VCBC Wilfred Price Patient Case Study
Questions and Answers | Complete Case
Analysis
Patient Overview
Name: Wilfred Price
Age: 78
DOB: June 19, 1947
Gender: Male
Allergies: No known drug allergies (reports cats cause wheezing)
Weight: 62 kg (136.7 lb)
Height: 185 cm (6’1”)
BMI: 18.1 (underweight)
SUBJECTIVE DATA
Chief Complaint
“I don’t feel very well at all.”
“I feel a bit odd.”
“Is it time to go home yet?”
“Whatever you say… I don’t feel my best.”
Patient repeatedly asks where he is and if he can go home. Unable to reliably describe
symptoms due to confusion.
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.
Questions and Answers | Complete Case
Analysis
Patient Overview
Name: Wilfred Price
Age: 78
DOB: June 19, 1947
Gender: Male
Allergies: No known drug allergies (reports cats cause wheezing)
Weight: 62 kg (136.7 lb)
Height: 185 cm (6’1”)
BMI: 18.1 (underweight)
SUBJECTIVE DATA
Chief Complaint
“I don’t feel very well at all.”
“I feel a bit odd.”
“Is it time to go home yet?”
“Whatever you say… I don’t feel my best.”
Patient repeatedly asks where he is and if he can go home. Unable to reliably describe
symptoms due to confusion.
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.
