67 years old man k/c/o HTN and DM , was brought by the family with h/o altered mental status. He have been recently discharged from hospital after ischemic stroke and was under traditional treatment at home for the last 3 days . Family deny h/o trauma , fever , or GI symptoms. No h/o taking extra medication as well.
Clinically :
The patient is drowsy , GCS: 12/15 , pupils : b/l normal size and reactive
Vitals: HR: 110 , bp: 150/70 , spo2: 95% in R.A , afebrile, blood sugar is 15 mmol/l
Rest of exam is unremarkable , apart from residual lt side weakness
ECG: sinus tachycardia , normal QRS and QT, no ischemic changes
CT brain was done and showed old infarction , no acute insult
ABG is below
Q1: What is your finding and what are the expected clinical manifestations?
Q2: How you will manage this patient?
A blessing Friday
thanks for sharing such a great case.
I agree with Abdulmajeed, by the way we call it (Kanan), where people using over wrapping and sometimes putting hot water on the blankets and some of them are firing a charcoal to add on the temperature of the ambient air specially in winter.
I would add heat exhaustion and dehydration to my DDx.