Altered Mental Status

•Download as PPT, PDF•

2 likes•630 views

Metabolic causes of altered mental status affect both sides of the brain equally and result in physical findings that are generally bilateral and diffuse rather than one-sided and localized. External problems include poisoning from contaminated food or overdoses of alcohol or drugs, which can cause difficulty walking, blurred vision, slurred speech, and impaired memory. Environmental and infectious internal problems involve organisms like bacteria and viruses invading the central nervous system. Other internal problems are respiratory or circulatory conditions that result in hypoxia or hypoperfusion, low blood sugar, or the buildup of toxic substances due to liver or kidney failure.

Metabolic Causes ,[object Object],[object Object],[object Object]

External Problems ,[object Object],[object Object]

Internal Problems ,[object Object],[object Object]

Hypoxia and Hypoperfusion ,[object Object],[object Object]

Internal Problems ,[object Object],[object Object],[object Object],[object Object],[object Object]

What's hot

Syncope

kanachur institute of craniofacial anamolies

SyncopeMahmoud El-saharty

Approach to syncopeGagan Velayudhan

Syncope

ASHMAL

Syncope

Aby Thankachan

Neurological emergencies nc

djorgenmorris

Emergency in neurology

Narongrit Kasemsap

Hypoxic ischemic encephalopathy Dr.Mansoor Elahi

Perinatal asphyxia

Natangwe Tangi

Syncope (nx power lite) /certified fixed orthodontic courses by Indian dental...

Indian dental academy

Syncope dr yateyatendra singh

Management of hypoxic ischemic encephalopathy (HIE) by Sunil Kumar Daha

sunil kumar daha

Hypoxic ischemic encephalopathy with a focus on recent advances

Varun Mamgain

Hie pptraghavendra doddamani

Cva slidesKiel Deveras

12. Curs Asfixiaguest785b8e

HieDeep Deep

Introduction to seizure, epilepsy and EEG

Yung-Tsai Chu

Syncope

Ankit Gupta

First aid(fainting)

aagmansaini

What's hot (20)

Syncope

Approach to syncope

Syncope

Neurological emergencies nc

Emergency in neurology

Hypoxic ischemic encephalopathy

Perinatal asphyxia

Syncope (nx power lite) /certified fixed orthodontic courses by Indian dental...

Syncope dr yate

Management of hypoxic ischemic encephalopathy (HIE) by Sunil Kumar Daha

Hypoxic ischemic encephalopathy with a focus on recent advances

Hie ppt

Cva slides

12. Curs Asfixia

Hie

Introduction to seizure, epilepsy and EEG

Syncope

First aid(fainting)

Viewers also liked

East mci training - triage

pmorgan7303

EMS related courses I teach

AlexWilsonsBlog

Toms Basic And (Hopefully) High Speedjsgehring

Co2 po 2 latach ver.2003

ahandzlik

CmePritesh Vyas

Start triage

Ibeanusi Akachukwu

Things That Make You Go Hmm Part 1ppt

Shore EMS Conference 2010

MCI TrainingLisbonEmergency

East mci training - additional alarms & staging areas

pmorgan7303

initial assessment and primary management in trauma

Arun Ramankutty V

Salt Lake MCI (MCI 2016 PPT)

ffpmcb

21)Altered Mental Statusphant0m0o0o

MANAGEMENT OF TRAUMA

annaselvabai

12 trauma – initial assessement and managementDang Thanh Tuan

Severe Sepsis And Septic ShockSociety of Thai Emergency Physicians

Disaster Triage START and SAVE

Carl Schultz

Emergency triageReynel Dan

Trauma Lecture

shabeel pn

abscess advanced trauma life support anterio advanced trauma life support antibiotics apically repositioned flap dental diseases dr dr shabeel drshabeel’s face eye trauma lidocaine anodontia management medical medicine misuse and abuse orthodontics teeth braces pharmacy pn preparation dental students for community based ed presentations s abscess abscess tooth active orthodonti shabeel shabeel"s shabeel’s shabeelpn trends of antimicrobial usage in dental practice View all ’s abscess abscess advanced trauma life support anterio abscess tooth active orthodontics adolescent advanced trauma life support aesthetic dentistry airway management alignment of teeth amalgam anesthesia in dentistry anesthetics in dentistry anterior open bite antibiotic resistanace antibiotics antibiotics and leukopenia aphthous ulcers apically repositioned flap apicoectomy appliances arch dental arch form orthodontics braces arch length orthodontics braces arch wire orthodontist braces ayurvedha baby teeth bloger boil books braces braces teeth cancer canker sore pain cavity preparation children community based learning congenitally missing teeth cosmetic dentistry csf leaks dental dental anesthetics dental restorations dental teeth dento alveolar fractures disease

Triage

Diana Keka

INITIAL ASSESSMENT OF TRAUMA PATIENTS....(INSPIRED FROM CTLS AND ATLS GUIDELI...

