July 14, 2020
Confusion Minimize


The first step in the differential diagnosis of a confused patient is to determine whether it is due to primary neurological disease or a manifestation of a systemic disorder.  Localising neurological signs are generally a sign of neurological disease but may be induced by hypoglycaemia especially in the elderly.   Infection should be considered even in the absence of fever; and chest Xray, blood and urine cultures performed.  The choice of investigations will be governed by the clinical history and signs.


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