t 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, as delirium Practical Pediatric Therapies Acute Confusional Disorder (Delirium) is a medical emergency syndrome (R1). Delirium affecting all age groups from Pediatric age up to geriatric age. 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 and difficult to identify. 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. Delirium often is unrecognized or misdiagnosed and commonly is mistaken for dementia, depression, mania, an acute schizophrenic reaction, or part of old age (patients who are elderly are expected to become confused in the hospital). Kannayiram.A $ Patrica B Delirium is frequently misdiagnosed by physicians, is common among the medically ill, and often is either iatrogenic or the initial presentation of a major medical disorder. Although rarely treated as such, delirium is a medical emergency, and patients with delirium have greater morbidity and mortality than other patients. The delirious patient typically is referred to a psychiatrist because of presenting psychiatric symptomatology, but misdiagnosis may result in delay of appropriate medical intervention. (R16) Understanding: Understanding of delirium among doctors in medical and ICU settings has previously been shown to be low. We hypothesized that junior doctors who had gained experience in geriatrics, neurology or psychiatry may have an increased knowledge of delirium. R2 2013 صورة
Posted on: Sat, 15 Mar 2014 20:26:34 +0000
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