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Doctor insights on: Transient Altered Mental Status

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Dr. Ravi Chand Dr. Chand
Psychiatry
22 years in practice
Maharashtra University of Health Sciences, Seth G. S. Medical College
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What does altered mental status mean?

What does altered mental status mean?

AMS: It means that you have an alteration of consciousness and waxing and waning between being clear and confused.

Dr. Frederick Shieh Dr. Shieh
Internal Medicine - Gastroenterology
years in practice
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What sort of problem is altered mental status?

What sort of problem is altered mental status?

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.

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Dr. Colin Kerr Dr. Kerr
Family Medicine
40 years in practice
University of Pennsylvania School of Medicine
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What does it mean if I have altered mental status?

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.

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Dr. Larry Maturani Dr. Maturani
Internal Medicine - Hospital-based practice
20 years in practice
St. George's University School of Medicine
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What are the signs of altered mental status 2 shock?

What are the signs of altered mental status 2 shock?

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.

Dr. Edward Neilsen Dr. Neilsen
Family Medicine
15 years in practice
Medical University of South Carolina College of Medicine
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What are the most common symptoms of altered mental status?

Symptom...: Altered mental status is a symptom....It can be caused by many problems ranging from a simple urinary tract infection to a stroke. Altered mental status should always be treated as an emergency and be evaluated by a physician asap.

Dr. Lawrence Smith Dr. Smith
Clinical Psychology
26 years in practice
UC San Diego School of Medicine
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What test should all patients with a altered mental status have?

What test should all patients with a altered mental status have?

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.

Dr. Anthony Leazzo Dr. Leazzo
Family Medicine
19 years in practice
Philadelphia College of Osteopathic Medicine
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Teaching plan for patient with altered mental status?

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.

Dr. Liawaty Ho Dr. Ho
Internal Medicine - Hematology & Oncology
19 years in practice
Udayana University Faculty of Medicine
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Frequent urination and altered mental status are signs of what conditions?

Frequent urination and altered mental status are signs of what conditions?

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.

Dr. Brian Mott Dr. Mott
Surgery - Thoracic
25 years in practice
McGill University Faculty of Medicine
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Do some patients have altered mental status over a week past open heart surgery?

Do some patients have altered mental status over a week past open heart surgery?

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.

Dr. Felecia Sumner Dr. Sumner
Family Medicine
6 years in practice
Philadelphia College of Osteopathic Medicine
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Will someone with altered mental status from high potassium return to normal once potassium is lowered?

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.

Dr. Lawrence Smith Dr. Smith
Clinical Psychology
26 years in practice
UC San Diego School of Medicine
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What is a mental status change?

What is a mental status change?

A difference in mind: This refers to an alteration in one or more of the basic domains of a person's mental state. The components of mental status examinations include, for example, appearance, attitude, behavior, mood and affect, speech, thought process, thought content, perceptions, cognition, insight, and judgment. These are the vital signs of a person's mental state.

Dr. Warren Wolfe Dr. Wolfe
Family Medicine
54 years in practice
Philadelphia College of Osteopathic Medicine
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Can a person have a persistent change in mental status due to punctate lacunar infact?

Can a person have a persistent change in mental status due to punctate lacunar infact?

Quite possibly: If you think that you are having mental changes then I think it is imperative that you consult with a neurologist at your first opportunity. One infarct may be the harbinger of another to follow,

Dr. Jordan Rush Dr. Rush
Internal Medicine - Gastroenterology
9 years in practice
University at Buffalo, The State University of New York School of Medicine & Biomedical Sciences
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Can a total bilirubin level of 4.5 make someone have a change in mental status even with normal liver functioning?

Can a total bilirubin level of 4.5 make someone have a change in mental status even with normal liver functioning?

Bilirubin: This answer would depend upon the underlying cause of the bilirubin elevation. It is certainly possible with cirrhosis and liver failure to have altered mental status. If there is an infection such as cholangitis (bile duct infection) it is also possible to have altered mental status. If it is due to a condition such as gilbert's syndrome then it is less likely.

Dr. Shariq Refai Dr. Refai
Psychiatry
9 years in practice
St. George's University School of Medicine
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How can I assess my own mental status?

Its always: It is always recommended to be assessed by a mental professional.

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Dr. Luis Villaplana Dr. Villaplana
Internal Medicine
31 years in practice
Ponce School of Medicine
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Who performs mental status evaluation?

Who performs mental status evaluation?

PHYSICIANS, LICENSED: Psychologists, psychiatrists, social workers, nurses, etc.

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Dr. Robert Robinson Dr. Robinson
Internal Medicine
17 years in practice
Southern Illinois University School of Medicine
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Can cdiff cause alterations in mental status?

Can cdiff cause alterations in mental status?

If severe enough: C diff colitis can result in sepsis, which can manifest as alterations in mental status. C diff colitis causing sepsis is life threatening. The current definition of sepsis is called qSOFA. You get 1 point each for low blood pressure, high respiratory rate, or altered mental status. A score of 2 or more means you have sepsis. Https://en. Wikipedia. Org/wiki/SOFA_score#Quick_SOFA_Score

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Dr. Alan Ali Dr. Ali
Psychiatry
28 years in practice
University of Arkansas for Medical Sciences/UAMS College of Medicine
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How can doctors assess a child's mental health status?

How can doctors assess a child's mental health status?

Child's MH: A Child Psychiatrist obtains thorough history from family or caretakers, performs Mental status exam, and orders further testing such as Psychological testing, to provide provisional diagnosis.

Dr. Traci Seidman Dr. Seidman
Clinical Psychology
27 years in practice
University of San Carlos Faculty of Medical Science
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How can abstaining from alcohol improve your mental health status?

How can abstaining from alcohol improve your mental health status?

Alcohol & Depression: Long term use of alcohol is associated with depression. Over time, it can deplete serotonin, thus, while you may feel good with that initial "buzz, " coming down can take you back to that same sad place you started from, leading you to a vicious cycle of trying to chase away the blues. Staying away can help you get a good nights rest, replenish neurotransmitters and help you see more clearly later

Dr. Jeffrey Ng Dr. Ng
Family Medicine
27 years in practice
Rosalind Franklin University - Chicago Medical School
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What is the definition or description of: decreased mental status?

What is the definition or description of: decreased mental status?

Confusion: Decreased or altered mental status is a clinical description of an individual who is not oriented to person, place or time. It can be a symptom of infection, stroke, seizures, or any thing that messes with the brain.