Table 7. Investigation of the delirious patient.
Targeted blood tests: | Serum electrolytes including Ca Serum Creatinine Serum glucose Full blood count |
Urine analysis | Mid-stream urine for microscopy, culture and sensitivity |
Search for occult infection | Wound swab Sputum for microscopy, culture and sensitivity Consider blood cultures |
Targeted investigations as informed by the history and investigation | Electrocardiogram Post void residual bladder scan Chest X-ray Head CT |
Further investigations to be considered if no cause found by above approach | Thyroid function and thyroid antibody tests Drug levels Toxicology screen Vitamin B12 and folate levels Syphilis serology Lumbar puncture Electroencephalography Vasculitic screen including ANA and ENAs |
ANA: Antinuclear Antibody; ENA: Extractable Nuclear Antibodies