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