Case of the week 10


A 72-year male, a retired car mechanic, presented to ED by ambulance at 0100 hours. He was found slumped over in his garage area, obtunded.

His initial vitals were- BP 100/60, HR 90, RR 19, Sats-94%, and BSL 15.

He takes an antihypertensive, a beta-blocker, insulin.

  • What are the possible causes of this presentation?
  • How will you initially approach the situation?

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