Dementia Work-Up: Difference between revisions

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==Diagnosis==
== Diagnosis ==
 
 
Acute onset, fluctuating course, inattention
Acute onset, fluctuating course, inattention


Plus either disorganized thinking or altered level of consciousness
Plus either disorganized thinking or altered level of consciousness


== Work-Up ==
 
#CBC
==Work-Up==
#Chem 10
 
#UA/Utox
 
#ECG, CXR
CBC
#ETOH
 
#CT/MRI
Chem 10
#Consider
 
##LFTs, TSH
UA/Utox
##B12, RPR, ESR, ANA, Folate, Thiamine, HIV
 
##neuropsych eval
ECG, CXR
##Consider LP, urine heavy metals, EEG
 
ETOH
 
CT/MRI
 
 
LFTs, TSH
 
B12, RPR, ESR, ANA, Folate, Thiamine, HIV
 
neuropsych eval
 
 
Consider LP, urine heavy metals, EEG
 
 
==Treatment==
 


== Treatment ==
Give MVI, thiamine, folate
Give MVI, thiamine, folate


== Source ==
 
==Source==
 
 
7/1/09 PANI (Adapted from Donaldson)
7/1/09 PANI (Adapted from Donaldson)


[[Category:Neuro]]
[[Category:Neuro]]

Revision as of 06:57, 28 March 2011

Diagnosis

Acute onset, fluctuating course, inattention

Plus either disorganized thinking or altered level of consciousness

Work-Up

  1. CBC
  2. Chem 10
  3. UA/Utox
  4. ECG, CXR
  5. ETOH
  6. CT/MRI
  7. Consider
    1. LFTs, TSH
    2. B12, RPR, ESR, ANA, Folate, Thiamine, HIV
    3. neuropsych eval
    4. Consider LP, urine heavy metals, EEG

Treatment

Give MVI, thiamine, folate

Source

7/1/09 PANI (Adapted from Donaldson)

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