Disturbances of consciousness

Question 1

Classification of disturbances of consciousness

Answer 1

Quantitive
and qualitative
dissociative

Question 2

Quantitive disturbances

Answer 2

Coma super somnolence and obnubilation

Question 3

Qualitative disturbance

Answer 3

Delirium

• somatic disease
• intoxication
• withdrawal
• alcohol
• substance

Question 4

Dissociative

Answer 4

Fugue
TrAnce
Multiple personality

Question 5

Acronym for delirium

Answer 5

Where the F am I

Where- disorientation in terms of memory and attention so you ask them questions to asses, what’s ur name, where are you

The- thought disorganisation, says things that don’t make sense , or will respond to a conmand completely unrelated (spitting when asked to raise their hand)

Hallucinations - generally visual vs schizophrenia where it’s auditory mainly

Energy - hyperactive or hypoactive (much more likely to go unrecognised)

Fluctuations - waxing and waning - very diagnostic vs dementia where it’s more stable

Question 6

PICH me

Answer 6

Acronym for causes of delerium

Pain 
Infections like UTI, pneumonia 
Nutrition - vitamin deficiencies 
Constipation - CoMMOnLy iGnoRaeD
Hydration poor 
Hypopeefusion 
Medications 
Endocrine - diabetes, thyroid

Question 7

Risk factors for delerium

Answer 7

Age
Males more likely
Icu