Last updated on: March 9th, 2022

Hi there!

You’re looking at an interactive case study from Prognosis: Your Diagnosis (one of four distinct learning formats available in Clinical Odyssey). Try it out, and have fun improving your clinical skills.



View details

A 49-year-old man presents with worsening confusion since waking up six hours ago. His wife noticed that his eyes have been yellow-tinged for the same duration.

Further questioning reveals multiple bouts of nausea and vomiting, insomnia, daytime drowsiness, agitation, and irritability during the preceding four days.

His medical and surgical histories are unremarkable. He is not on any medications. There is no history of allergies.

He has regularly consumed an estimated 10 units of alcohol per week for the last two decades and had almost doubled his intake over the last three months, after losing his job as a manual worker. There is no history of promiscuity, recreational drug use, or suicidal ideation or attempts.

A complete blood count is only significant for a hemoglobin level of 10.5 g/dL (normal:11-18). Serum electrolytes and renal functions are within normal parameters.

Want to continue playing?

Subscribe to Clinical Odyssey today.
  • Enjoy unlimited access to 700+ learning modules.
  • Safely improve your skills, anytime and anywhere.
  • Get answers to your follow-up questions from practicing physicians.
Learn more ➜