Open AccessPersistent dysphagia and drowisness following collapse in an alcohol-dependent patient
Author(s) -
Richard Bodington,
Anna Werpachowska,
Shoaib Faruqi,
Paul Maliakal
Publication year - 2016
Publication title -
acute medicine
Language(s) - English
Resource type - Journals
eISSN - 1747-4892
pISSN - 1747-4884
DOI - 10.52964/amja.0600
Subject(s) - medicine , dysphagia , emergency department , coma (optics) , confusion , auscultation , glasgow coma scale , neurological examination , pediatrics , surgery , psychiatry , psychoanalysis , optics , psychology , physics
A 58 year old man was brought to the emergency department with acute confusion after being found unconscious on his floor at home. He had a background of alcohol misuse with alcoholic liver disease. He was not taking any regular medications. On examination he smelt of alcohol and was tachycardic at 96 bpm with BP 110/70. The patient’s Glasgow Coma Score was 14, being drowsy but responsive with bilateral lower zone crepitations on auscultation of the chest. Neurological examination revealed generalized reduced muscle bulk but no focal deficits.