Altered mental status (peds): Difference between revisions
m (Rossdonaldson1 moved page Altered Mental Status (AMS) (Peds) to Altered Mental Status (Peds)) |
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{| class="FCK__ShowTableBorders" style="width: 376px; height: 902px" cellspacing="1" cellpadding="3" width="376" bgcolor="#666666" border="0" | {| class="FCK__ShowTableBorders" style="width: 376px; height: 902px" cellspacing="1" cellpadding="3" width="376" bgcolor="#666666" border="0" | ||
|- class="font12" style="font-size: 12px; margin: 0px 0px 9px; line-height: 17px" | |- class="font12" style="font-size: 12px; margin: 0px 0px 9px; line-height: 17px" | ||
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| class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Opiates | | class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Opiates | ||
|- class="font12" style="font-size: 12px; margin: 0px 0px 9px; line-height: 17px" | |- class="font12" style="font-size: 12px; margin: 0px 0px 9px; line-height: 17px" | ||
| class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Acid-base and metabolic disorders | | class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | [[Acid-base and metabolic disorders]] | ||
| class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" rowspan="3" | '''U''' | | class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" rowspan="3" | '''U''' | ||
| class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Uremia | | class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | [[Uremia]] | ||
|- class="font12" style="font-size: 12px; margin: 0px 0px 9px; line-height: 17px" | |- class="font12" style="font-size: 12px; margin: 0px 0px 9px; line-height: 17px" | ||
| class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Diabetes mellitus | | class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | [[Diabetes mellitus]] | ||
| class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Chronic renal failure | | class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Chronic renal failure | ||
|- class="font12" style="font-size: 12px; margin: 0px 0px 9px; line-height: 17px" | |- class="font12" style="font-size: 12px; margin: 0px 0px 9px; line-height: 17px" | ||
| class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Dehydration | | class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Dehydration | ||
| class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Hemolytic-uremic syndrome | | class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | [[Hemolytic-uremic syndrome]] | ||
|- class="font12" style="font-size: 12px; margin: 0px 0px 9px; line-height: 17px" | |- class="font12" style="font-size: 12px; margin: 0px 0px 9px; line-height: 17px" | ||
| class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Hypercapnia | | class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Hypercapnia | ||
| class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" rowspan="10" | '''T''' | | class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" rowspan="10" | '''T''' | ||
| class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Trauma | | class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | [[Trauma]] | ||
|- class="font12" style="font-size: 12px; margin: 0px 0px 9px; line-height: 17px" | |- class="font12" style="font-size: 12px; margin: 0px 0px 9px; line-height: 17px" | ||
| class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Hepatic failure | | class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | [[Hepatic failure]] | ||
| class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | General trauma with hypovolemia | | class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | General trauma with hypovolemia | ||
|- class="font12" style="font-size: 12px; margin: 0px 0px 9px; line-height: 17px" | |- class="font12" style="font-size: 12px; margin: 0px 0px 9px; line-height: 17px" | ||
| class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Hypoxia | | class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | [[Hypoxia]] | ||
| class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Head injury | | class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | [[Head injury]] | ||
|- class="font12" style="font-size: 12px; margin: 0px 0px 9px; line-height: 17px" | |- class="font12" style="font-size: 12px; margin: 0px 0px 9px; line-height: 17px" | ||
| class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Inborn errors of metabolism | | class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | [[Inborn errors of metabolism]] | ||
| class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Mass lesion | | class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Mass lesion | ||
|- class="font12" style="font-size: 12px; margin: 0px 0px 9px; line-height: 17px" | |- class="font12" style="font-size: 12px; margin: 0px 0px 9px; line-height: 17px" | ||
| class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Arrhythmia and cardiogenic causes | | class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | [[Arrhythmia]] and cardiogenic causes | ||
| class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Cerebral edema | | class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Cerebral edema | ||
|- class="font12" style="font-size: 12px; margin: 0px 0px 9px; line-height: 17px" | |- class="font12" style="font-size: 12px; margin: 0px 0px 9px; line-height: 17px" | ||
| class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Ventricular fibrillation | | class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | [[Ventricular fibrillation]] | ||
| class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Cerebrovascular accident | | class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | [[Cerebrovascular accident]] | ||
