Totally Confused

Behavioral Health


{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"Acute fever and confusion is not an uncommon presentation in emergency medicine; the range of etiologies is vast, encompassing infectious, vascular, metabolic, and toxic conditions.\n\nA careful history and examination is key to the timely diagnosis of these individuals; this patient is an excellent example in point.\n\nFirst of all, note the presence of severe hyperthermia (i.e. a temperature of over 104\u00baF\/40\u00baC); relatively few conditions can give rise to this degree of fever.\n\nKey possibilities include heat stroke, central nervous system (CNS) infections, malignant catatonia, substance abuse, and drug toxidromes such as neuroleptic malignant syndrome (NMS), serotonin syndrome, and malignant hyperthermia.\n\nThe generalized rigidity is another potent clue; of the above, it is mainly malignant catatonia, malignant hyperthermia, and NMS which demonstrate this finding; substance abuse also remains a possibility (particularly if multiple agents have been ingested).\n\nConversely, patients with "}]}

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