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15 Cards in this Set
- Front
- Back
Acute transient potentially reversible confusional state is called _
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DELIRIUM
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Primary causes of delirium
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Systemic
Primary cerebral Exogenous substances Withdrawal |
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What workup do you need to order in people with delirium
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H&P - REVIEW MEDS
Labs - electrolytes, glucose, CBC, BUN, creatinine, calcium, urinalysis Pulse oximetry - ABG Chest x ray EEG |
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If your alcohol blood level is 50-150 - what symptoms do you exprience
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Euphoria, shyness, impaired concentration and judgement
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If your alcohol blood level is 150-250 what symptoms do you experience
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Slurred speech, ataxia, anger, diplopia, labile mood and drowsiness
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If your alchohol blood level is 300 - what symptoms do you experience
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Stupor + combativeness
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If your alcohol blood level is 400 what symptoms do you experience
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COMA
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If your alchohol blood level is 500 what happens
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RESPIRATORY PARALYSIS
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Delirium trements precedes or follows seizures
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Follows seizures, if seizure occurs during DT - think of another cause
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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 |
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How do you diagnose Wernicke encephalopathy
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H&P
Transketolase defficiency |
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Treatment of Wernicke encephalopathy
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Parenteral thiamine
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In Korsakoff psychosis what type of amnesia do you have?
What else do you have |
Retrograde and anterograde
Confabulation, impaired insight |
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With Korsakoff psychosis there are lesions in _
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Dorsal medial nucleus of thalamus or mammillary bodies
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Hepatic encephalopathy is seen in cases of _
Cause? |
Chronic hepatic insufficiency or portal caval shunting
Cause - elevated blood ammonia |