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Clerkshift

A case from the library

Feeling unwell and confused in a 59-year-old woman

Emergency MedicineMedium

Gloria Stevens

59 years · Female

Vitals

Heart rate
110 bpm
Blood pressure
90/46 mmHg
Resp. rate
26 /min
SpO₂
97%
Temperature
98.1 °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 Critical Care, 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.