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 79-year-old woman who lives alone is brought to the emergency department by her neighbor because of worsening confusion over the last 2 days. Due to her level of confusion, she is unable to answer questions appropriately. She has had type 2 diabetes mellitus for 29 years for which she takes metformin. Vital signs include: blood pressure 111/72 mm Hg, temperature 38.5°C (101.3°F), and pulse 100/min. Her fingerstick blood glucose is 210 mg/dL. On physical examination, she is not oriented to time or place and mistakes the nursing assistant for her cousin. Laboratory results are shown:
Hemoglobin 13 g/dL
Leukocyte count 16,000/mm3
Segmented neutrophils 70%
Eosinophils 1%
Basophils 0.3%
Lymphocytes 25%
Monocytes 4%
Which of the following is the most likely diagnosis?
assistant
Delirium