You have been called to a residence of a diabetic patient with altered mental status. A family member states she could not reach the patient by telephone, so she came over and found the patient awake but confused. The patient can remember his name and address, but cannot remember the day or year. He refuses to go to the hospital, but consents to an assessment. Of the following physical exam findings, which one is most concerning?

Question

Quizplus · Accepted Answer

The bruise to the left temple could indicate a possible head injury, which could be the cause of the altered mental status. This would require further evaluation and possible treatment, including a referral to the hospital. The other physical exam findings (blood glucose level, SpO₂, and heart rate) are within normal range and may not be the cause of the patient's confusion.

You Have Been Called to a Residence of a Diabetic