Delirium case Flashcards

1
Q

Confustion assessment method needs 2 features plus 3/4

A
  1. Acute onset and fluctuating course
  2. Inattention
    MUST HAVE
  3. Disorganized thinking OR
  4. Altered level of consciousness
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2
Q

What is a delusion?

A

A fixed, false belief not amenable to rational explanation

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3
Q

What is a hallucination?

A

False perception of a sensory stimulus, NOT associated with a real external stimulus (MAY OR MAY NOT be a delusional interpretation)

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4
Q

DDx for delusions and hallucinations

A
  1. Delirium
  2. Med/neuro condition
  3. meds/substance use
  4. late dementia - DLB
  5. delusional disorder
  6. mood disorder
  7. schizophrenia
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5
Q

Neurotransmitters contributing to delirium

A
  1. Anticholinergics - decrease Ach
  2. INCREASE cortisol/beta endorphins
  3. INCREASE serotonin (antidepressants)
  4. INCERASE Dopamine/decrease Ach (dopamine agonists)
  5. DECREASE Gaba - neuronal excitability - bEZOS, alcohol withdrawal
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