The phrase "altogether confused" is correct and usable in written English.
It can be used to describe a state of complete confusion or lack of understanding about a situation or topic.
Example: "After reading the complex report, I was altogether confused about the findings and their implications."
Alternatives: "completely baffled" or "totally perplexed".
Detection of congenital cholesteatomas with simple otoscopic examination can be missed altogether or confused with normal conditions such as myringosclerosis.
I think it's time to ditch "black" altogether, stop confusing our heritage and from now on say, simply, "African".
The guys in these movies are all very confused and very angry about women, and so they've conveniently written them out of or as a sideline to their (b)romances altogether.
In this age of empathy, inappropriateness has become one of the great modern sins, and flirtation is regularly confused with something altogether more serious.
There is not much more an airline can do following a catastrophic event; it can, however, do much less, as illustrated by Malaysia Airlines' confused, contradictory and altogether insensitive handling of the Flight 370 disappearance.
"We wanted to use these Facebook features to illustrate how those thoughts and memories can be confused, or forgotten altogether, as experienced by some of the hundreds of thousands of people across the UK living with dementia.
Others were confused by the terms altogether, asking for clarification from the interviewer.
During the presidential campaign, he rather famously confused Slovenia with Slovakia, an altogether different place.
Their initial footprint system confused users before it stopped working altogether.
In a press release released by Ethur and ThePornTalk.com, the initiative attempts to expose the dangers of WiiPorn (not to be confused with WeePorn, which is a whole different story altogether).
