Undifferentiated AMS. Run the reversible-cause checklist (AEIOU-TIPS) before attributing to dementia or intoxication.
Authored pathway active · symptom.altered_mental_status.ed_undifferentiated.ed
Undifferentiated AMS. Run the reversible-cause checklist (AEIOU-TIPS) before attributing to dementia or intoxication.
Guidelines: ACEP 2017 Clinical Policy on Altered Mental Status · IDSA 2017 Bacterial Meningitis · AHA/ASA 2019 Acute Ischemic Stroke
Phenotypes (4)
- AMS ED - Hypoglycemia or Metabolic
- AMS ED - Infectious (Meningitis/Encephalitis/Sepsis)
- AMS ED - Intracranial Cause (Stroke/ICH/Seizure)
- AMS ED - Toxicologic or Drug-Induced
Red flags (6)
- Severe hypoglycemia (POC glucose < 70, especially < 54 mg/dL).CRITICAL
- Opioid overdose (RR < 12, miosis, decreased LOC, recent opioid exposure).CRITICAL
- Status epilepticus (continuous seizure > 5 min or recurrent without recovery).CRITICAL
- Acute stroke or ICH (last-known-well < 24 h + focal deficit OR sudden severe headache + AMS).CRITICAL
- +2 more
Pathway-scoped symptom and exam intake
Test this pathway's ROS and differential links
Opens the general LR starter for this pathway label.
19-panel workspace
symptom.altered_mental_status.ed_undifferentiated · EmergencyStart patient workup
Open a scratch or linked encounter, add active problems, then keep labs, fluids, acid-base, and electrolyte tools beside the main workspace instead of losing context.
Encounter and problems
No encounter open. Add a problem to create a scratch encounter when none is open.
Multi-window tools
Unified
labs + fluids + acid-base
Labs
fast lab analyzer
Fluid
resuscitation and balance
Electrolytes
Na/K/Mg/Phos/Ca
ABG/VBG
compensation and mixed disorders
Popular entry points
6 quick-startsOr jump straight to the atlas
The Engine Atlas covers every authored disease package with setting chips and pathway badges. Open any engine to load its 19-panel workspace, backed by phenotype-aware reasoning and monitored by the Flow Assistant.