HY USMLE Q #935 – Shock

A 74-year-old woman is brought to hospital after being found by the bottom of the stairs by her husband. On examination she demonstrates mild confusion. She reports left hip pain. Vitals are: temperature 100.5F, HR 100, RR 16, BP 80/50.

Cardiac output:                                                                                            Low
Pulmonary capillary wedge pressure:                                            Normal
Systemic vascular resistance                                                               High

Which of the following is the most likely explanation for this patient’s findings?

  Early septic shock
  Late septic shock
  Hypovolemia
  Silent myocardial infarction
  Spinal cord injury