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A 76-Year-Old Man Is Brought to the Emergency Department by Ambulance

Question 41

Multiple Choice

A 76-year-old man is brought to the emergency department by ambulance after being found unconscious in his bathroom. His wife reports a 2-day history of fever, dysuria, and flank pain. His temperature is 36.0°C (96.8°F) , pulse is 142/min and regular, respirations are 25/min, and blood pressure is 75/40 mm Hg. On physical examination, the patient appears lethargic, flushed, and diaphoretic.  Neck veins are flat.  The lungs are clear on auscultation and heart sounds are normal.  There is right-sided costovertebral tenderness.  Which of the following hemodynamic parameters are most likely to be present in this patient? A 76-year-old man is brought to the emergency department by ambulance after being found unconscious in his bathroom. His wife reports a 2-day history of fever, dysuria, and flank pain. His temperature is 36.0°C (96.8°F) , pulse is 142/min and regular, respirations are 25/min, and blood pressure is 75/40 mm Hg. On physical examination, the patient appears lethargic, flushed, and diaphoretic.  Neck veins are flat.  The lungs are clear on auscultation and heart sounds are normal.  There is right-sided costovertebral tenderness.  Which of the following hemodynamic parameters are most likely to be present in this patient?   A) A B) B C) C D) D E) E


A) A
B) B
C) C
D) D
E) E

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