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Review Question - QID 220422

QID 220422 (Type "220422" in App Search)
A 19-year-old cross-country runner is brought to the medical tent after collapsing during a race on a hot and humid day. He is sweating profusely, complaining of dizziness and nausea, and appears fatigued. His rectal temperature is 39.2°C (102.6°F), and he is alert but feeling weak. Another athlete is brought in shortly after with confusion, dry skin, and a rectal temperature of 41.3°C (106.3°F). What key feature differentiates heat stroke from heat exhaustion?