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15 Cards in this Set

  • Front
  • Back
Acute transient potentially reversible confusional state is called _
DELIRIUM
Primary causes of delirium
Systemic

Primary cerebral

Exogenous substances

Withdrawal
What workup do you need to order in people with delirium
H&P - REVIEW MEDS

Labs - electrolytes, glucose, CBC, BUN, creatinine, calcium, urinalysis

Pulse oximetry - ABG

Chest x ray

EEG
If your alcohol blood level is 50-150 - what symptoms do you exprience
Euphoria, shyness, impaired concentration and judgement
If your alcohol blood level is 150-250 what symptoms do you experience
Slurred speech, ataxia, anger, diplopia, labile mood and drowsiness
If your alchohol blood level is 300 - what symptoms do you experience
Stupor + combativeness
If your alcohol blood level is 400 what symptoms do you experience
COMA
If your alchohol blood level is 500 what happens
RESPIRATORY PARALYSIS
Delirium trements precedes or follows seizures
Follows seizures, if seizure occurs during DT - think of another cause
In Wernicke encephalopathy there is defficiency of _ ,
diffuse _ loss, _ hemorrhages, global confusion, impaired memory and inattentiveness, abnormal eye movements _ , ataxia
Thiamine

Axonal, neuronal and myelin

Petechial

Nystagmus, lateral rectus palsy or ophthalmoplegia
How do you diagnose Wernicke encephalopathy
H&P

Transketolase defficiency
Treatment of Wernicke encephalopathy
Parenteral thiamine
In Korsakoff psychosis what type of amnesia do you have?

What else do you have
Retrograde and anterograde

Confabulation, impaired insight
With Korsakoff psychosis there are lesions in _
Dorsal medial nucleus of thalamus or mammillary bodies
Hepatic encephalopathy is seen in cases of _

Cause?
Chronic hepatic insufficiency or portal caval shunting

Cause - elevated blood ammonia