Please enable JavaScript.
Coggle requires JavaScript to display documents.
Mental Health Investigations (Bedside (Communication (Mood assessment…
Mental Health Investigations
Bedside
Fluids
Urine
Drug screen
UTI (delirium)
MSU microscopy, culture and sensitivities (infection as a cause of delirium)
ABG
Metabolic abnormalities
Self-harm
Eating disorders
Machines
ECG
Long QTc - antipsychotics
Arrhythmias
EEG
Epilepsy (psychosis)
Physiological
BM
Depression - anxiety, irritability, low mood can be caused by hypoglycaemia
As a cause of delirium
Basic observations
Haemodynamic stability
Hypovolaemia
Elevated BP in vascular dementia
Communication
Collateral history
Cognitive assessment
ACE III
MMSE
Mood assessment
Patient Health Questionnaire (PHQ-9)
DSM-IV criteria (NICE)
Hospital Anxiety and Depression (HAD) scale
Bloods
Other
Blood glucose
Hypoglycaemia is a common cause of delirium, potentially life-threatening
HbA1c
Antipsychotics can lead to diabetes
Hypoglycaemia can cause anxiety/ irritability/ low mood
Hypoglycaemia is a risk factor for vascular dementia
B12/ folate
Macrocytic anaemias, can compound confusion
Low levels mimic dementia
Circulatory
Lipid screen
Risk factor for vascular dementia
Side effects of antipsychotics
CRP
Acute inflammation
LFT
Liver failure/ malnutrition/ alcohol use can all cause confusion/ delirium
Baseline drug use and monitoring
AST:ALT of 2:1 in alcoholism
FBC
Anaemia, raised MCV in alcoholism, infection
U/E
Monitor Lithium specifically in Bipolar disorder
Baseline drug use and monitoring
Deranged electrolytes can cause confusion/ delirium
INR
Warfarin patients - concern about intracranial/ other bleeding
Ions
Bone Profile
Calcium
Hypocalcaemia
Increased risk of falls with osteoporosis in the elderly
Hypercalcaemia
Hypercalcaemic can cause confusion/ delirium
psychic moans can mimic depression
Hormones
TFT
Hypothyroidism as a side effect of Lithium
Hypothyroidism - differential in depression
Hyperthyroidism - differential in anxiety
Imaging
MRI
Vascular dementia/ SOL
CXR
Infection causing delirium
CT
Vascular dementia/ SOL