Mental Status Changes
 
Introduction
Acute Confusion
   Infectious
   Metabolic
Cases
   Headache
   Fever & Confusion
   Focal Weakness
   Nice Doggie
   She's Talking a Lot
   Hemiparesis
   Unconscious
   Police Call

Fifty year-old man with headache and confusion.

Review of systems
  • Moderate use of alcohol.
  • Weight loss over the last three months.
  • No history of surgery.
  • No other significant complaints.
  • The son had to provided much of the history and served as translator.

 

  
Physical exam
  • Stiff neck
  • PERLA
  • No adenopathy
  • Chest clear
  • Abdomen unremarkable

 

Lab values

 
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