RT Book, Section
A1 Ting Hshieh, Tammy
A1 Inouye, Sharon K.
A2 Williams, Brie A.
A2 Chang, Anna
A2 Ahalt, Cyrus
A2 Chen, Helen
A2 Conant, Rebecca
A2 Landefeld, C. Seth
A2 Ritchie, Christine
A2 Yukawa, Michi
SR Print(0)
ID 1100066087
T1 Delirium
T2 Current Diagnosis & Treatment: Geriatrics, 2e
YR 2014
FD 2014
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-179208-0
LK accessmedicine.mhmedical.com/content.aspx?aid=1100066087
RD 2024/04/19
AB Clinical  diagnosis  based  on  detailed  history,  cognitive  assessment,  and  physical  and  neurologic  examination.The  pathognomonic  feature  is  an  acute  change  in  baseline  mental  status  developing  over  hours  to  days.Other  key  features  include  fluctuating  course  with  an  increase  or  decrease  in  symptoms  over  a  24-hour  period;  inattention,  with  difficulty  focusing  attention;  and  either  disorganized  thinking,  such  as  rambling  or  incoherent  speech,  or  altered  level  of  consciousness  (vigilant  or  lethargic).Perceptual  disturbances,  such  as  hallucinations,  or  paranoid  delusions  present  in  approximately  15%  to  40%  of  cases.Search  for  organic  or  physiologic  causes  (eg,  illness,  drug  related,  or  metabolic  derangement).Delirium  is  often  misdiagnosed  as  dementia,  depression,  or  psychosis.Accepted  delirium  criteria  provided  by  Confusion  Assessment  Method.