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altered mental status, 意識障礙 - Coggle Diagram
altered mental status
delirium
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history
1.pt's baseline cognitive function 發病前的認知功能
-鑑別診斷, underline認知功能異常
2.time course of the present illness 什麼時候發作的
-診斷delirium&找病因
3.current medication 目前用藥
-常見病因
4.symtpoms of organ failure or systemic infection
-常見原因
5.伴隨症狀
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PE
1.signs of infection
2.fluid status
3.signs of organ failure. ex.jaundice, cyanosis
4.藥物濫用-手臂針孔
5.神經學檢查
-注意力評估,有無神經學缺陷
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意識障礙
neuropsychiatric
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degeneration
MS,parkinson, huntington, wilson disease
AD,multi infarct, mass, mormal pressure hydrocephalus, dementia with lewy bodies, frontotemporal dementia,CJD
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IICP
mass, hydrocephalus, hernia
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心血管
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低血壓
HF,shock,anemia,dehydration
