Physical Assessment

Physical examination should be thorough as precipitants for delirium might be relatively minor if a patient has numerous risk factors. Important considerations include:

  • Pupillary response
  • Respiratory examination
  • Cardiovascular examination
  • Abdominal examination
  • Suprapubic tenderness or palpable bladder
  • Hip tenderness (in case of neck of femur fracture which can be overlooked in frail elderly people)
  • Neurological findings