36 * Audit of the Implementation of a Dementia Cquin Diagnostic Screening Tool : A District General Hospital Experience

McNaughton-Garratt, H.; Safran, Arthur P.; Ahsan, Masato

doi:10.1093/ageing/afu036.36

Cited by 1 publication

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“…There is national guidance with respect to screening for delirium but there needs to be cross-specialty engagement for it to be truly effective, as when undertaken, it can yield highly successful outcomes [7,8]. The senior review included a collateral history and indicated that the patient's presentation of confusion was not due to dementia, but due to sepsis and that this had delayed management slightly.…”

Section: Discussionmentioning

confidence: 99%

Perforated Rectal Cancer Presenting as Fournier’s Gangrene in a Confused Older Patient

George

Haboubi

Skinner

2018

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We present the case of an eighty-two-year-old man who presented with testicular pain, diarrhoea, fresh rectal bleeding, and weight loss. A clear history was not obtained because of presumed chronic confusion secondary to age related vascular dementia. He was subsequently diagnosed with Fournier’s gangrene and a retrospective obtainment of his collateral history revealed a completely normal pre-morbid cognitive level of function. Thus, his confusion was secondary to an atypical cause of sepsis and he was managed with surgical debridement. We highlight the value of urgent computed tomography (CT) scanning as well as the use of screening tools for assessing cognitive function, particularly in surgical specialties, as well as the importance of obtaining a collateral history and discussing means for better collaborative efforts amongst surgeons and physicians in managing the “confused patient”.

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Section: Discussionmentioning

confidence: 99%