A 75-year-old female is brought to the Emergency Department…

A 75-year-old female is brought to the Emergency Department by ambulance from a skilled nursing facility for altered mental status. She was found to be disoriented to person, place, and time this morning. She has had reduced oral intake over the past 2 days and was complaining of suprapubic discomfort yesterday. She has a history of diabetes mellitus for which she is on insulin. His temperature is 101.6°F (38.7°C). Physical examination shows marked costovertebral angle tenderness on the right. Serum laboratory results are shown below: Leukocyte count: 15,000 with 15% bandsLactate: 4.4 mmol/L (reference: 0.5-1.0 mmol/L) Which of the following additional findings would also be consistent with sepsis?

A 3-month-old baby girl is brought to the Pediatric clinic b…

A 3-month-old baby girl is brought to the Pediatric clinic by her parents because they are concerned about the infant’s health. They reported that the baby had grown lethargic and weak. They had tried to feed the baby, but she was unresponsive to the presence of the baby bottle or breast-feeding. Physical examination was remarkable for hypotonia of the extremities and flaccid neck. There was a poor gag and suck reflex. Vital signs include normal temperature with a slightly decreased respiration rate. Further questioning of the parents revealed that the infant had been previously induced to bottle feed by coating the nipple with honey. Blood was drawn for toxin studies and came back positive. The honey was also examined for the presence of toxin and found to be positive. Which of the following statements about this condition is TRUE?