Check out today’s Step 2 CK Qmax Question Challenge.
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A 76-year-old man is admitted to the hospital because of a change in mental status and fever. His past medical history is remarkable for hypertension and an enlarged prostate. His temperature is 39.2°C (102.6°F), pulse is 125/min, blood pressure 78/45 mm Hg, and oxygen saturation on room air is 97%. His skin is very warm without diaphoresis. His cardiac and lung examinations are normal. He is confused and agitated, but a neurologic examination reveals no focal findings. His hemoglobin is 15 g/dL and his WBC count is 27,700/mm³. Urine output over the past 4 hours is 60 mL; the urine is dark and cloudy with bacteria and multiple WBCs. X-ray of the chest is normal. An ECG shows sinus tachycardia without signs of ischemic changes or infarction.
Which of the following hemodynamic states would most likely be found in this patient?
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