What's the difference between delirium and obtunded?

Delirium


Definition:

  • (n.) A state in which the thoughts, expressions, and actions are wild, irregular, and incoherent; mental aberration; a roving or wandering of the mind, -- usually dependent on a fever or some other disease, and so distinguished from mania, or madness.
  • (n.) Strong excitement; wild enthusiasm; madness.

Example Sentences:

  • (1) The clinical picture was characterized by hallucinations and delirium.
  • (2) Forty five elderly patients undergoing total hip replacements were assessed one day before and two days after surgery in order to explore the relationship between pre-operative anxiety and post-operative delirium.
  • (3) Delirium on emergence from anesthesia was not encountered.
  • (4) The delirium improved when the treatment was restored, whereas neuroleptics proved ineffective.
  • (5) At site 1, 10 patients with and 20 without delirium participated; at site 2, 16 patients with and 10 without delirium participated.
  • (6) The activation of epileptogenic activity in the treatment of delirium tremens by etomidate long-term-infusions and the lack of international experience in this field do not support the use of etomidate as an anticonvulsive agent.
  • (7) In particular after removal of Lorazepam or Bromazepam in 58 cases withdrawal symptoms appeared, among them seven times delirium and six times epileptic seizures (grand mal).
  • (8) Common alcohol-related complications requiring treatment include: (1) clinicopathologic disorders, often associated with the gastroenterologic or cardiorespiratory systems, including alcoholic cirrhosis, (2) peripheral myoneural effects, (3) neuropsychiatric complications (delirium tremens, acute alcoholic hallucinosis, Korsakoff's psychosis, alcoholic dementia), and (4) psychosocial disability.
  • (9) Delirium is fostered by sensory overload (or deprivation) in the recovery room and intensive care unit, and by staff tension.
  • (10) Cameron has suggested that nocturnal delirium was based on an inability to maintain a spatial image without the assistance of repeated visualization.
  • (11) The delirium was not affected by administration of alprazolam.
  • (12) Reported is a case of postanesthetic delirium in a healthy young man.
  • (13) The results of uncontrolled studies, in which the period of the delirium tremens was reduced and the intensity was lowered significantly by aprotininum, could not be verified in our double-blind study.
  • (14) Research workers have analysed 92 cases of acute delirium in their country and have tried to bring out of their studies the particular aspects which are sources of many diagnostical errors: --factors which cause anxiety and lead to depressive states in Europe, but which destroy quickly the consciousness of some personalities still to be defined in Madagascar; --poor delirium in the tropics with little or no reaction at all makes the diagnostic very difficult.
  • (15) Interestingly, the overall incidence of delirium was identical in both groups (28.5%).
  • (16) Nonetheless, these factors or conditions may contribute to the development or symptom presentation of a delirium when other metabolic or toxic etiologies are present.
  • (17) The administration of homatropine eye-drops precipitated several episodes of delirium in a 69-year-old woman.
  • (18) During the past ten years, treatment of delirium alcoholicum was almost exclusively by means of chlormethiazol (distraneurin), an agent which has sedative, hypnotic, and antiepileptic effects.
  • (19) Finally we suggest that investigation of biochemical abnormalities in delirium may prove to be a model for clarifying the role of neurotransmitters in functional psychiatric illnesses.
  • (20) These long-term changes in neuronal excitability might relate to the progression of alcohol withdrawal symptoms from tremor to seizures and delirium tremens, as well as the alcoholic personality changes between episodes of withdrawal.

Obtunded


Definition:

  • (imp. & p. p.) of Obtund

Example Sentences:

  • (1) The thigh and hip manifestations can obscure the primary intra-abdominal process either due to the obvious emphysema or to the obtunded abdominal signs secondary to associated neuropathy.
  • (2) Results showed the greatest inhibition of noxious stimulus perception with Innovar-Vet, lesser inhibition with ketamine-xylazine and ketamine-diazepam, and the least obtunding of nociception with pentobarbital.
  • (3) The use of wire stylets to facilitate passage of these tubes has increased the chances of unrecognized tracheal intubations, particularly in obtunded patients.
  • (4) Characteristic clinical features were present in 19 patients, including a gradual obtundation after the initial hemorrhage in 16 patients and small nonreactive pupils in nine patients (all with a Glasgow Coma Scale score of 7 or less).
  • (5) Kynurenic acid significantly obtunded these behavioral and physiological effects, particularly when given 60-75 min after the toxic insult.
  • (6) Addition of adenosine deaminase to fat cells isolated from cold-exposed rats did not normalize the lipolytic activity, suggesting that extracellular adenosine was not responsible for the obtunded lipolysis.
  • (7) A 59-year-old man was admitted because of frequent vomiting and obtundation in February 1982.
  • (8) Propofol was more effective than methohexitone at obtunding the hypertensive response to electroconvulsive therapy without causing significant hypotension.
  • (9) Thus, although low doses of glucocorticoids foster development of the coupling of beta-receptors to cellular transduction mechanisms, higher doses such as those used to stimulate lung function may lastingly obtund adrenergic sensitivity.
  • (10) Neurologic dysfunction is characterized by lethargy, obtundation, persistent vomiting, agitated delirium, and coma.
  • (11) The current indications for lavage are obtundation, unprotected airway, seizures, the need for urgent removal, and the tendency to form concretions.
  • (12) Histoplasmosis in the CNS may produce meningitis, single or multiple brain abscesses, and may present with either a clinical picture of obtundation or a deteriorating space-occupying CNS lesion.
  • (13) Other variables with strong predictive potential were age (P less than 0.001), the presence of multiple disease states (P less than 0.01), therapy with multiple drugs (P less than 0.01) and acute stroke or obtundation on admission (P less than 0.01).
  • (14) As projected by this study, scleral heterografts might well be used to obliterate bony undercuts and perhaps to obtund cystic cavities and other major bony defects.
  • (15) The patient became progressively more obtunded throughout the emergency department stay.
  • (16) The effects of 3H-epinephrine on the duration of block and on the time course of uptake and efflux of local anesthetic (14C-lidocaine hydrochloride) were determined in the infraorbital nerve of the pentobarbital-obtunded rat.
  • (17) Contraindications for gastric lavage are similar to those for emesis except that it may be safer to use in obtunded, comatose, or uncooperative patients.
  • (18) I have described a fatal case of GGS meningitis and endocarditis in a previously healthy 84-year-old who had obtundation, irritability, and cellulitis.
  • (19) The toxicity of dCF alone was minimal, except for one patient who became obtunded on day 5 following the first cycle of therapy.
  • (20) Symptoms occurred between 30-180 min with the onset of central nervous system depression, ataxia, waxing and waning obtundation, hallucinations, intermittent hysteria or hyperkinetic behavior.

Words possibly related to "obtunded"