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PT Case Study X is a 55 year old male h/o MRDD who presents with sepsis 2/2 intraabdominal free air. Pt had recent peg tube placement at another hospital 5 days ago. Per family patient has had increased work of breathing over last 24 hours, was intubated by EMS on route. CT was obtained upon arrival to ED which showed intraabdominal free air, bowel dilation, and large stool burden. Patient was admitted to ICU with sepsis pathway orders started.Patient underwent emergent exploratory laparotomy with repair of perforated viscous. PTA patient was able to ambulate on level surfaces with FWW and with one person assist.Patient has been dependent for all basic ADL and IADL activities.Patients mother is the primary caregiver.Mother states

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