You have been called to a residence of a patient with diabetes who exhibits an altered mental status. A family member states she could not reach the patient by telephone, so she came over and found the patient awake but confused. The patient can remember his name and address, but cannot remember the day or year. He refuses to go to the hospital, but consents to an assessment. Of these physical exam findings discerned on assessment, which one is most concerning?

A) Bruise to the left temple
B) Blood glucose level of 77 mg/dL
C) SpO2 of 95% on room air
D) Heart rate of 82 beats/min


A) Bruise to the left temple

Health Professions

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