By Dr. Stephen Colucciello
The Wild Man
A 40-year-old plaintiff’s attorney from the firm of Shady and Leach presents with a first time seizure.
Medics gave him several rounds of midazolam for agitation during transport and the patient arrives with the following vital signs: BP 185/110, P 135, T 101, R 25, PO 98% and blood glucose 145.
The patient is tremulous and will not follow commands. He is drenched in sweat, intermittently retches and scratches frantically.
Although there are no focal neuro deficits, the patient is hyper-reflexic and looks wildly around the room during the exam. During the physical, he tries to eat your reflex hammer.
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