Diagnosaurus
Altered mental status
Altered mental status is a topic covered in the Diagnosaurus.
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DDx
Drugs
- Opioids, alcohol, sedatives, antipsychotics, withdrawal, others
Metabolic
- Hypoxia, hypoglycemia, hyperglycemia, hypercalcemia, hypernatremia, hyponatremia, uremia, hepatic encephalopathy, hypothyroidism, hyperthyroidism, vitamin B12 or thiamine deficiency, carbon monoxide poisoning, Wilson’s disease
Infectious
- Meningitis, encephalitis, bacteremia, urinary tract infection, pneumonia, neurosyphilis
Structural
- Space-occupying lesion, eg, brain tumor, subdural hematoma, hydrocephalus
Vascular
- Stroke, subarachnoid hemorrhage, coronary ischemia, hypertensive encephalopathy, CNS vasculitis, thrombotic thrombocytopenic purpura, disseminated intravascular coagulation, hyperviscosity
Psychiatric
- Schizophrenia, depression, mania
Other
- Seizure, nonconvulsive status epilepticus, hypothermia, heat stroke, ICU psychosis, "sundowning"
-- To view the remaining sections of this topic, please log in or purchase a subscription --
DDx
Drugs
- Opioids, alcohol, sedatives, antipsychotics, withdrawal, others
Metabolic
- Hypoxia, hypoglycemia, hyperglycemia, hypercalcemia, hypernatremia, hyponatremia, uremia, hepatic encephalopathy, hypothyroidism, hyperthyroidism, vitamin B12 or thiamine deficiency, carbon monoxide poisoning, Wilson’s disease
Infectious
- Meningitis, encephalitis, bacteremia, urinary tract infection, pneumonia, neurosyphilis
Structural
- Space-occupying lesion, eg, brain tumor, subdural hematoma, hydrocephalus
Vascular
- Stroke, subarachnoid hemorrhage, coronary ischemia, hypertensive encephalopathy, CNS vasculitis, thrombotic thrombocytopenic purpura, disseminated intravascular coagulation, hyperviscosity
Psychiatric
- Schizophrenia, depression, mania
Other
- Seizure, nonconvulsive status epilepticus, hypothermia, heat stroke, ICU psychosis, "sundowning"
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Citation
Zeiger, Roni F.. "Altered Mental Status." Diagnosaurus, 4th ed., McGraw-Hill Education, 2015. 5-Minute Clinical Consult, www.unboundmedicine.com/5minute/view/Diagnosaurus/114849/all/Altered_mental_status.
Zeiger RFR. Altered mental status. Diagnosaurus. McGraw-Hill Education; 2015. https://www.unboundmedicine.com/5minute/view/Diagnosaurus/114849/all/Altered_mental_status. Accessed March 24, 2023.
Zeiger, R. F. (2015). Altered mental status. In Diagnosaurus (4th ed.). McGraw-Hill Education. https://www.unboundmedicine.com/5minute/view/Diagnosaurus/114849/all/Altered_mental_status
Zeiger RFR. Altered Mental Status [Internet]. In: Diagnosaurus. McGraw-Hill Education; 2015. [cited 2023 March 24]. Available from: https://www.unboundmedicine.com/5minute/view/Diagnosaurus/114849/all/Altered_mental_status.
* Article titles in AMA citation format should be in sentence-case
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T1 - Altered mental status
ID - 114849
A1 - Zeiger,Roni F,
BT - Diagnosaurus
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PB - McGraw-Hill Education
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DB - 5-Minute Clinical Consult
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