Complaints of increased confusion and lethargy

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An 84-year-old female is brought in by family with complaints of increased confusion and lethargy. Patient usually lives alone and is fully functional. Son reports that she has been increasingly confused and sleeping a lot at home. Son denies any fever. Patient complains of pain "all over" and responds to repeated questions with "I think I'm sick" She has a DNR status but wants full treatment at this time. EXAM BP 105/64, HR 115, RR 24, T 96? F, SpO2 92% on room air Patient is alert and oriented to person, however, thinks the year is 1990 PMH: HTN and Diabetes Home Med: Metoprolol, Insulin, Lantus 10mg at bedtime, Calcium NKDA.

Reference no: EM133695875

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