Causes of Altered Mental Status in Neonates: THE MISFITS

Causes of Altered Mental Status in Neonates can be remembered by the mnemonic: THE MISFITS

Trauma

Heart disease, Hypoxia and Hypovolemia

Endocrine (e.g. Congenital Adrenal Hyperplasia , Thyrotoxicosis)

Metabolic ( Electrolyte Imbalance)

Inborn Errors of Metabolism

Sepsis (e.g. Meningitis, Pneumonia, UTI)

Formula Mishaps ( under or over- dilution)

Intestinal Catastrophes (e.g. Volvulus, intessuseption)

Toxins and Poisons

Seizures