Just Muddled

Question 1 of 3

1. Question

What assessment tool would you use to help in this patient’s diagnosis?

AWOL score
6-CIT
CIWA Score
GCS
None of the above

Question 2 of 3

2. Question

What initial investigations should be performed at this point (select all that apply)?

FBC, U+E, LFT
Glucose, B12 & folate
Urine dip
CT brain
Investigations are not required as the history suggests dementia

Question 3 of 3

3. Question

A month later you see the same patient in the ED. He is agitated and significantly more confused than when you saw him previously. His family tell you he was doing well but became suddenly confused last night. You suspect he has developed delirium (acute confusional state).

Which of the following statements are NOT true? (select all that apply)

Hypoactive delirium is more common than hyperactive delirium
Disorganised thought is a key feature of delirium
First line medication to sedate this patient if clinically indicated is haloperidol
The patient should be kept in a bay with minimal interaction so as to not agitate him further
This patient will most likely need a catheter to allow for immediate emptying of the bladder and prevent further agitation

Just Muddled

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