Alterations of Consciousness in the Emergency Department, An by Chad Kessler MD FACEP FAAEM

By Chad Kessler MD FACEP FAAEM

Visitor editor Chad Kessler has assembled a professional panel of authors related to changes of awareness. Articles contain: The psychological prestige exam in Emergency perform, Dizzy and careworn: A step by step review of the Clinician’s favourite leader criticism, analysis and review of Syncope within the Emergency division, The Emergency division method of Syncope: Evidence-based guidance and Prediction ideas, Pediatric Syncope: instances from the Emergency division, Seizures as a reason for Altered psychological prestige, significant worried procedure Infections as a reason behind an Altered psychological prestige? what's the Pathogen transforming into on your vital apprehensive System?, anxious changes in attention: stressful mind harm, and extra!

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Additional info for Alterations of Consciousness in the Emergency Department, An Issue of Emergency Medicine Clinics (The Clinics: Internal Medicine)

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Emerg Med Clin North Am 2009;27(1):39–50, viii. Dizzy and Confused 14. Savitz SI, Caplan LR, Edlow JA. Pitfalls in the diagnosis of cerebellar infarction. Acad Emerg Med 2007;14(1):63–8. 15. Idicula TT, Joseph LN. Neurological complications and aspects of basilar artery occlusive disease. Neurologist 2007;13(6):363–8. 16. Chen W, Chern C, Wu Y, et al. Vertebral artery dissection and cerebellar infarction following chiropractic manipulation. Emerg Med J 2006;23(1):e1. 17. Miley ML, Wellik KE, Wingerchuk DM, et al.

61. Seymour JF. Carbamazepine overdose. Features of 33 cases. Drug Saf 1993; 8(1):81–8. 62. Hojer J, Malmlund HO, Berg A. Clinical features in 28 consecutive cases of laboratory confirmed massive poisoning with carbamazepine alone. J Toxicol Clin Toxicol 1993;31(3):449–58. 63. Spiller HA. Management of carbamazepine overdose. Pediatr Emerg Care 2001; 17(6):452–6. 64. May DC. Acute carbamazepine intoxication: clinical spectrum and management. South Med J 1984;77(1):24–6. 65. Brahmi N, Kouraichi N, Thabet H, et al.

19 Typical findings are memory impairment, with decreased attention, alertness, and speed of mental processing. Cortical deficits of aphasia, apraxia, and agnosia are typically absent in NPH and may point to an alternative diagnosis,19 such as depression with pseudodementia, Alzheimer’s disease, or vascular dementia. The diagnosis of NPH can be made by the astute examiner with the aid of either CT or MRI of the brain. Neuroimaging reveals ventriculomegaly, which is distinct from hydrocephalus ex vacuo, a common normal finding in elderly patients.

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