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
 

Lydia's differential diagnosis includes a number of things.

Medical Casues:
  • Hypoxia
  • Drug induced
  • Hypoglycemia
  • Electrolyte abnormalities
  • Pellagra
    • Associated with diarrhea & dermatitis
  • CNS lymphoma
Psychiatric related
  • Psychosis
  • Bipolar disorder
  • Marked Depression
 
  • Infections
    • Cryptococcal meningitis
    • TB meningitis
    • Toxoplasmosis
    • Cerebral malaria

 


Photo courtesy of University of Rochester
Next is a 29 year-old woman with right-sided hemiparesis.
 
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