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Clerkshift

A case from the library

Agitation and confusion in a 29-year-old man

Emergency MedicineMedium

Brett Collins

29 years · Male

Vitals

Heart rate
138 bpm
Blood pressure
91/52 mmHg
Resp. rate
28 /min
SpO₂
95%
Temperature
107 °F

How hard it is

A real-world presentation with one or two atypical features. You'll need targeted questions and the right test to narrow the differential.

The diagnosis is not shown here. Finding it is the case.

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Source

Adapted from a case report published in Case Reports in Nephrology, under the CC BY 4.0 license. The patient's name and some details are invented; the clinical picture follows the report. The report names the diagnosis.