A 75-Year-Old Man Is Brought to the Emergency Department Due

question 1504

Multiple Choice

A 75-year-old man is brought to the emergency department due to a 2-day history of progressive lethargy and confusion.  His family reports that he has had fatigue and blurred vision over the last several days.  The patient was recently diagnosed with polymyalgia rheumatica and is taking prednisone.  Medical history is notable for diet-controlled type 2 diabetes mellitus, hypertension, and hyperlipidemia.  Temperature is 37.9 C (100.2 F) , blood pressure is 90/60 mm Hg, pulse is 112/min, and respirations are 18/min.  Oral mucous membranes are dry.  The lungs are clear to auscultation, and the heart has a regular tachycardia with no murmur.  The neck is supple.  The patient is somnolent but arousable and moves all extremities equally on command.  Laboratory results are as follows: Urinalysis shows trace ketones.  Which of the following is the most likely cause of this patient's altered sensorium?

• A)Glucocorticoid psychosis
• B)Hyperosmolality
• C)Hyponatremia
• D)Ketoacidosis
• E)Metabolic acidosis
• F)Uremia

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Definitions:

Contractual Liability

The liability that individuals or entities have to one another as a result of entering into an agreement.

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A system of law based on precedent and customs rather than statutory laws.

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Provisions in law that allow courts or parties to fill in missing terms in a contract.

Sale Of Goods

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