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== Diagnosis ==
== 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 ==
== Work-Up ==

Revisión del 01:25 24 ene 2012

Diagnosis

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

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)