VCBC WILFRED PRICE PATIENT CASE STUDY QUESTIONS AND ANSWERS
|COMPLETE CASE ANALYSIS|COMPLETE SOLUTION| 2026 VERSION.
History of Present Illness
Wilfred was admitted yesterday evening with failure to thrive after a reported fall at home and
concerns for malnutrition, dehydration, and electrolyte imbalance. On admission he was
oriented; however, today he demonstrates an acute change in mental status with confusion,
disorientation, and inability to answer basic questions.
He now presents with fever, hypotension, tachycardia, suprapubic abdominal tenderness, and a
history of urinary incontinence and strong urine odor in his apartment. These findings are
concerning
for urinary tract infection with progression to sepsis, resulting in impaired systemic
perfusion and acute delirium.
, Past Medical History
Wilfred’s chronicillnesses and frailty place him at high risk for infection, dehydration, and
physiologic deterioration.
« Benign prostatic hyperplasia (BPH)
« Chronic obstructive pulmonary disease (COPD)
+ Hypertension
« Osteoarthritis
« Failure to thrive / malnutrition
Medications (Home / Inpatient)
The patient’s medications address chronic respiratory
and cardiovascular conditions, urinary
retention, and acute infection.
« Amlodipine 5 mg PO daily
« Tamsulosin 0.4 mg PO daily
« Tiotropium (Spiriva) 18 mcg inhaled daily
« Symbicort inhaler BID
« Parenteral vitamins B & C (Pabrinex) IV daily
« PRN Acetaminophen 500 mg PO
« PRN Albuterol MDI
Acute Medications Administered
« Gentamicin 7 mg/kg IV
« Cefuroxime 750 mg IV
« Acetaminophen1gIV
« 0.9% Normal Saline 1 L IV bolus
|COMPLETE CASE ANALYSIS|COMPLETE SOLUTION| 2026 VERSION.
History of Present Illness
Wilfred was admitted yesterday evening with failure to thrive after a reported fall at home and
concerns for malnutrition, dehydration, and electrolyte imbalance. On admission he was
oriented; however, today he demonstrates an acute change in mental status with confusion,
disorientation, and inability to answer basic questions.
He now presents with fever, hypotension, tachycardia, suprapubic abdominal tenderness, and a
history of urinary incontinence and strong urine odor in his apartment. These findings are
concerning
for urinary tract infection with progression to sepsis, resulting in impaired systemic
perfusion and acute delirium.
, Past Medical History
Wilfred’s chronicillnesses and frailty place him at high risk for infection, dehydration, and
physiologic deterioration.
« Benign prostatic hyperplasia (BPH)
« Chronic obstructive pulmonary disease (COPD)
+ Hypertension
« Osteoarthritis
« Failure to thrive / malnutrition
Medications (Home / Inpatient)
The patient’s medications address chronic respiratory
and cardiovascular conditions, urinary
retention, and acute infection.
« Amlodipine 5 mg PO daily
« Tamsulosin 0.4 mg PO daily
« Tiotropium (Spiriva) 18 mcg inhaled daily
« Symbicort inhaler BID
« Parenteral vitamins B & C (Pabrinex) IV daily
« PRN Acetaminophen 500 mg PO
« PRN Albuterol MDI
Acute Medications Administered
« Gentamicin 7 mg/kg IV
« Cefuroxime 750 mg IV
« Acetaminophen1gIV
« 0.9% Normal Saline 1 L IV bolus
