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A carer's account is valuable when assessing the acutely confused, writes Dr Anna Cumisky.
- Altered consciousness
- Age <65 years
- Head trauma
- Neurological signs
- Severe headache
- Delirium tremens
- Unavailable history
Delirium, or acute confusion, tends to arise secondary to a sudden insult to the brain and is potentially reversible. Chronic confusion usually involves an irreversible change to neuroanatomy. Timely diagnosis and intervention is the key to optimising patient outcome.
Commonly, a person with delirium appears newly agitated and aggressive Delirium can …