Too High

Multisystem Processes & Disorders

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"The elderly patient with acute confusion is a common emergency presentation, with a broad range of differential diagnoses that can be summarized by the \u00223Ds\u0022 rule: delirum, dementia, and depression. However, in practice, it is wise to assume that all such presentations are due to delirium until proven otherwise.\n\nIn this patient\u0027s case, the quartet of altered mentation, impaired cognition, a rapid onset of symptoms, and a lack of preexisting neurocognitive disease strongly suggest at delirium. In fact, she will satisfy the DSM-V criteria for delirium if clinical or laboratory findings indicative of an underlying medical condition are found.\n\nThe causes of delirium are numerous. However, in practice, the most common are cerebrovascular accid"}]}

Want to continue playing?

Open your Clinical Odyssey account today.

Enjoy unlimited access to 600+ simulations.
Safely improve your skills, anytime and anywhere.
Get answers to your follow-up questions from practicing physicians.