Difference between revisions of "Template:AMS DDX"

(Altered mental status)
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===[[Altered mental status]]===
 
===[[Altered mental status]]===
*Diffuse brain dysfunction  
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====Diffuse brain dysfunction====
**Encephalopathies
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*[[hypoxia|Hypoxic]] encephalopathy
***Hypoxic encephalopathy
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*[[Delirium|Acute toxic-metabolic encephalopathy (Delirium)]]
***Metabolic encephalopathy
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**[[Hypoglycemia]]
****[[Hypoglycemia]]
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**Hyperosmolar state (e.g., [[hyperglycemia]])
****Hyperosmolar state (e.g., [[hyperglycemia]])
+
**[[Electrolyte Abnormalities]] ([[hypernatremia]] or [[hyponatremia]], [[hypercalcemia]])
****[[Electrolyte Abnormalities]] ([[hypernatremia]] or [[hyponatremia]], [[hypercalcemia]])
+
**Organ system failure
****Organ system failure
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**[[Hepatic Encephalopathy]]
****[[Hepatic Encephalopathy]]
+
**[[Uremia]]/[[Renal Failure]]
****[[Uremia]]/[[Renal Failure]]
+
**Endocrine ([[Addison's disease]], [[Cushing syndrome]], [[hypothyroidism]], [[myxedema coma]], [[thyroid storm]])
****Endocrine ([[Addison disease]], [[hypothyroidism]])
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**[[Hypoxia]]
****[[Hypoxia]]
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**[[CO2 narcosis]]
****[[CO2 narcosis]]
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*[[Hypertensive Encephalopathy]]
***[[Hypertensive Encephalopathy]]
+
*[[Toxins]]
**[[Toxins]]
+
*[[TTP]] / [[Thrombotic thrombocytopenic purpura]]
**Drug reactions ([[NMS]])
+
*[[Alcohol withdrawal]]
**Environmental causes
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*Drug reactions ([[NMS]], [[Serotonin Syndrome]])
***[[Hypothermia]]
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*Environmental causes
***[[Hyperthermia]]
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**[[Hypothermia]]
**Deficiency state
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**[[Hyperthermia]]
***[[Wernicke encephalopathy]]
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*Deficiency state
**[[Sepsis]]
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**[[Wernicke encephalopathy]]
*Primary CNS disease or trauma  
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**Subacute Combined Degeneration of Spinal Cord ([[Vitamin B12 deficiency|B12 deficiency]])
**Direct CNS trauma
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**[[Rickets|Vitamin D Deficiency]]
***Diffuse axonal injury
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**Zinc Deficiency
***[[Subdural hemorrhage|Subdural]]/[[epidural hematoma]]
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*[[Sepsis]]
**Vascular disease
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*[[Osmotic demyelination syndrome]] (central pontine myelinolysis)
***Intraparenchymal hemorrhage
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*[[Limbic encephalitis]]
**[[SAH]]
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**Infarction
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====Primary CNS disease or trauma====
***Hemispheric, brainstem
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*Direct CNS trauma
**CNS infections
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**Diffuse axonal injury
**Neoplasms
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**[[Subdural hemorrhage|Subdural]]/[[epidural hematoma]]
**[[Seizures]]
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*Vascular disease
***Nonconvulsive [[status epilepticus]]
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**[[ICH|Intraparenchymal hemorrhage]]
****Consider if motor activity of [[seizure]] has stopped but pt is not alert w/in 30min
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*[[SAH]]
***Postictal state
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*[[Stroke]]
 +
**Hemispheric, brainstem
 +
*CNS infections
 +
**[[Encephalitis]]
 +
**[[Anti-NMDA receptor encephalitis]]
 +
**[[Meningitis]]
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*Neoplasms
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**[[Paraneoplastic]] [[Limbic encephalitis]]
 +
**Malignant Meningitis
 +
**Pancreatic [[Insulinoma]]
 +
*[[Seizures]]
 +
**Nonconvulsive [[status epilepticus]]
 +
**Postictal state
 +
*[[Dementia]]
 +
**[[Alzheimer's]]
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**[[Lewy Body Dementia]]
 +
**[[Frontotemporal Dementia]]
 +
 
 +
====Psychiatric====
 +
*[[Acute psychosis]]
 +
*[[Excited delirium]]
 +
*Malingering

Revision as of 21:54, 1 October 2019