonia or other severe infection?
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Has individual had a puncture wound, deep cut, or burn recently?
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Does individual have an indwelling catheter, IV catheter, or other invasive device?
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On exam, was individual hypotensive?
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Was there high fever? Cold hands and feet? Cyanosis? Weak pulse? Flushed skin?
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Was individual's mental status altered?
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Was blood culture done? Were infective organisms present in the blood? Spinal fluid?
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Were urinalysis and urine culture done? CBC? Blood chemistries? Blood gas analysis?
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Did chest x-ray revealed pneumonia?
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Was CT scan done?
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Has the site of infection been determined? Infective organism identified?
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Have conditions with similar symptoms been ruled out?
Regarding treatment:
- Was individual hospitalized at the time of diagnosis? After diagnosis? Treated promptly with IV antibiotics?
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Was the causative organism cultured for antibiotic resistance? Was the infective organism sensitive to a specific antibiotic?
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Was the cause of the sepsis an abscess? Was it drained?
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Was the cause of the sepsis necrotic tissue? Was it removed?
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Was sepsis caused by a fungal infection? Was it treated with antifungal drugs?
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Have catheters and other devices suspected as causing or aggravating the infection been changed or removed?
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Is individual being treated with immunosuppressant drugs? Is it possible to discontinue immunosuppressant therapy until individual has recovered?
Regarding prognosis:
- Is individual's employer able to accommodate any necessary restrictions?
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Is individual pregnant? Age 65 or older?
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Does individual have any underlying chronic or otherwise debilitating disease conditions that may affect the ability to recover?
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Has individual developed the complication of DIC?
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Did sepsis progress to organ failure? Which organ(s)?
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Source: Medical Disability Advisor