Review Question - QID 109402

A 45-year-old man with a history of hypertension, IV drug use, and type 1 diabetes is brought to the emergency room due to nausea, vomiting, and altered consciousness. He was brought in by his sister who found him asleep on her couch. He is difficult to arouse and does not respond to questions. His sister does not know his medications; however, he has a known history of medication noncompliance. On physical exam his temperature is 99°F (37.2°C), blood pressure is 100/70 mmHg, pulse is 112/min, respirations are 26/min, and pulse oximetry is 99% on room air. He is arousable but is not cooperative with the exam. His breaths are deep and you notice a fruity-smell coming from his mouth. Exam is otherwise unremarkable. Which of the following findings would you also expect to see in this patient?