82-year-old Man in Medicine / Internal Medicine — 82yo Man | Nephrology | SMLE Q#12046
SMLE Question #12046
Medicine / Internal Medicine
Nephrology
Objective: OBJ-188
Last updated: February 2026
An 82-year-old man admitted to a general medical ward is usually independent and cognitively intact. Over 6 hours, he becomes acutely agitated and disoriented. He has had poor oral intake since admission and appears mildly dehydrated. He has no fever, headache, trauma, or focal neurological deficits. Capillary glucose is normal, and there is no evidence of renal failure. What is the most appropriate next step in management?
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