Confusional States And Delirium

Of all acute medical admissions, 5-10% present with a confused verbal response, i.e. disorientation in time and/or place. Most patients are easily distracted, have slowed thought processes and a limited concentration span. Some may lose interest in the examination to the point of drifting off to sleep.

Perceptual disorders (illusions and hallucinations) may accompany the confused state -delirium. This is often associated with withdrawal and lack of awareness or with restlessness and hyperactivity.

Primary neurological disorders contribute to only 10% of those patients presenting with an acute confusional state. In the elderly, postoperative disorientation is particularly common and multiple factors probably apply; in these patients the prognosis is good.


urine chest X-ray blood cultures urea and electrolytes blood glucose blood gases/PH liver function tests serum calcium and phosphate magnesium amylase porphyrins

[N.B. A minor infection or change in environment superimposed on Alzheimer's disease may result in acute disorientation]

Nutritional disorders

- thiamine

- folic acid

Was this article helpful?

0 0
Unraveling Alzheimers Disease

Unraveling Alzheimers Disease

I leave absolutely nothing out! Everything that I learned about Alzheimer’s I share with you. This is the most comprehensive report on Alzheimer’s you will ever read. No stone is left unturned in this comprehensive report.

Get My Free Ebook

Post a comment