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Interview - Systems 2

Continue to interview Mrs Thomas by clicking on the questions below...

Has your husband had weakness in his body?

Has your husband been feeling unhappy lately?

Has your husband had trouble sleeping at all?

Do you know if your husband is still going to the toilet (peeing) OK?

I don't think so.

A prior history of stroke may produce diminished cognitive reserve. However acute stroke is usually the sudden onset of FOCAL neurologic deficit.

Dysthymia may indicate depression rather than delirium.

Well, he usually sleep like a log, but a few nights this week, like last night, he was all confused and worked up and couldn’t rest. Then during the day, when he should be awake, he’s sleepin’.

Disturbed sleep/wake cycle and increased confusion at night are key indicators of delirium.

He's fine with that.

Good thought, urinary incontinence may be a precipitating cause of delirium, and UTI and retention are common in older people. However these seem unlikely in Mr Thomas’ case given the prominent chest symptoms.

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