Confusion assessment method for diagnosing delirium
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Confusion assessment method for diagnosing delirium
Unanswered Questions will be Highlighted in Red.
1. Acute change in baseline level of consciousness and fluctuating level of consciousness thereafter.
2. Difficulty focusing attention.
3. Disorganized or incoherent thinking.
4. Altered level of consciousness (eg, vigilant, lethargic, stuporous, comatose).
 

To establish diagnosis, patient must have both 1 and 2 and either 3 or 4.

Recognition of a patient's state of confusion is only the beginning of a clinical odyssey that can implicate a huge spectrum of diagnostic possibilities. Among these are delirium, depression, dementia, and sensory deprivation. However, with appropriate physical examination and laboratory studies, collateral history, and clarification of time course for the symptom complex, the cause of confusion need not remain confusing.

 

 

Source adapted and modified from: http://www.postgradmed.com
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