Altered mental status causes: Difference between revisions
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*[[Delirium|Acute confusional state]] | *[[Delirium|Acute confusional state]] | ||
*[[Acute disseminated encephalomyelitis]] | *[[Acute disseminated encephalomyelitis]] | ||
*[[encephalopathy|Acute encephalopathy]] | |||
*[[Diverticulitis|Acute diverticulitis]] | *[[Diverticulitis|Acute diverticulitis]] | ||
*[[Acute intermittent porphyria]] | *[[Acute intermittent porphyria]] | ||
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*[[Carbon tetrachloride]] | *[[Carbon tetrachloride]] | ||
*[[Carcinoid syndrome|Carcinoid crisis ]] | *[[Carcinoid syndrome|Carcinoid crisis ]] | ||
*[[Carotid artery stenosis]] | *[[Carotid artery stenosis]] | ||
*[[Cat scratch disease ]] | *[[Cat scratch disease ]] | ||
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*[[Cerebral vasculitis]] | *[[Cerebral vasculitis]] | ||
*[[Cerebrovascular accident]] | *[[Cerebrovascular accident]] | ||
*[[Chest infection]] | *[[Lower respiratory tract infection|Chest infection]] | ||
*[[Porphyria|Chester porphyria]] | *[[Porphyria|Chester porphyria]] | ||
*[[Chlophedianol]] | *[[Chlophedianol]] | ||
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*[[Cocaine]] | *[[Cocaine]] | ||
*[[Codeine]] | *[[Codeine]] | ||
*[[Congestive heart failure]] | *[[Congestive heart failure]] | ||
*[[Constipation]] | *[[Constipation]] | ||
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*[[Head injury]] | *[[Head injury]] | ||
*[[Heart attack]] | *[[Heart attack]] | ||
*[[Heat stroke]] | *[[Heat stroke]] | ||
*[[Henbane]] | *[[Henbane]] | ||
*[[Hepatic encephalopathy]] | *[[Hepatic encephalopathy]] | ||
*[[Hepatic failure]] | *[[Hepatic failure]] | ||
*[[Herbal agent overdose | *[[Herbal agent overdose]] | ||
*[[Heroin overdose]] | *[[Heroin overdose]] | ||
*[[Histamine-2 receptor blocker]] | *[[Histamine-2 receptor blocker]] | ||
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*[[Hyperammonemia]] | *[[Hyperammonemia]] | ||
*[[Hyperbaric sickness]] | *[[Hyperbaric sickness]] | ||
*[[ | *[[Hypercalcemia]] | ||
*[[Hypercapnia]] | *[[Hypercapnia]] | ||
*[[Hypercarbia]] | *[[Hypercarbia]] | ||
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*[[Hypertensive encephalopathy]] | *[[Hypertensive encephalopathy]] | ||
*[[Hyperthermia]] | *[[Hyperthermia]] | ||
*[[Hyperthyroidism]] | *[[Hyperthyroidism]] | ||
*[[Hypocalcaemia]] | *[[Hypocalcaemia]] | ||
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*[[Oxymorphone]] | *[[Oxymorphone]] | ||
*[[Pain]] | *[[Pain]] | ||
*[[Panayiotopoulos syndrome]] | *[[Panayiotopoulos syndrome]] | ||
*[[Papaveretum]] | *[[Papaveretum]] | ||
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*[[Porphobilinogen synthase|Porphobilinogen synthase deficiency]] | *[[Porphobilinogen synthase|Porphobilinogen synthase deficiency]] | ||
*[[Porphyria]] | *[[Porphyria]] | ||
*[[Postictal state]] | *[[Postictal state]] | ||
*[[Encephalomyelitis|Postinfectious encephalomyelitis]] | *[[Encephalomyelitis|Postinfectious encephalomyelitis]] | ||
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*[[Propoxyphene]] | *[[Propoxyphene]] | ||
*[[Propranolol]] | *[[Propranolol]] | ||
*[[Prothrombotic state]] | *[[Thrombophilia|Prothrombotic state]] | ||
*[[Psilocybin]] | *[[Psilocybin]] | ||
*[[Psychiatric disorders]] | *[[Psychiatric disorders]] | ||
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*[[Pulmonary embolism]] | *[[Pulmonary embolism]] | ||
*[[Pyelonephritis, acute]] | *[[Pyelonephritis, acute]] | ||
*[[Quinine]] | *[[Quinine]] | ||
*[[Quinolones]] | *[[Quinolones]] | ||
*[[Rabies]] | *[[Rabies]] | ||
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*[[Epidemic typhus|Recrudescent typhus]] | *[[Epidemic typhus|Recrudescent typhus]] | ||
*[[Remifentanil]] | *[[Remifentanil]] | ||
*[[Renal failure, chronic]] | *[[Renal failure, chronic]] | ||
*[[Reserpine]] | *[[Reserpine]] | ||
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*[[Schizophrenia]] | *[[Schizophrenia]] | ||
*[[Sedative hypnotics]] | *[[Sedative hypnotics]] | ||
*[[Seizure]] | *[[Seizure]] | ||
*[[Selective serotonin reuptake inhibitors]] | *[[Selective serotonin reuptake inhibitors]] | ||
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*[[Sulfonamides]] | *[[Sulfonamides]] | ||
*[[Infection|Surgical wound infection]] | *[[Infection|Surgical wound infection]] | ||
*[[Syphilis]] | *[[Syphilis]] | ||
*[[Systemic infection]] | *[[Systemic infection]] | ||
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*[[Tetrahydrocannabinol]] | *[[Tetrahydrocannabinol]] | ||
*[[Dermatophyllum|Texas mescalbean poisoning]] | *[[Dermatophyllum|Texas mescalbean poisoning]] | ||
*[[Intracerebral hemorrhage | *[[Intracerebral hemorrhage|Thalamic hemorrhage]] | ||
*[[Thallium]] | *[[Thallium]] | ||
*[[Thebaine]] | *[[Thebaine]] | ||
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*[[Tranquilizers]] | *[[Tranquilizers]] | ||
*[[Transient global amnesia]] | *[[Transient global amnesia]] | ||
*[[Trauma]] | *[[Trauma]] | ||
*[[Tricyclic antidepressants]] | *[[Tricyclic antidepressants]] |
Revision as of 15:23, 19 November 2015
Altered mental status Microchapters |
Diagnosis |
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Treatment |
Altered mental status On the Web |
American Roentgen Ray Society Images of Altered mental status |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Pratik Bahekar, MBBS [2] Kiran Singh, M.D. [3]
Overview
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.