Disorders of consciousness in general medicine: the forgotten syndrome of a clouding of consciousness (obnubilation). Clinical presentations and organizational and legal significance

DOI: https://doi.org/10.29296/25877305-2021-09-03
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Issue: 
9
Year: 
2021

Professor G. Nosachev(1), MD; E. Dubitskaya(2), Candidate of Medical Sciences; Associate
Professor I. Nosachev(1), Candidate of Medical Sciences (1)Samara State Medical University, Ministry of
Health of Russia (2)N.I. Pirogov Samara City Clinical Hospital One

The paper substantiates the necessity of returning the concept of a clouding of consciousness (obnubilation) to clinical practice and shows its significance and the possibilities of using its diagnosis in somatic medicine. It presents the main symptoms of obnubilation (disorientation in time and situations, their semantic connection), as well as optional diseases in statics and dynamics, and emphasizes the undulating nature of obnubilation. The paper also analyzes some organizational and legal issues, in particular the impact of the diagnosis of this disorder on the civil rights and obligations of a physician and a patient.
Keywords: 
psychiatry
obnubilation of consciousness
somatic medicine
the pattern of syndrome
diagnosis
organizational and legal issues

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