Abstract

No abstract available. Manuscript truncated after the first page. History of Present Illness A 62-year-old man and his 61-year-old wife were brought to Emergency Department by family who reported “they’re not acting right”. Both complain of headache, weakness, tiredness, trouble with daily activities and memory difficulties. PMH, SH, and FH They live in a log cabin in a rural area near Payson. The man had a history of myocardial infarction and was post-op percutaneous intervention with stenting 3 years ago. There was no significant PMH in the woman. Both are retired. Neither drank alcohol to excess or smoked. Meds (man only): Enteric-coated aspirin Metoprolol Atorvostatin Physical Examination Vital signs in both are normal Both are oriented X 3 but sluggish and slow to answer. Physical examination is otherwise unremarkable in both. What should be done at this time? 1. CBC, BMP, ABGs 2. CXR 3. EKG 4. 1 and 3 5. All of the above …

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