Clinical Reasoning: An 87-year-old man with chronic obstructive pulmonary disease and acute encephalopathy.
From the Department of Neurology (K.S., D.R.), Massachusetts General Hospital and Brigham and Women's Hospital and Harvard Medical School; and Departments of Endocrinology (T.G.) and Neurology (T.F., G.V.H.), Brigham and Women's Hospital, Boston, MA. kspera@partners.org.
Kristyn
K
Spera
From the Department of Neurology (K.S., D.R.), Massachusetts General Hospital and Brigham and Women's Hospital and Harvard Medical School; and Departments of Endocrinology (T.G.) and Neurology (T.F., G.V.H.), Brigham and Women's Hospital, Boston, MA.
Daniel
D
Rubin
From the Department of Neurology (K.S., D.R.), Massachusetts General Hospital and Brigham and Women's Hospital and Harvard Medical School; and Departments of Endocrinology (T.G.) and Neurology (T.F., G.V.H.), Brigham and Women's Hospital, Boston, MA.
Tina
T
Gupta
From the Department of Neurology (K.S., D.R.), Massachusetts General Hospital and Brigham and Women's Hospital and Harvard Medical School; and Departments of Endocrinology (T.G.) and Neurology (T.F., G.V.H.), Brigham and Women's Hospital, Boston, MA.
Tadeu
T
Fantaneanu
From the Department of Neurology (K.S., D.R.), Massachusetts General Hospital and Brigham and Women's Hospital and Harvard Medical School; and Departments of Endocrinology (T.G.) and Neurology (T.F., G.V.H.), Brigham and Women's Hospital, Boston, MA.
Galen V
GV
Henderson
D000208:Acute Disease; D000309:Adrenal Insufficiency / Q000150:complications / Q000175:diagnosis*; D000369:Aged, 80 and over; D001927:Brain Diseases / Q000175:diagnosis* / Q000209:etiology; D000066491:Clinical Decision-Making / Q000379:methods*; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D029424:Pulmonary Disease, Chronic Obstructive
Lancet. 1999 May 15;353(9165):1675-6
10335792
J Am Coll Surg. 1996 Dec;183(6):589-96
8957461
J Clin Endocrinol Metab. 2003 Sep;88(9):4193-8
12970286
Arch Dis Child. 2002 Dec;87(6):457-61
12456538
Endocr J. 2003 Dec;50(6):745-52
14709847
Lancet. 2014 Jun 21;383(9935):2152-67
24503135
Nephrol Dial Transplant. 2008 Mar;23(3):966-70
18175786
Eur J Endocrinol. 2015 Mar;172(3):R115-24
25288693
J Clin Neurophysiol. 2013 Oct;30(5):505-16
24084183
Case Rep Pulmonol. 2012;2012:913574
23056987