Summer.Thunder
Forum Elite
Topics: 70
Posts: 180
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65 year old man, 1 week confusion, disorientation, talking to self, delusional ideas about his landlord, incontinence, mental exam difficult because he can't stay awake
diagnosis?
the answer listed it as delirium
why isn't it dementia?
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| Tiff
Forum Guru
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Delirum results from short term, more acute symptoms. Dementia is a longer progressive process.
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| step99
Forum Senior
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hi summer and tiff if you are done with form 2 .coudl upls help meeeeeeeeeee
i posted qs under patho forum NBME 2 discussion
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| CocaCola
Forum Guru
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also change of consciousness (can't stay awake) suggest delirium...
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| jean robert
Forum Guru
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DELIRIUM vs DEMENTIA
DELIRIUM
1.- History: Acute, identifiable date
2.-Onset: Rapid
3.-Duration: Days to weeks
4.-Course: Fluctuating
5.-Level of consciousness: Fluctuating
6.-Orientation: Impaired periodically
7.-Memory: Recently markedly impaired
8.-Perception: Visual hallucinations
9.- Sleep: Disrupted sleep-wake cycle.
10.-Reversibility: Reversible
11.- Physiologic Changes: Prominent
12.- Attention span: Very short
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| jean robert
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DEMENTIA
1.- History: Chronic, cannot be dated
2.-Onset: Insidious
3.-Duration: Months to years
4.-Course: Chronically progressive
5.-Level of consciousness: NORMAL
6.-Orientation: Disorientation to person
7.-Memory: Recently remotely impaired
8.-Perception: Hallucinations less common
9.- Sleep: Less sleep disruption
10.-Reversibility: Most not Reversible.
11.- Physiologic Changes: Minimal
12.- Attention span: Not reduced
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