Judgment and Disorientation

Introduction Orientation is the ability to detect and recognize the surrounding environment (time, location, people) and its own state (name, age, occupation, etc.). Orientation disorder is an important criterion for the determination of disturbance of consciousness. Disorientation refers to the continued lack of orientation for people, places, time or the environment for more than 3-6 months. Judgment refers to the ability of a person to recognize something about a certain thing or an individual. Many brain diseases can cause judgment and disorientation in the human body.

Cause

1. Dementia (Alzheimer's disease, multiple cerebral infarction dementia, Pico disease, AIDS dementia).

2. Parkinson's disease.

3. Huntington's disease.

4, depression.

5. Alcoholics.

an examination

1. Carefully ask about the relevant medical history, collect relevant clinical data, and fully understand the length of time that the patient's pathological symptoms last.

2. Closely check the patient to clearly understand the clinical symptoms of the patient.

3, appropriate physical examination of the patient, a preliminary understanding of the morphological changes of the various organs of the patient, especially the brain system diseases.

4. Perform relevant equipment examinations on patients and conduct laboratory tests as appropriate.

5, comprehensive consideration of various inspection results, combined with the clinical symptoms of various organ damage, and finally draw a corresponding diagnosis.

Differential diagnosis

Cerebellar orientation and dysfunction: Spinal cerebellar degeneration is the main symptom of movement disorders, which seriously affects cerebellar orientation and dysfunction. Pathologically, the disease is mainly caused by the degeneration of the cerebellum and its afferent and efferent pathways. It is mainly characterized by limb ataxia and dysarthria. The doctor will first judge the patient's cerebellum and spinal cord neurological disorder according to the procedure of the cranial nerve system clinical examination. Then he will check his family history and finally pass the nuclear magnetic resonance (MRI) and genetic test to make the diagnosis accurate.

Orientation Disorder: It is an important criterion for the determination of disturbance of consciousness. In some special cases, the orientation force has nothing to do with the disturbance of consciousness, such as the loss of time orientation of the person who has been detained or isolated for a long time, the loss of location and spatial orientation of the lost person. mostly according:

1. Disorientation disorders occur in both familiar and unfamiliar environments.

2. Long-term confusion.

Inter-temporal mental disorder: This type of mental disorder refers to a group of unconscious disorders, but the period of mental symptoms is protracted and can last for several months to several years. Including chronic psychiatric state-like psychosis, neurological symptoms, personality changes, intelligent defects and sexual dysfunction. Interictal psychosis occurs between episodes and is not directly related to the seizure itself. It is relatively rare compared with mental disorders at the time of onset and after the onset, accounting for about 10% to 30% of non-selected cases. However, in terms of severity and duration, clinically more pronounced than onset and after onset, the latter is usually short-lived and often self-limiting. It is a clinical classification of epilepsy disorders. The period of its psychiatric symptoms is protracted and can last from several months to several years. Including chronic psychiatric state-like psychosis, neurological symptoms, personality changes, intelligent defects and sexual dysfunction. Interictal psychosis occurs between episodes and is not directly related to the seizure itself.

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