|- class="font12" style="font-size: 12px; margin: 0px 0px 9px; line-height: 17px" | |- class="font12" style="font-size: 12px; margin: 0px 0px 9px; line-height: 17px" | ||
| class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Adams-Stokes attack | | class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Adams-Stokes attack | ||
| class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Electric shock | | class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | [[Electric shock]] | ||
|- class="font12" style="font-size: 12px; margin: 0px 0px 9px; line-height: 17px" | |- class="font12" style="font-size: 12px; margin: 0px 0px 9px; line-height: 17px" | ||
| class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Aortic stenosis | | class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | [[Aortic stenosis]] | ||
| class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Decompression sickness | | class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | [[Decompression sickness]] | ||
|- class="font12" style="font-size: 12px; margin: 0px 0px 9px; line-height: 17px" | |- class="font12" style="font-size: 12px; margin: 0px 0px 9px; line-height: 17px" | ||
| class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Pericardial tamponade | | class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | [[Pericardial tamponade]] | ||
| class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Tumor | | class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Tumor | ||
|- class="font12" style="font-size: 12px; margin: 0px 0px 9px; line-height: 17px" | |- class="font12" style="font-size: 12px; margin: 0px 0px 9px; line-height: 17px" | ||
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| class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Thermal extremes | | class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Thermal extremes | ||
|- class="font12" style="font-size: 12px; margin: 0px 0px 9px; line-height: 17px" | |- class="font12" style="font-size: 12px; margin: 0px 0px 9px; line-height: 17px" | ||
| class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Hypertensive encephalopathy | | class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | [[Hypertensive encephalopathy]] | ||
| class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" rowspan="16" | '''I''' | | class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" rowspan="16" | '''I''' | ||
| class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Infection | | class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Infection | ||
|- class="font12" style="font-size: 12px; margin: 0px 0px 9px; line-height: 17px" | |- class="font12" style="font-size: 12px; margin: 0px 0px 9px; line-height: 17px" | ||
| class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Reye syndrome | | class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Reye syndrome | ||
| class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Meningitis | | class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | [[Meningitis]] | ||
|- class="font12" style="font-size: 12px; margin: 0px 0px 9px; line-height: 17px" | |- class="font12" style="font-size: 12px; margin: 0px 0px 9px; line-height: 17px" | ||
| class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" rowspan="2" | Hemorrhagic shock and encephalopathy syndrome | | class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" rowspan="2" | Hemorrhagic shock and encephalopathy syndrome | ||
| class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Encephalitis | | class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | [[Encephalitis]] | ||
|- class="font12" style="font-size: 12px; margin: 0px 0px 9px; line-height: 17px" | |- class="font12" style="font-size: 12px; margin: 0px 0px 9px; line-height: 17px" | ||
| class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Brain abscess | | class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Brain abscess | ||
|- class="font12" style="font-size: 12px; margin: 0px 0px 9px; line-height: 17px" | |- class="font12" style="font-size: 12px; margin: 0px 0px 9px; line-height: 17px" | ||
| class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Postimmunization encephalopathy | | class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Postimmunization encephalopathy | ||
| class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Visceral larva migrans | | class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | [[Visceral larva migrans]] | ||
|- class="font12" style="font-size: 12px; margin: 0px 0px 9px; line-height: 17px" | |- class="font12" style="font-size: 12px; margin: 0px 0px 9px; line-height: 17px" | ||
| class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Disseminated encephalomyelitis | | class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Disseminated encephalomyelitis | ||
| class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Severe systemic infection | | class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Severe systemic infection | ||
|- class="font12" style="font-size: 12px; margin: 0px 0px 9px; line-height: 17px" | |- class="font12" style="font-size: 12px; margin: 0px 0px 9px; line-height: 17px" | ||
| class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" rowspan="2" | Human immunodeficiency virus disease | | class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" rowspan="2" | [[Human immunodeficiency virus]] disease | ||
| class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Intracerebral vascular disorders | | class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Intracerebral vascular disorders | ||
|- class="font12" style="font-size: 12px; margin: 0px 0px 9px; line-height: 17px" | |- class="font12" style="font-size: 12px; margin: 0px 0px 9px; line-height: 17px" | ||
