MRCP2-3033

You are summoned to a general medical ward during the night to assess a 49 year old female who has suddenly become agitated and disoriented. She was admitted to the hospital two days ago with a suspected urinary tract infection and has been recovering without incident. The patient has a medical history of a traumatic spinal injury at level C5 that occurred three years ago, resulting in spastic quadriparesis. Upon your arrival, her blood pressure is 220/105 mmHg, heart rate is 55/min, and she appears flushed and sweaty.

What additional symptom might you anticipate observing?