A previously healthy 45-year-old man is admitted to emergenc

[Ind123]

A previously healthy 45-year-old man is admitted to emergency in a semicomatose state. He responds inappropriately to verbal commands and is rousable with some difficulty. He is lying flat in bed with no signs of respiratory distress, there are no signs of head injury, localizing signs, neck stiffness, temperature is normal and the pupils are equal and reactive.

CASE1: QUESTION 1
At this point, which diagnoses would you consider? List up to three.
1.
2.
3.

CASE1: QUESTION 2
With respect to your diagnosis, while the patient is in the emergency department, which of the following tests would you perform? Select up to five.
1. Blood gases PT/PTT
2. Blood glucose Serum creatinine
3. Chest x-ray Scrum electrolytes
4. Complete blood count Serum osmolality
5. CT scan of the head Skull x-ray
6. Drug screen Stool for occult blood
7. ECG Thyroid function tests
8. EEG Urine electrolytes
9. Gastroscopy urine microscopy
10. Liver function tests X-ray of the spine and pelvis

[mdass.]

CASE1: QUESTION 2
With respect to your diagnosis, while the patient is in the emergency department, which of the following tests would you perform? Select up to five.
1.Blood gases
2.PT/PTT
3.Blood glucose
4.Serum creatinine
5.Chest x-ray
6.Scrum electrolytes
7.Complete blood count
8.Serum osmolality
9.CT scan of the head
10.Skull x-ray
11.Drug screen
12.Stool for occult blood
13..ECG
14..EEG
15.Urine electrolytes
16.Gastroscopy
17urine microscopy
18.Liver function tests
19. X-ray of the spine and pelvis
20.Thyroid function tests

[mdass.]

Q1

1- diabetic hyper/hypoglycemia
2-Alcoholic withrawal
3- post epileptic fit

Q2
1-/blodd glucose
2- drug screen
3- serum electrolyte