It is a busy evening shift and you have been asked to urgently review a 29-year-old man who has presented with fever and severe groin pain. He has a background of polysubstance misuse and aggressive behaviour. You note track marks in his cubital fossae. On initial assessment he appears agitated with the following vitals :

  • Temp 38.5 HR 120 BP 120/60 RR 24 Sats 98% RA

Fever and groin pain

1. What is the most CONCERNING diagnosis? 1 mark

2. Briefly outline (5) important steps in managing this patient 5 marks

3. In addition to the above, list (6) complications associated with intravenous drug use 1 mark