Prerna Biswal

Viewers also liked (20)

East mci training - triage

EMS related courses I teach

Toms Basic And (Hopefully) High Speed

Co2 po 2 latach ver.2003

Cme

Start triage

Things That Make You Go Hmm Part 1ppt

MCI Training

East mci training - additional alarms & staging areas

initial assessment and primary management in trauma

Salt Lake MCI (MCI 2016 PPT)

21)Altered Mental Status

MANAGEMENT OF TRAUMA

12 trauma – initial assessement and management

Severe Sepsis And Septic Shock

Disaster Triage START and SAVE

Emergency triage

Trauma Lecture

Triage

INITIAL ASSESSMENT OF TRAUMA PATIENTS....(INSPIRED FROM CTLS AND ATLS GUIDELI...

Similar to Altered Mental Status

DEPRESSION & STROKE PATHOPHYSIOLOGY B.PHARM 2ND SEM.pptx

subham404717

DeliriumAdilia Adris

DEMENTIA.pptx

RupambikaBiswal

Complications of alcohol

Edson Mutandwa

Multifactorial disordersMahin Nwx

Neurological disorders

Kiran

UNIT 9 SUBSTANCE USE DISORDER.pptx

S.DHIVYALAKSHMI

SUBSTANCE USE DISORDER The term substance is used in reference to any drug, medication or toxin that shares the potential for abuse. Addiction is a physiological and psychological dependence on alcohol or other drugs of abuse that affects the central nervous system in such a way that withdrawal symptoms are experienced when the substance is discontinued. Abuse – refers to maladaptive pattern of substance use that impairs health. Dependence – refers to certain physiological & psychological phenomena induced by repeated taking of a substance. Tolerance – state in which after repeated administration, a drug produces a decreased effect or increasing doses are required to produce the same effect. Withdrawal state – group of signs & symptoms recurring when a drug is reduced in amount or withdrawn, which last for a limited time. CLASSIFICATION F 10-19 Mental and behavioral disorders due to psychoactive substance use F10 Mental and behavioral disorders due to use of Alcohol F11 Mental and behavioral disorders due to use of Opiods F12 Mental and behavioral disorders due to use of Cannabinoids F13 Mental and behavioral disorders due to use of Sedatives or Hypnotics F14 Mental and behavioral disorders due to use of Cocaine F10 Mental and behavioral disorders due to use of Hallucinogens COMMONLY USED PSYCHOTROPHC SUBSTANCES Alcohol Opiods Cannabis Cocaine Amphetamines Hallucinogens – LSD, Phencyclidine Sedatives & Hypnotics –Barbiturates Inhalants Nicotine Other stimulants-Caffeine ETIOLOGY Biological factors Genetic vulnerability-family H/O substance use disorder Biochemical factors- role of Dopamine & Nor epinephrine in cocaine, ethanol & opiod dependence, abnormalities in alcohol dehydrogenase play a role in alcohol dependence Neurobiological theories- inborn deficiency of Endomorphins Co-morbid medical disorder- to control chronic pain. Behavioral Theories Result of conditioning, reinforcement from drug use Drug use causes euphoric experience perceived as rewarding, thereby motivating user to keep taking the drug Psychological Factors General Rebelliousness Sense of Inferiority Poor impulse control Low self esteem Inability to cope with the pressures of living and society Loneliness, unmet needs Desire to escape from reality Desire to experiment, a sense of adventure Pleasure seeking Machoism Sexual immaturity Social Factors Religious reasons Peer pressure Urbanization Extended periods of education Unemployment Overcrowding Poor social support Effects of TV & other mass media Occupation – more common in chefs, barmen, executives, salesman, actors, entertainers, army personnel, journalists, medical personnel etc Easy availability of drugs Taking drugs prescribed by doctors (diazepam) Taking drugs that can be bought legally without prescription (Opiods, nicotine) Taking drugs that can be obtained from illicit sources (street drugs) Psychiatric disorders Depression Anxiety disorders Personality disorders Organic brain diseases Schizophrenia

Geriatric Medicine.pptShama

Shock by Dr. Fazal Abbas

FazalAbbas45

2. Substance related disorder.ppt

ashenafigezahegn2

Shock seminar 2016 anesthesia.........pptx

Animawtemesgen

Chapter 11.1 notesValerie Evans

ENDOPLASMIC RETICULUM DYSFUNCTION

Ash Hassan

SHOCK - Copy.pptx

Manish956321

Acute Confessional State “Delirium”

