I‑HUMAN WEEK 9 NURS THOMAS HOLT 69‑YEAR‑OLD MALE PRESENTING WITH CONFUSION AND FATIGUE AT EMERGENCY ROOM WITH LABORATORY AND IMAGING CAPABILITIES

I HUMAN WEEK 9 NURS 6512 2026 THOMAS HOLT 69
YEAR OLD MALE PRESENTING WITH CONFUSION AND
FATIGUE AT EMERGENCY ROOM WITH LABORATORY AND
IMAGING CAPABILITIES

,PATIENT INFORMATION

 Name: Thomas Holt

 Age: 69 years

 Sex: Male

 Height: 5′10″ (178 cm)

 Weight: 168.0 lb (76.4 kg)

 Location: Emergency room with laboratory and imaging capabilities

 Reason for Encounter: Confusion and fatigue

Thomas Holt is a 69-year-old male presenting with confusion and progressive fatigue, prompting
urgent evaluation to determine acute neurologic, metabolic, or cardiac causes of his altered mental
state and decreased energy.

, REASON FOR ENCOUNTER

The patient presents with confusion and fatigue that developed acutely and continues to impact his
cognition, orientation, and functional ability. The encounter aims to differentiate between
neurologic, metabolic, cardiac, and systemic causes, stabilize the patient, and develop a definitive
treatment strategy.

Component Description

Encounter type Emergency room visit

Chief complaint Confusion and fatigue

Onset Acute onset

Duration Persistent, worsening

Location Cognitive/neurologic

Characteristics Disorientation, decreased alertness, low energy

Aggravating factors Activity, sustained cognition

Relieving factors Rest, supportive care

Associated symptoms May include dizziness or poor concentration

Systemic concerns No clear fever or traumas reported

Patient goals Identify cause, restore orientation, treat underlying diagnosis