65 Clinical: Altered Mental Status

Question 1

Defintions

• Differentiate between confusion and delirium

Answer 1

Question 2

Definitions

• Differentiate Between Coma, Stupor and Drowsiness

Answer 2

Question 3

Dementia

• Define this
• What is the most common cognitive function lost? (Be specific)

Answer 3

Question 4

Risk factors for Dementia

• What are the 2 biggest risk factors?
• What are 5 other common risk factors?

Answer 4

Question 5

Epidemiology Delirium

• What population and subpopulations have high rates of delirium?
  
  • How does this relate to ICU patients?
  • How does this relate to nursing home patients?
  • How does this affect patient outcomes?

Answer 5

Question 6

Evaluation: Delirium

• What method is used to diagnosis this?
  
  • What are the criteria for this method?

Answer 6

Question 7

Delirium: History

• Who can give you a reliable history?
  
  • What can you use if a person is not available?
• What are the three most important pieces of info for history?
  
  • Where do you get them from?
  • Which one will help you correlate the delirium with a potential diagnosis?
  • What can about 1/3 of delirium cases be traced back to?

Answer 7

Question 8

Delirium: Physical Examination

• Vitals
  
  • What kind of state may a patient be in?
• What kind of testing Needs to be conducted to find Delirium?
• What do you need to differentiate this from?
• What exam can be helpful for finding organ dysfunction or past drug abuse?
• What 3 evaluations should always be conducted?

Answer 8

Question 9

Delerium: Etiology

• What are the 2 big pearls to remember for neurologic dysfunction?
  
  • What are examples of each?
• What are the keys to Dx the cause of delirium?

Answer 9

Question 10

Mnemonics

• What does MITTEN?
• AEUOU - TIPS

Answer 10

Question 11

Mnemonics

• What does MOVE STUPID stand for?

Answer 11

Question 12

Differential Dx

• What falls under the metabolic diagnoses?

Answer 12

Question 13

Differential Dx

• What falls under the infection diagnoses?

Answer 13

Question 14

Differential Dx

• What falls under the cardiovascular/pulmonary diagnoses?

Answer 14

Question 15

Differential Dx

• What falls under the neurologic diagnoses?

Answer 15

Question 16

Differential Dx

• What falls under the autoimmune diagnoses?

Answer 16

Question 17

Differential Dx

• What falls under the endocrine diagnoses?

Answer 17

Question 18

Differential Dx

• What falls under the toxicology diagnoses? (Not Poisons)

Answer 18

Question 19

Differential Dx

• What falls under the poisons diagnoses?

Answer 19

Question 20

Step-Wise Evaluation of Delirium

• What are the 3 steps?

Answer 20

Question 21

Step-Wise Evaluation of Delirium

• What happens in the initial evaluation?

Answer 21

Question 22

Step-Wise Evaluation of Delirium

• What guides the first tier evaluation?

Answer 22

Question 23

Step-Wise Evaluation of Delirium

• What things are considered second tier?

Answer 23