Patient X is a 23-year-old woman who presents to accident an…

Pаtient X is а 23-yeаr-оld wоman whо presents to accident and emergency with new onset confusion. She is accompanied by her flat mate who is concerned for her health. History of Presenting Complaint 6-week history of recurrent urinary tract infections, unintentional weight loss and fatigue. Acute presentation today with new onset confusion and blurred vision. Social History Works as a carer Lives with wife Ex-smoker (6 years) Does not drink alcohol British-Pakistani Medication History No Known Drug Allergies Desogestrel 75mcg daily Past Medical History Eczema Mother has type 2 diabetes Father alive and well Observations Height 171 cm Weight 64 kg BP 119/75 mmHg Pulse 88 bpm regular Random plasma glucose 14.5 mmol/L