If you find the material on this website useful, you will find that the two books ACES for PACES and KEYS to SUCCESS in Medicine complement the material on these sites and will enhance your studying and revision

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BOF 7
The following except one are consistent with acute confusional state rather than dementia in evaluating a patient with abnormal cognition,
1-fluctuating level of consciousness
2-rapid development
3-visual hallucination
4-the presence of fever
5-gradual loss of short term memory

Answer 5
Remember ,dementia patients are liable to be confused for many reasons, like fever per se, infections, electrolyte disturbance, medication side effect…..etc …..so the past history is very important ………on the other hand e.g. chronic subdural haematoma may have fluctuated level of consciousness and gradually ending with dementia …….so it is difficult task to differentiate actually in practice……..EASILY written in the books !!.
 

Revision Tip

Revise delirium and dementia KEYS to SUCCESS in Medicine page 428-432

 

 

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