
CASE DISCUSSION
Approach to a Patient with Altered Mental Status
Presented from India by Dr. Priyanka Mahale0
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Case Description
The evaluation of a patient with altered mental status begins with a detailed history. Because the patient may be unable to offer a history, it will be required to seek additional information from family, friends, or the primary medical team. The first step is to ascertain the timing of the mental...
Case Summary
- The presentation discusses the approach to patients with altered mental status in the emergency department, emphasizing the importance of differentiating between delirium, dementia, and psychosis. Delirium is characterized by acute onset, fluctuating attention, and an underlying organic cause, while dementia is a slow, progressive neurodegenerative disorder. Psychosis involves a loss of contact with reality, often accompanied by auditory hallucinations.
Speaker Profile

Dr. Priyanka Mahale
Consultant Emergency Medicine, Paras Hospital, KanpurDisclosures
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