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DC Inst: Altered Mental Status

DC

You have been evaluated in the Emergency Department today for a period of altered mental status. Your evaluation, including lab work and imaging of your brain, did not show evidence of conditions requiring further emergent medical intervention at this time.

Please schedule an appointment as soon as possible with your primary care physician for follow up.

Return to the Emergency Department if you experience worsening periods of confusion, loss of consciousness, numbness/tingling, weakness, trouble speaking, vision changes, chest pain, shortness of breath, or any other worsening symptoms.

Thank you for choosing us for your care.

Altered Mental Status – General

MDM

This is a @AGE@ @GENDER@ presenting with altered mental status, concerning for ***. The differential includes toxic metabolic etiologies such as electrolyte disturbances (Na/Ca), hypoglycemia, and uremia; acidosis states, infection (i.e. Sepsis); toxidromes of intoxication or withdrawal, hypoxemia or hypercarbia, liver disease or failure causing hepatic encephalopathy, endocrine emergencies (hyper/hypothyroidism, adrenal insufficiency), seizure, trauma, intracranial bleeds or ischemic stroke. Given this wide differential, will send basic labs and lytes to evaluate for metabolic causes, FSBS, LFTs,, TSH, ***CT head, ***blood gas. ***LP?/abx?