A middle-aged woman is found wandering the streets with an abn | Surgery collections Videos and quizez 2021

A middle-aged woman is found wandering the streets with an abnormal gait She is brought to the hospital by police officers. When asked for identification, the patient mumbles incoherently. She is not oriented to time or place. Her temperature is 36.2 C (97.3 F), blood pressure is 160/100 mm Hg, pulse is 100/min, and respirations are 18/min. Btvll is 17 kg/m2• Head and neck examination shows bitemporal wasting and dry mucous membranes. The pupils are 3 mm bilaterally and react slowly to light Her neck is supple, and she moves all extremities equally. Deeptendon reflexes are symmetrical bilaterally.