Drug misuse, intoxication and withdrawal Quiz: Ace Your Exams
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A 45-year-old man is brought to the emergency department after he was found sleeping on the sidewalk. The patient appears stuporous and is unable to provide a history. On chart review, past medical history includes hospitalization four weeks ago for epigastric abdominal pain and an inability to tolerate oral intake. Temperature is 37.7°C (99.86°F), pulse is 99/min, respirations are 19/min and blood pressure is 100/65 mmHg. Oxygen saturation is 98% on room air. Physical examination demonstrates moderate limb ataxia and slurred speech. The patient has evidence of nystagmus. The remainder of the physical exam is within normal limits. Laboratory evaluation is demonstrated below. Urine drug screen is negative. Which of the following is most likely to be found on further evaluation?
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