Delirium: Difference between revisions
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== Background == | == Background == | ||
Delirium vs. dementia vs. psych | Delirium vs. [[dementia]] vs. psych | ||
== Clinical Features == | |||
#Impairment of arousal and content of consciousness | |||
#Generally develops over days | |||
#Symptoms may be intermittent and vary in severity | |||
===ED Confusion Assessment Method=== | ===ED Confusion Assessment Method=== | ||
#acute onset of mental status changes or fluctuating course | #acute onset of mental status changes or fluctuating course | ||
#inattention | #inattention | ||
#disorganized thinking | #disorganized thinking | ||
#altered level of | #altered level of consciousness | ||
A patient must possess both features 1 and 2 AND either 3 or 4 to meet delirium criteria | A patient must possess both features 1 and 2 AND either 3 or 4 to meet delirium criteria | ||
== | == Workup == | ||
#CBC | |||
#Chemistry | |||
#LFTs | |||
#UA | |||
#CXR | |||
#?Utox | |||
#?CT/LP | |||
== DDX == | |||
#A | |||
##Alcohol | |||
#E | |||
##[[Electrolyte Abnormalities]] | |||
##Encephalopathy (hepatic, hypertensive) | |||
#I | |||
##Insulin ([[hypoglycemia]]) | |||
## | |||
#O | |||
##Opiates | |||
#U | |||
##Uremia | |||
#T | |||
##Trauma | |||
##[[Toxic Exposure]] | |||
##[[Thyrotoxicosis]] | |||
#I | |||
##Infection | |||
###[[PNA]], [[UTI]], [[meningitis]]/[[encephalitis]], [[sepsis]] | |||
#P | |||
##Psych | |||
#S | |||
##[[Seizure]] | |||
##[[Stroke]] | |||
== Treatment == | |||
*Treat underlying cause | |||
==See Also== | |||
*[[Altered Mental Status]] | |||
[[Category:Critical Care]] | |||
[[Category:Neuro]] | |||
[[Category:Psych]] | [[Category:Psych]] | ||
Revision as of 01:37, 20 December 2013
Background
Delirium vs. dementia vs. psych
Clinical Features
- Impairment of arousal and content of consciousness
- Generally develops over days
- Symptoms may be intermittent and vary in severity
ED Confusion Assessment Method
- acute onset of mental status changes or fluctuating course
- inattention
- disorganized thinking
- altered level of consciousness
A patient must possess both features 1 and 2 AND either 3 or 4 to meet delirium criteria
Workup
- CBC
- Chemistry
- LFTs
- UA
- CXR
- ?Utox
- ?CT/LP
DDX
- A
- Alcohol
- E
- Electrolyte Abnormalities
- Encephalopathy (hepatic, hypertensive)
- I
- Insulin (hypoglycemia)
- O
- Opiates
- U
- Uremia
- T
- Trauma
- Toxic Exposure
- Thyrotoxicosis
- I
- Infection
- P
- Psych
- S
Treatment
- Treat underlying cause