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Case 1 

Case 1
Chapter:
Case 1
Author(s):

Alissa J. Walsh

, Otto C. Buchel

, Jane Collier

, and Simon P.L. Travis

DOI:
10.1093/med/9780199557899.003.01
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date: 23 August 2019

A 22-year-old male porter from South Africa was admitted to hospital after being found by his landlord with confusion. On arrival at the hospital his Glasgow Coma Score was 13. He was apyrexial, with a blood glucose of 5.4mmol/L, pulse rate 60 beats/min and regular, and blood pressure 114/58mmHg. Heart sounds were normal and his chest was clear. He was noted to be jaundiced. Asterixis was present. There were no focal neurological signs. There were no spider naevi, muscle wasting, or gynaecomastia.

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