Recent Question

(M1.ST.73) A 78-year-old woman is brought to the emergency ward by her son for lethargy and generalized weakness. The patient speaks in short utterances and does not make eye contact with the provider or her son throughout the interview and examination. You elicit that the patient lives with her son and daughter-in-law, and she reports vague weakness for the last couple days. The emergency room provider notices 3-4 healing bruises on the patient's upper extremities; otherwise, examination is not revealing. Routine chemistries and blood counts are unremarkable; non-contrast head CT demonstrates normal age-related changes. Which of the following is the most appropriate next step in management? Topic Review Topic

1. Perform lumbar puncture
2. Question the patient regarding abuse or neglect
3. Question the patient's son regarding the home situation
4. Ask the patient's son to leave the room
5. Call Adult Protective Services to report the patient's son

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