A 26-year-old woman is brought in by her distraught husband.

She has been unwell for the last 3 days. She is intermittently confused and

over the last 24 hours, has refused to eat or drink and appeared to be

disengaged and cannot look after her 1- and 3-year-old children. She has no regular medications. The only sick contact is one of her children who had a diarrhoeal illness last week.

Her vital signs are HR 100/min, BP 100/80, RR 20/min, temp

39°C, BSL 4.0 mmol/L. She cannot follow your commands. She does not make eye

contact or respond to you. You find no meningism. You do not find any focus of infection on examination.

Question:

Which of the following descriptions is NOT related to delirium?

A 60-year-old man known to your ED with alcoholism presents

to your ED. He is confused, agitated, diaphoretic and ataxic. At Triage, his

vital signs are HR 120/min, BP 140/90 mmHg, RR 24/min, SAO2 95% on RA, Temp

37.5°C.

On examination, he is disorientated, appears to be

distracted by the surroundings. He is tremulous, hyperreflexic and appears to

be extremely anxious. You can smell alcohol on his breath.

On review of his history on the eMR, you note that he has

had alcohol withdrawal seizures. Your assessment is that he has delirium due to

alcohol withdrawal.

Question: