Delirium in the general hospital

Delirium may be seen in any hospital department. It occurs in about 15 per cent of all general medical and surgical inpatients and a substantially higher proportion of those who are elderly. It is common in those with severe illnesses, postoperatively,(3) in intensive care and in other settings where patients are severely ill. It is readily diagnosed in those medical settings where it is reasonably common, such as in alcohol or substance misuse services, or in inpatient wards with many elderly patients. However, it may be missed in other settings, where it occurs more sporadically, such as in the accident and emergency department. Delirium should be part of the differential diagnosis for any acute change in behaviour or reduced conscious level, including those patients who are intoxicated with alcohol. Drowsiness and disturbed behaviour may be ascribed to alcohol, and delirium due to another cause (e.g. head injury, diabetes) may be missed, with potentially disastrous clinical (and medicolegal) consequences.

Diabetes 2

Diabetes 2

Diabetes is a disease that affects the way your body uses food. Normally, your body converts sugars, starches and other foods into a form of sugar called glucose. Your body uses glucose for fuel. The cells receive the glucose through the bloodstream. They then use insulin a hormone made by the pancreas to absorb the glucose, convert it into energy, and either use it or store it for later use. Learn more...

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