#23 UTIs and Delirium: Mind the Gap Segment

Core IM | Internal Medicine Podcast

Core IM Team

Mental Health, Education, Health & Fitness, Medicine

4.8 • 1K Ratings

🗓️ 11 September 2018

⏱️ 19 minutes

🔗️ Recording | iTunes | RSS

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Summary

Let's go deeper into the world of UTIs and delirium! The basics – what are the official (IDSA) definitions for bacteriuria, pyuria, and UTI? (02:07) The lay of the land – how common are bacteriuria and delirium? (07:09) The big money question – do UTIs really cause delirium and what does the evidence tell us? (10:50) Review of teaching points (15:59) Full show notes: https://www.coreimpodcast.com/2018/09/12/mind-the-gap-uti-delirium/ (https://www.coreimpodcast.com/2018/09/12/mind-the-gap-uti-delirium/) Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

Transcript

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0:00.0	We've seen it all before.
0:01.4	An older person comes into the hospital confused.
0:04.0	A and O times zero.
0:05.3	No cough, chest x-ray, pretty normal.
0:07.5	No headache, no high fevers, no rashes,
0:10.6	no GI symptoms.
0:12.0	And so far, we've got nothing to go on but a confused older person with a
0:16.7	nonspecific exam so now what Steve a knock on head CT a lumbar puncture a neuroconsults? I... Oh, thank God. What? The
0:25.0	U.A. just came back positive. Oh, few. Kind of. Yeah, it's just a few whites actually,
0:29.3	but close enough. Well, yeah, positive U.A. and altered mental status. Technically, that's a UTI, right?
0:35.0	Yeah, we're good. No more thinking is necessary. Let's start the seftriac zone, drop the note, and get out of here.
0:41.0	We're done. Or are we?
0:43.4	Hi and welcome to Mind the Gap.
0:45.4	Today we're going to be talking all about P.
0:48.1	Joining us today is head aficionado of P and P related topics, Charlie Madeira.
0:53.2	Hey!
0:54.2	Nice intro, Charlie.
0:57.0	So Charlie and I were out getting drinks the other day and we got on the subject of UTI's
1:01.0	asymptomatic bacteria and delirium.
1:03.5	Because we're really cool like that.
1:05.2	I can't wait until the next time we all hang out.
1:07.2	It's so much to talk about.
	...

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