Delerium

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Clinical Features

  1. Impairment of arousal and content of consciousness
  2. Generally develops over days
  3. Symptoms may be intermittent and vary in severity

Workup

  1. CBC
  2. Chemistry
  3. LFTs
  4. UA
  5. CXR
  6. ?Utox
  7. ?CT/LP

DDX

  1. A
    1. Alcohol
  2. E
    1. Electrolytes Abnormalities
    2. Encephalopathy (hepatic, hypertensive)
  3. I
    1. Insulin (hypoglycemia)
  4. O
    1. Opiates
  5. U
    1. Uremia
  6. T
    1. Trauma
    2. Tox
    3. Thyrotoxicosis
  7. I
    1. Infection
      1. PNA, UTI, meningitis/encephalitis, sepsis
  8. P
    1. Psych
  9. S
    1. Seizure
    2. Stroke

Treatment

  • Treat underlying cause

See Also

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