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    Subjects/Medicine/Sepsis and Septic Shock
    Sepsis and Septic Shock
    medium
    stethoscope Medicine

    A 38-year-old woman with acute abdomen and suspected peritonitis is evaluated in the emergency department. Initial investigations show elevated WBC, positive blood cultures, and lactate 3.2 mmol/L. She is currently normotensive with adequate urine output after 2 L crystalloid bolus. Which finding would best distinguish her current state as sepsis with organ dysfunction rather than septic shock?

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