You have been called to a residence of a diabetic patient with altered mental status. A family member states she could not reach the patient by telephone, so she came over and found the patient awake but confused. The patient can remember his name and address, but cannot remember the day or year. He refuses to go to the hospital, but consents to an assessment. Of the following physical exam

findings, which one is most concerning?

A) Bruise to the left temple
B) Blood glucose level of 77 mg/dL
C) SpO2 at 95%
D) Heart rate of 62 beats per minute

A

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