An 88-year-old woman is admitted with a fall and confusion. She is febrile at 38.3°C, oxygen saturation is 90% on air, sodium is 128 mmol/L and she

Question

An 88-year-old woman is admitted with a fall and confusion. She is febrile at 38.3°C, oxygen saturation is 90% on air, sodium is 128 mmol/L and she takes oxybutynin and codeine. Her daughter says she was playing bridge 3 days ago. What is the most appropriate assessment?

Accepted Answer

4AT or CAM assessment with investigation of reversible triggers

Answer

Geriatric depression scale as first test

Answer

Routine CT head before bedside assessment

Answer

Outpatient memory clinic assessment

Answer

Mini-Mental State Examination as the sole test

Delirium precipitant assessment — DGM MCQ

An 88-year-old woman is admitted with a fall and confusion. She is febrile at 38.3°C, oxygen saturation is 90% on air, sodium is 128 mmol/L and she takes oxybutynin and codeine. Her daughter says she was playing bridge 3 days ago. What is the most appropriate assessment?