Confounded

Cardiovascular System


Step 1: View Clinicals

{"ops":[{"insert":"A 78 year old man who lives alone is brought in confused and disoriented.\n\nHe was supposedly normal one week ago, after which he started feeling generally unwell, with a poor appetite. He also experienced several episodes of nausea and vomiting.\n\nHe is on treatment for stable ischemic heart disease and atrial fibrillation with Telmisartan, Bisoprolol, Rosuvastatin, Digoxin and Warfarin.\n\nA full blood count, urinalysis and chest X-ray are normal. His INR is 2.0\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-025_en.png"}},{"insert":"\n"}]}

Step 2: Order Relevant Investigations

1. Metabolic panel
2. ECG
3. CT Brain
4. Serum Digoxin Level

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