Jack Williams is a septuagenarian male with a history of coronary artery disease
ID: 139614 • Letter: J
Question
Jack Williams is a septuagenarian male with a history of coronary artery disease and hypertension. He comes into your setting with a several day history of fever, headache, and weakness. His wife states that he seemed confused and she was having difficulty understanding what he was saying to her this morning. His vitals were 103o F temperature, BP 96/52, HR 101 bpm, and RR 20/minute. On exam his mental status was drowsy and he was oriented only to person. His neurological exam was non-focal.
What condition(s) are likely based on Mr. William’s symptoms? Give your rationale substantiated with references
Explanation / Answer
The condition that is likely based on Mr. William’s symptoms (Wrotek - 2011);
Dehydration leading to low BP 96/52 due to, overuse of diuretics
Stroke as he seemed confused and there was difficulty understanding what he was saying and his BP 96/52 was low.
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