Delirium is a medical emergency syndrome. Delirium is common in medical in-patients and has serious adverse effects on mortality, functional outcomes, LOS and institutionalization. R: University of Leeds 2006 Delirium is the result of an organic insult to the brain that hinders its appropriate functioning. In spite of its organic basis, the diagnosis of delirium is totally based on the clinical presentation of the patient, which can be subtle دقيق، ماكر، خبيثand difficult to identify. 5 Delirium is almost always due to general medical condition (infections, sepsis, metabolic abnormalities, etc), substance intoxication, substance withdrawal, structural lesions of the brain, faecal impaction, urinary retention, sensory deprivation, sleep deprivation, and postoperative delirium. 4One of the first issues for a newly diagnosed patient is to consider whether the diagnosis is correct. It is important to validate a diagnosis and be certain of its accuracy. Articles » Misdiagnosis » Alternative diagnosis It may be necessary to emphasize that an accurate diagnosis is the key for successful therapy. Empirical and symptomatic drug therapy is generally hazardous and may lead to serious sequel¹ especially in emergency cases. Delirium affecting all age groups from pediatrics to geriatric age: (higher incidence). Delirium in Emergency R, OR, ICU, Out-Patient Clinics, and In-patients wards: Medical, Surgical (Postoperative), OB. Gynecologic, and Pediatrics. Delirium is a condition at the interface of medicine and psychiatry that is all too often owned by neither. The diagnosis of delirium is clinical. It is a clinical Syndrome, not a disease. (R2) Non - Detection Rate/or Misdiagnosis of Delirium: as high as 66% -70%. The author s question: Is it indicating international clinical professional failure? Since diagnosis of delirium is almost always clinical diagnosis. Of all psychiatric diagnoses, delirium demands the most immediate attention since delay in identification and treatment might allow the progression of serious and irreversible pathophysiological changes. The diagnosis of delirium is clinical. No single test is successful. It is an Acute medical emergency syndrome, not a disease. Delirium often is unrecognized or misdiagnosed and commonly is mistaken for dementia, depression, mania, an acute schizophrenic reaction, or part of old age.
Posted on: Sun, 09 Mar 2014 04:14:55 +0000
Trending Topics
Recently Viewed Topics
© 2015