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- W2100067444 abstract "Dr. Tami O. Tiamfook-Morgan: Today's case is that of an 86-year-old woman who was transferred from a nearby rehabilitation hospital for bradycardia and confusion. According to the rehabilitation records, the patient had recently experienced poor appetite with decreased food and liquid intake. On the day of presentation, she was found to have a heart rate of 30 beats/min and decreased mental status; she was transferred to our facility. On arrival in the Emergency Department (ED), she was confused and unable to give additional history. The past medical history was most notable for coronary artery disease, congestive heart failure, mitral valve replacement, paroxysmal atrial fibrillation, chronic renal insufficiency, hypertension, hypercholesterolemia, and peripheral vascular disease. The first recorded vitals signs in the ED were: temperature 36.7°C (98.0°F), blood pressure 101/54 mm Hg, heart rate 34 beats/min, respiratory rate 16 breaths/min, and oxygen saturation 96% on room area. She was an elderly woman who was confused, with intermittent agitation. Examination of the head and neck was normal. Lungs were clear; heart sounds were irregular and slow. The abdomen was soft, non-tender, and without masses. The back was non-tender. Extremities were thin, with symmetrical 1+ pulses. Neurological examination revealed confusion and repetitive questioning. The patient was unable to answer questions. Cranial nerves were normal, strength and sensation were grossly intact, and gait was not tested. Are there any questions about the initial presentation?" @default.
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- W2100067444 date "2008-05-01" @default.
- W2100067444 modified "2023-09-26" @default.
- W2100067444 title "Bradycardia and Confusion" @default.
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- W2100067444 doi "https://doi.org/10.1016/j.jemermed.2008.03.001" @default.
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