| class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Subarachnoid hemorrhage | | class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | [[Subarachnoid hemorrhage]] | ||
|- class="font12" style="font-size: 12px; margin: 0px 0px 9px; line-height: 17px" | |- class="font12" style="font-size: 12px; margin: 0px 0px 9px; line-height: 17px" | ||
| class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Endocrinopathy | | class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Endocrinopathy | ||
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| class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" rowspan="2" | Intracerebral or intraventricular hemorrhage | | class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" rowspan="2" | Intracerebral or intraventricular hemorrhage | ||
|- class="font12" style="font-size: 12px; margin: 0px 0px 9px; line-height: 17px" | |- class="font12" style="font-size: 12px; margin: 0px 0px 9px; line-height: 17px" | ||
| class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Thyrotoxicity | | class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | [[Thyrotoxicity]] | ||
|- class="font12" style="font-size: 12px; margin: 0px 0px 9px; line-height: 17px" | |- class="font12" style="font-size: 12px; margin: 0px 0px 9px; line-height: 17px" | ||
| class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Cushing syndrome | | class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Cushing syndrome | ||
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| class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Acute confusional migraine | | class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Acute confusional migraine | ||
|- class="font12" style="font-size: 12px; margin: 0px 0px 9px; line-height: 17px" | |- class="font12" style="font-size: 12px; margin: 0px 0px 9px; line-height: 17px" | ||
| class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Electrolyte imbalances | | class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | [[Electrolyte imbalances]] | ||
| class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Moyamoya malformation | | class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Moyamoya malformation | ||
|- class="font12" style="font-size: 12px; margin: 0px 0px 9px; line-height: 17px" | |- class="font12" style="font-size: 12px; margin: 0px 0px 9px; line-height: 17px" | ||
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| class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Hypoglycemia | | class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Hypoglycemia | ||
| class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" rowspan="4" | '''S''' | | class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" rowspan="4" | '''S''' | ||
| class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Seizure | | class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | [[Seizure]] | ||
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| class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Ketotic hypoglycemia | | class="font12" style="font-size: 12px; margin: 0px 0px 9px; color: rgb(51,51,51); line-height: 17px" valign="top" align="left" bgcolor="#ffffff" | Ketotic hypoglycemia | ||
Revision as of 21:13, 7 September 2014
Background
- Both cerebral cortices must be affected to cause AMS
- AVPU scale
- Alert (GCS 15)
- Responsive to verbal stimuli (GCS 13)
- Responsive to painful stimuli (GCS 8)
- Unresponsive (GCS 3)
DDX
| A | Alcohol | O | Opiates |
| Acid-base and metabolic disorders | U | Uremia | |
| Diabetes mellitus | Chronic renal failure | ||
| Dehydration | Hemolytic-uremic syndrome | ||
| Hypercapnia | T | Trauma | |
| Hepatic failure | General trauma with hypovolemia | ||
| Hypoxia | Head injury | ||
| Inborn errors of metabolism | Mass lesion | ||
| Arrhythmia and cardiogenic causes | Cerebral edema | ||
| Ventricular fibrillation | Cerebrovascular accident | ||
| Adams-Stokes attack | Electric shock | ||
| Aortic stenosis | Decompression sickness | ||
| Pericardial tamponade | Tumor | ||
| E | Encephalopathy | Thermal extremes | |
| Hypertensive encephalopathy | I | Infection | |
| Reye syndrome | Meningitis | ||
| Hemorrhagic shock and encephalopathy syndrome | Encephalitis | ||
| Brain abscess | |||
| Postimmunization encephalopathy | Visceral larva migrans | ||
| Disseminated encephalomyelitis | Severe systemic infection | ||
| Human immunodeficiency virus disease | Intracerebral vascular disorders | ||
| Subarachnoid hemorrhage | |||
| Endocrinopathy | Venous thrombosis | ||
| Addison disease | Arterial thrombosis | ||
| Congenital adrenal hyperplasia | Intracerebral or intraventricular hemorrhage | ||
| Thyrotoxicity | |||
| Cushing syndrome | Cerebral embolus | ||
| Pheochromocytoma | Acute infantile hemiplegia | ||
| Hepatic porphyrias | Acute confusional migraine | ||
| Electrolyte imbalances | Moyamoya malformation | ||
| [Na+], [Ca2+], [Mg2+], PO4 |
P | Poisoning | |
| I | Insulin | Psychogenic unresponsiveness | |
| Hypoglycemia | S | Seizure | |
| Ketotic hypoglycemia | Shunt malfunction |
Work-Up
- Labs
- Glucose, CBC, chem, UA, CSF, LFT, utox, VBG, BAL, thyroid, Calcium (ionized)
- ECG
- Neuroimaging
- XR
- Urine
Treatment
- Immobilize cervical spine for suspected trauma
- Fluid resuscitation 20 mL/kg x3 as needed; start pressors thereafter
- Abx for sepsis or meningitis (consider viral it patient is toxic)
- Naloxone for opiate or clonidine overdose (0.01-0.1 mg/kg IV q2 min)
- Flumazenil for pure benzo overdose (0.01 mg/kg IV)
- Glucose for hypoglycemia (2 mL/kg of 25% dextrose)
- Avoid sodium bicarbonate for metabolic acidosis unless pH <7.0
- Control seizures
- Prevent hypothermia, treat hyperthermia
See Also
Source
Tintinalli