Sunday, 24 July 2016

Approach to the disturbed patient

Approach to the disturbed patient

Probability diagnosis

  • The 4Ds
    • Dementia
    • Delirium 
    • Depression 
    • Drugs: toxicity, withdrawal
  • Serious disorders not to be missed
    • Cardiovascular 
      • CVAs
      • Cardiac failure
      • Arrhythmia 
      • ACS
    • Neoplasia
      • cerebral
      • Cancer
    • Severe infections 
      • septicaema
      • HIV infection 
      • infective endocarditis
    • Hypoglycaemia
    • Bipolar disorder/mania
    • Schizophrenia states
    • Anxiety/panic
    • Subdural haematoma 
  • Pitfalls 
    • illicit drug withdrawal
    • Fluid and electrolyte disturbances
    • Faecal impaction 
    • Urinary retention 
    • Hypoxia 
    • Pain syndromes
    • Rarities
      • Hypocalcaemia
      • Kidney failure
      • Hepatic failure
      • Prion diseases
  • Seven masquerades checklist 
    • Depression 
    • Diabetes
    • Drugs
    • Anaemia 
    • Thyroid disorder 
    • Spinal dysfunction 
    • UTI 
  • Is the patient trying to tell me something?

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