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A 21-year-old woman with schizoaffective disorder and a four-month history of diffuse abdominal pain, nausea, vomiting, and weight loss of more than 13 kg was admitted to the hospital because of altered mental status that had progressed over the previous seven days. The patient's family reported that she did not use alcohol or drugs. On physical examination, she was afebrile, had slight tachycardia, and was sleepy but able to be aroused. She was oriented only to person and had sparse and mildly slurred speech. She had ocular bobbing on primary gaze, but not on horizontal gaze, and an ataxic gait. . . . [Full Text of this Article] |
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