Show Summary Details
Page of

Case 5 

Case 5
Chapter:
Case 5
Author(s):

Harutomo Hasegawa

, Matthew Crocker

, and Pawan Singh Minhas

DOI:
10.1093/med/9780199599837.003.0005
Page of

PRINTED FROM OXFORD MEDICINE ONLINE (www.oxfordmedicine.com). © Oxford University Press, 2016. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 22 August 2019

A 27-year-old woman is admitted to hospital after being found collapsed in the bathroom. She had been drinking large quantities of alcohol earlier in the day. Her GCS was 12/15 (E4, V2, M6) at the scene and her pupils were equal and reactive. When she arrived in the emergency department, she was obeying commands but was confused and agitated (GCS E4, V4, M6). There was blood-stained discharge in the left ear. Her blood pressure was 120/60mmHg, her pulse was 85bpm, and oxygen saturation was 100%. Arterial blood gases showed a pH of 7.23, PO2 10.3, PCO2 4.5, bicarbonate 15, and base excess –7. She was intubated for a CT scan (Fig. 5.1).

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.