A 37-year-old male presents to the emergency department with shortness of breath. He reports a productive cough with green sputum and generalized fatigue. On examination, his temperature is 35°C, respiratory rate is 22 breaths per minute, and blood pressure is 120/80 mmHg. Imaging shows right lower lobe consolidation. He has passed 400 mL of urine. What is the most appropriate classification?
سؤال مجاني 1 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: C. Severe sepsis
The course uses the SIRS-based definitions. He has SIRS (temperature <36 °C, RR >20) plus an infection (RLL pneumonia) = sepsis, and the low urine output (400 mL, read as oliguria) is organ dysfunction (kidney), which makes it severe sepsis. It is not septic shock because his BP is normal (120/80) with no refractory hypotension.
ليش كل خيار صح أو غلط
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A
ليش غلط
SIRS (two or more of temperature <36 or >38, HR >90, RR >20, abnormal WBC) is only the starting point. He also has a documented infection and organ dysfunction, so he is beyond SIRS.
✓ Inefctious Diseases 🦠.pdf · p. 14 -
B
ليش غلط
Sepsis is SIRS plus a confirmed or presumed infection. He has that, but his low urine output is organ dysfunction, which makes it severe sepsis.
✓ Inefctious Diseases 🦠.pdf · p. 14 -
C
ليش صح
Severe sepsis is SIRS plus infection plus organ dysfunction; oliguria (400 mL urine) is kidney dysfunction. His temperature (<36) and RR (>20) are the SIRS criteria, and pneumonia is the infection.
✓ Inefctious Diseases 🦠.pdf · p. 14 -
D
ليش غلط
Septic shock is severe sepsis plus refractory hypotension. His blood pressure is normal (120/80).
✓ Inefctious Diseases 🦠.pdf · p. 14
- المصدر
- Inefctious Diseases 🦠.pdf · p. 14
- المحاضرة
- Sepsis & Septic Shock · Infectious Diseases · Module B
- ظهر في
- MED43 ♀ Quiz B · MED43 ♀ Compre