Altered Mental Status: Step-by-Step Approach (Flowchart)
The USMLE Adviser Altered Mental Status flowchart turns this presentation into a short series of yes/no decisions, the way Step 2 CK and Step 3 vignettes test it. Here is how it begins.
How the flowchart starts
The flowchart starts with low glucose? If yes, the answer is hypoglycemia. If no, it asks about a focal neuro deficit (stroke / hemorrhage), then fever / neck stiffness, and continues through the remaining causes.

FAQs
How does the altered mental status flowchart start?
The flowchart starts with low glucose? If yes, the answer is hypoglycemia. If no, it asks about a focal neuro deficit (stroke / hemorrhage), then fever / neck stiffness, and continues through the remaining causes.
Where can I see the full altered mental status flowchart?
The complete flowchart is page 17 of the USMLE Adviser e-book, Clinical Algorithms: Volumes 1 & 2, which has 232 flowcharts across 19 specialties.
Related flowcharts
Get the full flowchart
The USMLE Adviser e-book has 232 one-page clinical flowcharts across 19 specialties for Step 2 CK, Step 3 and the Match. Instant digital download.
From Clinical Algorithms: Volumes 1 & 2 by Dr. Adnan Memon, MD (page 17). Reviewed by the USMLE Adviser Team. For exam preparation only, not medical advice.
USMLE Adviser