|
|
| Línea 1: |
Línea 1: |
| == Diagnosis ==
| | #REDIRECT[[Dementia]] |
| 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 ==
| |
| *Mini-mental status exam
| |
| **Score less than 24 suggests cognitive impairment
| |
| **May be influenced by education and age
| |
| ***Score less than 29 if greater than 9 years of schooling suggests cognitive impairment
| |
| ***Score less than 26 if 5-9 years of schooling suggests cognitive impairment
| |
| ***Score less than 22 if less than 4 years of schooling suggests cognitive impairment
| |
| *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)
| |
| | |
| [[Category:Neuro]] | |
