Doctor insights on:
Transient 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. ...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
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
Legal question: It's a good idea to consult with your attorney regarding these legal questions. Courts of law determine whether a person is competent or not. This court's decision is usually informed by the report/testimony of a mental health professional (psychiatrist or psychologist) with expertise in competency evaluations. ...Read more
No: There are a variety of tests that can look for specific problems when warrented by age, family history or problems in pregnancy.But there are no tests for perfect outcome. Nelson et al published data in the 80"s showing >1/2 CP kids had nl preg/labor/delivery &~4% of deliveries have some unexpected outcome. A pre-pregnancy conference with a geneticist & OB can help u focus on your specific risks. ...Read more
Do you need to have an official mental status evaluation to take over parents finances without their consent?
Legal Issue: Obtaining durable power of attorney over one's parent's finances is a legal issue. The laws regarding such matters differ from state to state. In the process of obtaining control of one's parent's finances without their consent, they would both need to be deemed incompetent by the court. Competency can only be determined by an official mental status evaluation. ...Read more
What is MH status: I'm not sure what you mean by that. Are you wondering about a diagnosis generally or are you feeling off and wondering how to figure, this, out. In general, most mental health determinations are made by talking with someone who is rained, in this area. They will guide the conversation to help figure, things out. Sometimes psychological testing is used but this is typically not a first step. ...Read more
Mini mental status exam was first developed by Folstein et. Al. in 1975. The test is used to test cognitive function. The test can be affected by educational status and age. You may find a copy of the exam at:
http://www. Mountsinai. On.ca/care/psych/on-call-resources/on-call-resources/mmse. Pdf ...Read more
Autism vs MR: Mr is a reflection of compromised intellectual skills which can be measured and categorized. I may also be seen in any medical, physical and psychological states. Autism, by contrast, is a psychological/biological psychological characterized by an inability to form relationships and relate. To the outside world. Autism means "preoccupation with the self". It may or may not effect intellect. ...Read more
Mental health: Poorer people, with fewer resources are at high risk for mental health issues. That being said, those who are affluent who do not use the resources at their disposal for mental health issues are also at risk. ...Read more
Can change in kidney status like arf from meds cause sudden change in cognition and strength without htn?
I took a hiv blood test in February 2015, it came out negative. Last time I had sexual inter courses where in dec 2014. Can your status change? Hiv
HIV "WIndow": The timing you describe should mean that any risk of contracting HIV from your Dec encounter is past. The usual "window" period when the virus is not detectable with most currently used tests is now measured in weeks rather than months. Still appropriate precautions are always advisable-- the best of which is monogamy with a similarly minded mate! ...Read more
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