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AMS

  • Common ddx

    • drugs, EtOH, trauma, UTI/pneumonia in elderly, hypothermia in the homeless, heat stroke in summer, dementia/delirium in elderly
  • Serious ddx

    • stroke, head trauma, MI, meningitis, DKA, shock, hepatic encephalopathy, CO poisoning
  • Labs

    • take care of ABCs
    • finger glc
    • Chem, LFTs, CBC
    • UA, Utox, EtOH
    • ABG
    • EKG
    • head CT
    • CXR
    • consider LP if fever, rash
    • consider TSH
  • Neuro ddx

    • brain hematoma, stroke, seizure, meningitis, encephalitis, NPH
  • Trauma ddx

    • epidural hematoma, subdural hematoma, SAH, skull fracture, concussion
  • FEN ddx

    • shock, pH, electrolytes, hypoxia, CO poisoning
  • Nutrition ddx

    • thiamin (EtOH), B6 (on TB tx), B12, folate, niacin
  • Infectious ddx

    • pneumonia, UTI, sepsis, meningitis, encephalitis
  • Environmental ddx

    • hypothermia, heat stroke, CO poisoning
  • Psych ddx

    • schizophrenia, catatonia, dementia, delirium
  • Other ddx

    • SLE, thyroid storm, arrhythmia, aphasia
  • HPI

    • onset
    • triggering event
    • aggravates, alleviates
    • severity
  • ROS

    • fever, weight loss
    • head trauma, headache, visual changes
    • cardio: chest pain, palpitations
    • pulm: dyspnea, cough, sputum, hemoptysis
    • GI: abdominal pain, nausea, vomiting, diarrhea
    • neuro: paresthesia
    • psych: hallucinations
    • endo: heat/cold intolerance
  • PMH

    • diabetes
    • thyroid
    • cirrhosis
    • psych
  • FH

    • thyroid disease
  • SH

    • EtOH, tob, illicits, amphetamines, narcotics
    • imbalanced diet
    • environmental exposure
  • Meds

    • new meds
    • narcotics
  • Allergies

  • Px

    • vitals
    • gen impression, mental status, responsiveness
    • head: trauma
    • eyes: pupils, papilledema
    • ENT: mucosal membranes
    • neck: goiter
    • skin: rash
    • cardio
    • pulm
    • abd
    • neuro: strength, sensation, reflex

  • Print | Citations

    Disclaimer: MDHero Workups is for educational use only, and is not meant to replace the clinical judgement of a professional. We do not guarantee the accuracy of any information on this website.