Info

MIST

  • Mimic

    • Aphasia
    • Dysarthria
  • Rx > Dx

    • hypoglycemia
    • Opiate
    • Glasgow coma scale decrease : intubate

    Sugar (hypoglycemia) Stroke Sepsis Seizure Sonorous respirations (opioid intoxication)

  • MIST negative

metabolic

  • electrolyte
    • hyperNa/hypoNa/blood urea nitrogen/creatinine
    • Glucose
    • hyperCa
  • organ dysfunction
    • Lung: hypoventilation, hypoxemia
    • Liver: amonia
    • Kidney: creatinine/uremia
    • endocrine: thyroid-stimulating hormone
  • other
    • Vitamine B1/B12
    • Urinary retention
    • constipation

infection

  • Extra CNS
    • pneumonia
    • urinary tract infection
  • central nervous system
    • encephalitis

structural

  • subdural hemorrhage
  • intracranial hemorrhage
  • stroke

toxin

  • anti-cholinergic
  • baclofen withdraw
  • Opiate
  • Ketamine