Typical approach to AMS.

A — Alcohol/Acidosis (not the same thing or in any way logically connected) 

E — Endocrine/Epilepsy/Electrolytes/Encephalopathy (E is a common letter?) 
I — Infection or maybe Ingestion who the hell knows nobody agrees
O — Opiates, Overdose (sorta the same thing but ehhh) 
U — Uremia (not likely but something's gotta start with U) 
T — Trauma (garbage pail) 
I — Insulin (huh?) 
P — Poisoning/Psychosis 
S — Stroke/Seizure/syncope (wait syncope doesn't, and wasn't epilepsy already covered?) 
Things your brain needs to live and function
•↓ Oxygen/Glucose (fix these immediately)

Things that squish the brain

•Blood where it should not be: Subdural, Epidural, Intracerebral, Subarachnoid
•Blood that has clotted where it should not: Dural Sinus Thrombosis
•Masses and tumors
•Obstructive Hydrocephalus
•Edema: Traumatic, posthypoxic, hypertensive, vasogenic, PRES
Bad things living in the brain
•Meningitis
•Encephalitis: viral, inflammatory, autoimmune
•Abscesses
•Syphilis/Amebas/Cysts

Primary brain not workings

•Acute Ischemic Stroke
•Concussion/Diffuse Axonal Injury
•Seizure, Status epilepticus (may not be convulsive), post-ictal state
•Migraine
•Degenerative conditions: MS, Parkinson’s, TBI, Dementias sundry
Delirium and Encephalopathies and Various Failures of Homeostasis

•Sepsis and other shock states (hypoperfusion)

•Systemic infection without sepsis

•Fever, Hyperthermia and Hypothermia

•Dehydration, ↑Na, ↑Glucose (HONK and/or DKA)

•↑/↓ Ca, ↓Na, ↑/↓K

•↑/↓ Thyroid, Adrenal Crisis

Bad Things in the Blood
•EtOH (rare)
•Endogenous bad things
• ↑CO2, Uremia, Ammonia
•Medicines that can mess you up when used as intended
• Opiates, benzodiazepines, imidazopyridines (ambien et al)
•Medicines that will mess you up when you get too much of them
• Lithium, Tricyclics, Anticonvulsants, Antihistamines, Salicylates
•Things that you are not allowed to have in your blood because it is a crime
• Meth, cocaine, heroin, MaryJane, GHB, ketamine, spice, bath salts, etc etc.
•Things that you are not supposed to have in your blood because they are poison
• Carbon monoxide, cyanide, pesticides, other alcohols, hydrocarbons and solvents, etc etc
•Unique weird reactions to things:
• Alcohol Withdrawal, Neuroleptic Malignant Syndrome, Serotonin Syndrome, Agitated Delirium, Wernicke's
Maybe You’re Just Crazy?
•Conversion Disorder
•Psychosis/Mania
•Malingering
•These are last on the list for a reason