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A Middle-Aged Woman Is Found Wandering the Streets with an Abnormal

question 930

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A middle-aged woman is found wandering the streets with an abnormal gait.  She is brought to the hospital by police officers.  When asked for identification, the patient mumbles incoherently.  She is not oriented to time or place.  Her temperature is 36.2 C (97.3 F) , blood pressure is 160/100 mm Hg, pulse is 100/min, and respirations are 18/min.  BMI is 17 kg/m2.  Head and neck examination shows bitemporal wasting and dry mucous membranes.  The pupils are 3 mm bilaterally and react slowly to light.  Her neck is supple, and she moves all extremities equally.  Deep-tendon reflexes are symmetrical bilaterally.  Which of the following is the best initial treatment for this patient?

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Definitions:

Canadians

People originating from or living in Canada, a country in North America known for its multicultural society and natural landscapes.

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A demographic group comprising young individuals, typically aged between 10 and 19 years, navigating the transition from childhood to adulthood.

Market

A term describing a place or environment where buyers and sellers interact to exchange goods, services, or information.

Teen Subculture

A subgroup within adolescent society that is distinguished by distinct styles, behaviors, and interests, often as a form of identity or resistance.

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