Doctors, I am once again working on a very difficult case and am in need of your help. Any advice would be greatly appreciated. Lets get started.
Pt is a 40 y/o male. He is completely unresponsive and since his arrival to my ED he has fallen into a comatose state. BP 100/50, HR 60 and week, RR 10 br/min shallow and bilateral gurgling. Pt also shows signs of productive exhalation, creating a kind of liquid in the oropharynx.
The pt also exhibits pretty severe jaundice (which would indicate liver damage) as well as edema swelling all over his body. Here is a picture of the pt in his current state. Protocol dictates that we do the full array of tests when we are unsure of a proper diagnosis. When doing a fully body x-ray, this is what we found in his head.
Doctors, I have never seen a patient like this. What do I do??
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