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Pancreas Cancer

Third was posted 01/16/2019 11:28 pm by Anonymous
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Sundowning is not what is going on. Sundowning is.... the patient is normal during the day, and gets confused and agitated at night. It sounds like she has delirium, which is basically confusion which can be caused by numerous things. It is not dementia or Alzheimer's and is usually very reversible. Very very common in the hospital, the older you are, the longer you have been there, the more issues you have going on.

But I agree that a neurology consult is completely appropriate. The surgeons are not being reasonable. Keep asking every day for a consult. A head CT is a useless test for the causes of confusion/delirium. It only shows that she hasn't had a large bleed or dramatic cause of her confusion. She needs a neurologist to decide whether she needs a more sophisticated test like a brain MRI to make sure she hasn't had a small stroke or brain injury or an EEG to make sure that she isn't have small seizures that are causing confusions. But often those are not necessary. A careful exam and assessment by a good neurologist, reviewing her medications and lab tests can often help figure it out.

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