![]() ![]() Age-appropriate medical history, that differentiates among etiologies of disease, including eliciting appropriate information from patients with altered mental status, and/or their families, including the onset, progression, associated symptoms, potential causes (including medications), and level of physical and mental disabilityĢ. Steps in a critical pathway for altered mental statusĭiagnostic Evaluation Learning Topics related to ALTERED MENTAL STATUSġ. Principles of management of common causes of altered mental statusĨ. Tests can include: lumbar puncture, CT scan, MRI scan, EEG, drug screen, CBC with differential, electrolytes, serum chemistry screen (glucose, renal/hepatic function tests), VDRL, arterial blood gas, vitamin B12 and thiamine, thyroid function testsħ. Utility of diagnostic tests to help in the evaluation of altered mental status, including their indications and contraindication, limitations, and cost. Differences in clinical presentation and pathophysiology for each etiologyĦ. Key diagnostic criteria of altered mental statusĥ. Signs and symptoms associated with the most common causes of altered mental status that help to differentiate one etiology from anotherĤ. structural lesions (primary or metastatic tumor, intracranial hemorrhage, infection)ģ.Pathophysiology, signs, and symptoms of the most common and serious causes of altered mental status: Criteria used to distinguish delirium from dementiaĢ. Medical Knowledge Learning Topics related to ALTERED MENTAL STATUSġ. Learning Topics during encounters with a patient with ALTERED MENTAL STATUS can include: Guide the creation of a patient-specific management planĪppropriate Setting: Inpatient and OutpatientĮxpected level of Responsibility: Direct supervision with real patients Interpret clinical information to formulate a prioritized differential diagnosisģ. Perform situation-appropriate (problem-focused or complete) history and physical examinationsĢ. Because the etiologies and corresponding treatment strategies for patients with altered mental status are so varied, distinguishing among the causes of altered mental status is an important training problem for medical students.ġ. ![]()
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