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== Diagnosis == | == 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 == | == 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
- CBC
- Chem 10
- UA/Utox
- ECG, CXR
- ETOH
- CT/MRI
- Consider
- LFTs, TSH
- B12, RPR, ESR, ANA, Folate, Thiamine, HIV
- neuropsych eval
- Consider LP, urine heavy metals, EEG
Treatment
Give MVI, thiamine, folate
Source
7/1/09 PANI (Adapted from Donaldson)
