Loss of Consciousness in a 50-yr-old Man

Test Results 2

Results of appropriate studies and additional information gathering show the following:


Blood:

Test (units) Result Results (SI Units)
Hemoglobin 15.2 g/dL 152 g/L
Hematocrit 45.4% N/A
WBC count 9700/mcL 9.7 x 109/L
  • Serum chemistry profile: Normal
  • ECG: Sinus rhythm; no signs of arrhythmia or ischemia

The patient’s family has now arrived at the hospital. They state that:

  • Medical history: Osteoarthritis; intermittent, well-controlled asthma; no recent hospitalizations
  • Surgical history: Tonsillectomy during childhood
  • Medications: Albuterol inhaler as needed, OTC fish oil capsules, aspirin as needed
  • Allergies: No known drug allergies
  • Family history: Noncontributory
  • Social history: Social drinker; no other recreational drug use, never smoked cigarettes or used tobacco. No recent travel. Is employed as an attorney, married with children.

Re-examination shows patient is now awake, alert, and complaining only of mild headache. Repeat temperature is 37° C. Repeat neurologic exam shows normal gait, balance, and motor function, but with subtle dysdiadochokinesia in the left upper extremity. Monitor has continued to show normal sinus rhythm in the 80s.