[Solved]: A 63-year-old male patient (he/him) presents to the…

A 63-year-old male patient (he/him) presents to the ER by ambulance with a fever of 39.0C, HR 117, RR24, and BP 96/60. He describes a lot of groin pain. The groin pain started 2 days ago out of the blue. The patient describes the pain as a sharp, stabbing sensation in both groins and bilaterally in the lower abdomen and rates it an 8/10. The pain radiates towards his anal area, and he describes it as “really uncomfortable.” The pain is constant and has not eased up. He has a past medical history of type 1 diabetes and hypertension. He is taking Humulin N insulin bid and Humulin R sliding scale prn. amlodipine, and a thiazide diuretic for his hypertension.Key Assessment Findings: Patent airway, bilateral symmetrical breath sounds with normal chest rise and chest is clear on auscultation, 1 peripheral pulses, delayed capillary refill, and tachycardia. There is diffuse tenderness to the groin on both sides and the perineum. Mild redness to the skin; there is crepitus when the skin is palpated. There is no CVA tenderness.The patient is tired yet anxious, and the speech is clear.Diagnostic Findings: A renal ultrasound shows no hydronephrosis bilaterally. An ultrasound of the soft tissue of the groin and perineum shows superficial cobble stoning, possibly consistent with necrotizing fasciitis.Abnormal Lab Values: WBC: 23.7 times 103 (4-10); Sodium 131 mmol/L(135-145); Elevated BUN and Creatinine; and Glucose of 20.9 mmol/I. His lactate is at a critical level of 6.3mmol/L. Urinalysis is positive for leukocytes and nitrates.Question 1: Describe, using data from the case 1 peer-reviewed article source and 1 textbook source what type of acute renal failure this patient is experiencing and possible contributing causes.Question 2: Based on the data, identify two possible differential diagnoses that may apply to this patient.Question 3: Name three priority interventions that would be needed to stabilize this patent and rationale.Question 4: Name three appropriate pharmacological interventions that may be critical in this situation with rationale.Question 5: Which specialty or type of specialist would the health care provider need to consult with first? Provide rationale.