حمود الضمادي

Endocrine disorders ppt

pamtutor

Endocrine disorders ppt

pamtutor

Diabetes Mellitus Ppt May 2006 Revised

NorthTec

dependency states.pptx

BeerDilacshe1

Organic Brain Syndrome.pptx

VandanaGaur8

Similar to Altered Mental Status (20)

DEPRESSION & STROKE PATHOPHYSIOLOGY B.PHARM 2ND SEM.pptx

Delirium

DEMENTIA.pptx

Complications of alcohol

Multifactorial disorders

Neurological disorders

UNIT 9 SUBSTANCE USE DISORDER.pptx

Geriatric Medicine.ppt

Shock by Dr. Fazal Abbas

2. Substance related disorder.ppt

Shock seminar 2016 anesthesia.........pptx

Chapter 11.1 notes

ENDOPLASMIC RETICULUM DYSFUNCTION

SHOCK - Copy.pptx

Acute Confessional State “Delirium”

Endocrine disorders ppt

Diabetes Mellitus Ppt May 2006 Revised

dependency states.pptx

Organic Brain Syndrome.pptx

Recently uploaded

Phone Us ❤85270-49040❤ #ℂall #gIRLS In Surat By Surat @ℂall @Girls Hotel With...

Savita Shen $i11

How STIs Influence the Development of Pelvic Inflammatory Disease.pptx

FFragrant

POST OPERATIVE OLIGURIA and its management

touseefaziz1

ACUTE SCROTUM.....pdf. ACUTE SCROTAL CONDITIOND

DR SETH JOTHAM

Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum. There are a number of conditions that present acutely, predominantly with pain and/or swelling A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle. Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction. The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent

Non-respiratory Functions of the Lungs.pdf

MedicoseAcademics

These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract. Learning objectives: 1. Enlist the non-respiratory functions of the respiratory tract 2. Briefly explain how these functions are carried out 3. Discuss the significance of dead space 4. Differentiate between minute ventilation and alveolar ventilation 5. Describe the cough and sneeze reflexes Study Resources: 1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition 2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition 3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition 4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874

Evaluation of antidepressant activity of clitoris ternatea in animals

Shweta

Ophthalmology Clinical Tests for OSCE exam

KafrELShiekh University

ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdf

Anujkumaranit

New Drug Discovery and Development .....

NEHA GUPTA

The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.

BENIGN PROSTATIC HYPERPLASIA.BPH. BPHpdf

DR SETH JOTHAM

The prostate is an exocrine gland of the male mammalian reproductive system It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ). It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes It’s work is regulated by androgens which are responsible for male sex characteristics Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS

263778731218 Abortion Clinic /Pills In Harare ,

sisternakatoto

263778731218 Abortion Clinic /Pills In Harare ,ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group of receptionists, nurses, and physicians have worked together as a teamof receptionists, nurses, and physicians have worked together as a team wwww.lisywomensclinic.co.za/

Physiology of Chemical Sensation of smell.pdf

MedicoseAcademics

Title: Sense of Smell Presenter: Dr. Faiza, Assistant Professor of Physiology Qualifications: MBBS (Best Graduate, AIMC Lahore) FCPS Physiology ICMT, CHPE, DHPE (STMU) MPH (GC University, Faisalabad) MBA (Virtual University of Pakistan) Learning Objectives: Describe the primary categories of smells and the concept of odor blindness. Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction. Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain. Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential. Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes. Key Topics: Olfactory Genes: 3% of the human genome accounts for olfactory genes. 400 genes for odorant receptors. Olfactory Membrane: Located in the superior part of the nasal cavity. Medially: Folds downward along the superior septum. Laterally: Folds over the superior turbinate and upper surface of the middle turbinate. Total surface area: 5-10 square centimeters. Olfactory Mucosa: Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell. Sustentacular Cells: Produce mucus and maintain ionic and molecular environment. Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months. Bowman’s Gland: Secretes mucus. Stimulation of Olfactory Cells: Odorant dissolves in mucus and attaches to receptors on olfactory cilia. Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve. Quality of a Good Odorant: Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble. Facilitated by odorant-binding proteins in mucus. Membrane Potential and Action Potential: Resting membrane potential: -55mV. Action potential frequency in the olfactory nerve increases with odorant strength. Adaptation Towards the Sense of Smell: Rapid adaptation within the first second, with further slow adaptation. Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system. Primary Sensations of Smell: Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid. Odor Detection Threshold: Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm). Some toxic substances are odorless at lethal concentrations. Characteristics of Smell: Odor blindness for single substances due to lack of appropriate receptor protein. Behavioral and emotional influences of smell. Transmission of Olfactory Signals: From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition. Primitive, less old, and new olfactory systems with different path

