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Is there associated fever? Delirium with fever may simply indicate a self-limited infectious process, but it should bring to mind encephalitis and meningitis as well as ... DIAGNOSTIC WORKUP
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Is there a history of drug or alcohol ingestion? Chronic barbiturate intoxication, ergotism, and other psychotropic or antidepressant drugs may cause dementia. Alcoholism may cause ... DIAGNOSTIC WORKUP
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Is there a history of trauma? A history of trauma would suggest concussion, intracranial hematoma, and posttraumatic epilepsy, among other ... DIAGNOSTIC WORKUP
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An acute confusional state caused by a disturbance in global cortical function. Features include disturbance of consciousness, change in cognition, fluctuations of symptoms, and evidence that the condition... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Dementia is a syndrome of premature neuronal death in focal brain regions. More than 50 illnesses may cause dementia. It affects 1% of the population by age 60, and this prevalence doubles every 5 years to reach 30–50% by age 85.... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Delirium is an alteration in consciousness that can be associated with hallucinations, disorientation, and delusions. Normal thought processes are altered, including judgment, and rational behavior may be lost. Causes are... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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... The differential diagnosis of delirium is very similar to that for coma and one finds the mnemonic VINDICATE useful in this regard.
V—Vascular disorders of the brain including
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... Memory loss is a real symptom and sign, but organic brain syndrome should be dropped from usage because it is a wastebasket term. Unless the memory loss is functional (“
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... Degenerative diseases
Alzheimer's disease
Cerebral arteriosclerosis, multiple cerebrovascular accidents
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... Primary malignant brain tumors account for about 10% to 30% of adult cancers. These tumors may occur at any age. The most common tumor types in adults are gliomas and meningiomas, which usually occur supratentorially (above the... Causes and incidence ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... Signs and Symptoms Increased intracranial pressure, constant headache, nausea, vomiting, seizures, ocular disturbances (may be specific to area affected)
Treatment (Tx)
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... In recent years, a convergence of social, economic, and professional forces has dramatically changed the mental health field. Community and professional organizations, for... Social changes ... Economic forces ... Professional changes ... Related professional forces ... Psychosocial assessment ... Patient history
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Delirium
(The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter)
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... Linda P. Shields
Delirium, as defined by the Diagnostic and Statistical Manual of Mental Disorders, 4th edition criterion (1), is a condition involving an acute confusional state recognized by... Approach. ... History ... Physical examination. ... Testing ... Diagnostic assessment.
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Dementia
(The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter)
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... Anne Cather Cutlip
Dementia is characterized by a progressive cognitive decline leading to social or occupational disability occurring in a state of clear consciousness. It... Approach. ... History. ... Physical examination. ... Testing ... Diagnostic assessment.
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Memory Impairment
(The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter)
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... Konrad C. Nau
Memory is the cognitive domain that gives us the ability to store and retrieve information. Up to 80% of community dwelling elderly report subjective memory defects. ... Approach ... History ... Physical examination (PE) ... Testing ... Diagnostic assessment ... Pictures
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... Differential Overview
❑ Alzheimer disease
❑ Multi-infarct dementia
❑ Depression
... Diagnostic Approach ... Clinical Findings ... Pictures
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... Differential Overview
Systemic
❑ Drugs/toxins
❑ Sepsis
❑ ... Diagnostic Approach ... Clinical Findings ... Pictures
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... With an incidence of 4.5 per 100,000 patients, malignant brain tumors (gliomas, meningiomas, and schwannomas) are common (slightly more so in men than in women).
Tumors may occur at any age.... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... Brain abscess is a free or encapsulated collection of pus that usually occurs in the temporal lobe, cerebellum, or frontal lobes. It can vary in size and may present singly or multilocularly. Brain abscess has a relatively low occurrence... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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... Definedas disturbance in acquisition of motor, language, and/orcognitive skills. When disturbance involves ≥2 ofthese domains, global developmental delay (children <5yrs of age) or>... Principal Causes of Developmental Delay ... Clinical Features and Diagnosis ... Diagnostic Approach ... Table 13.1. Physical, Radiologic, and Lab Findings in Some DisordersAssociated with Developmental Delay ... References
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The differential diagnosis of delirium is very similar to that for
coma, and one finds the mnemonic VINDICATE useful in this regard.
V—Vascular
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...
Memory loss is a real symptom and sign, but organic brain syndrome
should be dropped from usage because it is a wastebasket term. Unless the
memory loss is functional (“supratentorial”), the cerebrum is the ... Pictures
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...
The past decade has brought a great increase in the number of pediatric patients
undergoing solid organ transplantation. Although initially cared for by
hospital-based specialists,... Infections in the First Month ... Latent Infections in Transplantation ... Cytomegalovirus ... Epstein-Barr Virus
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