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Confusion

August 20th, 2017
 
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Overview

  • Ask About

  • Time - day, date, month, year, season
  • Place - floor, building, city, state, country
  • Person - full name, date of birth, address
  • Situation - why the patient is in hospital, who the prime minister is
  • Significance

  • Orientation is a quick way of assessing patients for confusion.
  • Causes

  • Delirium - stroke, infection, intoxication / withdrawal, metabolic, neoplastic, intra/post-ictal, sleep deprivation, severe pain, psychiatric
  • Dementia - Alzheimer's, vascular dementia, lewy body dementia, frontotemporal dementia
  • Intellectual disability
  • Poor compliance
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