Mental Status Changes
 
Introduction
Acute Confusion
   Infectious
   Metabolic
Cases
   Headache
   Fever & Confusion
   Focal Weakness
   Nice Doggie
   She's Talking a Lot
   Hemiparesis
   Unconscious
   Police Call

Acute Infections

  • Severe febrile illnesses, such as
    • malaria,
    • pneumonia and
    • typhoid fever.
  • Presentation
    • Confusion,
    • Disorientation in time and space,
    • Agitation
    • Clouding of consciousness.

  • No macroscopic evidence of brain inflammation.
  • Early findings may mimic
    • Meningitis
    • Encephalitis
    • Metabolic encephalopathy
  • Lumbar puncture may be needed to distinguish causes.

Metabolic related
 
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