delirum n dementia d1 Flashcards
(12 cards)
delirium caused by
postsurgical state; fluid and electrolyte abnormalities;
hypoxia or hypercarbia; medications;
or cardiac ischemia/
demo/sx
demo:older patients with severe illness/
sx:
O:Subacute onset of inattention and confusion +
Altered level of consciousness +
T:fluctuating course
delirium caused by/postsurgical state; fluid and electrolyte abnormalities; hypoxia or hypercarbia; medications; or cardiac ischemia/
importants tests
Review of medications/
PE:
CAM= Confusion Assessment Method/
Labs:
post surgical=>
possible PE: Pulse ox ABG/
possible under perfusion of
heart: /ECG/
lung: chest radiograph
kidney / UA
Basic metabolic panel/
delirium caused by alcohol withdrawal/
risk factors/sx
Hx of alcohol use
sx:
Predictable syndrome w. systemic and neurologic sx
hint:
1st he salivates: rahhhh. I want to drink
2nd he bec irritated!!
3rd hallucin
4 delirium tremens
delirium caused by alcohol withdrawal/
importants tests
Clinical diagnosis
delirium caused by stroke; seizure; or meningitis/
sx respectively
=>Focal neurologic exam/
=>Seizure activity/
=>Fever or meningismus
delirium caused by stroke; seizure; or meningitis/
importants tests respectively
CNS imaging
EEG
Lumbar puncture
dementia/Alzheimer/
sx
Memory loss + impairments in instrumental activities of daily living= driving etc
dementia/Alzheimer/
importants tests
MMSE
Neuropsychiatric testing
dementia/ Vascular dementia/
risk factors
vascular disease
dementia/Vascular dementia/
importants tests
Evidence of vascular disease =Positive ischemia score
dementia/ Depression/
sx
May present as a PATIENT-reported memory loss
dementia/Depression/
importants tests
Fulfillment of DSM-V criteria
