tag:blogger.com,1999:blog-12660458.post116042376173830828..comments2023-09-01T10:33:09.297-04:00Comments on Pulmonary Roundtable: Change in mental statusUnknownnoreply@blogger.comBlogger5125tag:blogger.com,1999:blog-12660458.post-74923378257518598072008-01-30T11:53:00.000-05:002008-01-30T11:53:00.000-05:00you pt mental status decline was related to his pr...you pt mental status decline was related to his profound hyponatremia. find the cause of the hyponatremia and reverse it, tx with 3% NaCl to slowly bring the level upAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-12660458.post-1160522293086493862006-10-10T19:18:00.000-04:002006-10-10T19:18:00.000-04:00glucose normal. ABG normal. Confusion was that h...glucose normal. ABG normal. Confusion was that he did established eye contact but did not respond to questions. He followed simple commands but was non verbal.<BR/>As for the comment on the abnormalitiy seen on the lateral view, I noticed the same thing (and I thought the right hilar area looked a bit full so I got a CT. I'll post the images tomorrow when I get in.Jenningshttps://www.blogger.com/profile/04930453447603683057noreply@blogger.comtag:blogger.com,1999:blog-12660458.post-1160487349012442772006-10-10T09:35:00.000-04:002006-10-10T09:35:00.000-04:00Confused in what way? Any s/s of autonomic instab...Confused in what way? Any s/s of autonomic instability to suggest alcohol withdrawl/DT's? Was his blood suger normal during the confused episode, are is he diabetic and the low glucose is pseudohyponatremia...<BR/><BR/>If this was Legionella, one of the four previous antibiotic courses should have treated it. Hard to pin this on a bacterial infection, although any viral encephalitis could cause waxing and waning mental status. Doesn't explain the cough, though.<BR/><BR/>Did you consider Blasto?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-12660458.post-1160434500869478082006-10-09T18:55:00.000-04:002006-10-09T18:55:00.000-04:00Is that a pseudo-tumor on the R on the lateral vie...Is that a pseudo-tumor on the R on the lateral view?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-12660458.post-1160434418252087492006-10-09T18:53:00.000-04:002006-10-09T18:53:00.000-04:00ABG?ABG?Anonymousnoreply@blogger.com