Chapter 026 Confusion and Delirium (Part 3) pptx

... 1990. History Chapter 026. Confusion and Delirium (Part 3) Approach to the Patient: Delirium As the diagnosis of delirium is clinical and made at the bedside, a careful history and physical ... autonomic instability, and changes in affect Table 26-1 The Confusion Assessment Method (CAM) Diagnostic Algorithm The diagnosis of delirium requires the presence...

Ngày tải lên: 06/07/2014, 13:20

... Chapter 026. Confusion and Delirium (Part 1) Harrison's Internal Medicine > Chapter 26. Confusion and Delirium Confusion and Delirium: Introduction Confusion, a mental and behavioral ... delirium remain largely unknown and understudied. Some episodes of delirium continue for weeks, months, or even years. The persistence of delirium in some pat...

Ngày tải lên: 06/07/2014, 13:20

... Chapter 026. Confusion and Delirium (Part 2) Epidemiology Delirium is a common disease, but its reported incidence has varied ... episode of delirium was viewed as a transient condition that carried a benign prognosis. Delirium has now been clearly associated with substantial morbidity and increased mortality, and is increasingly ... home, and are more likely to...

Ngày tải lên: 06/07/2014, 13:20

... skin and soft tissue infections, sepsis CNS infections: meningitis, encephalitis, brain abscess Endocrinologic conditions Hyperthyroidism, hypothyroidism Chapter 026. Confusion and Delirium ... history and physical examination, while others require confirmation with laboratory studies, imaging, or other ancillary tests. A large, diverse group of insults can lead to deliriu...

Ngày tải lên: 06/07/2014, 13:20

... cause delirium, and mild derangements can lead to substantial cognitive disturbances in susceptible individuals. Other common metabolic etiologies include liver and renal failure, hypercarbia and ... deficiencies of thiamine and B 12 , autoimmune disorders including CNS vasculitis, and endocrinopathies such as thyroid and adrenal disorders. Systemic infections often cause d...

Ngày tải lên: 06/07/2014, 13:20

... evaluation Systemic infection screen Urinalysis and culture Chest radiograph Blood cultures Chapter 026. Confusion and Delirium (Part 6) LABORATORY AND DIAGNOSTIC EVALUATION A cost-effective ... Endocrinologic laboratories: thyroid-stimulating hormone (TSH) and free T4; cortisol and herbals) General physical examination and neurologic examination Complete bl...

Ngày tải lên: 06/07/2014, 13:20

... Simple standard nursing practices such as maintaining proper nutrition and volume status as well as managing incontinence and skin breakdown also help to alleviate discomfort and resulting confusion. ... impairment, sleep deprivation, and dehydration. Significant reductions in the number and duration of episodes of delirium were observed in the treatment group, but unfortuna...

Ngày tải lên: 06/07/2014, 13:20

... form crusts and heal. Chapter 053. Eczema and Dermatitis (Part 3) Lichen Simplex Chronicus Lichen simplex chronicus may represent the end stage of a variety of pruritic and eczematous ... Dyshidrotic eczema, a variant of hand eczema, presents with multiple, intensely pruritic, small papules and vesicles occurring on the thenar and hypothenar eminences and the sid...

Ngày tải lên: 06/07/2014, 20:20

... differences (Weber and Pliskin 1996) and workforce issues in- volving salary structures, technical skills, work load, morale, problems of retention and attrition, and changes in IT policies and procedures ... to compatibility and redundancy of hardware and software, connec- tivity, and standards must be resolved. However, the integration of non- compatible systems is time cons...

Ngày tải lên: 26/01/2014, 11:20

... Planning and Control Analysis and float calculation (see Chapter 15) is identical to the methods employed for arrow diagrams and, if the box is large enough, the earliest and latest start and finishing ... inserted and Figure 16.5 shows the bar chart generated using the node numbers. Figure 16.6 shows a typical arrow diagram and Figure 16.7 shows a bar chart generated using the...

Ngày tải lên: 26/01/2014, 11:20