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18 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 Diagnostic Criteria for Delirium Due to General Medical Condition?
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A. Disturbance of consciousness 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. 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. Disturbance of consciousness 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. 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. 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. 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. 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. 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 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?
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A. The development of multiple cognitive deficits manifested by both (1) memory impairment (2) one+ of the following cognitive disturbances:
(a) aphasia (language disturbance) (b) apraxia (impaired ability to carry out motor activities despite intact motor function) (c) agnosia (failure to recognize or identify objects despite intact sensory function) (d) disturbance in executive functioning (i.e., planning, organizing, sequencing, abstracting) B. The cognitive deficits cause significant impairment in social or occupational functioning and represent a significant decline from a previous level of functioning. C. The course is characterized by gradual onset and continuing cognitive decline. D. The cognitive 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. The deficits do not occur exclusively during the course of a delirium. 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?
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A. The development of multiple cognitive deficits manifested by both (1) memory impairment and (2) one+ of the following cognitive disturbances:
(a) aphasia (language disturbance) (b) apraxia (impaired ability to carry out motor activities despite intact motor function) (c) agnosia (failure to recognize or identify objects despite intact sensory function) (d) disturbance in executive functioning (i.e., planning, organizing, sequencing, abstracting) B. The deficits cause significant impairment in social or occupational functioning and represent a significant decline from a previous level of functioning. C. The deficits do not occur exclusively during the course of a delirium and persist beyond the usual duration of Substance Intoxication or Withdrawal. D. There is evidence from the history, physical examination, or laboratory findings 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?
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A. The development of multiple cognitive deficits manifested by both (1) memory impairment and (2) one+ of the following cognitive disturbances:
(a) aphasia (language disturbance) (b) apraxia (impaired ability to carry out motor activities despite intact motor function) (c) agnosia (failure to recognize or identify objects despite intact sensory function) (d) disturbance in executive functioning (i.e., planning, organizing, sequencing, abstracting) B. The deficits cause significant impairment in social or occupational functioning and represent a significant decline from a previous level of functioning. 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?
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A. The development of multiple cognitive deficits manifested by both (1) memory impairment (2) one+ of the following cognitive disturbances:
(a) aphasia (language disturbance) (b) apraxia (impaired ability to carry out motor activities despite intact motor function) (c) agnosia (failure to recognize or identify objects despite intact sensory function) (d) disturbance in executive functioning (i.e., planning, organizing, sequencing, abstracting) B. The deficits cause significant impairment in social or occupational functioning and represent a significant decline from a previous level of functioning. C. The disturbance is the direct physiological consequence of one of the general medical conditions listed below. D. The deficits do not occur exclusively during the course of 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?
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A. The development of multiple cognitive deficits manifested by both (1) memory impairment (2) one+ of the following cognitive disturbances:
(a) aphasia (language disturbance) (b) apraxia (impaired ability to carry out motor activities despite intact motor function) (c) agnosia (failure to recognize or identify objects despite intact sensory function) (d) disturbance in executive functioning (i.e., planning, organizing, sequencing, abstracting) B. The deficits in cause significant impairment in social or occupational functioning and represent a significant decline from a previous level of functioning. 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. The deficits do not occur exclusively during the course of a Delirium. |
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What are the three Amnestic Disorders?
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1. Amnestic Disorder Due to General Medical Condition
2. Substance-Induced Persisting Amnestic Disorder 3. Amnestic Disorder NOS |
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What are the Diagnostic Criteria for Amnestic Disorder Due to General Medical Condition?
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A. The development of memory impairment as manifested by impairment in the ability to learn new information or the inability to recall previously learned information.
B. The disturbance causes significant impairment in social or occupational functioning and represents a significant decline from a previous level of functioning. C. The disturbance does not occur exclusively during the course of a Delirium or a Dementia. D. The disturbance is the direct physiological consequence of a general medical condition (including physical trauma). Specify if: Transient: if memory impairment lasts for 1 month or less Chronic: if memory impairment lasts for more than 1 month |
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What are the Diagnostic Criteria for Substance-Induced Persisting Amnestic Disorder?
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A. The development of memory impairment as manifested by impairment in the ability to learn new information or the inability to recall previously learned information.
B. The disturbance causes significant impairment in social or occupational functioning and represents a significant decline from a previous level of functioning. C. The disturbance does not occur exclusively during the course of a Delirium or a Dementia and persists beyond the usual duration of Substance Delirium or Withdrawal. D. The disturbance is etiologically related to the persisting effects of substance use Code [Specific Substance]-Induced Persisting Amnestic Disorder: Alcohol; Sedative, Hypnotic, or Anxiolytic; Other [or Unknown] Substance |
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What eleven disorders can be "Due to General Medical Conditions?"
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1. Delirium
2. Dementia 3. Amnestic Disorder 4. Psychotic Disorder 5. Mood Disorder 6. Anxiety Disorder 7. Sexual Dysfuntion 8. Sleep Disorder 9. Catatonic Disorder 10. Personality Change 11. Mental Disorder NOS |
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What is the Diagnostic Criteria for Catatonic Disorder Due to General Medical Conditions?
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A. The presence of catatonia as manifested by motoric immobility, excessive motor activity (that is apparently purposeless and not influenced by external stimuli), extreme negativism or mutism, peculiarities of voluntary movement, or echolalia or echopraxia.
B. There is evidence from the history, physical examination, or laboratory findings that the disturbance is the direct physiological consequence of a general medical condition. C. The disturbance is not better accounted for by another mental disorder (e.g., a Manic Episode). D. The disturbance does not occur exclusively during the course of a Delirium. A. The presence of catatonia as manifested by motoric immobility, excessive motor activity (that is apparently purposeless and not influenced by external stimuli), extreme negativism or mutism, peculiarities of voluntary movement, or echolalia or echopraxia. B. The disturbance is the direct physiological consequence of a general medical condition. C. The disturbance is not better accounted for by another mental disorder. D. The disturbance does not occur exclusively during the course of a Delirium. |
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What is the Diagnostic Criteria for Personality Change Due to General Medical Conditions?
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A. A persistent personality disturbance that represents a change from the individual's previous characteristic personality pattern.
B. The disturbance is the direct physiological consequence of a general medical condition. C. The disturbance is not better accounted for by another mental disorder (including other Mental Disorders Due to a General Medical Condition). D. The disturbance does not occur exclusively during the course of a Delirium. E. The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning. Specify type: Labile: if the predominant feature is affective lability Disinhibited: if the predominant feature is poor impulse control as evidenced by sexual indiscretions, etc. Aggressive: if the predominant feature is aggressive behavior Apathetic: if the predominant feature is marked apathy and indifference Paranoid: if the predominant feature is suspiciousness or paranoid ideation Other: if the predominant feature is not one of the above, e.g., personality change associated with a seizure disorder Combined: if more than one feature predominates in the clinical picture Unspecified |
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What are the Subtypes for Dementia of Alzheimer's Type?
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Codes are based on presence or absence of a clinically significant behavioral disturbance:
- Without Behavioral Disturbance: if the cognitive disturbance is not accompanied by any clinically significant behavioral disturbance. - With Behavioral Disturbance: if the cognitive disturbance is accompanied by a clinically significant behavioral disturbance. (e.g., wandering, agitation) Specify subtype: - With Early Onset: if onset is at age 65 years or below - With Late Onset: if onset is after age 65 years |
