First I'd like to say that I also commend you on your volley work. Disregard people like that jerk who had the stupid comment. Now as far as your pt I have a few comments.
1- From what your saying I'm leaning more toward a psyc problem. At her age it could also be possibly altzheimers. Worst case senario a bleed causing the ams.
2- I'd really like to know if she was on any psyc meds. Sometime certian psyc meds taken together for the first time can cause a reaction called " a distonic episode". The pt is usually excited, yelling and drooling when this happens for the first time and there mouths seem to be always open ( cause of drooling).
Other then the elevated BP I see no other problems with her vidals.
Also never ever let anyone tell you not to try and diagnos your findings. I'm an EMT for 17 years with The New York City Fire Dept. Bureau Of EMS and in my job I'm required to give a diagnosis on my report. If you don't try you won't learn. If your wrong so what!! When you find out the answer you'll be ready for the next time a simular incident occures and become a better tech. I'm guessing a medic gave that comment.
