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Multiple Choice

Which acronym is used to remember delirium etiologies?

Delirium triggers are remembered with a practical cue that groups the major causes in one shorthand: I WATCH DEATH. This helps clinicians systematically consider what could be driving a sudden change in mental status. The components map to: I for Infections; WATCH for Withdrawal, Acute metabolic, Trauma, CNS disease, and Hypoxia; DEATH for Deficiency, Endocrine, Acute vascular, Toxins, and Heavy metals. Together, they cover infections, withdrawal states (like alcohol or sedatives), metabolic derangements, trauma or recent surgery, CNS pathology, oxygen deficiency, nutritional or vitamin deficits, endocrine problems, vascular events, toxic substances, and heavy metals. The other options aren’t standard mnemonics for delirium etiologies (they’re used for stroke assessment, dermatology signs, or general resuscitation), so they don’t serve the purpose of guiding delirium cause evaluation.

Delirium triggers are remembered with a practical cue that groups the major causes in one shorthand: I WATCH DEATH. This helps clinicians systematically consider what could be driving a sudden change in mental status. The components map to: I for Infections; WATCH for Withdrawal, Acute metabolic, Trauma, CNS disease, and Hypoxia; DEATH for Deficiency, Endocrine, Acute vascular, Toxins, and Heavy metals. Together, they cover infections, withdrawal states (like alcohol or sedatives), metabolic derangements, trauma or recent surgery, CNS pathology, oxygen deficiency, nutritional or vitamin deficits, endocrine problems, vascular events, toxic substances, and heavy metals. The other options aren’t standard mnemonics for delirium etiologies (they’re used for stroke assessment, dermatology signs, or general resuscitation), so they don’t serve the purpose of guiding delirium cause evaluation.