Sepsis (pediatrics) Quiz: Ace Your Exams
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A 14-year-old girl presents with her parents to the emergency department for evaluation of fever and lethargy. Parents state the patient has had a headache over the past three days, and today she said she was too tired to get out of bed. She has had decreased oral intake. The patient has no significant past medical history; but, parents report that vaccinations are not up-to-date. Patient is febrile, blood pressure is 107/64 mmHg, pulse is 115/min, respiratory rate is 26/min, and oxygen saturation is 96% on room air. The patient is ill-appearing and complains of a headache and neck stiffness. She is tachypneic with rapid, shallow breathing. However, the lungs are clear to auscultation bilaterally. A purpuric rash is appreciated over the trunk. Intravenous fluids and empiric antibiotics are started based on the most likely diagnosis. Which of the following additional findings would be an indication of septic shock?
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