For clinical reference only — does not replace local trust guidelines or clinical judgement.
Clinical Presentations

Confusion

Confusion

🚨 Life-Threatening — exclude first
If suspected, escalate now.
Sepsis
Stroke / Intracranial Haemorrhage
Hypoglycaemia
Hypoxia / Hypercapnia
Meningitis / Encephalitis
Wernicke's Encephalopathy
🚨

Dangerous Causes Causes

SepsisStroke / ICHHypoglycaemiaMeningitisWernicke's
🧠

Neurological Causes

DeliriumDementia (background)Stroke / TIASeizure / post-ictalSubdural Haematoma
🩸

Metabolic Causes

Electrolyte Disturbance (Na+, Ca2+)AKI / UraemiaHepatic EncephalopathyEndocrine — thyroid, adrenal
💊

Drug Causes

OpioidsBenzodiazepinesAnticholinergicsAlcohol withdrawalPolypharmacy
🦠

Infectious Causes

UTIPneumoniaSepsis from any sourceMeningitis / Encephalitis