DDx

Delirium Dementia Depression Symptom
Onset Acute Insidious Subacute to Insidious
Time-course Fluctuating Progressive Can be chronic
Consciousness Variable Normal Normal
Sleep Disturbed Variable Variable
Orientation Impaired Normal to Impaired Normal
Perceptual disturbances Hallucinations Possible hallucinations Normal
Thinking Disorganized Paucity of content Usually normal
Speech Incoherent Word finding difficulty Slow to normal
Psychomotor activity Abnormal Apraxia to normal Variable

Investigation

CAM - Confusion Assessment Tool