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| {{Family tree/start}} | | {{Family tree/start}} |
| {{Family tree | | | | A01 | | | |A01= Patient with altered mental status (Amnesia, confusion, loss of alertness, disorientation, disruption of judgement, behavior and perception)}} | | {{Family tree | | | | | | A01 | | | |A01= Cough more than 2 weeks}} |
| {{Family tree | | | | |!| | | | | }}
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| {{Family tree | | | | B01 | | | |B01= Evaluate ABCDEF<br>• Airway<br>• Breathing<br>• Circulation<br>• Disability (Glasgow coma scale)<br>• Exposure (Rapid head to toe revision)<br>• Fingerstick blood glucose}}
| | {{Family tree | | | | | | B01 | | | |B01= Expert MTB}} |
| {{Family tree | | | | |!| | | | | }} | | {{Family tree | | | | | | |!| | | | | }} |
| {{Family tree | | | | C01 | | | |C01= Check vital signs}}
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| {{Family tree | | | | D01 |-| D02 |-| D03 | | | |D01= Unstable? |D02= Yes |D03= Stabilize}} | | {{Family tree | | | | | | |!| | | | | }} |
| {{Family tree | | | | |!| | | | | }}
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| {{Family tree | | | | E01 | | | |E01= No}}
| | {{Family tree | | |,|-|-|-|+|-|-|-|-|.|}} |
| {{Family tree | | | | |!| | | | | }}
| | {{Family tree | | A01 | | A02 | | | A03 | | | | |A01= Cough more than 2 weeks|A02=Fever|A03=❑Night sweats <br>❑Hanan <br>❑Hanan}} |
| {{Family tree | | | | F01 |-| F02 |-| F03 | | | |F01= Combative? |F02= Yes |F03= Apply physical or chemical restrain}}
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| {{Family tree | | | | |!| | | | | }}
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| {{Family tree | | | | G01 | | | |G01= No}}
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| {{Family tree | | | | H01 |-| H02 |-| H03 |-| H04 |-| H05 |-| H06| | | |H01= Wernicke encephalopathy suspected? |H02= Yes |H03= Administer thiamine |H04= Improvement |H05= Yes |H06= End}}
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| {{Family tree | | | | |!| | | | | }}
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| {{Family tree | | | | I01 | | | |I01= No}}
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| {{Family tree | | | | |!| | | | | }}
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| {{Family tree | | | | J01 |-| J02 |-| J03 |-| J04 |-| J05 |-| J06| | | |J01= Hypoglicemic? |J02= Yes |J03= Administer dextrose |J04= Improvement? |J05= Yes |J06= End}}
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| {{Family tree | | | | |!| | | | | }}
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| {{Family tree | | | | K01 | | | |K01= No}}
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| {{Family tree | | | | |!| | | | | }}
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| {{Family tree | | | | L01 |-| L02 |-| L03 |-| L04 |-| L05 |-| L06| | | |L01= Opioid intoxication suspected? |L02= Yes |L03= Administer naloxone |L04= Improvement? |L05= Yes |L06= End}}
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| {{Family tree | | | | |!| | | | | }}
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| {{Family tree | | | | M01 | | | |M01= No}}
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| {{Family tree | | | | |!| | | | | }}
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| {{Family tree | | | | N01 | | | |N01= Take history}}
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| {{Family tree | | | | |!| | | | | }}
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| {{Family tree | | | | O01 | | | |O01= Perform physical examination with full neurologic evaluation}}
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| {{Family tree | | | | |!| | | | | }}
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| {{Family tree | | | | P01 | | | |P01= Order CBC, electrolyte panel, liver and kidney function tests (including albumin),
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| urinalysis, urine culture, urine toxicology screen, chest x-ray, EKG
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| }}
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| {{Family tree | | | | |!| | | | | }}
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| {{Family tree | | | | Q01 |-| Q02 |-| Q03 | | | |Q01= Suspected neurodegenerative disease? |Q02= Yes |Q03= Perform minimental exam}} | |
| {{Family tree | | | | |!| | | | | }}
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| {{Family tree | | | | R01 | | | |R01= No}} | |
| {{Family tree | | | | |!| | | | | }}
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| {{Family tree | | | | S01 |-| S02 |-| S03 | | | |S01= Positive for neurodegenerative electrolyte imbalance, hepatic encephalopathy, | |
| urinary infection, pneumonia, drug intoxication? |S02= Yes |S03= End}}
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| {{Family tree | | | | |!| | | | | }}
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| {{Family tree | | | | T01 | | | |T01= No}} | |
| {{Family tree | | | | |!| | | | | }}
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| {{Family tree | | | | U01 | | | |U01= Perform non-contrasted CT scan of the brain | |
| }}
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| {{Family tree | | | | |!| | | | | }}
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| {{Family tree | | | | V01 |-| V02 |-| V03 | | | |V01= Positive for stroke or structural causes (hidrocephalus, neoplasms)? | |
| |V02= Yes |V03= End}}
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| {{Family tree | | | | |!| | | | | }}
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| {{Family tree | | | | B01 | | | |B01= No}}
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| {{Family tree | | | | |!| | | | | }}
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| {{Family tree | | | | V01 |-| V02 |-| V03 | | | |V01= Perform lumbar puncture
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| |V02= Yes |V03= End}}
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| {{Family tree | | | | |!| | | | | }}
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| {{Family tree | | | | V01 |-| V02 |-| V03 | | | |V01= Positive for neuro infection or subarachnoid hemorrhage? |V02= Yes |V03= End
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| }}
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| {{Family tree | | | | |!| | | | | }}
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| {{Family tree | | | | B01 | | | |B01= No}}
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| {{Family tree | | | | |!| | | | | }}
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| {{Family tree | | | | V01 |-| V02 |-| V03 |-| V04 |-| V05 |-| V06| | | |V01= Suspicious for status epilepticus?
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| |V02= Yes |V03= Perform EEG |V04= Positive for status epilepticus?
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| |V05= Yes |V06= End}}
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| {{Family tree | | | | |!| | | | | }} | |
| {{Family tree | | | | B01 | | | |B01= No}}
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| {{Family tree | | | | |!| | | | | }}
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| {{Family tree | | | | B01 | | | |B01= Order the following tests guided by findings of the evaluation:
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| Serum ammonia, thyroid function tests, morning cortisol, vitamin B12, arterial blood gas,
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| sedimentation rate, autoimmune serologies including antinuclear antibodies, thyroperoxidase
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| and thyroglobulin antibodies, blood cultures, extended toxicology screen, blood gas analysis
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| }}
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| {{Family tree | | | | |!| | | | | }}
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| {{Family tree | | | | V01 |-| V02 |-| V03 | | | |V01= Positive for sepsis, intoxication, overdose, withdrawal, concusion, Hashimoto encephalopathy, hypothyroidism,
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| uremic encephalopathy, porphyria, B12 deficiency, autoimmune encephalitis, carbon monoxide intoxication? |V02= Yes |V03= End}}
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| {{Family tree | | | | |!| | | | | }}
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| {{Family tree | | | | B01 | | | |B01= No}}
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| {{Family tree | | | | |!| | | | | }}
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| {{Family tree | | | | B01 | | | |B01= Perform a thorough psychiatric evaluation
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| to rule out psychiatric conditions
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| }} | |
| {{Family tree/end}} | | {{Family tree/end}} |