Altered LOC

There is nothing like returning to a place that remains unchanged to find the ways in which you yourself have altered - Nelson Mandela

Altered LOC

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HWN Suggests

Altered Mental Status: The Forgotten Four

Altered mental status is an all too familiar complaint to emergency physicians.  The differential is broad, and includes multiple life threatening diagnoses. We of course think the worst: does the patient have a head bleed or a stroke?  Are they septic?  Have they ingested some life threatening drug or toxin?

All too often, we get caught up in the rush to get the patient to CT without thinking about a few common, easily diagnosed, and relatively easily fixed problems that require no radiation.  It is something we all do from time to time.  I have noted four diagnoses that I and my residents occasionally forget to look for, and wind up kicking ourselves over later.  Think about these…

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 Altered Mental Status: The Forgotten Four

Altered mental status is an all too familiar complaint to emergency physicians. The differential is broad, and includes multiple life threatening diagnoses. We of course think the worst: does the patient have a head bleed or a stroke? Are they septic? Have they ingested some life threatening drug or toxin?

Clerkship Directors in Emergency Medicine

It’s not a facetious question. Diagnosing a patient with a change in mental status can be a daunting challenge in the emergency department.

PedsCases

This episode covers an approach to children with altered level of consciousness. We present an approach to the initial management in these cases, with a focus on the ABC and DFG approach.

ACP Hospitalist

In summary, altered mental status is not a diagnosis but rather a group of variable, nonspecific neurologic symptoms with psychiatric, encephalopathic, and intracranial pathologic causes...

FP Notebook

Mnemonic: AEIOU TIPS

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