Confusion: Difference between revisions
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{{Infobox medical condition | |||
| name = Confusion | |||
| image = [[File:Confused_child.jpg|alt=Confused child]] | |||
| caption = A child displaying signs of confusion | |||
| field = [[Neurology]], [[Psychiatry]] | |||
| symptoms = Disorientation, inability to focus, impaired thinking | |||
| complications = [[Delirium]], [[Dementia]], [[Amnesia]] | |||
| onset = Sudden or gradual | |||
| duration = Varies, can be temporary or persistent | |||
| causes = [[Infection]], [[Head injury]], [[Medication]], [[Substance abuse]], [[Metabolic disorders]] | |||
| risks = [[Elderly]], [[Hospitalization]], [[Chronic illness]] | |||
| diagnosis = [[Clinical assessment]], [[Cognitive testing]], [[Blood tests]], [[Imaging studies]] | |||
| differential = [[Delirium]], [[Dementia]], [[Psychosis]], [[Stroke]] | |||
| treatment = Address underlying cause, [[Supportive care]], [[Medication]] | |||
| prognosis = Depends on cause and treatment | |||
| frequency = Common, especially in older adults | |||
}} | |||
== Confusion == | == Confusion == | ||
[[File:Confused_child.jpg|left|thumb|A child displaying signs of confusion.]] | |||
[[File:Confused_child.jpg|thumb | |||
'''Confusion''' is a state of mental disorientation in which a person has difficulty understanding their surroundings, making decisions, or recognizing familiar people or places. It is a symptom that can be associated with various medical conditions, including [[neurological disorders]], [[metabolic imbalances]], and [[psychiatric conditions]]. | '''Confusion''' is a state of mental disorientation in which a person has difficulty understanding their surroundings, making decisions, or recognizing familiar people or places. It is a symptom that can be associated with various medical conditions, including [[neurological disorders]], [[metabolic imbalances]], and [[psychiatric conditions]]. | ||
== Causes == | == Causes == | ||
Confusion can arise from numerous causes, which can be broadly categorized into the following: | Confusion can arise from numerous causes, which can be broadly categorized into the following: | ||
=== Neurological Causes === | === Neurological Causes === | ||
* [[Stroke]] | * [[Stroke]] | ||
* [[Traumatic brain injury]] | * [[Traumatic brain injury]] | ||
* [[Dementia]] | * [[Dementia]] | ||
* [[Seizures]] | * [[Seizures]] | ||
=== Metabolic Causes === | === Metabolic Causes === | ||
* [[Hypoglycemia]] | * [[Hypoglycemia]] | ||
* [[Electrolyte imbalance]] | * [[Electrolyte imbalance]] | ||
* [[Dehydration]] | * [[Dehydration]] | ||
* [[Hypoxia]] | * [[Hypoxia]] | ||
=== Psychiatric Causes === | === Psychiatric Causes === | ||
* [[Delirium]] | * [[Delirium]] | ||
* [[Schizophrenia]] | * [[Schizophrenia]] | ||
* [[Bipolar disorder]] | * [[Bipolar disorder]] | ||
=== Other Causes === | === Other Causes === | ||
* [[Infections]] such as [[urinary tract infections]] or [[encephalitis]] | * [[Infections]] such as [[urinary tract infections]] or [[encephalitis]] | ||
* [[Medication side effects]] | * [[Medication side effects]] | ||
* [[Substance abuse]] | * [[Substance abuse]] | ||
== Symptoms == | == Symptoms == | ||
The symptoms of confusion can vary depending on the underlying cause but generally include: | The symptoms of confusion can vary depending on the underlying cause but generally include: | ||
* Disorientation to time, place, or person | * Disorientation to time, place, or person | ||
* Difficulty concentrating | * Difficulty concentrating | ||
| Line 44: | Line 47: | ||
* Inability to follow a conversation | * Inability to follow a conversation | ||
* Agitation or restlessness | * Agitation or restlessness | ||
== Diagnosis == | == Diagnosis == | ||
Diagnosing the cause of confusion involves a comprehensive evaluation, including: | Diagnosing the cause of confusion involves a comprehensive evaluation, including: | ||
* [[Medical history]] | * [[Medical history]] | ||
