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Confusion in an elderly patient

PLAB 2 & PRES 3 · geriatrics · medium · 10 minutes

Candidate brief

Mrs Walsh, 82, is brought by her son because she is 'not herself'. Take a collateral history and outline initial work-up for delirium vs dementia.

What examiners look for

NICE CG103 delirium; 4AT for screening; reversible causes first.

Guideline references

• https://www.nice.org.uk/guidance/cg103
• https://cks.nice.org.uk/topics/delirium/

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