Sx
Attention deficit common to all confusional states
Organic-causes
Acute onset
Abnormal vital signs
Fluctuating level of consciousness
Possible signs of trauma
Focal neurological signs
Inorganic (functional) causes
Chronic onset
Stable vital signs
Absence of trauma
Absence of focal neurologic symptoms
Delusions
Illusions
Ddx
Hypoglycemia
Hyponatremia
Hypernatremia
Hypercalcemia
NOT Ddx
Hypokalemia alone
Hypocalcemia alone
Hyperphosphatemia alone