Essential Facts on the Go: Internal Medicine (36 page)

Hypo/hyperthyroidism, hyperparathyroidism, adrenal insufficiency

CNS Disorders

Sundowning

Dementia

CVA/TIA, hypertensive encephalopathy

Meningitis, encephalitis, brain abscess

CNS vasculitis, lupus cerebritis

Seizure (postictal state)

Malignancy

Brain metastases

Gliomatosis cerebri

Carcinomatous meningitis

Reproduced with permission from Longo DL, et al.
Harrison’s Principles of Internal Medicine
, 18th ed. McGraw-Hill, 2012.

IX_1_b
Altered Mental Status

Workup

Check ABC’s + blood glucose level