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A 65 year old man present to your ED complaining of fevers and abdominal pain. He has renal failure and is on Continuous Ambulatory Peritoneal Dialysis (CAPD). He observations are P 90     BP 96/50     RR 26    SaO2  93%  Temp 38.3.

Infected CAPD site

  1. List your main differentials for this man’s symptoms and signs.
  2. In the case of infection, what organisms should you consider?
  3. How will you approach analgesia for this man?