Disorientation

Introduction Disorientation is not a single disease, but an abnormality in orientation. 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. 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. Many diseases are associated with disorientation disorders, such as senile dementia, advanced Parkinson's disease, tumors, systemic diseases (hepatic disease, advanced kidney disease), alcoholism, and other mental illnesses.

Cause

1. The impaired orientation of patients with mental disorders is more common in brain-induced mental disorders such as dementia. Some patients with schizophrenia show signs of loss of location and orientation, but actually belong to special thinking disorders, such as imposters. Syndrome.

2, some patients alleged that the hospital is a prison, doctors are posing as police, this is part of the delusional content, some scholars call it delusional misrecognition, while the patient's orientation to the time and the location of the hospital is unmistakable .

3. In addition, some other diseases are accompanied by disorientation: Dementia (Alzheimer's disease, multiple cerebral infarction dementia, Pico disease, AIDS dementia), Parkinson's disease, Huntington's disease, depression, alcoholics .

an examination

Related inspection

EEG examination of brain CT

1. Unable to perform their professional or social functions due to reduced memory.

2. No ability to follow simple instructions and instructions.

3. No ability to think.

4. Can't concentrate.

5. Unresponsiveness to questions: Orientation disorders are most common in brain-induced mental disorders, especially those with dysphoria; they can also be seen in other mental disorders. Names, genders, ages, etc. cannot correctly understand the orientation disorder to the surrounding environment such as time, place, person and status.

Differential diagnosis

1, feeling dull: feeling dull and known as feeling inhibition. The sensory threshold may be increased due to various factors or caused by emotional suppression. The patient does not perceive or feel mild to strong stimuli. Common in neurological diseases, delirium or other types of disturbances of consciousness, can also be found in schizophrenia, snoring and depression.

2. Judgment and orientation disorder: Orientation is the ability to detect and recognize the surrounding environment (time, place, person) 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.

3, confusion: a slight decline in the level of consciousness, a deeper sense of consciousness than sleepiness. Patients can maintain simple mental activities, but they have obstacles to the ability of time, place, and orientation.

4. Awareness and paralysis: The patient's consciousness is narrow, focusing on certain inner experiences, while not paying attention to things in the environment, and the reaction to the outside world is also declining. The mind is unclear and sometimes confusing. Can express emotions with anxiety or euphoria. There are often misidentifications about the things around you, and there are also various hallucinations.

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