Question

78 yo M has 3 day hx lethargy&confusion. 2 episodes of vomiting over last 12 hrs.Had A stroke 5 yrs ago that resulted in dense left-sided hemiplegia. Urine incontinent. T 101.2F. HR 102. Dry oral mucosa. WBC 16500,sodium 124. UA large leukocyte esterase, 50-100 wbcs. Tx?

Answer 1

The patient likely has a urinary tract infection (UTI) with sepsis. Treatment should include broad-spectrum antibiotics, supportive care, and close monitoring of vital signs.

Step-by-step explanation:

The patient presents with lethargy, confusion, vomiting, hemiplegia, urinary incontinence, and fever. The lab results show leukocytosis, hyponatremia, and leukocyte esterase in the urine. Based on these findings, the patient likely has a urinary tract infection (UTI) with sepsis. Treatment should include broad-spectrum antibiotics, supportive care, and close monitoring of vital signs.