An 82-year-old man presents with confusion that has worsened progressively over the past 2 weeks. Because of his confusion and the fact that he is hearing impaired, you obtain the majority of your medical history information from his daughter. She tells you that her father has high blood pressure but refuses to take medication for it. She also tells you that she thinks he fell about 3 weeks ago, although he denies falling. The patient's blood pressure is 168/98 mm Hg, pulse rate is 60 beats/min and occasionally irregular, and respirations are 22 breaths/min and regular. This patient MOST likely:
A) has an acute onset of dementia.
B) is experiencing a subdural hematoma.
C) had a stroke secondary to atrial fibrillation.
D) has normal age-related physiologic changes.
Ans: B) is experiencing a subdural hematoma.
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