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A 59-year-old patient presents with fever and agitation...

asked Nov 14, 2015 in Medicine by Rajesh Bahara

[Medicine MCQs Q2142]

A 59-year-old patient presents with fever and agitation. On physical examination, his temperature is 103.2°F. His respirations are 26/min, pulse 126/min, and blood pressure is 100/70 mm Hg. He appears to be warm and flushed. A Swan-Ganz catheter is inserted that demonstrates an increased cardiac output, a decreased peripheral vascular resistance (vasodilation), and a normal pulmonary capillary wedge pressure (PCWP). The patient’s urine gram stain reveals pyuria and gram-negative rods. Which of the following is the most likely diagnosis?

  1. Late septic shock

  2. Early septic shock

  3. Cardiogenic shock

  4. Hypovolemic shock

  5. Neurogenic shock 


1 Answer

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b. Early septic shock
answered Nov 14, 2015 by Rajesh Bahara

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