Adapted from Rosens, chp 16. Little Old Lady Workup (LOL)Testing to consider in an elderly patient with altered mental status ABG: hypoxia, CO2 retention, SOB BMP/CMP: electrolyte abnormalities, hepatic encephalopathy UA: infection, DKA, ingestion PT/INT: hemorrhage, anemia, hypercoagulable Lactate: ketotic state, ingestion, ischemia TSH: thyroid storm, hypothyroid Cardiac Enzymes: MI, ischemia, cardiogenic shock CXR: infection, pneumothorax, CHF CT head: hemorrhage, mass MRI: edema, mass, ischemia CTA: pulmonary emboli, aortic dissection LP/CSF: infection, ICP Confusion
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