Alcohol_Dr. Jeenal Mistry MD Pharmacology.pdf

Dr Jeenal Mistry

Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol that is rapidly distributed in the body and brain. Ethanol alters many neurochemical systems and has rewarding and addictive properties. It is the oldest recreational drug and likely contributes to more morbidity, mortality, and public health costs than all illicit drugs combined. The 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) integrates alcohol abuse and alcohol dependence into a single disorder called alcohol use disorder (AUD), with mild, moderate, and severe subclassifications (American Psychiatric Association, 2013). In the DSM-5, all types of substance abuse and dependence have been combined into a single substance use disorder (SUD) on a continuum from mild to severe. A diagnosis of AUD requires that at least two of the 11 DSM-5 behaviors be present within a 12-month period (mild AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria). The four main behavioral effects of AUD are impaired control over drinking, negative social consequences, risky use, and altered physiological effects (tolerance, withdrawal). This chapter presents an overview of the prevalence and harmful consequences of AUD in the U.S., the systemic nature of the disease, neurocircuitry and stages of AUD, comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and pharmacotherapies for AUD.

24 Upakrama.pptx class ppt useful in all

DrSathishMS1

Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...

Oleg Kshivets

RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0). CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.

Maxilla, Mandible & Hyoid Bone & Clinical Correlations by Dr. RIG.pptx

Dr. Rabia Inam Gandapore

heat stroke and heat exhaustion in children

SumeraAhmad5

TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...

kevinkariuki227

Couples presenting to the infertility clinic- Do they really have infertility...

Sujoy Dasgupta

HOT NEW PRODUCT! BIG SALES FAST SHIPPING NOW FROM CHINA!! EU KU DB BK substit...

GL Anaacs

Contact us if you are interested: Email / Skype : kefaya1771@gmail.com Threema: PXHY5PDH New BATCH Ku !!! MUCH IN DEMAND FAST SALE EVERY BATCH HAPPY GOOD EFFECT BIG BATCH ! Contact me on Threema or skype to start big business!! Hot-sale products: NEW HOT EUTYLONE WHITE CRYSTAL!! 5cl-adba precursor (semi finished ) 5cl-adba raw materials ADBB precursor (semi finished ) ADBB raw materials APVP powder 5fadb/4f-adb Jwh018 / Jwh210 Eutylone crystal Protonitazene (hydrochloride) CAS: 119276-01-6 Flubrotizolam CAS: 57801-95-3 Metonitazene CAS: 14680-51-4 Payment terms: Western Union,MoneyGram,Bitcoin or USDT. Deliver Time: Usually 7-15days Shipping method: FedEx, TNT, DHL,UPS etc.Our deliveries are 100% safe, fast, reliable and discreet. Samples will be sent for your evaluation!If you are interested in, please contact me, let's talk details. We specializes in exporting high quality Research chemical, medical intermediate, Pharmaceutical chemicals and so on. Products are exported to USA, Canada, France, Korea, Japan,Russia, Southeast Asia and other countries.

Recently uploaded (20)

Phone Us ❤85270-49040❤ #ℂall #gIRLS In Surat By Surat @ℂall @Girls Hotel With...

How STIs Influence the Development of Pelvic Inflammatory Disease.pptx

POST OPERATIVE OLIGURIA and its management

ACUTE SCROTUM.....pdf. ACUTE SCROTAL CONDITIOND

Non-respiratory Functions of the Lungs.pdf

Evaluation of antidepressant activity of clitoris ternatea in animals

Ophthalmology Clinical Tests for OSCE exam

ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdf

New Drug Discovery and Development .....

BENIGN PROSTATIC HYPERPLASIA.BPH. BPHpdf

263778731218 Abortion Clinic /Pills In Harare ,

Physiology of Chemical Sensation of smell.pdf

Alcohol_Dr. Jeenal Mistry MD Pharmacology.pdf

24 Upakrama.pptx class ppt useful in all

Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...

Maxilla, Mandible & Hyoid Bone & Clinical Correlations by Dr. RIG.pptx

heat stroke and heat exhaustion in children

TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...

Couples presenting to the infertility clinic- Do they really have infertility...

HOT NEW PRODUCT! BIG SALES FAST SHIPPING NOW FROM CHINA!! EU KU DB BK substit...