Dementia Work-Up: Difference between revisions

Revision as of 01:25, 24 January 2012

DSM-IV Definition:

Major impairment in learning and memory plus impairment in handling complex tasks, impairment in reasoning ability, impaired spatial ability and orientation, or impaired language
Symptoms significantly interfere with work, usual social activities, relationships
Significant decline from previous level of functioning
Disturbances are insidious and progressive
Disturbances are not occurring exclusively during the course of delirium
Disturbances are not accounted for by major psychiatric diagnosis
Disturbances are not accounted for by systemic disease or another brain disease

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

Give MVI, thiamine, folate

7/1/09 PANI (Adapted from Donaldson)

Authors:

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 == Diagnosis ==
-Acute onset, fluctuating course, inattention
+DSM-IV Definition:
+*Major impairment in learning and memory plus impairment in handling complex tasks, impairment in reasoning ability, impaired spatial ability and orientation, or impaired language
-Plus either disorganized thinking or altered level of consciousness
+*Symptoms significantly interfere with work, usual social activities, relationships
+*Significant decline from previous level of functioning
+*Disturbances are insidious and progressive
+*Disturbances are not occurring exclusively during the course of delirium
+*Disturbances are not accounted for by major psychiatric diagnosis
+*Disturbances are not accounted for by systemic disease or another brain disease
 == Work-Up ==