HYHO: Altered Mental Status

Question 1

What is the five model approach to altered mental status?

Answer 1

Question 2

What is battle’s sign?

Answer 2

brusing over mastoid process(es) caused by extravasation of blood along posterior auricular artery

sign of head trauma

Question 3

What is hemotympanum?

Answer 3

presence of blood in tympanic cavity of the ear

often result of basilar skull fracture

Question 4

What aspects of an exam should be included in a pt with altered mental status?

Answer 4

Vitals

General appearance

HEENT

Neuro Testing

Question 5

What helps to prevent delerium during hospital stays?

Answer 5

exercise

Question 6

What is the strongest risk factor for dementia?

Answer 6

advanced age

Question 7

What are the four main considerations for a dementia dx?

Answer 7

Question 8

What does I WATCH DEATH stand for?

Answer 8

ddx of delirium

Question 9

Answer 9

Question 10

What two tests are done for delirium?

Answer 10

Richmond Agitation Sedation Score

Confusion Assessment Method

Question 11

What four tests are done for dementia?

Answer 11

Mini-cog

Montreal Cognitive Assessment

Mini-Mental State Exam

Saint Louis University Mental Status Examination