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Case Narrative Scenario Background

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A 60‐year‐old man presents for gradually worsening confusion over the course of two to three days. He reports having mild diffuse abdominal pain that is most severe in the upper abdomen. Over the course of the past one to two days, pain has become worse and he has begun to have vomiting and increased confusion.

Chief complaint: Confusion.
Patient's medical history: Hypertension, diabetes, stroke.
Surgical istory: Appendectomy, hernia repair.
Allergies: None.
Social history: Previous cigarette smoker; no alcohol or drug use.
Family history: Non‐contributory.
Medications: Lisinopril, metformin, aspirin, clopidogrel.
Emergency Medicine Simulation Workbook

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