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Clerkshift

A case from the library

Sudden confusion on the ward in a 64-year-old woman

PsychiatryMedium

Elisabeth Brandt

64 years · Female

Vitals

Heart rate
108 bpm
Blood pressure
156/92 mmHg
Resp. rate
20 /min
SpO₂
98%
Temperature
99.3 °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 Journal of Medical Case Reports, 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.