[Answer] You are evaluating an irritable 6-year old girl with mottled skin color. The patient is febrile (40C/104F) and her extemities are cold with capillary refill of 5 seconds. Distal pulses are absent and central pulses are weak. HR is 180/min RR is 45/min. and BP is 98/56 mmHg. How would you categorized this child condition?