Chapter 026 Confusion and Delirium (Part 4) pps
Chapter 026. Confusion and Delirium (Part 4) pps
... 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...
Chapter 026. Confusion and Delirium (Part 5) pps
... 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...
Chapter 026. Confusion and Delirium (Part 1) pdf
... 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...
Chapter 026. Confusion and Delirium (Part 2) potx
...
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...
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 of...
Chapter 026. Confusion and Delirium (Part 6) pdf
... 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...
Chapter 026. Confusion and Delirium (Part 7) potx
... 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...
Chapter 023. Weakness and Paralysis (Part 4) pps
... on clinical grounds by the absence of spasticity and confirmed by EMG
and nerve conduction tests.
Chapter 023. Weakness and Paralysis
(Part 4)
Hemiparesis
Hemiparesis results from an upper ... superior sagittal
sinus or cortical venous thrombosis, and acute hydrocephalus. If upper motor
neuron signs are associated with drowsiness, confusion, seizures, or other
hemisp...
Chapter 048. Acidosis and Alkalosis (Part 4) ppsx
... syndrome); (4) a decrease in the
effective anionic charge on albumin by acidosis; or (5) hyperviscosity and severe
hyperlipidemia, which can lead to an underestimation of sodium and chloride ... Steps in Acid-Base Diagnosis
1. Obtain arterial blood gas (ABG) and electrolytes simultaneously.
2. Compare [HCO
3
-
] on ABG and electrolytes to verify accuracy.
3. Calculate anion ga...
Chapter 050. Hirsutism and Virilization (Part 4) ppsx
... particularly SHBG; (3) impairment of the peripheral conversion
of androgen precursors to active androgen; and (4) inhibition of androgen action at
the target tissue level.
Attenuation of hair ... the steps
in the pathway of androgen synthesis and action: (1) suppression of adrenal and/ or
ovarian androgen production; (2) enhancement of androgen-binding to plasma-
binding proteins,...
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