00:01
So the most likely diagnosis for this 75 year old woman with non -small cell carcinoma of the lung who presents with lethargy, cognitive impairment, and hyponatremia or low sodium concentration, blunted affect, confusion, and a low mini mental state examination score is a, delirium.
00:24
So for one, delirium is characterized by acute onset of confusion, impaired consciousness, cognitive dysfunction, and alterations in perception and thought.
00:44
Ams means altered mental status.
00:47
It often occurs rapidly and can be reversible once the underlying cause is addressed.
00:59
So in this case, the patient's history of chemotherapy, cranial irradiation, and recent treatment with a selective serotonin reuptake inhibitor, ssri, can contribute to delirium.
01:09
So patient's past medical history is a contributor.
01:19
Hyponatremia is a common electrolyte imbalance associated with delirium and it can result from various causes including syndrome of inappropriate antidiuretic hormone secretion or adh...