system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 74-year-old man is brought from a nursing home to the emergency room for progressive confusion. The patient has a history of stroke 3 years ago, which rendered him wheelchair-bound. He was recently started on clozapine for schizothymia disorder. Vital signs reveal a temperature of 38.7°C (101.66°F), a blood pressure of 100/72 mm Hg, and a pulse of 105/minute. On physical examination, he is disoriented to place and time. Initial lab work-up results are shown:
Serum glucose: 945 mg/dL
Serum sodium: 120 mEq/L
Serum urea: 58 mg/dL
Serum creatinine: 2.2 mg/dL
Serum osmolality: 338 mOsm/kg
Serum beta-hydroxybutyrate: negative
Urinalysis reveals: numerous white blood cells and trace ketones
Which of the following manifestations is more likely to be present in this patient?
assistant
Seizures