Quote:
Originally Posted by Brush Okie
I cant make a differential. I am worried about encephalitis but this is way past my training. Also thinking about bubonic plague with the environmental conditions here. Typhoid perhaps?
As for the altered LOC how is it presenting? When I do a neuro check any paralysis, relflxes ok? Stiff neck or back pain? Pupils? Are their eyes tracking? Weakness or facial drooping? Short term memory loss? Long term memory loss?
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Exam positive for nuchal rigidity! So you nailed the mystery sign!
Short term memory loss and lassitude as noted in PT two. PT 3 is becoming increasingly disoriented and does not know his location.