delirium

Question 1

delirium

Answer 1

disturbance in attention and awareness
develops over a short period of time and fluctuates in severity during the course of the day
additional disturbance in cognition- memory, disorientation, language, perception

Question 2

types of delirium

Answer 2

hyperactive delirium
hypoactive delirium
mixed level of activity

Question 3

hyperactive delirium

Answer 3

increased level of psychomotor activity

accompanied by mood lability, agitation , refusing medical care

Question 4

hypoactive delirium

Answer 4

decreased level of psychomotor activity that may be accompanied by sluggishness, lethargy or stupor

Question 5

mixed level of activity

Answer 5

normal psychomotor activity

even though attention and awareness are disturbed

Question 6

management of delirium

Answer 6

low dose haloperidol, risperidone
short acting benzos for severe agitation
supportive management

Question 7

special investigations

Answer 7

HIV and RPR for syphillis

Question 8

investigations in geriatrics

Answer 8

TSH, B12, dipstix, CMP

Question 9

3D-CAM scale

Answer 9

1- acute of fluctuating course
2- inattention and either
3- disorganized thinking or altered level of consciousness