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Altered Mental Status

[Summary]Altered Mental Status - medclerk Carol Carden Clerkship Coordinator [email protected] Division of General Medicine 5034 Old Clinic Bldg. CB#7110 Chapel Hill, NC 27599 (919) 966-7776 Fax: (919) 966-2274 Altered level of consciousness An altered

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Altered Mental Status — medclerk

Carol Carden
Clerkship Coordinator
[email protected]
Division of General Medicine
5034 Old Clinic Bldg. CB#7110
Chapel Hill, NC 27599
(919) 966-7776
Fax: (919) 966-2274

Altered level of consciousness

An altered level of consciousness is any measure of arousal other than normal. Level of consciousness (LOC) is a measurement of a person's arousability and responsiveness to stimuli from the environment.[1] A mildly depressed level of consciousness or alertness may be classed as lethargy; someone in this state can be aroused with little difficulty.[1] People who are obtunded have a more depressed level of consciousness and cannot be fully aroused.[1][2] Those who are not able to be aroused from a sleep-like state are said to be stuporous.[1][2]Coma is the inability to make any purposeful response.[1][2] Scales such as the Glasgow coma scale have been designed to measure the level of consciousness.

Altered Mental Status — medclerk

Carol Carden
Clerkship Coordinator
[email protected]
Division of General Medicine
5034 Old Clinic Bldg. CB#7110
Chapel Hill, NC 27599
(919) 966-7776
Fax: (919) 966-2274

Neurological Complications of Systemic Cancer

Epidural Spinal Cord Compression

Brain Metastases

Epidural Spinal Cord Compression

Cerebrovascular Complications

Leptomeningeal Metastases

Neuromuscular Complications

Back pain is a common problem with an annual incidence of 5 percent and a lifetime prevalence of 60 to 90 percent in the general U.S. population.12 In most people, back pain is benign and self-limited. However, in patients with systemic cancer, back pain can be the first sign of a serious underlying neurologic process. The structural components of the spinal column are the most common sites for bony metastases, which often occur in patients with cancer of the prostate gland, breast, kidneys or lungs, as well as in patients with melanoma or myeloma.13,14

Mental status testing: MedlinePlus Medical Encyclopedia

A health care provider will ask a number of questions. The test can be done in the home, in an office, nursing home, or hospital. Sometimes, a psychologist with special training will do more detailed tests.

Common tests used are the mini-mental state examination (MMSE), or Folstein test, and the Montréal cognitive assessment (MoCA).

Altered Mental Status | VC3 Program

Vanderbilt University School of Medicine
VC3 – Vanderbilt Core Clinical Curriculum

Altered Mental Status

Because the etiologies and corresponding treatment strategies for patients with altered mental status are so varied, distinguishing among the causes of altered mental status is an important training problem for third-year medical students.

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