case study of patient "H" ALL input is greatly wanted and appreciated. Would like to know if our study groups "patient" diagnosis and prognosis and order of events coincide.

1. Patient is diagnosed with having a malfunctioning tricuspid valve. Pre-op lab work states
bacterial pneumonia, antibiotics ordered, week later, notified antibiotics were wrong ones and
needed to be changed. Heart surgery 3 weeks later. Slight pneumonia remaining.
Patient remains somewhat ill after surgery. Follows up with out patient care for heart. 3 months
later complaining of indigestion and upset stomach and sore throat. Patient waits a week, tips of
ears few fingers and toes turning purple. Some small ulcers on body, slight fever, weak, feet hurt
and right eye is bloody in appearance, both eyes glassy.
At hospital is sent to regional hospital where he is admitted. Within 6 hours he is placed on
ventilator and tests run. Following day is placed on dialysis. Within 3 days of admittance is given
slim chance of survival.
Hands and feet and tips of ears are now charcoal black, and the sores are now larger and appear
as if eating at the flesh.
Family is now told that he will not survive, if he were by chance to survive, he would lose both
legs both hands, genitals, right eye and no eyesight in left eye and would be on dialysis the rest
of his life.
Patients chart states:
Hospital Problem List
(principal) shock circulatory (HCC) priority high
Acute kidney injury (HCC) priority high acute
Purpura fulminans (HCC) priority high
Endocarditis
h/o tricuspid valve replacement, bioprostheticvalve
thrombocytopenia (HCC)
Sepsis (HCC)
Acute respiratory failure (HCC)
Hypocalcemia

2. Hyponatremia
Dry gangrene (HCC)
S/p bilateral above the knee amputation (HCC)
NON-hospital Problem List
Acute bacterial endocarditis
Endocarditis of tricuspid valve
s/p tvr (tricuspid valve replacement)
abnormal ct of liver
pulmonary embolism (HCC)
What was the initial causing factor? And how did these problems evolve one from the other.
Initial diagnosis: D.I.C. with underlying cause of MRSA, .
Is this correct?
Treated with dialysis, amputations of legs and hands, antibiotics and dialudid. All heart medicine
has been stopped.
Is treatment correct?
What is prognosis?