A 78-year-old resident of a nursing home is admitted to hospital with confusion, fever, and rigors. Urine dipstick is positive for leucocytes and nitr...

Question

A 78-year-old resident of a nursing home is admitted to hospital with confusion, fever, and rigors. Urine dipstick is positive for leucocytes and nitrites. Blood pressure is 90/50 mmHg, heart rate 120/min, respiratory rate 28/min, temperature $38.9^\circ$C. What is the most likely diagnosis?

Accepted Answer

Urosepsis

Answer

Delirium secondary to constipation

Answer

Hospital-acquired pneumonia

Answer

Stroke

Answer

Hypovolemic shock

ukmla MCQ (SBA): Urosepsis

A 78-year-old resident of a nursing home is admitted to hospital with confusion, fever, and rigors. Urine dipstick is positive for leucocytes and nitrites. Blood pressure is 90/50 mmHg, heart rate 120/min, respiratory rate 28/min, temperature $38.9^\circ$C. What is the most likely diagnosis?