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MS3 - Emergency Care > Altered Mental Status > Flashcards

Flashcards in Altered Mental Status Deck (23)
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1
Q

Like all other patients in the emergency department, those with altered mental status should initially be evaluated using the ______________.

A

ABCDE approach

2
Q

In addition to GCS and AVPU, there are two other tests that are important to include in the disability section of the primary survey: ______________.

A

check for asymmetric weakness (stroke) and weakness below a certain level (spinal cord injury)

3
Q

What is Todd’s paralysis?

A

Localized paralysis following a seizure

4
Q

Go through VITAMIN CE.

A
Vascular
Infectious
Toxic/drug-induced
Autoimmune
Metabolic/mental
Inflammatory
Neoplastic
Congenital 
Endocrine
5
Q

List the AEIOU TIPS mnemonic for AMS.

A
Alcohol 
Epilepsy, encephalopathy, electrolytes
Insulin
Opiates
Uremia
Trauma, temperature
Infection
Poisons, psych
Shock, stroke
6
Q

Considering delirium, dementia, and psychosis, abnormal physical exam is most characteristic of _____________.

A

delirium

7
Q

Considering delirium, dementia, and psychosis, rapid onset is most characteristic of _____________.

A

delirium

8
Q

Considering delirium, dementia, and psychosis, progressive prognosis is most characteristic of _____________.

A

dementia

9
Q

Many times the history for AMS has to be taken from _______________.

A

family members, caregivers, or others with daily contact with the patient

10
Q

In any patient with AMS, you need to rule out _____________.

A

medical causes (e.g., renal failure, paraneoplastic syndrome)

11
Q

Isolated lesions to the ______________ can cause decreased arousal.

A

brainstem

12
Q

How should vasogenic edema from CNS metastases be treated?

A

Glucocorticoids

13
Q

In an extremities note, what does “e/c/c” mean?

A

Erythema, clubbing, cyanosis

14
Q

What does SILT mean in a neuro exam?

A

Sensation intact to light touch

15
Q

What does the acronym UTO mean?

A

Unable to obtain

16
Q

What does MAE mean?

A

Moving all extremities

17
Q

Ketones in the urine can arise from ________________.

A

dehydration

18
Q

Lactulose can be taken ______________.

A

orally as an outpatient

19
Q

What will a CBC show in a patient with hepatic encephalopathy?

A

Thrombocytopenia (often from alcohol as a bone marrow suppressant)

20
Q

What does w/r/r mean in a respiratory PE note?

A

Wheezes, rales, rhonchi

21
Q

Meningismus is ______________.

A

stiffness of the neck

22
Q

D50 is _____________, so you need to make sure the IV is working.

A

tissue necrotic

23
Q

Neurogenic shock implies injury to ___________________.

A

the spinal cord