MICA · General Practice & Urgent Care
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FICTIONAL CASE · SELF-REFLECTION WITHOUT A SCORE
A 68-year-old woman with fever since yesterday becomes confused. Her extremities are cold and mottled. One blood pressure reading is close to her usual level; her family reports very little urine.
Should escalation wait for clear hypotension?
No. Perfusion abnormalities and confusion already indicate serious illness. Sepsis with organ dysfunction is possible and requires immediate assessment while other causes are considered. Calling the appropriate team, monitoring and communicating the trajectory take priority over waiting for another laboratory result or a lower blood pressure.