How To Develop Your Skill For Great Success And Happiness Including Become CPA? | Additional special tips From Admin
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Abnormal Eye Movement and Agitated Delirium in a 26-Year-Old
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Caroline Tschibelu, MD
January 20, 2021
Editor’s Note:
The Case Challenge series includes difficult-to-diagnose conditions, some of which are not frequently encountered by most clinicians but are nonetheless important to accurately recognize. 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, please contact us.
A 26-year-old woman presents to the emergency department (ED) with confusion, agitation, sweating, and abnormal involuntary eye movement (diaphoresis and ocular clonus). The symptoms started the previous week; they were mild at first, and the patient attributed them to a heat wave in the city all week long.
The patient felt worse as the week went on and decided to come to the ED because she was not feeling better that morning. She started sweating profusely in the middle of the night, felt her leg muscles become stiff, and was increasingly nauseous. Her fiancé insisted she go to the ED as early as possible because she seemed agitated and confused, pacing around the apartment instead of taking a shower.
The patient’s history is reviewed with her fiancé. She has a history of depression, for which she takes fluoxetine; her dose was increased by her psychiatrist 1 month ago. For migraines, she takes sumatriptan and ondansetron. Because her headaches have recently worsened, her neurologist started her on tramadol. She also has had a cough, for which she self-medicated with dextromethorphan. The remainder of her medical history is noncontributory.
She does not smoke, denies drugs and alcohol use, and has no allergies or family history of other significant illness.
Medscape © 2021 WebMD, LLC
Any views expressed above are the author’s own and do not necessarily reflect the views of WebMD or Medscape.
Cite this: Caroline Tschibelu. Abnormal Eye Movement and Agitated Delirium in a 26-Year-Old – Medscape – Jan 20, 2021.
House Staff, Department of Emergency Medicine, Robert Wood Johnson University Hospital, New Brunswick, New Jersey
Disclosure: Caroline Tschibelu, MD, has disclosed no relevant financial relationships.
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Abnormal Eye Movement and Agitated Delirium in a 26-Year-Old
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A note for you if you pursue CPA licence, KEEP PRACTICE with the MANY WONDER HELPS I showed you. Make sure to check your works after solving simulations. If a Cashflow statement or your consolidation statement is balanced, you know you pass right after sitting for the exams. I hope my information are great and helpful. Implement them. They worked for me. Hey.... turn gray hair to black also guys. Do not forget HEALTH?
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