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Acute Confusion: Infection, Stroke, Drugs, or Metabolic?

Acute Confusion: Infection, Stroke, Drugs, or Metabolic?

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Show notes: Acute confusion isn’t “just delirium” until you explain it. Learn a senior approach to reversible causes, neuro risk, and medication traps.

Episode 6 — Acute Confusion · Infection, Stroke, Drugs, or Metabolic?

Delirium isn’t a diagnosis — it’s an emergency to explain.

In this episode, we tackle acute confusion on the ward and the cognitive trap of accepting the first easy label (“UTI delirium”). We build a senior approach to delirium: reversible threats first, a quick screen for focal neurology, medication and withdrawal checks, and recognising when sedation hides deterioration.

You’ll learn:

  • Why “delirium secondary to infection” is an assumption, not an answer

  • Fast reversible causes clinicians miss under pressure

  • How to separate global delirium from focal neurological disease

  • Medication and withdrawal triggers that are commonly overlooked

  • When confusion is unsafe on the ward and needs escalation

Educational content only — not a substitute for local guidelines or senior clinical advice. For delirium checklists, escalation prompts, and structured reassessment, visit the AcuteCast app:

https://acute-cast--jgoncalo7.replit.app

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