Old Female with Acute Confusion Delirium, UTI &
Metabolic Imbalance Workup – Class 6550-2026/2027
Updated.
Section 1: Case Overview & Problem Statement
A 55-year-old female presents to the emergency department with acute confusion.
The clinician must rapidly identify the cause of altered mental status, prioritizing life-
threatening etiologies such as infection, metabolic imbalance, and neurologic compromise.
This case focuses on delirium recognition, UTI identification, and metabolic stabilization.
,Section 2: Learning Objectives
- Recognize delirium vs dementia
- Identify UTI as a cause of acute confusion
- Interpret labs for metabolic imbalance
- Develop evidence-based management plan
- Create comprehensive SOAP documentation
,Section 3: Patient Demographics & Vitals
Age: 55 years
Sex: Female
Setting: Emergency Department
Temp: 38.5°C
HR: 110 bpm
RR: 22
BP: 98/60
SpO2: 95%
, Section 4: HPI (OLDCARTS)
Onset: Acute within 24 hours
Location: Neurologic/systemic
Duration: Continuous
Character: Confusion, disorientation
Aggravating: Infection, dehydration
Relieving: None
Timing: Constant
Severity: Severe cognitive impairment