Elderly nursing home patient presents with altered mental status, fever, hypotension, warm extremities and a positive urinalysis (pyuria if >10 WBC/hpf), most consistent with urosepsis (infection leading to peripheral vasodilation and distributive shock)
Key idea: Distributive shock (anaphylaxis, sepsis, CNS injury) is the only type that will lead to warm and dry skin
Key idea: Patient needs to have symptoms in order to be diagnosed with UTI > Asymptomatic bacteriuria in the setting of a positive urinalysis, but in addition to dysuria and suprapubic tenderness, altered mental status is often attributed to UTI and considered a symptom
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