Delirium history and symptoms: Difference between revisions

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# Symptoms suggestive of underlying cause ([[infection]])
# Symptoms suggestive of underlying cause ([[infection]])
# [[Motor]] or [[sensory]] deficits
# [[Motor]] or [[sensory]] deficits
# Aids used ( [[hearing aid]], [[glasses]])<ref>{{Cite web  | last =  | first =  | title = http://www.bgs.org.uk/Word%20Downloads/delirium.doc | url =http://www.bgs.org.uk/Word%20Downloads/delirium.doc | publisher =  | date =  | accessdate =}}</ref>
# Aids used ( [[hearing aid]], [[glasses]])


==Commonly Co-Occurring Mental Symptoms, with a note on Severity==
==Commonly Co-Occurring Mental Symptoms, with a note on Severity==

Revision as of 10:50, 11 April 2021

Delirium Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Pratik Bahekar, MBBS [2]; Vishal Khurana, M.B.B.S., M.D. [3]

Overview

Delirium causes impairment in higher functions, sleep-awake cycle and also has a behavioral component.

Symptoms

Common symptoms associated with delirium include:

History

  • Simple cognitive testing such as Mini-mental Scale examination should be administered in all elderly patients admitted to hospital. However these test can not differentiate [[delirium[[ from other cognitive disorders.
  • Serial measurement may aid to detect new-onset delirium or resolution.
  • History from relatives is often useful to determine the onset, progress, and duration of delirium. Patients with confusional states may not provide an accurate history.
  • A detailed history must include the following:
  1. History of prescribed and non‑prescribed medicines
  2. History of alcohol and other recreational drugs
  3. History of activities of daily living such as payment of bills
  4. Onset, progression and duration of confusion
  5. Previous history of acute or chronic confusion
  6. Social circumstances and support
  7. Any other co-morbid illness such as epilepsy
  8. Symptoms suggestive of underlying cause (infection)
  9. Motor or sensory deficits
  10. Aids used ( hearing aid, glasses)

Commonly Co-Occurring Mental Symptoms, with a note on Severity

Inability to Focus Attention, Confusion and Disorientation

Memory Formation Disturbance

Abnormalities of Awareness and Affect

References

  1. Serafim, Rodrigo B.; Soares, Marcio; Bozza, Fernando A.; Lapa e Silva, José R.; Dal-Pizzol, Felipe; Paulino, Maria Carolina; Povoa, Pedro; Salluh, Jorge I. F. (2017). "Outcomes of subsyndromal delirium in ICU: a systematic review and meta-analysis". Critical Care. 21 (1). doi:10.1186/s13054-017-1765-3. ISSN 1364-8535.
  2. "Practice guideline for the treatment of pati... [Am J Psychiatry. 1999] - PubMed - NCBI".

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