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26 Possible Causes for Altered Mental Status, Cognitive Defect, Paranoid Personality Disorder

  • Subacute Sclerosing Panencephalitis

    mental status.[] The patient presented with an altered mental status, generalized muscle rigidity, and episodes of urinary and fecal incontinence that started two days earlier.[] The initial symptoms of SSPE usually involve regression in cognitive functioning and behavior or recurrent myoclonic jerks.[]

  • Pellagra

    In Japan, a 37-year-old man presented to the emergency department with altered mental status and seizures. Wernicke encephalopathy and alcohol withdrawal were suspected.[] Upon arrival he had hypothermia, a diffuse rash and altered mental status. During ED evaluation, a urinary catheter was placed and demonstrated black urine.[] Seek immediate medical care (call 911) if you, or someone you are with, have any of these serious symptoms, including altered mental status, alcohol withdrawal, or severe[]

  • Acute Amphetamine Intoxication

    […] history of drug use and the diagnosis are unclear, tests are done as indicated for the undifferentiated patient with altered mental status, hyperpyrexia, or seizures.[] Most texts advocate correcting a sodium below 120 mmol/L with associated altered mental status or seizures.[] In patients with altered mental status or who report a severe headache, conduct a head CT.[]

  • Alcoholic Amnestic Disorder

    […] associated with organic brain syndromes (310.0-310.9) 301.0 Paranoid personality disorder Fanatic personality Paranoid personality (disorder) Paranoid traits Excludes: acute[] Memory disturbance ( amnestic disorder or amnesia ), another example of a circumscribed cognitive defect, is discussed in this chapter.[] Other cognitive functions are usually relatively well preserved and amnesic defects are out of proportion to other disturbances.[]

  • Cannabis Abuse

    A mental status examination (MSE) should be carried out, as cannabis use alters mentation. There are specific aspects of mental function that are typically affected.[]

  • Metabolic Disease

    *paranoia is a mental disorder marked by feelings of self-importance or suspicion that other people are “ out to get ” the paranoid person.[] *delirium is a serious mental disorder that may be marked by confusion, speech disorders, anxiety, excitement, and/or hallucinations.[]

  • Central Nervous System Disorder

    Examples of disorders that we evaluate in this category include paranoid, schizoid, schizotypal, borderline, avoidant, dependent, obsessive-compulsive personality disorders[] Common structural defects include birth defects, anencephaly, hypospadias, and spina bifida.[] Patients who come to medical attention during childhood but after the neonatal period may have congenital defects including intellectual disability, which is mild compared[]

  • Mercury Poisoning

    mental status.[] […] he developed a maculopapular rash, acrodynia (painful, pink discoloration of the hands and feet), tachycardia, hypertension, weakness, sweating, excessive salivation, and altered[]

  • Pernicious Anemia

    Catatonia vis-à-vis delirium: the significance of recognizing catatonia in altered mental status . General Hospital Psychiatry, Vol. 37, Issue. 6, p. 554.[]

  • Myocardial Infarction

    , paranoid, or suicidal tendencies and agitated depression, until evaluated, (xv) no other physical or mental impairment, disease or condition which is likely to significantly[] The man was bitten on the left index finger and subsequently developed localized edema followed by hypotension, chest pain, and altered mental status.[] Next, depressive symptoms were analyzed as separate somatic and cognitive components ( Table 3 ).[]

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