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306 Possible Causes for Impaired Judgement

  • Depression

    The purpose of this study was to describe a theoretically focused intervention aimed toward chronic stress and depressive symptom management that is coordinated by a case manager and delivered within a home environment by the caregiver. Home care, community setting. A case study of an older adult with[…][ncbi.nlm.nih.gov]

  • Alcohol Abuse

    Requests for competency assessment of elderly patients are among the more common referrals that medical and surgical units make to consultation-liaison psychiatrists. Special considerations arise when impairment in cognition, judgment and function arise in the context of substance abuse. At what point during the[…][ncbi.nlm.nih.gov]

  • Hypoglycemia

    Endocrine. 2016 Jul;53(1):47-57. doi: 10.1007/s12020-016-0902-0. Epub 2016 Mar 7. Abstract Spontaneous hypoglycemia is a puzzling clinical problem and an important reason for referral to endocrinologists. Several clinical conditions such as insulinomas, non-insulinoma pancreatogenous hypoglycemia syndrome, insulin[…][ncbi.nlm.nih.gov]

  • Alzheimer Disease

    It affects memory, thinking, orientation, comprehension, calculation, learning capacity, language, and judgement. Consciousness is not affected.[who.int] Progression is evident as increasing impairment of memory developing gradually into a global impairment of cognition, including orientation, language, judgement, perceptual[dx.doi.org] The impairment in cognitive function is commonly accompanied, and occasionally preceded, by deterioration in emotional control, social behaviour, or motivation.[who.int]

  • Reactive Depression

    Abstract Empathy and reactive depression were investigated with 53 women, from 21 to 53 years of age, who worked or planned to work as nurses, counselors, or social workers. Empathy was measured using the Mehrabian and Epstein Questionnaire Measure of Empathic Tendency. The adapted Zung Self-rating Depression[…][ncbi.nlm.nih.gov]

  • Endogenous Depression

    In a double-blind comparison of 21 inpatients with endogenous depression 225 mg zimeldine demonstrated the same degree of antidepressive efficacy as 150 mg amitriptyline after 4 weeks of treatment. Only "sleep disturbances" on the Hamilton Rating Scale for Depression (HRS) showed significant (P less than 0.05)[…][ncbi.nlm.nih.gov]

  • Chronic Alcoholism

    A 42-year-old man with a history of Billroth II-gastrectomy, chronic alcoholism, and malnutrition developed acute tetraparesis, two days before admission. He presented with bilateral, proximal upper and lower limb weakness, limb girdle wasting, bilaterally reduced Achilles tendon reflexes, and bilateral stocking-type[…][ncbi.nlm.nih.gov]

  • Traumatic Brain Injury

    ; disrupted insight, judgement, and thought; reduced processing speed; distractibility; and deficits in executive functions such as abstract reasoning, planning, problem-solving[en.wikipedia.org] […] frontal atrophy may have impaired post-retrieval evaluation processes leading the patient to falsely conclude, based on more general characteristics of the study episode,[dx.doi.org] Memory loss, the most common cognitive impairment among head-injured people, occurs in 20–79% of people with closed head trauma, depending on severity.[en.wikipedia.org]

  • Hyponatremia

    Symptomatic hyponatremia is considered a rare complication of oral bowel preparation for colonoscopy. The pathophysiology underlying this phenomenon has been widely regarded as a mere sequela of excessive arginine vasopressin (AVP) release. This case describes a 61-year old woman who developed acute hyponatremic[…][ncbi.nlm.nih.gov]

  • Head Injury

    Tetanus is now a rare disease in the Western world, but not so in developing countries. Cephalic tetanus, unlike some other local forms of the disease, is likely to be fatal. We describe the clinical presentation of a case of fatal cephalic tetanus complicating an unattended open non-severe head injury with a review[…][ncbi.nlm.nih.gov]

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