Doctor insights on:
Transient 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. ...Read moreSee 1 more doctor answer
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
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
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
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. ...Read more
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. ...Read more
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 ...Read more
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 ...Read more
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. ...Read more
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