Medicine

Last updated on: September 15th, 2020

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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.

Confounded

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A 78 year old man who lives alone is brought in confused and disoriented.


He was supposedly normal one week ago, after which he started feeling generally unwell, with a poor appetite. He also experienced several episodes of nausea and vomiting.


He is on treatment for stable ischemic heart disease and atrial fibrillation with Telmisartan, Bisoprolol, Rosuvastatin, Digoxin and Warfarin.


A full blood count, urinalysis and chest X-ray are normal. His INR is 2.0


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