Popis: |
No abstract available. Article truncated after first page. History of Present Illness: A 45-year-old man was brought to the Emergency Room by his mother complaining of weakness, dizziness, and trouble swallowing. He was also incontinent of stool and looked “sunburned”. Past Medical History: He has a past medical history of schizophrenia, depression, polysubstance abuse, Crohn’s disease, type 2 diabetes. Medications: prazosin, venlafaxine, risperidone, buspirone, oxcarbazepine, gabapentin, hydroxyzine, lithium, KCL, metformin, atorvastatin, adalimumab, mesalamine, prednisone, ferrous sulfate. Physical Examination: Vitals: 80 kg / 97.3 degrees / 101 bpm / 100% 28RR / BP 111/72; The patient was toxic appearing and flushed; Oriented to self only, very lethargic; Dry mucous membranes; Lungs clear to auscultation and percussion; Heart tachycardic but no murmurs; Abdomen without organomegaly, masses or tenderness; Extremities without edema. Which of the following should be done at this time? 1. Electrolytes 2. Lumbar puncture 3. Urine drug screen 4. 1 and 3 5. All of the above ... |