* [[Physical examination]] | * [[Physical examination]] | ||
| Line 54: | Line 54: | ||
* [[Laboratory tests]] | * [[Laboratory tests]] | ||
* [[Imaging studies]] such as [[CT scan]] or [[MRI]] | * [[Imaging studies]] such as [[CT scan]] or [[MRI]] | ||
== Treatment == | == Treatment == | ||
Treatment of confusion focuses on addressing the underlying cause. This may involve: | Treatment of confusion focuses on addressing the underlying cause. This may involve: | ||
* Administering [[intravenous fluids]] for dehydration | * Administering [[intravenous fluids]] for dehydration | ||
* Correcting [[electrolyte imbalances]] | * Correcting [[electrolyte imbalances]] | ||
* Providing [[oxygen therapy]] for hypoxia | * Providing [[oxygen therapy]] for hypoxia | ||
* Adjusting or discontinuing medications | * Adjusting or discontinuing medications | ||
== Prevention == | == Prevention == | ||
Preventive measures for confusion include: | Preventive measures for confusion include: | ||
* Maintaining adequate [[hydration]] and [[nutrition]] | * Maintaining adequate [[hydration]] and [[nutrition]] | ||
* Regular [[medical check-ups]] | * Regular [[medical check-ups]] | ||
* Monitoring and managing [[chronic conditions]] | * Monitoring and managing [[chronic conditions]] | ||
* Avoiding [[alcohol]] and [[recreational drugs]] | * Avoiding [[alcohol]] and [[recreational drugs]] | ||
== See also == | |||
== | |||
* [[Delirium]] | * [[Delirium]] | ||
* [[Dementia]] | * [[Dementia]] | ||
* [[Cognitive impairment]] | * [[Cognitive impairment]] | ||
[[Category:Medical symptoms]] | [[Category:Medical symptoms]] | ||
Latest revision as of 02:17, 5 April 2025

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC
| Confusion | |
|---|---|
| |
| Synonyms | N/A |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Disorientation, inability to focus, impaired thinking |
| Complications | Delirium, Dementia, Amnesia |
| Onset | Sudden or gradual |
| Duration | Varies, can be temporary or persistent |
| Types | N/A |
| Causes | Infection, Head injury, Medication, Substance abuse, Metabolic disorders |
| Risks | Elderly, Hospitalization, Chronic illness |
| Diagnosis | Clinical assessment, Cognitive testing, Blood tests, Imaging studies |
| Differential diagnosis | Delirium, Dementia, Psychosis, Stroke |
| Prevention | N/A |
| Treatment | Address underlying cause, Supportive care, Medication |
| Medication | N/A |
| Prognosis | Depends on cause and treatment |
| Frequency | Common, especially in older adults |
| Deaths | N/A |
Confusion[edit]

Confusion is a state of mental disorientation in which a person has difficulty understanding their surroundings, making decisions, or recognizing familiar people or places. It is a symptom that can be associated with various medical conditions, including neurological disorders, metabolic imbalances, and psychiatric conditions.
Causes[edit]
Confusion can arise from numerous causes, which can be broadly categorized into the following:
Neurological Causes[edit]
Metabolic Causes[edit]
Psychiatric Causes[edit]
Other Causes[edit]
Symptoms[edit]
The symptoms of confusion can vary depending on the underlying cause but generally include:
- Disorientation to time, place, or person
- Difficulty concentrating
- Memory problems
- Inability to follow a conversation
- Agitation or restlessness
Diagnosis[edit]
Diagnosing the cause of confusion involves a comprehensive evaluation, including:
- Medical history
- Physical examination
- Neurological examination
- Laboratory tests
- Imaging studies such as CT scan or MRI
Treatment[edit]
Treatment of confusion focuses on addressing the underlying cause. This may involve:
- Administering intravenous fluids for dehydration
- Correcting electrolyte imbalances
- Providing oxygen therapy for hypoxia
- Adjusting or discontinuing medications
Prevention[edit]
Preventive measures for confusion include:
- Maintaining adequate hydration and nutrition
- Regular medical check-ups
- Monitoring and managing chronic conditions
- Avoiding alcohol and recreational drugs
