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While the diagnosis of delirium rests solely on clinical skills, identification of specific underlying causes requires proper laboratory and other tests. Although perceptual disturbances are known features of delirium, only limited study has been conducted on these symptoms. The prevalence of hallucinations and delusions in delirium ranges from 40 to 67 and 25 to 50, respectively, comalats viagra to different studies. 16 Psychotic symptoms are much more commonly seen with hyperactive than hypoactive delirium. Visual hallucination is by far the most common, followed by auditory and other hallucinations. Paranoia is the most common form of delusion. One study showed significant association between more active medical problems and multiple etiologies with visual hallucinations but not with delusions or auditory hallucinations. 16 Although the exact pathophysiology of delirium remains poorly understood, some of the leading hypotheses for the pathogenesis for delirium byggmann viagra pill on the role of neurotransmission, inflammation, and chronic stress. 12,13 There exists ample evidence for cholinergic deficiency and dopaminergic excess in delirium.

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