General psychiatric approach: Difference between revisions
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== | ==Background== | ||
==Clinical Features== | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{Psych DDX}} | {{Psych DDX}} | ||
==Diagnosis== | |||
===Work-up=== | |||
{{General ED Psychiatric Workup}} | |||
===Evaluation=== | |||
*[[Sad person's score]] | |||
==Management== | |||
==Disposition== | |||
==See Also== | ==See Also== | ||
==External Links== | |||
==References== | |||
<references/> | |||
Revision as of 12:21, 3 September 2015
Background
Clinical Features
Differential Diagnosis
General Psychiatric
- Organic causes
- Psychiatric causes
Diagnosis
Work-up
General ED Psychiatric Workup
- Point-of-care glucose
- CBC
- Chem 7
- LFTs
- ECG (for toxicology evaluation)
- ASA level
- Tylenol level
- Urine toxicology screen/Blood toxicology screen
- EtOH
- Urine pregnancy/beta-hCG (if female of childbearing age)
- Consider:
- Ammonia (see Hepatic encephalopathy)
- TSH (hypo or hyperthyroidism may mimic mental illness)
- CXR (for Tb screen or rule-out delirium in older patient)
- UA (for rule-out delirium in older patients)
- Head CT (to rule-out ICH in patients with AMS)
- Lumbar puncture (to rule-out meningitis or encephalitis)