Altered Mental Status In Children

Nancy Pook Natalie Cullen Jonathan I. Singer

Pathophysiology Cl.inical.Features

Diagnosis

Alcohol

AcidBase and .MetaboHcDisorders

Dysrhythmia...andii other, cardio,ge.n.ic...C.a.u.se?

Encephalopathy

Endocrinopathy

Electrolytes

Insulin

Intussusception Opiates

Uremia Trauma

Tumor

Thermal

Infection

|ntracerebralnVasculaL Disorders

Poisoning

Psychogenic

Seizure

Diagnostic.Adi.u—s Treatment Disposition Chapter. References

Altered mental status (AMS) in a child is the failure to respond to the external environment in a manner appropriate to the child's developmental level, despite verbal or physical stimulation.1 Alteration in mental status consists of impairment of awareness and arousal, the two components of consciousness. Patients with AMS require simultaneous stabilization, diagnosis, and treatment. The objectives of treatment are to sustain life and prevent irreversible central nervous system damage. Once the patient is resuscitated, the next objective is to establish the cause of AMS and stop disease progression.

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