The Bottom Line
A significant number of patients with psychiatric disorders have what co-morbid condition?
What is substance use disorder
47% of those with schizophrenia
I am one of the most common diagnosis for mental status changes/delirium in the ED
What is a UTI
It's 100 degrees in the shade. I don't feel right, confused and weak. I need?
What is comprehensive metabolic panel
Something is wrong. I have depression, irritability, memory problems, fatigue, weakness, weight gain, cold intolerance, dry coarse hair and dry skin
What is hypothyroidism
Celiac Disease often occurs with this mental health disorder
What is schizophrenia
prescription, over the counter, herbal/alternative medications, shared or non-prescribed medications, dosing, recent med changes, and substance and alcohol are components of this interview intake
What is a comprehensive medication history
A common non-motor, mid-stage to late-stage complication in Parkinson's Disorder (a degenerative neurologic disorder) that causes hallucinations and behavior issues is?
What is dementia
I'm so sleepy and confused. I need a?
What is a Utox and .Blood sugar
I've had a sudden change in activity and am confused. My heart rate is up and blood pressure is down. I'm 80 years old.
What is a systemic infection-UTI
Elders don't mount quick nor robust febrile and WBC response
Elevated levels of inflammatory markers in blood and CSF
What are psychosis markers
We are included as risk factors for medication-related psychiatric side-effects
What is increased age, liver/kidney insufficiency, history of past or present psychiatric illness, polypharmacy, doses at upper dosing range, medications with narrow therapeutic index
Characterized by problem solving difficulty, depression, apathy, withdrawal
What is dementia-Alzheimer's
I am having new hallucinations. I need?
What is a blood glucose, pulse oximetry, UTOX, BAL, CBC, UA, therapeutic drug levels
I'm anxious and losing weight. I'm so thirsty and hungry, and peeing a lot at night. My bipolar disorder has been stable for 3 years. What's going on?
What could be Diabetes
Graves Disease and thyrotoxicosis
What are linked with increased risk of schizophrenia, psychotic disorders
Withdrawal from these substances can cause anxiety and extreme agitation
What is alcohol, benzodiazepines and opioids
Visual hallucinations, illusions
What is dementia-Lewy body
Multiple psychiatric medications require these baseline labs. They are?
What are CBC, Cr/BUN, LFT
I have a pounding headache and keep seeing weird halos and squiggles, sometimes I want to vomit.
What could be a migraine disorder
Neuronal Surface Antibodies (NSabs) with psychiatric and cognitive alterations, seizures and movement disorders, and limbic system involvement
What are symptoms and markers for Autoimmune Encephalitis
My family brought me to the ED because I'm not acting like myself. The provider asked us about?
What is:
PMH/Problem list, did I fall or have an injury, Has this happened before, MME or MOCA questions
Presents with cluster of agitation, aggression, hallucinations, delusions, mutism, irritability or mood instability
What is mixed-mood psychosis syndrome from NMDAR-antibody encephalitis psychopathy.
I am < 50 years old, have a history of IV drug use, and am presenting with early onset dementia. I need to be screened for?
What is HIV.
My heart is racing and I'm anxious. Something terrible is going to happen
What could be hyperthyroid, drug withdrawals
Diabetes Type I and Schizophrenia common autoimmune antibody
What is GAD (glutamic acid decarboxylase antibodies)
LADA Latent Autoimmune Diabetes