EM Cases · Delirium in the elderly
Hypoactive delirium — geriatric station
ACEM Fellowship station testing 4AT/CAM, precipitant search, and safe pharmacological restraint avoidance.
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Study tools
Target exams
ACEMFRCEMABEMFRCPCCCFPEMEBEEM
Prompt
An older patient with fluctuating confusion after a fall and UTI symptoms.
Stem
All persons, presentations and observations in this station are fictional and invented for teaching assessment; they do not describe a real person.
References2ShowHide
- [1]Inouye SK et al. Clarifying confusion: the confusion assessment method. Ann Intern Med, 1990.PMID 2240918
- [2]MacLullich AM et al. The 4 'A's test for detecting delirium in acute medical patients: a diagnostic accuracy study. Health Technol Assess, 2019.PMID 31397263