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21 Cards in this Set
- Front
- Back
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classic, fluctuating clinical fluctuation, reversal of sleep cycles, paranoid, psychotic. -- classic presentation of delirium
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sundowning
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clinical tests for delirium
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name months backwards
count backwards from 20 to 1 (these tests cannot distinguish from Alzheimer's) |
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Is delirium a constant disorder?
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no, delirium classically waxes and wanes within hours to days
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What's the big diff between Alz and Delirium?
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Delirium is an acute confusional state.
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Strub and Black do a nice MMSE.
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Describe EEG of Delirium pt
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Diffuse cerebral slowing in delta and theta range
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Predisposing Factors in Delirium
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Age, Age, Age
Brain damage Chronic brain disease, such as Alzheimer’s disease. |
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Motor abns in delirium
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Psychomotor retardation and/or hyperactivity
Action tremor Myoclonus Dysarthria Tone and reflex abnormalities |
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Delirium in elderly individuals is often a presenting feature of
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an acute physical illness
exacerbation of a chronic illness intoxication with even therapeutic doses of commonly used drugs. |
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Etiologies of Delirium
(Systemic conditions) |
Cardiac failure
Pulmonary disease Uremia Hepatic encephalopathy Electrolyte disturbance Hypoglycemia Inflammatory disorder Anemia Porphyria Carcinoid syndrome |
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Etiologies of Delirium
(Endocrinopathies) |
Thyroid dysfunction
Parathyroid dysfunction Adrenal dysfunction Pituitary dysfunction |
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Etiologies of Delirium
(Nutritional deficiencies) |
Thiamine
Niacin B12 Folic acid |
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Etiologies of Delirium
(Intoxication) |
Drugs
Alcohol Metals Industrial agents Biocides |
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Etiologies of Delirium
(Withdrawal syndromes) |
Drugs
Alcohol |
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Etiologies of Delirium
(Infections) |
UTI *********
Systematic infections with fever Meningitis Encephalitis |
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Etiologies of Delirium
(Intracranial disorder) |
Head trauma
Cerebral edema Epilepsy Hypertensive encephalopathy Intracranial inflammatory disease Cerebrovascular accident Migraine Subdural hematoma |
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Etiologies of Delirium
(Focal cerebral lesions) |
Right parietal lesions
Bilateral occipitotemporal lesions |
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Etiologies of Delirium
(Miscellaneous conditions) |
Heatstroke
Radiation Electrocution Hypersensitivity reaction Sleep deprivation Postoperative confusion |
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Etiologies of Delirium
(Idiopathic psychiatric disorders) |
Mania (particularly in elderly individuals)
Schizophrenia Depression |
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Drug preferred (by the speaker) to get delirious pt back on a normal sleep cycle
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Quetiapine (atypical antipsychotic)
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Class of Drugs prone to cause delirium
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anticholinergics (like Benedryl, atropine)
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