In the ED, their vitals/exam are as above. Patient’s s/s are consistent with *** due to brain mets. DDx includes mass effect, edema, seizure, ICH, ischemic stroke, infection. Without s/s of midline shift or elevated ICP today.
– Labs/Tests: POCT glucose, Lactate, CBC, CMP, Coags, T&S, UA
– Imaging: Stat CTH, MRI
– Treatments: Dexamethasone 4mg q6h, Keppra 500mg BID
– Consults: Neurology, Primary oncologist
– Dispo: Likely admission to Oncology vs. Neurology