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Altered Level of Consciousness History
Nov 23, 2010
•
Mark Morgan
categories:
Subjective/History
Patient with altered level of consciousness
Onset
prior to evaluation
Onset while:
Key Symptoms
no
YES
<-- Confusion
no
YES
<-- Agitation
no
YES
<-- Difficult to awaken
no
YES
<-- Complete Loss of Consciousness (lasted
)
no
YES
<-- Seizure
no
YES
<-- Extremity weakness
no
YES
<-- Change in sensation
no
YES
<-- Headache
no
YES
<-- Dizziness/Ataxia
no
YES
<-- Falls
Exposures
no
YES
<-- Low blood sugar
no
YES
<-- Excessive alcohol
no
YES
<-- Drug abuse
Pertinent ROS
no
YES
<-- fever
no
YES
<-- dizziness
no
YES
<-- chest pain
no
YES
<-- shortness of breath
no
YES
<-- cough
no
YES
<-- nausea/vomiting
no
YES
<-- abdominal pain
no
YES
<-- dysuria
no
YES
<-- urinary frequency
Pertinent PMH:
no
YES
<-- Dementia
no
YES
<-- Decreased mobility/ambulation
no
YES
<-- Diabetes Mellitus
no
YES
<-- Cerebrovascular Accident
no
YES
<-- Coronary Artery Disease
no
YES
<-- COPD
no
YES
<-- Cirrhosis
no
YES
<-- Chronic renal failure
no
YES
<-- Head Trauma
no
YES
<-- Serious CNS risks (e.g. active cancer, immunosuppression, HIV)
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reference: contributed by Dr. Scott Moses, creator/author of the Family Practice Notebook
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