MICA · General Practice & Urgent Care
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FICTIONAL CASE · SELF-REFLECTION WITHOUT A SCORE
A 79-year-old man presents with weakness and cough for two days. There is no clear fever. His daughter reports unusual confusion and reduced intake; he is breathing faster than usual.
Does the absence of fever justify a diagnosis of minor infection?
No. Confusion and altered breathing may signal severe illness. Obtain all vital signs, assess perfusion and oxygenation, and look for a source, including pneumonia. Suspected sepsis warrants urgent referral; waiting for an inflammatory marker must not delay that decision. Also assess noninfectious causes of confusion.