This patient presents with symptoms consistent with an underlying psychiatric disorder, most likely ***. Differential diagnosis includes ***. Presentation not consistent with acute organic causes to include delirium, dementia or drug induced disorders (acute ingestions or withdrawal; no evidence of toxidrome). Given the H&P, I suspect this patient is ***suicidal/homicidal/gravely disabled and will require psychiatric care. Will consult psychiatry to evaluate the patient for potential hold for ***. Will also obtain labs for medical clearance.

Plan: labs***, EKG***, ASA/APAP levels***, ETOH level***, UDS***, ICON***, Psych consult, medical detainment, reassess