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[[Brain abscess]],  
[[Brain abscess]],  
[[Brain infection]],  
[[Brain infection]],  
[[Brill-zinsser disease ]],  
[[Brill-Zinsser disease]],  
[[Cat scratch disease ]],  
[[Cat scratch disease ]],  
[[Cerebral abscess]],  
[[Cerebral abscess]],  
[[Cerebral malaria]],
[[Cerebral malaria]],
[[Lower respiratory tract infection classification|Chest infection]],  
[[Lower respiratory tract infection classification|Chest infection]],  
[[Creutzfeldt-jakob disease]],  
[[Creutzfeldt-Jakob disease]],  
[[Disseminated intravascular coagulation]],  
[[Disseminated intravascular coagulation]],  
[[Epidemic typhus ]],  
[[Epidemic typhus ]],  
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[[Septic shock]],  
[[Septic shock]],  
[[Sleeping sickness (East African)]]
[[Sleeping sickness (East African)]]
[[Sleeping sickness (east african)]],
[[Sleeping sickness (West African)]]
[[Sleeping sickness (West African)]]
[[Sleeping sickness (west african)]],
[[Streptococcal infections  ]],  
[[Streptococcal infections  ]],  
[[Subacute bacterial endocarditis]],  
[[Subacute bacterial endocarditis]],  
[[Subdural empyema]]
[[Subdural empyema]]
[[Subdural empyema]],
[[Surgical wound infection]],  
[[Surgical wound infection]],  
[[Syphilis]],  
[[Syphilis]],  
[[Systemic infection]],
[[Systemic infection]],
[[Systemic infection]], [[Wound#infectionSurgical wound infection]]
[[systemic inflammatory response syndrome]]
[[systemic inflammatory response syndrome]]
[[Typhoid fever]]
[[Typhoid fever]]

Revision as of 21:28, 20 November 2015

Altered mental status




Appendicitis, Bacterial meningitis, Bartonella infections , Brain abscess, Brain infection, Brill-Zinsser disease, Cat scratch disease , Cerebral abscess, Cerebral malaria, Chest infection, Creutzfeldt-Jakob disease, Disseminated intravascular coagulation, Epidemic typhus , Gangrene , Human immunodeficiency virus (HIV), Infections, Infectious mononucleosis Intracranial abscess , Intracranial granuloma, Intraspinal abscess / granuloma, Intracranial abscess / granuloma, Legionella infection , Listeria, Lyme disease Lyme disease, Malaria Mucormycosis, Neurocysticercosis Neurosyphilis, Plague , Postoperative septicemia , Pyelonephritis, acute Rabies , Recrudescent typhus , Rhinocerebral mucormycosis , Rhinocerebral zygomycosis , Rickettsiae Sepsis Septic shock, Sleeping sickness (East African) Sleeping sickness (West African) Streptococcal infections , Subacute bacterial endocarditis, Subdural empyema Surgical wound infection, Syphilis, Systemic infection, systemic inflammatory response syndrome Typhoid fever Urinary tract infection, Vancomycin resistant enterococcal bacteremia, Viral hemorrhagic fever,





Altered mental status has varying time courses and degrees of severity. Acute changes in mental status are usually secondary to delirium, stupor, and coma, which are forms of acute brain dysfunction. These changes occur over a period of hours or days and are usually precipitated by an underlying medical illness that is potentially life threatening. Chronic alterations in mental status (e.g. dementia) occur over a period of months and years and are less likely to be precipitated by a life-threatening illness. For these reasons, acute changes in mental status will be the focus of this review. Altered mental status is rarely caused by psychiatric illnesses such as depression or schizophrenia, and in elder patients, these should be diagnoses of exclusion. Acute brain dysfunction (delirium, stupor, and coma) and their underlying etiology should be ruled out prior to considering any psychiatric diagnoses, especially in patients without a previous history of psychiatric illness.