The patient presented with a change in mental status and hyperglycemia.
 Patient has ketoacidosis
(ROOT (S (NP (DT The) (NN patient)) (VP (VBN presented) (PP (IN with) (NP (NP (DT a) (NN change)) (PP (IN in) (NP (NP (JJ mental) (NN status)) (CC and) (NP (NN hyperglycemia))))))) (. .)))
(ROOT (S (NP (NN Patient)) (VP (VBZ has) (NP (NN ketoacidosis)))))
( ( The patient ) ( ( presented ( with ( ( a change ) ( in ( ( ( mental status ) and ) hyperglycemia ) ) ) ) ) . ) )
( Patient ( has ketoacidosis ) )