Symptoms And Symptoms Of Delirium

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DIAGNOSIS Patient may show agitation, may become uncooperative & confused after surgery. Often, the patient is agitated & restless during the night but generally calm at daytime. Clinical features include disorientation, impairment of attention and memory. Hallucinations are not that frequent. Delirium can develop at any time during hospitalization. To assess the patient 's degree of cognitive decline, a baseline for comparison should have been established preoperatively. Therefore, a good preoperative evaluation including a formal cognitive assessment in at risk patients of developing delirium should have been done. The most severe episodes of delirium have been seen to occur in the dusk in conjunction with excessive stimulation and disruption of the sleep-wake cycle. Patients with delirium may have anxiety & sometimes visual and auditory hallucinations. If delirium is suspected during postoperative period, patient 's level of consciousness, orientation & memory deficit should be assessed. Furthermore, conversation may reveal a disorganization of thought process or be devoid of any content. Delirium can be identified with the help of formal cognitive tests like, the MMSE[ 14], the confusion assessment method (CAM)[ 15] score and the delirium writing test. Physical examination Should be focused on vitals, hydration and signs of Infection. Neurologic examination for the assessment of level of consciousness should be done. Signs of substance abuse or withdrawal &
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