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The Confusion Assessment Method (CAM) is a diagnostic tool developed to allow physicians and nurses to identify delirium in the healthcare setting. [1] It was designed to be brief (less than 5 minutes to perform) and based on criteria from the third edition-revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM-III-R) .
Therefore, without being able to confirm the source of the memory, the individual may accept the false memory as true. Three factors may be responsible for the implantation of false autobiographical memories. The first factor is time. As time passes, memories fade. Therefore, source confusion may result due to time delay. [7]
Delirium (formerly acute confusional state, an ambiguous term that is now discouraged) [1] is a specific state of acute confusion attributable to the direct physiological consequence of a medical condition, effects of a psychoactive substance, or multiple causes, which usually develops over the course of hours to days.
Treatment for confabulation is somewhat dependent on the cause or source, if identifiable. For example, treatment of Wernicke–Korsakoff syndrome involves large doses of vitamin B in order to reverse the thiamine deficiency. [62] If there is no known physiological cause, more general cognitive techniques may be used to treat confabulation.
In medicine, confusion is the quality or state of being bewildered or unclear. The term "acute mental confusion" [ 1 ] is often used interchangeably with delirium [ 2 ] in the International Statistical Classification of Diseases and Related Health Problems and the Medical Subject Headings publications to describe the pathology .
Laboratory tests may be obtained to rule out other causes of sudden amnesia such as a complete blood count, electrolytes, kidney function, liver function, inflammatory markers (such as C reactive protein and erythrocyte sedimentation rate), ammonia level (often elevated in hepatic encephalopathy), urine toxicology screening, alcohol level and ...
Complementing the already given information with further data gathering, which may include questions of the medical history (potentially from other people close to the patient as well), physical examination and various diagnostic tests. A diagnostic test is any kind of medical test performed to aid in the diagnosis or detection of disease ...
Once the level of consciousness is determined, clinicians seek clues for the cause of any alteration. [9] Usually the first tests in the ER are pulse oximetry to determine if there is hypoxia, serum glucose levels to rule out hypoglycemia. A urine drug screen may be sent. A CT head is very important to obtain to rule out bleed.