Clinical problem-solving. Forgotten but not gone.
Clinical problem-solving. Forgotten but not gone.
复制标题
临床问题解决。
DOI：
10.1056/nejmcps032575
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发表时间：
2004
期刊：
影响因子：
--
通讯作者：
Saint,Sanjay
中科院分区：
文献类型：
--
作者：
Jha,AshishK;Shojania,KavehG;Saint,Sanjay
前言在本期刊专题中，有关真实患者的信息分阶段（粗体字）呈现给专家临床医生，专家临床医生对信息做出回应，与读者分享他或她的推理（常规字）。作者的评论如下。 阶段一名 74 岁男子在家中被发现神志不清且丧失行为能力，被送往急诊室。该患者住在一家住宅酒店，之前身体健康且社交活跃。已经三天没见到他了，他的朋友们走进他的房间，发现他躺在地板上，浑身都是凳子。患者很熟悉，但很困惑，只记得最近一次跌倒和无法起身。 反应 精神状态急性改变的原因主要分为四类：感染性、神经性、药物相关性和代谢性。在老年患者中，感染是最常见的原因，尽管。 。 。
ForewordIn thisJournalfeature, information about a real patient is presented in stages (boldface type) to an expert clinician, who responds to the information, sharing his or her reasoning with the reader (regular type). The authors' commentary follows.StageA 74-year-old man was brought to the emergency department after being found confused and incapacitated at home. The patient lived in a residential hotel and had previously been healthy and socially active. Having not seen him for three days, his friends entered his room and found him on the floor, covered in stool. The patient was conversant but confused, recalling only a recent fall and his inability to get up.ResponseCauses of acute alteration in mental status fall primarily into four categories: infectious, neurologic, drug-related, and metabolic. In elderly patients, infections are the most common cause, although the . . .