Delerium

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. Electrolyte Abnormalities
   2. Encephalopathy (hepatic, hypertensive)
3. I
   1. Insulin (hypoglycemia)
4. O
   1. Opiates
5. U
   1. Uremia
6. T
   1. Trauma
   2. Toxic Exposure
   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

• Altered Mental Status