Too High

Multisystem Processes & Disorders

Step 1: View Clinicals

{"ops":[{"insert":"A 61 year old african-american woman presents with nausea, vomiting, and confusion for 3 days, which markedly worsened today. There was no history of fever, headache, trauma, or urinary or bowel symptoms.\n\nShe was in apparent good health immediately prior to this, with her only comorbidity being type 2 diabetes mellitus for 5 years, which was well controlled on metformin 850 mg twice a day alone.\n\nHer random capillary glucose is 100 mg\/dl. Her full blood count, liver function tests, amylase and lipase, urinalysis, ecg, chest x-ray and plain CT brain are found to be normal.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-165_en.png"}},{"insert":"\n"}]}

Step 2: Order Relevant Investigations

1. Renal Functions & Electrolytes
2. Arterial Blood Gases
3. Toxicology Screen
4. CPK, Lactate, Ketone Bodies

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