...
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 ... DIAGNOSTIC WORKUP
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Is the amnesia transient or persistent? If it is transient, one should look for evidence of a head injury. If there is no evidence of a head injury, then one ... DIAGNOSTIC WORKUP
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Is there associated headache, papilledema, dementia, or focal neurologic signs? These findings would suggest a space-occupying lesion. This is something the clinician does not want to miss.
Are ... 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... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Amnesia is an inability to remember prior events and process new information despite a normal level of consciousness. The memory center in the brain is housed in the temporal lobes; thus, the... 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... 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
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... The most common causes of this disorder are head injury, epilepsy, migraine, drug use, and hysteria. However, it is wise to have a systematic method of remembering the many etiologies to avoid mistakes in
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... It is simple enough to administer a sedative and refer the emotionally distressed patient to a psychiatrist, but the astute diagnostician will want to rule out an organic disease first. Almost every endocrine
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... Amnesia — a disturbance in, or loss of, memory — may be classified as partial or complete and as anterograde or retrograde. Anterograde amnesia denotes memory loss of events that occurred... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pictures
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... An umbrella term for puzzling or inappropriate behavior or responses, confusion is the inability to think quickly and coherently. Depending on the cause, it may arise suddenly or gradually and may be temporary or... History and physical examination ... Medical causes ... Other causes ... Special considerations
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... Depression is a mood disturbance characterized by feelings of sadness, despair, and loss of interest or pleasure in activities. These feelings may be accompanied by somatic complaints, such as changes in appetite, sleep... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pictures
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... Depression of the anterior fontanel below the surrounding bony ridges of the skull is a sign of dehydration. A common disorder of infancy and early childhood, dehydration can result from insufficient fluid intake, but... Emergency interventions ... History and physical examination ... Medical causes ... Special considerations
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... Also known as unipolar disorder, major depression is a syndrome of persistently sad, dysphoric mood, accompanied by disturbances in sleep and appetite, lethargy, and an... Causes and incidence ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... The essential feature of dissociative amnesia is a sudden inability to recall important personal information that can’t be explained by ordinary forgetfulness. The patient typically is unable... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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Amnesia
(Professional Guide to Signs & Symptoms (Fifth Edition))
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... Amnesia—a disturbance in, or loss of, memory—may be classified as partial or complete and as anterograde or retrograde. Anterograde amnesia denotes memory loss for events that occurred after the onset of the causative... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Pictures
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Confusion
(Professional Guide to Signs & Symptoms (Fifth Edition))
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... An umbrella term for puzzling or inappropriate behavior or responses, confusion is the inability to think quickly and coherently. Depending on its cause, confusion may arise suddenly... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers
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Depression
(Professional Guide to Signs & Symptoms (Fifth Edition))
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... Depression is a mood disturbance characterized by feelings of sadness, despair, and loss of interest or pleasure in activities. These feelings may be accompanied by somatic complaints, such as changes in... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Pictures
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... Depression of the anterior fontanel below the surrounding bony ridges of the skull is a sign of dehydration. A common disorder of infancy and early childhood, dehydration can result from insufficient fluid intake, but it... Emergency interventions ... History and physical examination ... Medical causes ... Special considerations
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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... Approach. ... History ... Physical examination. ... Testing ... Diagnostic assessment.
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Confusion
(The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter)
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... Mark W. Nickels
Acute confusional states represent an etiologically diverse spectrum of disorders that may involve alterations in thinking, perception, memory, orientation, or attention. In addition, present may be... Approach ... History ... Physical examination ... Testing ... Diagnostic assessment
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Depression
(The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter)
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... Jeffrey M. Lyness
Depression is a major public health problem because of its high prevalence and attendant morbidity and mortality. Although commonly seen in primary care... Approach. ... History and mental status examination (MSE) ... Physical examination. ... Testing. ... Diagnostic assessment
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... Differential Overview
❑ Concussion
❑ Alzheimer disease
❑ Drugs
❑ Generalized... Diagnostic Approach ... Clinical Findings
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... Differential Overview
❑ Dysthymia
❑ Major depression
❑ Adjustment disorder with... Diagnostic Approach ... Clinical Findings ... Pictures
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... Differential Overview
Systemic
❑ Drugs/toxins
❑ Sepsis
❑ ... Diagnostic Approach ... Clinical Findings ... Pictures
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... Also known as unipolar disorder, major depression is a syndrome of persistently sad, dysphoric mood accompanied by disturbances in sleep and appetite, lethargy, and an inability to experience pleasure (anhedonia). Major... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... An umbrella term for puzzling or inappropriate behavior or responses, confusion is the inability to think quickly and coherently. Depending on its cause, confusion may... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
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... Amnesia—a disturbance in, or loss of, memory—may be classified as partial or complete and as anterograde or retrograde. Anterograde amnesiadenotes memory loss of events... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... An umbrella term for puzzling or inappropriate behavior or responses, confusion is the inability to think quickly and coherently. Depending on the cause, it may arise suddenly or gradually and may be... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Depression of the anterior fontanel below the surrounding bony ridges of the skull is a sign of dehydration. A common disorder of infancy and early childhood, dehydration can result from insufficient fluid intake, but... History and physical examination ... Medical causes ... Nursing considerations ... Patient teaching
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
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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...
The most common causes of this disorder are head injury, epilepsy,
migraine, drug use, and hysteria. However, it is wise to have a systematic
method of remembering the many etiologies to avoid mistakes in
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
It is simple enough to administer a sedative and refer the emotionally
distressed patient to a psychiatrist, but the astute diagnostician will want
to rule out an organic disease first
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)