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Psychiatry > Delirium > Flashcards

Delirium Flashcards

1
Q

What is delirium?

A

Serious disturbance in mental abilities and reduced awareness of the environment - usually within hours or a few days

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2
Q

3 types of delirium

A

Hyperalert/hyperactive
Hypoactive
Mixed

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3
Q

Delirium is worse at

A

Night

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4
Q

Delirium has a ____ onset

A

Rapid

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5
Q

Course of delirium vs dementia

A

Fluctuating vs gradually getting worse

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6
Q

Causes of delirium

A

LOTS

Alcohol, BZD, metabolic, drugs, vascular, epilepsy, literally anything

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7
Q

What kinds of drugs worsen delirium?

A

Sedating drugs

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8
Q

Treatment of delirium

A

Antipsychotics - haloperidol

Lorazepam (for Parkinson’s, LBD, neuroleptic sensitivity)

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9
Q

Mean duration of delirium?

A

1-4 weeks

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10
Q

Most common kind of delirium

A

Mixed

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11
Q

Features of mixed delirium

A

Great at times and awful at others

Asleep all day and awake all night

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12
Q

What is the most common neuropsychiatric complication of stroke?

A

Depression

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13
Q

3 types of memory

A

Sensory
Short (<1 min)
Long-term (life time)

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14
Q

2 kinds of long term memory

A

Explicit and Implicit

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15
Q

Implicit memory

A

Procedural

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16
Q

Explicit memory

A

Declarative - which can be divided into episodic (events and experiences) and semantic (facts and concepts)

17
Q

Anterograde amnesia?

A

Difficulty in acquiring new material since onset of illness

18
Q

Retrograde amnesia

A

Difficulty in remembering information prior to onset of illness

19
Q

Assessment test for delirium

A

4AT

20
Q

4AT stands for

A

Alertness
AMT-4
Attention
Acute or fluctuating course

21
Q

2 other tests for dementia and cognition

A

MMSE

Addenbrooke’s

22
Q

MMSE is scored out of

A

30

23
Q

Cut off for MMSE?

A

24

24
Q

<24 MMSE supports

A

Dementia

25
Q

Screening test for mild cognitive dysfunction

A

MoCA

26
Q

Cut off for ACE-III

A

88

Psychiatry (22 decks)

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