100% Correct
Delirium Due to a General Medical Condition - ANSWER A. Disturbance of
consciousness (i.e., reduced clarity of awareness of the environment) with
reduced ability to focus, sustain, or shift attention.
B. A change in cognition (such as memory deficit, disorientation, language disturbance)
or the development of a perceptual disturbance that is not better accounted for by a
preexisting, established, or evolving dementia.
e. The disturbance develops over a short period of time (usually hours to days) and
tends to fluctuate during the course of the day.
D. There is evidence from the history, physical examination, or laboratory findings that
the disturbance is caused by the direct physiological consequences of a general
medical condition.
Substance-Induced Delirium - ANSWER A. Disturbance of consciousness (i.e., reduced
clarity of awareness of the environment) with reduced ability to focus, sustain, or shift
attention.
B. A change in cognition (such as memory deficit, disorientation, language
disturbance) or the development of a perceptual disturbance that is not better
accounted for by a preexisting, established, or evolving dementia.
C. The disturbance develops over a short period of time (usually hours to days) and
tends to fluctuate during the course of the day.
D. There is evidence from the history, physical examination, or laboratory findings of
either (1) the symptoms in Criteria A and B developed during Substance Intoxication or
(2) medication use is etiologically related to the disturbance·
Substance Withdrawal Delirium - ANSWER A. Disturbance of consciousness, with
reduced ability to focus, sustain, or shift attention
B. Change in cognition or development of perceptual disturbance not better accounted
for by dementia
C. Develops over a short period of time (hours-days), tends to fluctuate over the course
of the day
D. Disturbance developed during, or shortly after, a withdrawal syndrome
Delirium Due to Multiple Etiologies - ANSWER A. Disturbance of consciousness (i.e.,
reduced clarity of awareness of the environment) with reduced ability to focus, sustain,
or shift attention.
B. A change in cognition (such as memory deficit, disorientation, language
disturbance) or the development of a perceptual disturbance that is not better
accounted for by a preexisting, established, or evolving dementia.
,C. The disturbance develops over a short period of time (usually hours to days) and
tends to fluctuate during the course of the day.
D. There is evidence from the history, physical examination, or laboratory findings
that the delirium has more than one etiology (e.g ., more than one etiological general
medical condition, a general medical condition plus Substance Intoxication or
medication side effect).
Delirium Not Otherwise Specified - ANSWER Delirium that does not meet criteria for
any specific types of delirium such as delirium which is suspected to be due to a general
medical condition or substance use but for which there is insufficient evidence to
establish etiology or dilirium due to causes not listed in this section (sensory
deprivation)
Dementia [differentiated based on etiology] - ANSWER Disorders characterized by the
development of multiple cognitve deficits that include memory impairment and at least
one of the following cognitive disturbances (aphasia, apraxia, agnosia, or disturbance in
executive functioning) that are due to the direct physiological effects of either a general
medical condition, substance abuse, or to multiple etiologies. Deficits must be
sufficiently severe to cause impairment in occupational or social functioning and must
represent a decline from a previously higher level of functioning.
Amnestic Disorder due to General Medical Condition - ANSWER Development of
memory impairment as manifested by impairment in the ability to learn new information
or the inability to recall previously learned information. Disturbance causes significant
impairment in social or occupational functioning and represents a decline from a
previous level of functioning. Mujst have evidence that disturbance is the effect of a
general medical condition.
Transient: impairment lasts for 1 month or less
Chronic: impairment lasts for more than one month
Substance Induced Persisting Amnestic Disorder - ANSWER Development of memory
impairment as manifested by impairment in the ability to learn new information or the
inability to recall previously learned information. Disturbance causes significant
impairment in social or occupational functioning and represents a decline from a
previous level of functioning. Disturbance persists beyond the usual duration of
substance intoxication or withdrawal. Evidence that the disturbance is etiologically
related to the persisting effects of substance use (drug abuse, a medication)
Substance Dependence - ANSWER Maladaptive pattern of substance use as
manifested by 3 or more of the following at any time in the same 12 month period
(tolerance, withdrawal, substance taken in larger amounts or over longer period than
intended, persistent desire or unsuccessful attemtps to cut down or control the use, a
great deal of time is spent in activieis necessary to obtain/use/ recover from the effects
, of use, important social/occupational/recreational activities given up or reduced because
of use, use continued despite knowledge of having a persistent or recurrent physical or
psychological problem that is likely to have been caused by the substance).
Substance Abuse - ANSWER Maladaptive pattern of substance use as manifested by 1
or more of the following occurring within a 12 month period (failrue to fulfill major role
obligations, recurrent use in situations which it is physically hazardous, recurrent legal
problems related to use, continued use despite having persistent or recurrent social or
interpersonal problems caused or exacerbated by the use)
Substance Intoxication - ANSWER Development of a reversible substance-specific
syndrome due to ingestion of (or exposure to) a substance. Clinically significant
maladaptive behavioral or psychological changes due to the effect of the substance on
the central nervous system and develop during or shortly after use of the substance.
Substance Withdrawal - ANSWER Development of a substance-specific syndrome due
to the cessation of (or reduction in ) substance use that has been heavy and prolonged.
syndrome causes clinically significant distress or impairment in social/occupaitonal/ or
other important areas of functioning.
Alcohol Withdrawal - ANSWER 2 or more of the following develop within several hours
to a few days after heavy and prolonged use (autonomic hyperactivity, increased hand
tremor, insomnia, nausea or vomiting, transient visual/tactile/auditory hallucinations,
psychomotor agitation, anxiety, grand mal seizures)
Amphetamine Intoxication - ANSWER 2 or more of the following developing during or
shortly after use of amphetamine (tachycardia or bradycardia, pupillary dilation,
elevated or lowered blood pressure, perspiration or chills, nausea or vomiting, evidence
of weight loss, psychomotor aggitation or retardation, muscular weakness, respiratory
depression, chest pain, or cardiac arrhythmias, confusion, seizures, dyskinesias,
dystonias, or coma)
Amphetamine Withdrawal - ANSWER Dysphoric mood and 2 or more of the following
physiological changes developing within a few hours to several days after cessation or
reduction in amphetamine use (fatigue, vivid/unpleasant dreams, insomina or
hypersomina, increased appetite, psychomotor retardation or agitation)
Caffeine Intoxication - ANSWER 5 or more of the following signs developing during, or
shortly after caffeine use (restlessness, nervousness, excitement, insomnia, flushed
face, diuresis, gastrointestinal disturbance, muscle twitching, rambling flow of thought
and speech, tachycardia or cardiac arrhythmia, periods of inexhaustibility, psychomotor
agitation)