CM SE1

• pitituary glands secrete ACTH, adrenal glands secrete cortisol, and thyroid glands secrete thyroxine
• Delirium


  Reversible, Acute confusional state with an alteration in consciousness/Dec ability to focus, sustain/shift attention
• Dementia


  Slow progression of a decline in cognition (learning, memory, language, executive function, attention, perceptual motor, social cognition)
• Types of Dementia


  • Alzheimer's, Dementia with Lewy Bodies
• Differential Diagnosis for Delirium


  • Dementia, UTI, Fluid/electrolyte imbalance, Infection, Drugs/Alcohol toxicity/withdrawal, Hypoxia/Hypercarbia, Wernicke's encephalopathy, Adrenal failure, Seizures, Trauma, Paraneoplastic syndrome, Metabolic disorders (Hypoglycemia, Hypercalcemia, Uremia, Liver failure, Thyrotoxicosis), Low perfusion states, Postop, Medication interactions/errors, Vascular accidents, Sundowning, Focal syndromes, Depression, Psychotic illness
• Workup for Delirium


  • CBC, UA/Culture, PE, Signs, Mini mental exam, Cranial nerve exam, Cerebellar function/Gait assessment, One touch glucose, Electrolytes, Urinalysis, Drug levels, ABG, TSH, Ammonia level, CO level, Salicylate/Acetaminophen levels, Lactic acid, Toxicology screen, CSF/Lumbar puncture, EEG, EKG, Head CT, Vitals, Cardiac/Pulse monitor, Respiratory support, IV fluids (Hydration/BP support)