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. Overview. The Accident. Automobile Insurance. Underinsured Motorist Coverage. The Lawsuit. Matt Fisher’s . Tumblr. Blog. Progressive Response. Business Problem and Repercussions. Key Stakeholders. 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. Thierry Pech Progressive Generation Progressive Generation © Edward T. O’Donnell, 2006. The Progressive Era. The Progressive Era Defined. Background on the Progressive Era. Three Main Ideas of Progressivism. Who Were the Progressives?. Key Progressive Era Reforms. 1900. -1917. Sources: . Maier, . ch. . 22,. . Tindall. , and on Samuel P. Hays’s . Conservation and the Gospel of Efficiency: The Progressive Conservation Movement, 1890-. 1920. Who were the Progressives?. . Increasing. Populations. Objective: To . find. out about the issues . facing. countries . with. . rapidly. . increasing. population . numbers. .. So . what. . is. a . rapidly. . growing. population? . Employee Discipline Basics . (Not the . S&M. Kind). William E. O’Gara, Esq.. Pannone Lopes Devereaux & West LLC. 317 Iron Horse Way, Suite 301. Providence, RI 02908. Concept Behind Progressive Discipline. What were the attitudes of Progressive social reformers towards immigrants?. Read Document A…Textbook excerpts on the Social Gospel & settlement houses at the turn of the century.. What was the Social Gospel movement?. Introduction. Background. Three Wings. Journalists. Leaders and Accomplishment. State and Local. President. Others. Amendments. Conclusion. Commager’s Six problems facing the U.S. in the late 19. th. 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. Roosevelt’s Square Deal. When Roosevelt took office after the assassination of William McKinley, it was the worst nightmare for the Republican Party.. Roosevelt had previously served as governor of New York. . What was the Progressive Movement?. “A . Response to . Industrialism”. “A Search for ORDER”. How . does one produce a more humane, yet “ordered” society?. “Innovative Nostalgia”. Social Darwinists. 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.