PPT-Clinical Conundrum: A toddler presenting with emesis and altered mental status

Amit Salkar MD Nicole Bernard MD Bhairav Patel MD Robert Mignacca MD Dell Childrens Medical Center of Central Texas 7 th Annual Pediatric Conference Saturday April 12 2014 Goals and Objectives. 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 ( LAUSD School Mental Health. October 29, 2014. Presenter: Eugene Alper, LCSW. Assessment. A . complete and thorough assessment:. Lays the foundation for an accurate diagnosis . Demonstrates medical necessity and the need for services.. TODDLER. refers to the name of the stage when a 1-3 year old discovers the new ability of walking.. 1. . The . first steps. are wobbly, with toes pointed outwards and arms held out for . balance. . With practice, the child . 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. Ruth Kandel, MD. Director, Infection Control, Hebrew SeniorLife. Assistant Professor, Harvard Medical School. Boston, MA. Laurie Herndon, GNP-BC. Director of Clinical Quality . Massachusetts Senior Care Foundation. 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. 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. 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 . Sept 16. th. . Sept 16. th. – Oct 4. th. . Oct 7. th. - Oct 25. th. . Oct 17. th. . Oct 28. th. – Nov 8. th. . . Nov 11. th. – Nov 22. nd. . Nov 25. th. – Dec 6. th. .