* Axis III: Acute medical conditions and physical disorders

The proper use of CIRS means separate cumulative evaluation of each of the biological systems: “ 0 ” The selected system corresponds to the absence of disorders, “ 1 ”: Slight ( mild ) abnormalities or previously suffered disorders, “ 2 ”: Illness requiring the prescription of medicinal therapy, “ 3 ”: Disease, which caused disability and “ 4 ”: Acute organ insufficiency requiring emergency therapy.

Acute confusion is often called delirium ( also called acute confusional state ), although delirium also includes a broader array of disorders than confusion, e. g. inability to focus attention and various impairments in awareness and temporal and spatial orientation.

Acute pain is usually managed with medications such as analgesics and anesthetics.

Acute sinusitis is usually precipitated by an earlier upper respiratory tract infection, generally of viral origin.

Acute and chronic sinusitis may be accompanied by thick nasal discharge that is usually green in color and may contain pus ( purulent ) and / or blood.

Acute pain usually resolves with the efforts of one practitioner ; however, the management of chronic pain frequently requires the coordinated efforts of the treatment team.

Acute otitis media is usually diagnosed via visualization of the tympanic membrane in combination with the appropriate clinical history.

Acute otitis media ( AOM ) is most often purely viral and self-limited, as it usually accompanies viral URI ( upper respiratory infection ).

Acute and subacute side effects usually resolve over a matter of days or a few weeks.

Acute kidney failure usually occurs when the blood supply to the kidneys is suddenly interrupted or when the kidneys become overloaded with toxins.

Acute bronchitis is an inflammation of the large bronchi ( medium-size airways ) in the lungs that is usually caused by viruses or bacteria and may last several days or weeks.

Acute bronchitis usually lasts a few days or weeks.

Acute bronchitis is usually caused by viral or bacterial infections.

Acute subungual hematomas are quite painful, and are usually treated by releasing the blood by creating a small hole in the nail.

Acute rejection is usually seen within days or weeks of the transplant.

Acute attacks usually begin in adulthood and cause abdominal pain, vomiting, diarrhea and constipation.

Acute AI usually presents as florid congestive heart failure, and will not have any of the signs associated with chronic AI since the left ventricle had not yet developed the eccentric hypertrophy and dilatation that allow an increased stroke volume, which in turn cause bounding peripheral pulses.

* Acute renal failure ( either as a complication of the frank hematuria, when it usually recovers, or due to rapidly progressive glomerulonephritis which often leads to chronic renal failure )

Acute subdural hematomas are usually associated with cerebral cortex injury as well and hence the prognosis is not as good as extra dural hematomas.

Acute toxicity describes the adverse effects of a substance that result either from a single exposure or from multiple exposures in a short space of time ( usually less than 24 hours ).

Acute Y. enterocolitica infections usually lead to mild self-limiting entero-colitis or terminal ileitis in humans.

Acute obstruction of the upper urinary tract is usually treated by the insertion of a nephrostomy tube.

Acute paronychia is usually caused by bacteria.

" Acute Mental Confusion " is used interchangeably with Delirium in International Statistical Classification of Diseases and Related Health Problems and Medical Subject Headings to describe a pathological degree in which it usually refers to loss of orientation ( ability to place oneself correctly in the world by time, location, and / or personal identity ) sometimes accompanied by disordered consciousness and often memory ( ability to correctly recall previous events or learn new material ).

Although the trachea is usually considered part of the lower respiratory tract, in ICD-10 tracheitis is classified under " Acute upper respiratory infections ".

Acute coronary syndrome usually occurs as a result of one of three problems: ST elevation myocardial infarction ( 30 %), non ST elevation myocardial infarction ( 25 %), or unstable angina ( 38 %).

Acute hemolysis is possible in the case of patients who develop an IgM response to phenacetin leading to immune complexes that bind to erythrocytes in blood.

Acute bleeds often develop after high speed acceleration or deceleration injuries and are increasingly severe with larger hematomas.

Acute attacks can be severe enough to cause death if not treated quickly and correctly.

Acute retention causing complete anuria is a medical emergency, as the bladder may distend ( stretch ) to enormous sizes and possibly tear if not dealt with quickly.

Acute anuria, where the decline in urine production occurs quickly, is usually a sign of obstruction or acute renal failure.

Acute nervousness and stress can trigger stuttering in persons predisposed to it, and living with a highly stigmatized disability can result in anxiety and high allostatic stress load ( i. e., chronic nervousness and stress ) that reduce the amount of acute stress necessary to trigger stuttering in any given person who stutters, exacerbating the problem in the manner of a positive feedback system ; the name ' Stuttered Speech Syndrome ' has been proposed for this condition.

Acute episodes of sinusitis can also result from fungal invasion.

There are Acute Aphasias which result from stroke or brain injury, and Primary Progressive Aphasias caused by progressive illnesses such as dementia.

* Acute adrenal insufficiency ( Distributive shock ) is frequently the result of discontinuing corticosteroid treatment without tapering the dosage.

Acute renal failure can also result from hemoglobin from the burst blood cells accumulating in the kidneys, and cardiac arrest can also result if cold freshwater taken into the bloodstream sufficiently cools the heart.

Acute symptoms are probably a result of a trauma or disease, while chronic symptoms probably are congenital.

Acute cyanosis can be a result of asphyxiation or choking, and is one of the surest signs that respiration is being blocked.

Acute GVHD of the GI tract can result in severe intestinal inflammation, sloughing of the mucosal membrane, severe diarrhea, abdominal pain, nausea, and vomiting.

Acute pericarditis is more common than chronic pericarditis, and can occur as a complication of infections, immunologic conditions, or even as a result of a heart attack ( myocardial infarction ).

Acute atelectasis may occur as a post-operative complication or as a result of surfactant deficiency.

* Acute tends to happen as a result of a sudden, powerful movement.

Acute tears occur as a result of a sudden movement.

Acute methylmercury poisoning occurred at Grassy Narrows in Ontario, Canada ( see Ontario Minamata disease ) as a result of mercury released from the mercury-cell Chloralkali process, which uses liquid mercury as an electrode in a process that entails electrolytic decomposition of brine, followed by mercury methylation in the aquatic environment.

Acute heartworm disease in cats can result in shock, vomiting, diarrhea, fainting, and sudden death.

According to the U. S. Food and Drug Administration ( FDA ), " Acute phosphate nephropathy is a form of acute kidney injury that is associated with deposits of calcium-phosphate crystals in the renal tubules that may result in permanent renal function impairment.

Acute pancreatitis can also result from dietary indiscretion.

Acute injury to the internal carotid artery ( carotid dissection, occlusion, pseudoaneurysm formation ) may be asymptomatic or result in life-threatening hemorrhage.