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DLB includes fluctuating cognitive functions and visual hallucinations as core symptoms and may be difficult to differentiate from delirium. However, careful clinical evaluation with proper work up to identify underlying causes of delirium can be of great help to differentiate between the two conditions (Table 1). 11 A comprehensive metabolic panel and drug screen can help to identify the specific causes of psychosis in a patient with altered mental status. The EEG has a limited role in diagnosing delirium because of high false negative (17) and false positive (22) results, but may help to detect undetected seizures and differentiate delirium from other psychiatric causes of psychosis. 14 Neuroimaging may help to viagra generico en venezuela en any suspected intracranial process even in the absence of focal neurologic signs. It is always important to be aware of the possibility of occult or atypical presentation of serious underlying medical processes like myocardial infarction, infection, and respiratory failure before ascribing psychotic symptoms to viagra vs cialis vs extenze liquid other than delirium.

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