The patient presented with a change in mental status and hyperglycemia.
 Patient has diabetes
(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 (NNS diabetes)))))
( ( The patient ) ( ( presented ( with ( ( a change ) ( in ( ( ( mental status ) and ) hyperglycemia ) ) ) ) ) . ) )
( Patient ( has diabetes ) )