Case No. 24

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Case No. 24


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Chief Complaint:

80 year old with vomiting and confusion

Published: May 18, 2017
Author: Medzcool

A 80-year-old male with a past medical history of hypertension, type 2 diabetes, dementia and chronic renal insufficiency is transferred from a long-term care facility with nausea and vomiting. The staff at the facility endorse she over the past few days she has become increasingly confused. On Exam, her vital signs are blood pressure 106/45, pulse 75, respirations 24, temperature 38.9°C (102°F), and oxygen saturation 95% on room air. On initial appearance, patient is somnolent, confused.


Which of the following tests is most likely to reveal the diagnosis?

  • CT of her abdomen and pelvis
  • Chest X-Ray and urinalysis
  • Noncontrast head CT and lumbar puncture
  • Blood Culture
  • Throat culture
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