Question 12 · LEK · Delirium

An emergency medical ambulance has been called for a 71-year-old patient who passed out. On examination: heart rate 85/min., blood pressure 100/60 mmHg, the ECG - normal, sodium: 130 mmol/L, potassium: 3 mmol/L, height 165 cm, weight 65 kg. Abnormal allopsychic orientation, normal autopsychic orientation, the patient has auditory hallucinations and is susceptible to suggestion. The emergency team should:

  1. A. transport the patient to the psychiatric ward.
  2. B. transport the patient to the ward for internal diseases.
  3. C. transport the patient to the emergency room.
  4. D. left the patient at home and recommend a visit to the family doctor.
  5. E. left the patient at home and recommend a visit to the outpatient psychiatric clinic.
Hint

Sudden disorientation and hallucinations in an elderly person with electrolyte disturbances suggest a somatic cause needing urgent work-up.

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