Close
13th August 2024
A 75-year-old female is brought to A&E by her husband after she developed confusion
A 75-year-old female is brought to A&E by her husband after she developed confusion. He reports she has been complaining of a worsening headache and dizziness over the last 2 days and 24 hours ago she started vomiting. He reports he also hasn’t been feeling very well over the last 2 days with a headache and nausea. On assessment, the patient is confused but awake. Her observations are as follows: HR 78 bpm, BP 103/66 mmHg, oxygen saturations 91%, RR 20/minute, temperature 36.9 degrees celsius. ECG shows sinus rhythm with no ischaemic changes. A full set of blood tests and ABG are performed initially:
| Hb 129 (115-160) | Na⁺ 137 (135-145) | CRP 7 (<5) | COHb 32% (1-2%) |
| WBC 9.9 (4-11) | K⁺ 3.5 (3.5-5) | pH 7.31 (7.35-7.45) | Lactate 3.0 (0.5-2.2mmol/L) |
| Plts 350 (150-400) | Creatinine 80 (45-84) | pO2 7.7 kPa (10-14) | pCO2 4.6 kPa (4.5-6.0) |
What is the most appropriate initial management?
Select the SINGLE most appropriate option from the list below. Select ONE option only.
Complete Guide to Clinical Genetics ST3 Application and Recruitment (2027)
Written by Medibuddy. Last updated: October 2026. Clinical Genetics is
Complete Guide to Clinical Radiology ST3 Application and Recruitment (2027)
Recruitment paused: NHS England is not running Clinical Radiology ST3+ recru
Complete Guide to Paediatric Surgery ST3 Application and Recruitment in United Kingdom (2026)
Written by Medibuddy. Last updated: October 2026. If you’re planning
Take your subscriptions with you
Our mobile app allows you to access your interview and exam question banks wherever you are.
