Template:AMS DDX: Difference between revisions

Revision as of 17:12, 24 March 2015

Altered mental status

Diffuse brain dysfunction
- Encephalopathies
  - Hypoxic encephalopathy
  - Metabolic encephalopathy
    - Hypoglycemia
    - Hyperosmolar state (e.g., hyperglycemia)
    - Electrolyte Abnormalities (hypernatremia or hyponatremia, hypercalcemia)
    - Organ system failure
    - Hepatic Encephalopathy
    - Uremia/Renal Failure
    - Endocrine (Addison disease, hypothyroidism)
    - Hypoxia
    - CO2 narcosis
  - Hypertensive Encephalopathy
- Toxins
- Drug reactions (NMS)
- Environmental causes
  - Hypothermia
  - Hyperthermia
- Deficiency state
  - Wernicke encephalopathy
- Sepsis
Primary CNS disease or trauma
- Direct CNS trauma
  - Diffuse axonal injury
  - Subdural/epidural hematoma
- Vascular disease
  - Intraparenchymal hemorrhage
- SAH
- Infarction
  - Hemispheric, brainstem
- CNS infections
- Neoplasms
- Seizures
  - Nonconvulsive status epilepticus
    - Consider if motor activity of seizure has stopped but pt is not alert w/in 30min
  - Postictal state

@@ Line 1: / Line 1: @@
 ===[[Altered mental status]]===
-#Diffuse brain dysfunction
+*Diffuse brain dysfunction
-##Encephalopathies
+**Encephalopathies
-###Hypoxic encephalopathy
+***Hypoxic encephalopathy
-###Metabolic encephalopathy
+***Metabolic encephalopathy
-####[[Hypoglycemia]]
+****[[Hypoglycemia]]
-####Hyperosmolar state (e.g., [[hyperglycemia]])
+****Hyperosmolar state (e.g., [[hyperglycemia]])
-####[[Electrolyte Abnormalities]] ([[hypernatremia]] or [[hyponatremia]], [[hypercalcemia]])
+****[[Electrolyte Abnormalities]] ([[hypernatremia]] or [[hyponatremia]], [[hypercalcemia]])
-####Organ system failure
+****Organ system failure
-####[[Hepatic Encephalopathy]]
+****[[Hepatic Encephalopathy]]
-####[[Uremia]]/[[Renal Failure]]
+****[[Uremia]]/[[Renal Failure]]
-####Endocrine (Addison disease, [[hypothyroidism]])
+****Endocrine ([[Addison disease]], [[hypothyroidism]])
-####Hypoxia
+****[[Hypoxia]]
-####CO2 narcosis
+****[[CO2 narcosis]]
-###[[Hypertensive Encephalopathy]]
+***[[Hypertensive Encephalopathy]]
-##Toxins
+**[[Toxins]]
-##Drug reactions (NMS)
+**Drug reactions ([[NMS]])
-##Environmental causes
+**Environmental causes
-###[[Hypothermia]]
+***[[Hypothermia]]
-###[[Hyperthermia]]
+***[[Hyperthermia]]
-##Deficiency state
+**Deficiency state
-###[[Wernicke encephalopathy]]
+***[[Wernicke encephalopathy]]
-##[[Sepsis]]
+**[[Sepsis]]
-#Primary CNS disease or trauma
+*Primary CNS disease or trauma
-##Direct CNS trauma
+**Direct CNS trauma
-###Diffuse axonal injury
+***Diffuse axonal injury
-###Subdural/epidural hematoma
+***[[Subdural]]/[[epidural hematoma]]
-##Vascular disease
+**Vascular disease
-###Intraparenchymal hemorrhage
+***Intraparenchymal hemorrhage
-##[[SAH]]
+**[[SAH]]
-##Infarction
+**Infarction
-###Hemispheric, brainstem
+***Hemispheric, brainstem
-##CNS infections
+**CNS infections
-##Neoplasms
+**Neoplasms
-##[[Seizures]]
+**[[Seizures]]
-###Nonconvulsive status epilepticus
+***Nonconvulsive [[status epilepticus]]
-####Consider if motor activity of seizure has stopped but pt is not alert w/in 30min
+****Consider if motor activity of [[seizure]] has stopped but pt is not alert w/in 30min
-###Postictal state
+***Postictal state