Sunday, October 9, 2016

A 79 year old Hospitalized Woman with Acute Confusion.


A 79 year old woman is admitted to the hospital with productive cough, fever and difficulty breathing. She has a fever of 102 F and rales in the right lower lung fields. A chest x ray reveals a right lower lobe infiltrate. On her second day of hospitalization, she becomes acutely confused and is acting abnormal with disturbed orientation.

Q 1. What is your diagnosis?

Answer: Pneumonia along with impaired cognitive function

Q 2. What are the  3 common causes of cognitive dysfunction in an elderly patient?


Answer:

  1. Delirium
  2. Dementia and 
  3. Depression
Q 3 : What are the risk factors for delirium in hospitalized elderly patients?

Answer: Use of antibiotics, electrolyte disturbances, dehydration, severe underlying illness like pneumonia and urosepsis, 

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