medicine Flashcards
what in a history suggests delirium
lethargy:sleep wake cycle
reversable
rapid deterioration
fluctuates
physical function
perception
attention
cognitive function
alertness
what are the different types of delirium
hypoactive
hyperactive
mixed
patient with asterixis,ophtalmoplegia and confusion
What does he have
Wernicke encephalopathy
What are prediposing factors for delirium?
What are precipitating factor
electrolyte: hyponatraemia, hypercalcaeima
infection: UTI, pneumonia
DRUGS: corticosteroid, things that affect neurtransmission
acute recreational drug use
Surgery: stress impact, anesthetics
endocrine: hypothyroidism, hypoglycaemia, hyperglycaemia
What are investigation you would like to do in a patient wih delerium?
What would you like examine in a delirius patient?
man presents with confusion with a midly raised CRP
fluating pyrexia
and presented with initial headache
CT head
fundoscopy
LP
what are the different types of dementia
How is the CSF
serum/glucose- viral
protein
polymorophic
opening pressure
bacterial meinngitis high opening pressure
What are things they will askyo ufor dememntia
what is the management of dementia?
a 40 year old man is found on the street, smelling of alcohol. opens his eyes to voice,raises his arms and is conused
13
openeseyes
sayes odd words
localises pain
What is his GCS
10
painful stimuli
grounting noises
not opening eyes
What is his GCS
GCS of 5
from what GCS can you not send someone to a CT scanner without anesthetics
below 7
