01-25-2008, 09:33 AM
A 74-year-old woman is admitted to the hospital for treatment of a hip fracture. Her only medical problem is chronic insomnia; she told the nurse, "I have taken sleeping pills for years." Two days after the operation she has a tonic clonic seizure. Vital signs now are: temperature 38.0¡ëC (100.4¡ëF), pulse 110/min and blood pressure 180/100 mm Hg. She is confused, has diaphoresis and is trembling. Which of the following is the most likely diagnosis?
A
) Barbiturate withdrawal
B
) Diphenhydramine withdrawal
C
) Propoxyphene withdrawal
D
) Pulmonary embolus
E
) Stroke
A
) Barbiturate withdrawal
B
) Diphenhydramine withdrawal
C
) Propoxyphene withdrawal
D
) Pulmonary embolus
E
) Stroke