Delirium: Difference between revisions
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== Clinical Features == | == Clinical Features == | ||
# | #Main cognitive impairment is that of inattention (vs memory in dementia) | ||
#Generally develops over days | #Generally develops over hours to days | ||
#Symptoms may | #Symptoms are classically described as fluctuating throughout the day (ie may appear normal in between episodes) | ||
===ED Confusion Assessment Method=== | ===ED Confusion Assessment Method=== | ||
# | #Acute onset of mental status changes and/or fluctuating course | ||
# | #Anattention | ||
# | #Disorganized thinking | ||
# | #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 |
Revision as of 11:22, 27 January 2015
Background
Delirium vs. dementia vs. psych
Clinical Features
- Main cognitive impairment is that of inattention (vs memory in dementia)
- Generally develops over hours to days
- Symptoms are classically described as fluctuating throughout the day (ie may appear normal in between episodes)
ED Confusion Assessment Method
- Acute onset of mental status changes and/or fluctuating course
- Anattention
- 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