Featured Long Case: Confusion in an Elderly Female! Treat your patient now!

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70 year old female referred by her General Practitioner

Referred by a general practitioner (GP) who is responsible for the residents in the patient’s nursing home. The GP was asked to review the patient by the nursing staff in the nursing home. They were concerned that she was not well. The nursing staff reported that she has been off her baseline for 24 hours.

She would normally sit out and be very communicative and be able to mobilise with a zimmer frame. However she has been very disorientated for the past day and confined to bed. She is now verbally unresponsive. She has been brought into the emergency department (ED) with a referral letter. The letter says that the GP is concerned that she has a lower respiratory tract infection (LRTI) as her temperature in the nursing home was 39°C (102.2°F).

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