8 doctors weighed in:

What tests would you do for 58-yr old female w/ confusion (diabetes, asthma, anemia, apnea, spider cyst on brain). Had mri, ct, spinal tap, ekg. ?

8 doctors weighed in
Dr. Ed Kaplan
Internal Medicine - Hematology & Oncology
4 doctors agree

In brief: History and Physical

Start with complete h+p and blood tests.
Would especially want to know: thyroid function tests, b12, liver function tests, kidney function tests, etc.

In brief: History and Physical

Start with complete h+p and blood tests.
Would especially want to know: thyroid function tests, b12, liver function tests, kidney function tests, etc.
Dr. Ed Kaplan
Dr. Ed Kaplan
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2 comments
Dr. Steven Ginsberg
Would also like to know the results of already completed testing, and other underlying medical problems. Sounds like perhaps diabetes and complications of morbid obesity may be present.
Dr. William Walsh
Hypoxemia and hypercarbia can lead to major confusion that may clear with time. Weight loss, wearing her CPAP, and avoiding sedating meds will help. If she is obese enough and has had untreated obesity hypoventilation long enough, she may have remodeling of her pulmonary arteries such that she always needs oxygen. That being said other causes of Hypoxemia must be checked, and it sounds like they are.
Dr. William Walsh
Addiction Medicine
2 doctors agree

In brief: Labs

Sodium, calcium, urea, ammonia, illicit and licit drugs, urinalysis, urine, blood, CSF cultures, rarely heavy metals, arsenic, aspirin, etc.

In brief: Labs

Sodium, calcium, urea, ammonia, illicit and licit drugs, urinalysis, urine, blood, CSF cultures, rarely heavy metals, arsenic, aspirin, etc.
Dr. William Walsh
Dr. William Walsh
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