PPT-Rapidly Progressive Lethargy and Altered Mental Status: GI Etiology?

Tim Ridgway MD FACP Associate Professor of Medicine University of South Dakota Sanford School of Medicine A 63 year old female presents with increasing lethargy and altered mental status over the previous 2 days She also complained of nonspecific colicky abdominal pain over the past 3 weeks On the evening prior to admission she noted shaking chills The following day she developed increasing shortness of breath prompting evaluation locally and transfer to our facility. National Pediatric Nighttime Curriculum. Written by Terry Platchek, MD. Lucile Packard Children’s Hospital, Stanford University. Objectives. Be able to recognize children with acutely depressed mental status. Dr. Joanna Bennett. Psychiatric Nursing Assessment. Central component is the patient/clinical interview. Psychiatric evaluation – Psychiatrist. Psychiatric assessment within nursing process as model of care – nurse. autonomic dysfunction and elevated creatine phos-phokinase. 5 PATHOPHYSIOLOGY Neuroleptic malignant syndrome is thought to be secondary to decreased dopamine (DA) activity in central nervous system ( Prof. Dr. Elham . Fayad. .. . Objectives:. By the end of this session the student should be able to:. 1- Classify the most common mental disorders.. 2- Discuss the . etiology. of mental disorders.. Chief Resident. July 2014. Delirium . Goals. Understand the different presentations of delirium. Know the most common causes of delirium in the hospital. Learn a diagnostic approach to the delirious patient. Department of Emergency Medicine. University of Pennsylvania Perelman School of Medicine. Department of Emergency Medicine. University of Pennsylvania Health System. Approach to the Patient with…. Questions/Comments/Suggestions. July 2014. Delirium . Goals. Understand the different presentations of delirium. Know the most common causes of delirium in the hospital. Learn a diagnostic approach to the delirious patient. Obtain skills to minimize and manage delirium in your patients. Amit Salkar, MD. Nicole Bernard, MD. Bhairav Patel, MD. Robert Mignacca, MD. Dell Children’s Medical Center of Central Texas. 7. th. Annual Pediatric Conference. Saturday, April 12, 2014. Goals and Objectives. NALOXONE (. Narcan. ®). Developed in the 1960s. Increased opioid use and abuse. Greater . variety of available opioids . Increased demand for naloxone. Opioid . competitive antagonist. Emergent overdose treatment in hospital and . Suzanne . Abou. -Diab B.S., Muhammad Abu-. Rmaileh. B.S., . Amad. . Walajahi. B.A. M.S., Nicholas Gowen, M.D., Gayathri Krishnan M.D.. Department of Internal Medicine, University of Arkansas for Medical Sciences, Little Rock, AR. October 2019. DKA background. Diagnosis. Hyperglycemia (glucose > 200). Acidosis (venous pH < 7.3). Ketosis (urine or serum ketones). Risk factors. Not previously diagnosed with diabetes. 1/3 of children with type 1 diabetes first present with DKA. Teaching . Neuro. Images. Neurology. Resident and Fellow Section. Vignette. Leiva-Salinas et al. Onset . at age 15 with a single generalized tonic-. clonic. . seizure.. After . 2 years seizure-free, patient experienced emergence of dyscognitive and . Recognize key history findings suggestive of different causes of altered mental status. Recognize key physical findings suggestive of different causes of altered mental status. List high-risk causes of altered mental status in adults and children. MD. What it is it?. The Mental Status Exam (MSE) . equivalent to. describes . the mental state and behaviors of the person being seen. . both . objective . and subjective.. Why do we do them?. The MSE provides information .