Author: Ceara Harbinson / Editor: Steve Fordham / Reviewer: Chris Wearmouth, Phil Delbridge / Codes: A4, CC1 / Published: 09/06/2023
A 35-year-old lady is brought to the Emergency Department (ED) by her husband after developing acute confusion, vomiting and unsteadiness on her feet.
At triage she is noted to be drowsy and disorientated, and is moved to a Majors bed.
She is afebrile, HR 70, BP 110/70, RR 25 and O2 Sats 98% on air. Her ECG is normal SR.
On initial neurological examination she is drowsy with a GCS of 13 (E3, V4, M6), pupils are reactive and equal, BM 5.5. She has no gross lateralising CNS or PNS neurology but is disorientated to place and time and scores an AMT of 6/10.
