2 Days Of Dysuria in Medicine / Internal Medicine — 71yo Man | Infectious Diseases | SMLE Q#17531
SMLE Question #17531
Medicine / Internal Medicine
Infectious Diseases
Objective: OBJ-UTI-DELIRIUM-001
Last updated: February 2026
A 71-year-old man presents with 2 days of dysuria, urinary frequency, and fever. He is admitted for suspected urinary tract infection. Several hours later, he becomes acutely confused with impaired short-term memory. He has no headache, neck stiffness, focal neurologic deficits, or recent medication changes. A prior brain MRI for memory complaints showed diffuse cortical atrophy. What is the most appropriate intervention to correct his acute neurological symptoms?
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