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19 Cards in this Set
- Front
- Back
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What are the five types of Delirium?
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1. Delirium Due to General Medical Condition
2. Substance Intoxication Delirium 3. Substance Withdrawal Delirium 4. Delirium Due to Multiple Etiologies 5. Delirium NOS |
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What are the essential features of delirium?
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- disturbance of consciousness and change in cognition or perceptual disturbance.
- Develops over a short period of time and has a fluctuating course |
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What are the indicators of delirium?
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- incoherence
- inattention - disorientation - transient hallucinations |
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Delirium : Differential Diagnosis (4)
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Dementia, Substance Intoxication, Substance Withdraw, Psychotic Disorder
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Delirium Criteria A, B, & C
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A. Disturbance of consciousness (i.e., reduced clarity of awareness of the environment) with reduced ability to focus, sustain, or shift attention.
B. A change in cognition (such as memory deficit, disorientation, language disturbance) or the development of a perceptual disturbance that is not better accounted for by a preexisting, established, or evolving dementia. C. The disturbance develops over a short period of time (usually hours to days) and tends to fluctuate during the course of the day. |
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What are Diagnostic Criteria for Delirium Due to General Medical Condition?
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A, B, C, &
D. There is evidence the disturbance is caused by a general medical condition. |
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What are the Diagnostic Criteria for Substance Intoxication Delirium?
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A, B, C, &
D. There is evidence of either (1) or (2): (1) the symptoms developed during Substance Intoxication (2) medication use is etiologically related to the disturbance Note: This diagnosis should be made instead of a diagnosis of Substance Intoxication only when the cognitive symptoms are in excess of those usually associated with the intoxication syndrome and when the symptoms are sufficiently severe to warrant independent clinical attention. Code [Specific Substance] Intoxication Delirium: Alcohol; Amphetamine [or Amphetamine-Like Substance]; Cannabis; Cocaine; Hallucinogen; Inhalant; Opioid; Phencyclidine [or Phencyclidine-Like Substance]; Sedative, Hypnotic, or Anxiolytic; Other [or Unknown] Substance |
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What are the Diagnostic Criteria for Substance Withdrawal Delirium?
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A, B, C, &
D. Symptoms developed during, or shortly after, a withdrawal syndrome. Note: This diagnosis should be made instead of a diagnosis of Substance Withdrawal only when the cognitive symptoms are in excess of those usually associated with the withdrawal syndrome and when the symptoms are sufficiently severe to warrant independent clinical attention. Code [Specific Substance] Withdrawal Delirium: Alcohol; Sedative, Hypnotic, or Anxiolytic; Other [or Unknown] Substance |
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What are the Diagnostic Criteria for Delirium Due Multiple Etiologies?
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A, B, C, &
D. The delirium has more than one etiology (e.g., more than one etiological general medical condition, a general medical condition plus Substance Intoxication or medication side effect). |
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What are the essential features of dementia? (A & B)
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A) impairments in memory
- & 1+ of the following: - aphasia - apraxia - agnosia - disturbance in executive functioning B. The cognitive deficits cause significant impairment in social or occupational functioning and represent a significant decline from a previous level of functioning. |
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What is the prevalence of dementia over the ages?
Indicators? Differential Diagnosis? |
- 1.5% 65-69
- 16-25% of people over 85 -Fam complains, ct may not be aware. -diff: Delirium, Amnestic Disorder, Mood Disorder |
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What are the six types of dementia?
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1. Dementia of the Alzheimer's Type
2. Vascular Dementia 3. Dementia Due to Other General Medical Conditions 4. Substance-Induced Persisting Dementia 5. Dementia Due to Multiple Etiologies 6. Dementia NOS |
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What is the Diagnostic Criteria for Dementia of the Alzheimer's Type?
(C, D, E, F) |
C. Gradual onset and continuing cognitive decline.
D. Deficits are not due to any of the following: (1) other central nervous system conditions that cause progressive deficits in memory and cognition (e.g., cerebrovascular disease, Parkinson's disease, Huntington's disease, subdural hematoma, normal-pressure hydrocephalus, brain tumor) (2) systemic conditions that are known to cause dementia (e.g., hypothyroidism, vitamin B or folic acid deficiency, niacin deficiency, hypercalcemia, neurosyphilis, HIV infection) (3) substance-induced conditions E. Deficits occur beyond a delirium episode. F. The disturbance is not better accounted for by another Axis I disorder |
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What are the Codes and Diagnostic Criteria for Substance-Induced Persisting Dementia?
(C, D) |
C. Deficits occur beyond a delirium episode and persist beyond the usual duration of Substance Intoxication or Withdrawal.
D.There is evidence that the deficits are etiologically related to the persisting effects of substance use. Code [Specific Substance]-Induced Persisting Dementia: (Alcohol; Inhalant; Sedative, Hypnotic, or Anxiolytic; Other [or Unknown] Substance) |
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What are the Diagnostic Criteria for Vascular Dementia?
(C, D) |
C. Focal neurological signs and symptoms (e.g., exaggeration of deep tendon reflexes, extensor plantar response, pseudobulbar palsy, gait abnormalities, weakness of an extremity) or laboratory evidence indicative of cerebrovascular disease (e.g., multiple infarctions involving cortex and underlying white matter) that are judged to be etiologically related to the disturbance.
D. The deficits do not occur exclusively during the course of a Delirium. Code based on predominant features: - With Delirium: if delirium is superimposed on the dementia - With Delusions: if delusions are the predominant feature - With Depressed Mood: if depressed mood is the predominant feature. - Uncomplicated: if none of the above predominates in the current clinical presentation Specify if: With Behavioral Disturbance Coding note: Also code cerebrovascular condition on Axis III. |
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What are the Diagnostic Criteria for Dementia Due to Other General Medical Conditions?
(C, D) |
C. The disturbance is the direct physiological consequence of one of the general medical conditions listed below.
D. Deficits occur beyond a Delirium. Code based on significant behavioral disturbance. - Without Behavioral Disturbance - With Behavioral Disturbance |
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What are the Diagnostic Criteria for Dementia Due to Multiple Etiologies?
(C, D) |
C. The disturbance has more than one etiology (e.g., head trauma plus chronic alcohol use, Dementia of the Alzheimer's Type with the subsequent development of Vascular Dementia).
D. Deficits occur beyond a Delirium. |
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What are the essential features of an amnestic disorder?
What are the indicators? Differential Diagnosis? |
- memory impairment in the absence of other cognitive sxs
- forgetfulness, long hx of AOD, Hx of head trauma -Dementia, DID, black out due to SA, possible seizure disorder |
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What are the three Amnestic Disorders?
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1. Amnestic Disorder Due to General Medical Condition (chronic if 1+ mo)
2. Substance-Induced Persisting Amnestic Disorder 3. Amnestic Disorder NOS |
