In June 2017, a middle-aged alcoholic man was evaluated at an emergency department for obtundation
, bloody emesis, fever (39.6[degrees]C), and respiratory distress.
On the sixth day after febrile onset, she began with photophobia, dysphagia, obtundation
; and later, generalized tonic-clonic seizures, for which she was transferred to the General Hospital Agostin O'Horan in Merida.
of this reflex response remains a major concern for the anaesthesiologist.
These changes vary widely, from mild confusion and drowsiness to obtundation
People who have overdosed on opioids generally present with evidence of obtundation
, miosis, and difficulty breathing.
As overt symptoms such as seizure and obtundation
are usually expected with much lower (i.e., < 115 mEq/L) serum N[a.sup.+] levels (17), we did not observe serious neurological complications due to the decreased serum N[a.sup.+] levels.
He said that warning signs included severe abdominal pain, persistent vomiting, marked change in temperature from fever to hypothermia, haemorrhagic manifestations, change in mental status like irritability, confusion or obtundation
In this setting, rapid correction to reverse clinical symptoms (seizures, obtundation
) can be best accomplished by continuous HTS infusion at higher rates.
All fatal cases were complicated by neurologic manifestations, including seizures, obtundation
, and uncal herniation," a finding that is consistent with the literature, the authors said.
The metabolic acidosis and hypoglycemia may explain the lethargy and obtundation
often seen in PA patients.
Despite being treated for 2 days with intravenous ceftriaxone and normal saline in a high dependency unit, she developed progressive obtundation
and needed ventilator support.
We present a case of sporadic insulinoma in a yo ung, 24-year-old female patient, who presented witl a 2-month history of episodic shaking, diaphoresis increased hunger, confusion, obtundation
and fainting Symptoms of neuroglycopenia were predominant, sc the family members reported that the patient has un dergone a personality change.