A 78-year-old male suffering from a chief complaint of confusion from several hours is admitted to hospital. He was given one ampule of D50 by the EMS and was admitted for a D10W IV drip and evaluation. PMH - Diabetes type 2, chronic renal insufficiency, and hypertension Physical examination - VS 36.5-80-14-153/83, Chest- CVS, abdomen- WNL, Neuro- AAO x 3, nonfocal.
Medications – Furosemide, glyburide, rosiglitazone, aspirin, famotidine Laboratory findings - At baseline, BUN 25 mg/dL, Cr 2.3 mg/dL Fig 1- Electrical alternans What could be the final diagnosis for this patient? * This case is from Docplexus Editorial Team for educative purpose only.
