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I have a patient who took an overdose of Cogentin and Ativan. Dictator says, as one of the diagnoses, "Altered mental status secondary to a BOW?"
Just a shot in the dark here, but since Ativan is a benzodiazepine, could the dictator be saying
secondary to BO = benzodiazepine overdose
or maybe even benzodiazepine overdose withdrawal for BOW
that is, if they have not already mentioned Ativan or benzodiazepine in one of the other diagnoses already.
Like I said, kind of grasping at straws here since we cannot listen to the words.
Otherwise, “secondary to above” would make sense to me also.