Paramedics bring a 26-year-old man to the ED with acute-onset altered mental status. He has a history of back pain. An open, unlabeled pillbox was found. An ECG is ordered. What is the diagnosis? MedEd
The Case Challenge series includes difficult-to-diagnose conditions, some of which are not frequently encountered by most clinicians but are nonetheless important to recognize accurately. Test your diagnostic and treatment skills using the following patient scenario and corresponding questions. If you have a case that you would like to suggest for a future Case Challenge, pleaseParamedics bring a 26-year-old man to the emergency department with an acute onset of altered mental status.
The coworkers were aware of the patient's history of chronic back pain, but nothing more. They also reported some recent disciplinary problems at work. He arrives obtunded and is unable to answer any questions or provide any additional history. He is not wearing any medical alert bracelets. The paramedics have brought the pillbox, which contains several types of pills in various amounts.
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