Organic Mental Disorders Flashcards
Acute/ sub-acute organic mental disorders?
Delirium
Organic mood disorder
Organic psychotic disorder
Chronic organic mental disorders?
Dementia
Amnesic syndrome
Organic personality change
Presentation of delirium?
Impairment of consciousness and attention Global disturbance of cognition Psychomotor disturbances Disturbance of sleep-wake cycle Emotional disturbance
Onset of delirium?
Rapid
Diurnal fluctuation
Less than 6 month duration
Broad causes of delirium? (10)
Medications Drug abuse Withdrawal syndromes Metabolic Vitamin deficiencies Endocrinopathies Infections Neurological Toxins and industrial exposure Others
Management of delirium?
Treat factors contributing to delirium
Avoid sedation unless required
Dementia?
Syndrome characterised by global cognitive impairment which is chronic in nature
Types of dementia?
Alzheimer Vascular Mixed Lewy body Frontotemporal
Amnesic syndrome?
Impairment of recent and remote memory
Immediate recall preserved
Disorientation in time
Confabulation
Recovery from amnesic syndrome?
Depends on underlying lesion, almost complete recovery possible