Doctor insights on:
Altered Mental Status Differential Diagnosis
Mental Status Exams: As I mentioned earlier, the basic domains of a person's mental state include: appearance, attitude, behavior, mood and affect, speech, thought process, thought content, perceptions, cognition, insight, and judgment. These vital signs of a person's mental status are typically assessed during a mental status evaluation. Other domains may also be assessed, and specific tests may be done when needed. ...Read more
Don't understand: The question? There are really no teaching plans for altered mental status. You need to figure out the cause and treat it if possible. ...Read more
Many things: See your md as soon as possible and have further evaluation. It can be from many condition- but it could be serious. Altered mental status can happen as the result of dehydration that can be caused by increase urination; however it also could be caused by low serum sodium, diabetes, high serum calcium, infection etc also have to be ruled out. You should not delay any more-see your md. ...Read more
Confusion: Altered mental status is just a medical term for "confusion" which can be caused by a multitude of things. Anything from an infection, to drugs, to electrolyte imbalances and organ failure can all cause altered mental status. ...Read more
Altered mental state: Altered mental status means that someone thinks your mind and behavior are significantly different than your usual way of being. Common causes are extreme fatigue, medications, alcohol, drugs, toxins, nervous system infections, shock, blood stream infections, diabetes crises, severe low sodium or high glucose, low oxygen, kidney failure, etc. Often you would not be aware of these changes. ...Read more
Confusion/Lethargy: Several types of shock: cardiogenic, septic, hypovolemic etc. Patients with any of these will be treated in the ICU and are treated diffirently depending on the type. These patients have decreased awareness may hallucinate, aggitated and pulling lines out etc. They can be on and off to with signs such as deliuium, decreased cognition. Many different symptoms depending on the nature of the shock. ...Read more
Yes: If properly tested with neuropsychological tests many patients have mild memory problems up to a year after ohs. Fortunately the vast majority have no obvious changes noticeable to them or their family members. ...Read more
Will someone with altered mental status from high potassium return to normal once potassium is lowered?
Possibly..: If the altered mental status is due to a high potassium level, then yes. It is possible, however, that the high potassium level could be a manifestation of some other underlying issue, such as a kidney issue, high blood sugar, etc. If that is the case, then the underlying issue would likely need to be resolved as well. If someone has a change in mental status, they should be seen in the ER. Best. ...Read more
Too much to mention.: Fibromyalgia is a complex condition with associated allodynia or severe pain on pressure points which are widespread in the body, the differential diagnosis include depression, other types of myofascial pain stress related muscle spasms. Rather tan differential diagnosis, fibromyalgia is associated with a lot of somatic conditions like tmj. It usually is associated with sleep disturbances. ...Read more
Most commonly, cervicitis is the result of an infection, although it can also be caused by injury or irritation (as a reaction to the chemicals in douches and contraceptives, for example, or a forgotten tampon).
The three most common infectious causes of cervicitis are chlamydia, gonorrhea, and trichomonas. All three are considered sexually transmitted diseases. ...Read more
DDx of malaria: The differential diagnosis of malaria would actually be the differential diagnosis of any acute febrile illness for which malaria would be a possibility. Anyone who resided in a malarial zone, or who had recently visited one, would have the differential of malaria as a possible cause if they developed an acute febrile illness. ...Read more
SIDS: Sids is sort of a diagnosis of exclusion -- when no other cause of death is found at autopsy. Sometimes the infant has died because of suffocation when bed-sharing with an adult and sometimes it is found that the infant had an undiagnosed cardiac defect or had an infection. Sids is most common betweeen 2-4 mo of age, winter season, and the infant may have had symtoms of a mild respiratory illnes. ...Read more
Hydrops fetalis (HF): Hf is divided into two major categories: immune hf and nonimmune hf. Immune hydrops fetalis is caused by rh incompatibility, and used to be the most common cause. All other causes of hf are termed non-immune and may be caused by chromosomal aberrations, other genetic disorders, infections, anemias, structural birth defects such as congenital heart disease, and many other causes. ...Read more
Differential diag.: A differential diagnosis is compiling all of the signs and symtoms of a disease that the patient presents with and arriving at the possibilites of what may be their illness. Each possible diagnosis is either ruled in or ruled out based on findings upon physical exam, laboratory tests, xrays, ct scans, mri, etc. ...Read more
Diff. Dx: Is a process of elimination, to look at several possibilities for diagnosing a probable illness, through process of elimination, to narrow those probabilities, so as a final diagnosis is made. ...Read more
Thyroid disease: graves or toxic nodular goiter;
thyroiditis: subacute, post partum, "hashitoxicosis;
very rarely thyroid cancer, or pitutary tumor making tsh.
Taking too much thyroid hormone (beware of "herbal" supplements.
Trophoblastic disease during pregnancy.
The diagnosis is usually graves, toxic goiter, or thyroiditis. ...Read more