Physical Findings

Stop & Think

Lab and X-Ray

Differential Diagnosis

The Disease

Treatment

Conclusions

Quiz & Evaluation

• Mr. Harvey worked in a local television assembly plant for 36 years. He chose early retirement when the factory relocated to Mexico.
• Both parents are deceased. His father died of lung cancer and his mother had a stroke.
• He has two younger sisters, both in good health.
• He denies the use of alcohol.
• He claims to have smoked one to two packs of cigarettes a day for almost 30 years, but quit two years ago.
• He has had no serious illnesses and only been hospitalized twice. Once for an appendectomy at the age of 12 and then for a broken arm at age 18.
• Until recently, he has never taken medication chronically.
• This was his third "light-headed" episode and only seizure. He had recently raised his insulin dose because his glucometer readings were elevated.