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25.9.08
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A problem that occurs during or after a trip does not necessarily need to have a causal connection with that trip. Frequent causes of acute confusion are cerebral malaria, side effects of mefloquine, febrile delirium, acute meningitis. In acute confusion, delirium or psychosis you should:
check the vital signs
look for neck stiffness and consider LP
determine whether the patient has a high temperature or not
upon suspicion of hypoglycaemia, glucose should be administered immediately, preferably with thiamine
perform full blood count and thick smear
Category: Medicine Notes , Neurology notes
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