A 13-year-old boy. presents to the emergency room by ambulance froma city park. An elderly couple no
A 13-year-old boy. presents to the emergency room by ambulance froma city park. An elderly couple noted his bizarre behavior and called 911. He arrives disoriented and complaining of double vision. He is noted by the triage nurse to have flushed skin and excessive salivation. His parents soon arrive and report that he has been more argumentative over the past month, with occasional erratic behavior and nonsensical speech. They question whether he may be hallucinating at times, because he occasionally reports seeing odd shapes and colors. He has been spending less time at home, hanging out with a new set of ‘unsavory” friends, and asking for more allowance money of late. Also, his grades have dropped significantly over the previous semester. His mother declares no known recent or recurrent illness, and he was given a “clean bill of health” by his family doctor 3 months prior. On physical examination, he has normal vital signs, except for slight tachycardia to 110 beats/min with an occasional irregular rhythm. He is disoriented and exhibits horizontal nystagmus. -What is the most likely diagnosis? -What are the potential complications related to the diagnosis? -What important diagnostic tests should be considered? Health Science Science Nursing NURSING 531 Share QuestionEmailCopy link Comments (0)
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