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General Medicine General 417ab7d3

A 26-year-old man is resuscitated with packed red blood cells following a motor vehicle collision complicated by a fractured pelvis and resultant hemorrhage. A few hours later the patient becomes hypotensive with a normal central venous pressure (CVP), oliguric, and febrile. Upon examination, the patient is noted to have profuse oozing of blood from his intravenous (IV) sites. Which of the following is the most likely diagnosis?

A
Hypovolemic shock
B
Acute adrenal insufficiency
C
Gram-negative bacteremia
D
Transfusion reaction

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