An understanding of the pathogenesis of confusion helps in eliciting the most likely cause and directing further investigation.

Question Number 0697

Question:
The differential diagnosis of a confused patient is wide. An understanding of the pathogenesis of confusion helps in eliciting the most likely cause and directing further investigation. For each of the following mechanisms choose the pathology that is most likely alteration of a protein on the nerve cell membranes shape from a helix to a pleated sheet

a) Uremia
b) Hypercalcemia
c) Septicemia
d) Bovine Spongiform Encephalopathy
e) Multiple sclerosis


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