2nd September 2020

An 83 year old woman is found by her son on the floor of her bungalow

An 83 year old woman is found by her son on the floor of her bungalow. No one has visited her for 48 hours prior to this and she smells strongly of urine. When taken to the emergency department she complains of tenderness in her legs on examination. When a catheter is inserted dark, strong smelling urine is collected. 

For the patient above, please select the SINGLE most likely diagnosis. Select ONE option from the list above.