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An 85-year-old man presented with acute confusion. He had chronic atrial fibrillation but was not taking anticoagulants. He was disoriented and had no recollection of the past 2 days. He had no history of physical or emotional stress, recent head trauma or seizures. On examination, he was disoriented to time, scored 14 on the Glasgow Coma Scale (E4, V4 and M6) and lacked focal neurological deficits. Serum glucose levels, electrolytes and …
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