piter
Forum Elite
Topics: 34
Posts: 191
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A 42-year-old man who is HIV-positive is being treated for his first episode of Pneumocystis carinii pneumonia on an inpatient medical ward when he begins to become increasingly disoriented, combative, and agitated. Pulse oximetry shows that he is oxygenating at 93% on room air. He is currently receiving nortriptyline for depression and gabapentin for pain due to peripheral neuropathy. He has a history of alcohol abuse for the past several years before hospitalization and a remote history of opioid abuse. Which of the following is the most likely diagnosis?
A. Alcohol withdrawal
B. HIV dementia
C. Hypoxemic encephalopathy
D. Major depressive disorder
E. Multifactorial delirium
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| Hamidi
Forum Guru
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E.
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| dev
Forum Guru
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i think answer is A
dev
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| indlaxman
Forum Elite
Topics: 68
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ans is A
___________________
just do it!!!
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| Hamidi
Forum Guru
Topics: 46
Posts: 471
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also qbank
ans is e.I donot realy understand the explanation thou.Anybody else?
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| piter
Forum Elite
Topics: 34
Posts: 191
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answer is E and explanation is
In a patient such as this with a medical illness, a history of the acute onset of agitation, disorientation, and confusion is consistent with and most suggestive of the diagnosis of delirium.
not really good explanation
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| Dharam
Forum Newbie
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IF you think about it, patient with alcohol withdrawl goes thru, sweating , palpitations, in short tremens.. right.. and this guy seemed more so disoriented, combative etc...so by comparing the two I would pick E
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| Veer-Zaara
Forum Elite
Topics: 16
Posts: 268
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I still feel its alcohol withdrawl.You see all the stuffs mentioned above in alcohol withdrawl.
Multifactorial delirium from what???Whats causing the delirium??
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