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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Cold Hands And Mental Disorientation?

23 year old Male bp 108/43 pul. 61 cold hands,will not eat or drink very little, mentally disconnected, urine is dark redish brown, I believe my step son is serverly depressed and has the above symtoms ...I can not convince my husband that his son needs to be in hospital NOW. what do you think
Tue, 8 Jan 2019
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Cardiologist 's  Response
Hi,

I understand your concern and would explain that his symptoms could be related to depression. The dark reddish brown urine could be related to dehydration, because he is not taking fluids as needed.

For this reason, I would recommend consulting with his attending physician for a physical exam and some tests (complete blood count, PCR, ESR, kidney and liver function tests, blood electrolytes, fasting glucose). If the above tests result normal, consulting with a psychiatrist would be the next step to follow.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Ilir Sharka,
Cardiologist
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What Causes Cold Hands And Mental Disorientation?

Hi, I understand your concern and would explain that his symptoms could be related to depression. The dark reddish brown urine could be related to dehydration, because he is not taking fluids as needed. For this reason, I would recommend consulting with his attending physician for a physical exam and some tests (complete blood count, PCR, ESR, kidney and liver function tests, blood electrolytes, fasting glucose). If the above tests result normal, consulting with a psychiatrist would be the next step to follow. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist