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Critical Care: ICU Management and Outcomes |

Scanning the Confusion Away: The Diagnostic Utility of Head Computer Tomography (CT) in the Evaluation of Altered Mental Status in a Non-Neurological Medical ICU of a Tertiary Care Center

Atul Mehta, MD; Ghaleb Khirfan, MD; Porus Shah, MD; Samuel Wiles, MD; Ajit Moghekar, MD; Shraddha Narechania; Abhijit Duggal, MD; Anil Vijayan, MD; Fatima Adhi, MD; Sudhir Krishnan, MD
Author and Funding Information

Cleveland Clinic Foundation, Cleveland, OH


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;150(4_S):289A. doi:10.1016/j.chest.2016.08.302
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SESSION TITLE: ICU Management and Outcomes

SESSION TYPE: Original Investigation Slide

PRESENTED ON: Tuesday, October 25, 2016 at 08:45 AM - 10:00 AM

PURPOSE: Altered mental status (AMS) is a vague, non-descript albeit popular term often used to describe a perceived abnormality of arousal, cognition and/ or consciousness in the MICU. The spectrum of AMS could involve a myriad of clinicopathological conditions including but not limited to delirium, encephalopathy, post ictal states, toxic ingestions and intracranial catastrophes.Head CT is frequently obtained without careful clinical correlation and attention to the neurological examination . We sought to determine the diagnostic utility of Head CT in the diagnosis of AMS with and without a focal neurological deficit (FND)

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