Psychiatric Complications of Physical Disorders Flashcards
Delirium is commonly seen in what age group?
Over 65 y.o
What are the fts of Delirium?
- Impaired Consciousness
- Disturbed cognition
- psychomotor disturbance
- disturbance of SLEEP-WAKE cycle
- emotional disturbance
What is the range of impaired consciousness?
Clouding>Drowsiness> Sopor (deep sleep)> COMA
How to recognise if the pt has disturbance of Cognition?
- disorientation of TIME (severe- Person)
- Impaired attention and Memory
- impaired thinking
- perceptual disturbance : Hallucinations and Illusions
What psychomotor disturbance is seen in a Hyperactive delirious person?
- AGITATION
- hallucinations and delusions
- sometimes aggressive
- disorientated
WHat psychomotor changes are seen in a hypoactive delirious person?
- confusion
- sedation
- MISDIAGNOSIS of depression
What are the diff. types of sleep disturbance?
- insomnia
- sleep loss
- reversal of sleep cycle (SLEEPS at night)
- nocturnal worsening of symptoms
- nightmares
What emotional disturbance may they be going through?
- fear, anxiety
- irritability
- EUPHORIC
- apathetic
- Perplexity
- aggression
How long do these general features last?
- days to months (until underlying cause is treated)
- transient course and RAPID onset
Apart from elderly patients, who is affected with delirium?
- cancer pts
- AIDS pts
- Terminally ill pts
- in-patients
What neurological disorders lead to delirium?
- Head INJURY
- Meningitis
- Tumors
- Epilepsy
- Encephalitis
What Genitourinary d.os cause delirium?
- UTI
- Renal failure
What endocrine d.os cause delirium?
-complications of DIABETES and THYROID disorder
What CVS d.o may cause delirium?
- PE
- MI
- CHF
- intracranial/subdural bleed
Which GI problem leads to delirium?
pancreatitis
Liver failure
