The patient presented with a change in mental status and hyperglycemia.
 Patient has normal blood sugar
(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 (JJ normal) (NP (NN blood) (NN sugar))))))
( ( The patient ) ( ( presented ( with ( ( a change ) ( in ( ( ( mental status ) and ) hyperglycemia ) ) ) ) ) . ) )
( Patient ( has ( normal ( blood sugar ) ) ) )