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Approach to confusion / altered mental status

The same eight steps, every presentation: threats first, then the history and exam that discriminate, one honest sentence, a mechanism-grouped differential, and the tests read in order.

  1. Immediate threats

    • Hypoglycemia: glucose at the bedside, immediately
    • Hypoxia and hypercapnia
    • Intracranial catastrophe with focal signs
    • Meningitis and encephalitis
    • Overdose and withdrawal syndromes
  2. History that discriminates

    • Collateral history is the exam: baseline cognition, tempo of change, fluctuation
    • Medications (especially new, anticholinergic, sedating), alcohol
    • Preceding symptoms: fever, dysuria, cough, falls, head strike
  3. Examination

    • Vitals with glucose and saturation
    • Attention testing (months backwards): the delirium hallmark
    • Focal neurology, neck stiffness, asterixis
    • The bladder scan and the rectal exam that find the retention and impaction everyone forgot
  4. Problem representation

    An acute, fluctuating attention deficit in an 81-year-old with a urinary catheter (delirium physiology) versus progressive months-long memory decline (dementia tempo).
  5. Differential, by mechanism

    Metabolic

    • Hypoglycemia
    • Sodium disorders
    • Hypercalcemia
    • Uremia
    • Liver failure
    • CO2 narcosis

    Infectious

    • UTI and pneumonia (in the vulnerable brain)
    • Meningitis/encephalitis
    • Sepsis

    Structural

    • Stroke
    • Subdural hematoma
    • Tumor
    • Seizure and post-ictal states

    Toxic

    • Medications (opioids, benzodiazepines, anticholinergics)
    • Alcohol intoxication and withdrawal
  6. Investigations

    • Glucose, gas, electrolytes, calcium, ammonia when cirrhotic
    • Cultures and urinalysis with a symptom anchor, not reflexively
    • CT head for focality, anticoagulation, or trauma
    • LP when meningitis is genuinely on the table
    • EEG for the non-convulsing seizure question
  7. Interpretation

    • Delirium is a syndrome with a cause list, not a diagnosis to stop at
    • The attention test separates delirium from dementia faster than any scan
    • In the old, the confused organ is often not the sick one: the brain is the monitor, not the lesion
  8. Next steps

    • Treat causes, fix the environment (light, hearing aids, reorientation), avoid new sedatives
    • Delirium found means delirium documented and handed over: it changes every subsequent assessment

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