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Delirium, Dementia, Psychosis
Delirium, Dementia, Psychosis
PMHx Prior episodes, multiple comorbidities, Often multiple comorbidities Previous psychiatric Hx
drug&alcohol
Meds Anticholinergics Non specific Steroids, anticholinergics
Sedatives, opioids Hallucinogens, sympathomimetics
Narcotics, steroids Withdrawal, NMS, serotonergic Sx
Physical/exam Unwell, abnormal VS, fever, tremor, Often presenting with new Non specific
focal neurology, evidence trauma onset of infective Sx Assess for abnormal VS, fever, neurologic deficit
Ix guided by clinical findings and Hx aim to differentiate delirium from dementia and psychosis and to seek organic etiology
SCZ
psychiatric
depression x4 more
common than SCZ
BPD
hallucinogens
sympathomimetics
drug
steroids
induced
anticholinergics
alcohol (withdrawal)
hypoglycaemia
hyponatraemia/hypercalca
emia
hypxia/hypercapnia
medical Neuro: stroke, postictal,
mass lesion
Endo: Thyroid disorder,
Adrenal crisis, Cushing's
Trauma
Psychosis etiology